10543127Paramedic to ADN Theory 1
Course Information
Description
This course will focus on basic nursing concepts that the beginning nurse will need to provide care to diverse populations. The nursing process will be introduced as a framework for organizing care of patients with alterations in cognition, elimination, comfort, grief/loss, mobility, skin integrity, and related principles of pharmacology.
Total Credits
3
Course Competencies
  1. Differentiate scopes of practice within the nursing profession
    Assessment Strategies
    In an oral or written response
    Criteria
    Distinguish among the different levels of nursing education
    Specify the ethical and legal boundaries of the student nurse as presented in the Code of Ethics and the Nurse Practice Act
    Detail responsibility for maintaining patient confidentiality
    Compare various settings in which nurses work
    Detail the role of nursing organizations
    Describe the contributions of all members of the healthcare team
    Outline the standards of regulatory and reimbursement agencies
    Examine the role of evidence-based practice in nursing
    Examine the concept of quality in patient care

  2. Maintain a safe, effective care environment
    Assessment Strategies
    In a written or oral response
    Criteria
    Response indicates correct identification of client prior to performing any client care measures.
    Response reflects inclusion of industry standards and regulations regarding microbiological, physical, and environmental safety.
    Response reflects decision making related to measures to minimize use of restraints
    Response identifies evidence-based practices

  3. Use the nursing process
    Assessment Strategies
    In an oral or written response to case studies/scenarios
    Criteria
    Response follows the steps in the nursing process in the correct order
    Response outlines the data resources needed to complete a client data base
    Response identifies nursing diagnoses from a designated source
    Response includes suggestions for the development of a care plan
    Response reflects priorities of client care
    Response contributes to the evaluation of client outcomes
    Response includes documentation of each phase of the nursing process
    Response differentiates between the role of the PN and the RN in the nursing process

  4. Adapt nursing practice to meet the needs of diverse clients in a variety of settings
    Criteria
    Response reflects consideration of the aspects of diversity including age, gender, culture, socioeconomic status, disability and sexual orientation
    Response demonstrates principles of holism by assessing the impact of development, emotional, cultural, religious, and spiritual influences on the patient’s health status
    Response protects patient dignity
    Response demonstrates principles of holism by incorporating emotional, cultural, religious and spiritual influences on patient health
    Response demonstrates principles of patient-centered care (i.e. patient values, customs, culture and/or habits)
    Response details specific adaptations in patient care to accommodate the needs of diverse populations
    Adaptations are reasonable, legal and ethical
    Response adheres to the Patient Bill of Rights
    Response identifies strategies to advocate for patients
    Response identifies evidence-based practice

  5. Examine legal, ethical, social, and cultural issues related to medication administration
    Assessment Strategies
    Through a written or oral analysis of case studies or scenarios concerning medication administration
    By recommending appropriate nursing actions
    Criteria
    Analysis is supported by relevant evidence
    Analysis incorporates drug administration guidelines within the Wisconsin State Nurse Practice Act
    Analysis identifies nursing responsibility to prevent and respond to medication errors
    Analysis includes nursing responsibilities associated with controlled substances
    Analysis identifies ethical responsibilities as they relate to medication errors
    Nursing response reflects respect for patient’s rights and responsibilities with drug therapy
    Nursing actions are within the scope of nursing practice as it relates to the administration of medications
    Nursing response reflects patient-centered care by respecting patient’s gender, psycho-social and cultural needs
    Identifies nursing responsibilities associated with safe medication administration

  6. Provide nursing care for clients with sleep/rest/mobility alterations
    Assessment Strategies
    In a written or oral response to case studies/scenarios
    Criteria
    Response assesses factors that put clients at risk for problems with mobility and sleep
    Response identifies factors related to sleep/rest/mobility across the lifespan
    Response recognizes characteristics of sleep deprivation
    Response considers the use of pharmacological and non-pharmacological measures to promote sleep and rest
    Response assesses the effects of immobility on body systems
    Response details the nursing measures to prevent complications of immobility
    Response promotes the use of effective techniques of body mechanics among caregivers, clients, and significant others
    Response identifies evidenced-based practices

  7. Provide nursing care for clients with comfort alterations
    Assessment Strategies
    In a written or oral response to case studies/scenarios
    Criteria
    Response assess clients for subjective and objective manifestations of alteration in comfort
    Response identifies factors related to comfort across the lifespan
    Response adheres to standards of care for the client experiencing pain
    Response identifies non-pharmacologic and pharmacologic measures to minimize pain and discomfort
    Response outlines the plan for monitoring the patient response to the interventions for pain and discomfort
    Response identifies evidence-based practices

  8. Provide nursing care for clients with alterations in the musculoskeletal system
    Assessment Strategies
    By responding to selected case studies/scenarios of clients with musculoskeletal disorders (format may be oral or written)
    Criteria
    Response utilizes the nursing process
    Response includes an exploration of the roles and responsibilities of the nurse in caring for the client with musculoskeletal disorders (i.e. mobility)
    Response explains the pathophysiology of musculoskeletal disorders
    Response considers the developmental level of the client
    Response recognizes the value of therapeutic communication in caring for the client with musculoskeletal disorders
    Response considers use of common pharmacological and non-pharmacological measures for the client with musculoskeletal disorders

  9. Apply components of the nursing process to the administration of analgesic and musculoskeletal system drugs
    Assessment Strategies
    Through a written or oral analysis of case studies or scenarios related to the administration of analgesics and musculoskeletal system drugs.
    Criteria
    Response cites the classification and actions of analgesics
    Response cites the classifications and actions of musculoskeletal system drugs
    Response includes examples of when, how, and to whom analgesics and musculoskeletal system drugs may be administered
    Response outlines the side effects and special considerations associated with analgesics
    Response outlines the side effects and special considerations associated with musculoskeletal system drugs
    Response identifies considerations and implications of using analgesics across the life span
    Response identifies considerations and implications of using musculoskeletal system medications across the life span

  10. Provide nursing care for clients with commonly occurring alterations in elimination patterns
    Assessment Strategies
    In a written or oral response to case studies/scenarios
    Criteria
    Response assess factors that put a client at risk for alterations in urinary and bowel elimination
    Response identifies factors related to alterations in elimination across the lifespan
    Response outlines the data that must be collected for identification of alterations in bowel/urine elimination
    Response is based on the interpretation of basic diagnostic tests of urinary and bowel elimination: urinalysis and occult blood
    Response details the non-pharmacologic and pharmacologic measures to promote urinary and bowel elimination
    Response identifies evidence-based practices

  11. Provide nursing care for clients with alterations of the gastrointestinal system
    Assessment Strategies
    By responding to selected case studies/scenarios of clients with gastrointestinal disorders
    Criteria
    Response includes an exploration of the roles and responsibilities of the nurse caring for the client with renal/urinary disorders
    Response explains the pathophysiology of renal/urinary disorders
    Response considers the developmental level of the client
    Response considers use of common pharmacological and no-pharmacological measures for the client with renal/urinary disorders

  12. Apply components of the nursing process to the administration of gastrointestinal system drugs
    Assessment Strategies
    Through a written or oral analysis of case studies or scenarios related to the administration of gastrointestinal drugs
    Criteria
    Response outlines the classifications and actions of gastrointestinal system drugs
    Response includes examples of when, how and to whom gastrointestinal system drugs may be administered
    Response includes the side effects and special considerations associated with gastrointestinal system drug therapy.
    Response identifies considerations and implications of using gastrointestinal system medications across the life span
    Response identifies indications, side effects, ad potential drug interactions associated with the use of herbal supplements
    Response identifies and interprets related laboratory tests
    Response applies evidence-based concepts when using the nursing process

  13. Provide nursing care for clients with alterations of the renal/urinary system
    Assessment Strategies
    By responding either via written or oral format to selected case studies/scenarios of clients with real/urinary disorders
    Criteria
    Response includes an exploration of the roles and responsibilities of the nurse caring for the client with renal/urinary disorders
    Response explains the pathophysiology of renal/urinary disorders
    Response considers the developmental level of the client
    Response considers use of common pharmacological and no-pharmacological measures for the client with renal/urinary disorders

  14. Provide nursing care for clients with integumentary disorders
    Assessment Strategies
    In written or oral response to case studies/scenarios
    Criteria
    Response identifies the clients at risk for impaired skin integrity
    Response identifies factors related to alterations in integumentary system across the life span
    Response includes an assessment of a clients’ skin integrity
    Response notes normal from abnormal findings
    Response assesses the characteristics of the wound
    Response applies correct terminology in the description of wounds
    Response includes an adaptation of care based on integumentary assessment data gathered
    Response utilizes evidence-based practices

  15. Provide nursing care for clients with infection
    Assessment Strategies
    In a written or oral response to case studies/scenarios
    Criteria
    Response outlines the factors that put clients at risk for infection
    Response identifies factors related to infections across the life span
    Response outlines the dress code and personal practices that reduce the risk of infection transmission
    Response is based on an assessment of the signs and symptoms of infection
    Response is based on an interpretation of the diagnostic tests related to client’s infectious process
    Response details the nursing interventions to support or minimize the physical and psychological effects of the infectious process
    Response demonstrates the ability to correlate nursing interventions to methods used to prevent or disrupt the chain of infection
    Response follows industry standards for isolation procedures
    Response documents assessment of therapeutic and adverse reactions to pharmacological therapy for infection
    Response identifies evidence-based practices

  16. Apply components of the nursing process to the administration of antimicrobial drugs
    Assessment Strategies
    Through a written or oral analysis of case studies or scenarios relative to the administration of antimicrobial drugs
    Criteria
    Response cites the classifications and actions of antimicrobial drugs
    Response includes examples of when, how, and to whom antimicrobial drugs may be administered
    Response identifies the side effects and special considerations associated with antimicrobial therapy
    Response evidences considerations and implications of using antimicrobial medications across the life span
    Response identifies indications, side effects, and potential drug reactions associated with the use of herbal supplements
    Response identifies and interprets related laboratory tests
    Response applies evidence-based concepts when using the nursing process

  17. Provide nursing care for clients with cognitive and sensory impairments
    Assessment Strategies
    In a written or oral response to case studies/scenarios
    Criteria
    You collect data to identify clients experiencing alterations in cognition or sensory perception
    Response identifies factors related to cognitive and sensory impairments across the life span
    Response demonstrates respect for the dignity of the client with cognitive or sensory impairment
    Response details support for family/significant others caring for clients with cognitive or sensory impairment
    Response includes community resources available for clients and families with a cognitive or sensory impairment
    Response includes adaptations to the environment to maintain safety for the client with impaired cognition or sensory impairment
    Response incorporates nursing strategies to maximize cognitive functioning and sensory perception
    Response outlines nursing interventions for specific cognitive and sensory disorders
    Response identifies evidence-based practices

  18. Apply components of the nursing process to the administration of autonomic nervous system
    Assessment Strategies
    Through a written or oral analysis of case studies or scenarios related to the administration of autonomic nervous system drugs
    Criteria
    Response cites the classifications and actions of autonomic nervous system (ANS) medications
    Response includes examples of when, how, and to whom autonomic nervous system medications may be administered
    Response includes the side effects and special considerations associated with autonomic nervous system medications
    Response evidences considerations and implications of using autonomic nervous system medications across the life span
    Response reflects application of evidence-based concepts when using the nursing process

  19. Apply components of the nursing process to the administration of central nervous system drugs
    Assessment Strategies
    Through a written or oral analysis of case studies or scenarios related to the administration of central nervous system drugs
    Criteria
    Response cites the classifications and actions of central nervous system drugs
    Response cites classifications and actions of medications used to treat psychiatric disorders
    Response includes examples of when, how, and to whom CNS drugs may be administered
    Response includes the side effects and special considerations associated with CNS drug therapy
    Response evidences considerations and implications of using CNS medications across the life span
    Response applies evidence-based concepts when using the nursing process
    Response identifies indications, side effects and potential drug interactions associated with the use of herbal supplements
    Response identifies and interprets laboratory tests

  20. Provide nursing care for clients with alterations of the neuro system
    Assessment Strategies
    By responding in writing or verbally to selected case studies/scenarios of clients with neurological disorders
    Criteria
    Response includes an exploration of the roles and responsibilities of the nurses in caring for a client with neurological disorders
    Response explains the pathophysiology of neuro disorders
    Response explores the life span considerations of the client
    Response considers use of common pharmacological and non-pharmacological measures for clients with neurological disorders

This Outline is under development.