vn 400 obstetric nursing vn 430a internal clinical experience september 2013

8/13/2019 VN 400 Obstetric Nursing VN 430A Internal Clinical Experience September 2013

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VN 400: OBSTETRIC NURSING

VN 430A: INTERNAL CLINICAL EXPERIENCE

Class Days and Hours:

AM Class: 9:00am - 2:00pm with one hour of internal clinical experience

included

PM Class: 5:00pm10:00pm with one hour of internal clinical experienceincluded

Instructor:

Phone:

Email:

Office Hours:

COURSE DESCRIPTION: This course emphasizes the total care of the obstetrical client including thetherapeutic uses and effects of drugs during pregnancy, labor and delivery, the immediate postpartum

period, and nutrition as it relates to pregnancy and lactation. Care of the newborn is included. The role of

the family and the importance of bonding are stressed. Clinical experience and client centered conferences

reinforce classroom theory.

METHOD OF DELIVERY:

VN 400 Obstetric Nursing is provided as a residential course.

METHOD OF INSTRUCTION:

Lecture which includes but not limited to PowerPoint presentations, group discussions, and audio/videopresentations.

ESTIMATED TIME FOR OUTSIDE OF SCHOOL PREPARATION:

Students will be required to complete reading assignments, homework, and prepare for quizzes and exams

outside of class hours. The minimum estimated time for Outside School Preparation Hours (OSPH) is five(5) hours for each credit hour of lecture/laboratory.

4.0 quarter credit hours that includes 20 OSPH

COURSE OBJECTIVES: Upon completion of this course the student will be able to:1. Identify the normal characteristics of female and male reproductive systems.2. Describe management of female fertility and contraception. Identify the nurses role in promoting

womens health.

3. Identify common sexually transmitted diseases and recommendations for treatment.4. Describe the process of conception, embryonic and fetal development, and methods used to assess fetal

health.

5. Understand basic physiology of pregnancy, identify developmental needs of childbearing women anddescribe nursing interventions during different stages of pregnancy.6. Apply culturally sensitive approach to meeting the needs of childbearing women and their families;

prioritize care according to developmental needs and cultural characteristics.

7. Identify womens needs and appropriate nursing interventions during labor and delivery.8. Identify options for pain management for laboring women, both pharmacological and non-

pharmacological.

9. Identify altered conditions and health problems complicating pregnancy.


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10.Describe normal and abnormal postpartum adjustment of childbearing women and their families inmulticultural perspective.

11.Identify normal newborn characteristics and nursing assessment of a newborn.12.Develop an understanding of the cycle of domestic violence and understand the nurses role in the care

of clients who are experiencing domestic violence.

13.Identify community resources available to childbearing families including violence prevention,substance abuse treatment, breastfeeding support, etc.

CLOCK AND/OR QUARTER CREDIT HOURS AWARDED:VN 400 Obstetric Nursing: 44 clock hours 4.0 quarter credit hoursVN 430A Clinical Lab: 11 clock hours: (11 out of 30 hours of VN 430A clinical skills lab)

Total clinical hours for VN Module IV: 278 clock hours; 9 quarter credit hours.

UNITS OF CREDIT:Academic credit is measured in quarter or clock hours. Typically, one hour of instructional time is defined

as a fifty-minute period. Credits earned at Gurnick Academy of Medical Arts are for determining progress

towards program completion only. The credits are not typically transferable to another school, college or

university.

QUARTER CREDIT HOURS ARE DETERMINED AS FOLLOWS:10 hours of lecture = 1 quarter credit hour20 hours of laboratory = 1 quarter credit hour

30 hours of internship = 1 quarter credit hour

PREREQUISITES:Completion of VN Module III courses with C or better. Concurrent enrollment with all VN Module IV

courses is required: Pediatric Nursing, Psychiatric Nursing, and Clinical IV.

REQUIRED TEXTBOOK:Leifer, G. (2012).Maternity Nursing (11

thEd.).St Louis: Elsevier/Saunders. ISBN: 978-1-4377-2209-3.

ATTENDANCE:1. Students are expected to attend all classes as scheduled. All efforts should be made to not miss any

class. In the event a student is absent due to illness or any other reason, he or she must notify the

school in advance whenever possible. All absences must be approved by the students instructor.2. All Vocational Nurse students must complete all required theory and clinical hours to graduate.

Whenever possible the instructor must approve all absences in advance. Approval for all absences

is at the instructors discretion.3. In order to meet the criteria for attendance and the specific course objectives, students must arrange

make-up time of missed hours with the instructor for all instructor-approved absences. Make-up

theory hours can include case studies, independent study, written examination, attendance at

seminars or workshops, auto-tutorial laboratory, and research reports. Make-up clinical hours caninclude performance evaluation(s) in the skills laboratory or additional time in the clinical area with

clients/patients.

4. All make-up clinical hours are subject to additional tuition fees that are based on the proratedhourly charges of the program. The prorated hourly charge is equal to the total number of hours

needed to make-up multiplied by the hourly tuition charge. Students will be held responsible for

this additional tuition payment when they need to make up their clinical hours due to absence.5. Students who are tardy more than 15 minutes for class are considered to be absent. Students who

leave class more than 15 minutes early are also considered to be absent.


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6. Students who arrive to class 1-15 minutes late are considered to be tardy. Students who also leaveclass 1-15 minutes before the end of class are also considered to be tardy.

7. A student being tardy 3 times is the equivalent of one absence.8. Students who miss a significant portion of any course within a program will be expelled from the

program.

ABSENCES:The following absences are the ONLY EXCUSED ABSENCES:

Medical Emergency:Must provide documentation from physician Jury Duty:Must provide court summons Family Emergency:If you are the sole responsible person for a child or dependent adult, and there

is a medical emergency you must provide written documentation from physician.

Bereavement Leave-Documentation of the death or funeral service MEDICAL CLEARANCE MUST BE PROVIDED TO AND APPROVED BY THE

PROGRAM COORDINATOR PRIOR TO THE STUDENT BEING ALLOWED TO

RETURN TO THE CLINICAL SETTING

ALL absences must be made up within thirty (30) days. It is the students responsibility to ensure that a

make-up plan of action for each absence is completed within seven (7) days and documented on didacticmake-up form. All make-up forms must be filled out completely and accurately with all required

signatures for all missed hours prior to credit of make-up hours is granted.

CLASS EXPECTATION:Students are expected to prepare for class by doing the assigned readings, activities, participate in the class

discussion, ask questions, and share your personal experience with the class.

PARTICIPATION:You will be expected to actively participate in lectures and discussions. Ask questions, provide comments,

and share your own experiences and knowledge with the rest of the class. It will be helpful if you read

corresponding textbook chapters prior to coming to the class. Your class participation may very stronglyaffect your grade, especially if your grade falls between A and B, B and C, etc.

PROFESSIONALISM:It is a requirement to attend all core didactic and clinical courses in full uniform, blue Gurnick scrub pants

and top. Additionally, student must be in well fitted closed toes shoes. No high heels, pumps, cleats,

sandals or flip flops as these are unsafe and do not meet nursing professional requirements. A cleanappearance that is free from excessive perfumes, loose dangling jewelry, rings with large stones may pose

risk to the patient or student in the clinical setting. Additionally, acrylic nails or false fingernails and

colored nail polish are not permitted during the core program as they are a risk to infection control.

CELL PHONE POLICY:Cell phones must be turned completely off in class and not taken into clinical settings at all times. Students

may use their cell phones on campus before or after class and during breaks in the posted designated areas

or outside of the school. For an emergency contact, students may use the school or clinical facilitys phonenumber. Students who are not in compliance with this policy are subject to disciplinary probation,

suspension, or termination at the discretion of the school administration.


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EVALUATION ADMINISTRATION POLICY:All electronic devices must be turned completely off during the administration of all forms of evaluation

and displayed within the instructors view. All non-electronic personal belongings will be stored out of allclass members view, including the instructors, by concealing all instructional notations and storing

belongings under the chair and/or desk. There will be no talking or questions during the administration of

evaluations. Forms of evaluation include but are not limited to: quizzes, tests, and examinations. Students

who are not in compliance with this policy are subject to disciplinary probation, suspension, or terminationat the discretion of the school administration.

ACADEMIC INTEGRITY:All students enrolled in classes at Gurnick Academy of Medical Arts are expected to maintain integrity in

all academic pursuits. These include the writing of papers, examinations, assignments, records and other

details relative to the assessment of student performance. Integrity and honesty is a quality essential of all

medical workers, the faculty does not want students who are dishonest since that attitude and perspectivewill put patients health and lives at risk. Any dishonesty with regard to these matters is subject to censure

or penalty (including but not limited to expulsion) in proportion to the seriousness of the action.

Dishonesty would include things such as:1. Copying answers of another person or persons during an examination,2.

Secreting (hiding) of unauthorized materials to assist in an examination,3. Plagiarism, taking as ones own statements those of another without giving due credit to the author,even though such material may have been restated in ones own words,

4. Fraudulently obtaining test information, falsifying records, transcripts, recommendations or otherdocuments indicative of student qualifications.

Gurnick Academy of Medical Arts also considers the following to be serious breaches of integrity:

1. Falsification of patient records.2. Breach of patient confidentiality.3. Taking property or drugs from clinical sites or patients.4. Felony convictions.5.

Endangering patients due to psychological impairment or by being under the influence of alcohol,or drugs.

6. Falsification of assignments that are to be conducted on patients or members of the community.7. Having someone else complete your written assignments and submitting them as your work.

In proportion to the seriousness of the action, censure, and penalty may extend from a failing grade in the

work in question to dismissal from the program. Ordinarily the responsibility for resolving the issues lies

with the faculty member and the student.

COURSE REQUIREMENTS:

1. Assigned readings as per schedule (see syllabus schedule). Students are expected to read topics prior toattending class and to submit 2 page summaries on day of lecture for chapter assigned.

2. Participation in classroom activities: group dynamics, and professionalism.3. Quizzes and final examination4. OB Project5. Homework and study notes will be counted toward grade.6. Cumulative grade of 75% to pass the course.

METHOD OF EVALUATION:

Grades are evaluated as follows:

Final Exam = 20% of overall grade


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All other exams and quizzes = 70% of overall grade Homework (Study notes, etc) = 10% of overall grade

EVALUATION:

Homework: 9 @ 1 point = 9%

Quizzes: 9 @ 7 points = 63%Final Exam 20 points = 20%

Project 5 points = 5%

TOTAL: = 100%

There are no make-ups for quizzes or exams unless recommended by instructor and approved by

administration. If approved, students will take exam within 7 days of absence with a reduction of 10%.

GRADING SCALE:A 90100%

B 8089.9%C 7579.9%D 6574.9%F Below 64%

In the Vocational Nursing Program, the lowest acceptable grade is a C.

MID MODULE STUDENT PROGRESS RECORDThe mid module student progress record is designed to monitor students progress in all coursework and target areasof improvement.

Students will fill out the student self-evaluation Student will obtain from the INTRANET their current grade and attendance for all courses. Beginning the sixth week, student will present the progress record to each instructor on the day you attend

their class. They will sign it and give it back to you.

Instructors and/or the Associate Program Director will meet with you individually, if necessary.REMEDIAL POLICY FOR VOCATIONAL NURSE STUDENTS

All students who receive a non-passing grade in any course will be referred for remediation. In addition, instructors

may request that a student attend remediation for reasons other than failing a test. The purpose of the remedial plan isto improve the student's chance for successful completion of the Vocational Nurse (VN) program and to strengthenareas of concern/weakness. Students will be required to attend remediation sessions with the instructor and/or

complete remediation assignments. Failure to attend or complete remediation by the requested date will result indismissal from the program. It is the responsibility of the student to adhere to and complete the plan of action inorder to remain in the Vocational Nurse program.

Students may be placed on remediation only for a maximum of two (2) courses per module as necessary, and are not

to exceed three (3) times throughout the entire duration of the program. Students will be dismissed from the programif a student has completed a total of 3 remediations and still ob tains a nonpassing grade in the 4th course, or if the

number of remediations exceeds two (2) per module.

The remediation coursework is graded individually. The remediation grade is not calculated into the overall coursegrade, nor is it considered, extra credit. For a student to continue within the program the Plan Of Remediation willhave to receive at a minimum a C grade. If the student does not receive a C grade the student will be withdrawn from

the program.

DATE PRINTED:DATE REVISED:September 11, 2013

Note: This syllabus is subject to change in the event of extenuating circumstances. If you are absent from class, it is

your responsibility to check on announcements made in class while you were absent.


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GURNICK ACADEMY OF MEDICAL ARTS

VN 400: OBSTETRIC NURSING


SCHEDULE OF CLASSES

WEEK MEETING LECTURE TOPIC

READING

and

HOMEWORKASSIGNMENT

1

Contemporary Maternity Care, Family and Cultural

ConsiderationsReproductive Anatomy and PhysiologyFetal Development

Chapter 1

Chapter 2Chapter 3

2

QUIZ #1: Chapters 1, 2, 3

Physiologic and Psychologic Changes During Pregnancy

Healthcare and Fetal Assessment During Pregnancy

Chapter 4

Chapter 5

3

QUIZ #2: Chapters 4, 5

Health Problems Complicating Pregnancy Chapter 13

4

QUIZ #3: Chapter 13

Process of Normal LaborManagement of Pain During Labor

Chapter 6Chapter 8

5

QUIZ #4: Chapters 6, 8Nursing Care During Labor

Complications of Labor and Birth

Chapter 7

Chapter 14

6


Physiologic Adaptation of the Newborn and NursingAssessment Chapter 9

7

QUIZ #6: Chapter 9

Nursing Care of the NewbornNewborn Feeding

Chapter 10Chapter 11

8


Postpartum Assessment and Nursing CarePostpartum Complications


9


Family Planning and InfertilityWomens HealthIssues


10


Individual Projects DUE

Review for Final Exam: Comprehensive

11 FINAL EXAM: Comprehensive


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WEEK MEETING READING

and

HOMEWORK

ASSIGNMENT

1 Introduction to the birthing simulator Chapter 1Chapter 2

Chapter 3

2 Chapters 1, 2, 3Given a patient assignment in the clinical setting, the student will explain and demonstrate thefollowing with respect to the identified cultural beliefs of the

patient: Purpose of all instruments and equipment, Effects or possible effects on mother and fetus

Chapter 4

Chapter 5

3

Chapters 4, 5Given a simulated patient assignment, the student will explain and complete the following:

Cultural assessment data , Culturally individualized plan of care

Given an assignment in the clinical setting, the student will teach the following: Purpose of

prenatal laboratory tests, Purpose of tests to assess fetal well being, Self-care for commondiscomforts of pregnancy, Exercise during pregnancy, Exercises for muscle strengthening and

relaxation during pregnancy

Chapter 13

4 Chapter 13

Internal Clinical Experience

Chapter 6

Chapter 85 Chapters 6, 8


Chapter 7

Chapter 14

6 Chapters 7, 14Internal Clinical Experience

Chapter 9

7 Chapter 9Internal Clinical Experience

Chapter 10

Chapter 11

8 Chapters 10, 11Internal Clinical Experience

Chapter 12

Chapter 17

9 Chapter 12, 17Internal Clinical Experience Chapter 19

Chapter 20

10 Chapters 19, 20


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RECEIPT OF COURSE SYLLABUS

Course Name VN 400 Obstetric Nursing / VN 430A Internal Clinical Experience

Course Start Date

Instructor(s) Name

I affirm that I received the syllabus for this course on the first day of the course and understand the

course objectives, requirements, and policies.

Student Name Student Signature Date

This attachment mustbe collected by the instructor on the first day of the course and given to the Program

Coordinator/Program Manager/Program Director in order to be checked and placed into respectivestudents folder.


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FOR INSTRUCTOR USE ONLY!!DO NOT DISTRIBUTE TO STUDENTS

WEEK MEETING CLINICAL HOUR OBJECTIVE

1 Introduction to the birthing simulator

2 Chapters 1, 2, 3Given a patient assignment in the clinical setting, the student will explain and demonstrate the following withrespect to the identified cultural beliefs of the

patient: Purpose of all instruments and equipment, Effects or possible effects on mother and fetus

3Chapters 4, 5Given a simulated patient assignment, the student will explain and complete the following:Cultural assessment data , Culturally individualized plan of care

Given an assignment in the clinical setting, the student will teach the following: Purpose of prenatal laboratory tests,

Purpose of tests to assess fetal well being, Self-care for common discomforts of pregnancy, Exercise duringpregnancy, Exercises for muscle strengthening and relaxation during pregnancy

4 Chapter 13Utilizing the birthing simulator, the student will observe, explain and demonstrate the following pelvic

presentations:LOA, ROA, ROT, LOT, OA, OP, LMA, RMA, LMP, RMP, LSA, RSA, LSP RSP

Utilizing the patient simulator, the student will observe, explain and demonstrate the following stations:-5 through +

5Utilizing the birthing simulator, the student will observe and explain the characteristics of contractions: Increment,

Peak, Decrement, Frequency, Duration, IntensityUtilizing the birthing simulator, the student will plan and demonstrate collecting admission data on a woman in

labor.

Utilizing the birthing simulator, the student will observe, explain and demonstrate the following nursing care for thewoman in labor: Spontaneous rupture of membranes, Effacement, Dilation, Descent ,Engagement, Flexion, Internal

rotation, External rotation, Expulsion Placental expulsion

Utilizing the birthing simulator, the student will explain and demonstrate the following nursing care for a patientwith: False labor, Continuous electronic fetal monitoring, Accelerations, Decelerations

5 Chapters 6, 8Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Postpartum

Hemorrhage; Amniotic Fluid Embolism

6 Chapters 7, 14Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Assessment

of the Newborn Infant

Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Abruptio

Placentae Secondary to Cocaine Use

7 Chapter 9Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Assessment

of the Newborn Infant

8 Chapters 10, 11Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Hyperemesis

Gravidarum; Abruptio Placentae Secondary to Cocaine Use

9 Chapter 12, 17Using the birthing simulator and a postpartum simulated assignment, the student will observe, explain and

demonstrate the following nursing care: Assessment: Fundus, Lochia, Bladder, Perineum, Breasts, Vital signs, Pain,

Homans sign, BondingTeach: Fundal massage, Application of perineal pads, Breastfeeding techniques, Sitz bath, Kegel exercises, Pelvic

tilt, Pain management, Afterpains, Cord care, Bulb suctioning, Circumcision care, Maternal diet, Rest

Administer: Straight catheterization, Episiotomy careUtilizing a simulated MAR, the student will administer and observe the effects of the prescribed medications from

the following list: Hep-Lock, RhoGAM, Rubella vaccine, Topical analgesics, Stool softener, Pain medications

10 Chapters 19, 20Utilizing the patient simulator, the student will explain and demonstrate the following: Applying a male condom ,Inserting a diaphragm

Utilizing a fellow student, the student will explain and teach the following: Danger signs of toxic shock syndrome,

Warning signs for oral contraceptive use, Self-help fertility aidsUtilizing a simulated patient MAR, the student will administer and observe the effects of the prescribed medications

from the following list: Clomid, Human menopause gonadotropin, Bromocriptine, Danazol, Recombinant LH,Aromatase inhibitors

11 FINAL EXAM: Comprehensive

vn 400 obstetric nursing vn 430a internal clinical experience september 2013

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