NUR 208 Care in Urgent and Community Settings

Lecture Hours: 5
Lab Hours: 15
Credits: 10

Provides students with opportunities to learn and to apply the knowledge, skills, and attitudes necessary to implement the roles of an associate degree registered nurse in providing care in a variety of settings. Theoretical concepts focus on the care of patients experiencing a health-related crisis such as a critical illness, an acute exacerbation of a chronic illness, or an end-stage disease. Students will also have the opportunity to gain knowledge and explore nursing practice in community-based settings.

Prerequisite: NUR 206 with a grade of C or better.
Corequisite: PSY 237 (may be completed prior to enrollment).
Student Learning Outcomes:

Patient centered care: Organize complex care in a patient centered manner that advocates for patients and families in ways that promote their self-determination and integrity based on personal preferences, beliefs, and values.
Quality and Safety: Prioritize nursing care that minimizes risk of harm to patients, self, and others, and uses data to monitor outcomes of patient centered care.
Evidence based practice and nursing judgment: Justify clinical judgments in providing nursing care based on current evidence, clinical expertise, patient preferences, needs and values.
Professionalism: Evaluate nursing care that reflects integrity, accountability, legal and ethical practice while modeling the professional roles of coordinator of care, educator, advocate, and leader.
Informatics and technology: Defend nursing care using current technology and patient information to maximize safety and optimize health.
Teamwork and collaboration: Communicate effectively and collaboratively with patients, families, and health-care team.

Content Outline

Health & Illness and Professional Nursing Concepts Cell Regulation
- Cancer treatment modalities
- Leukemia and lymphoma
Comfort
- Malignant pain
- Hospice and End-of-life care
Health Care Delivery Systems, Advocacy, Teamwork and Collaboration
- Discharge planning, Home health, and Case management
- Environmental health
- Global health
Immunity
- SLE, Celiac disease
Mobility
- Spinal cord injury
Oxygenation
- Acute Respiratory Disorders (ARDS, (pulmonary embolism, pulmonary edema, and noninvasive ventilation modes and ventilators)
Patient centered care
- Effects of critical illness on patients, children, and families
- Disaster planning and emergency response
- Registered nurse role in the emergency department
Perfusion
- Assessing patients with perfusion problems
- Acute intracranial problems (CVA / SAH)
- Aortic aneurysms
- Cardiac Pharmacology
- Cardiac rhythms
- Myocardial infarction and heart failure
- Pacemakers
- Pediatric and adult structural abnormalities, and open-heart surgery
- Shock (Hypovolemic and Distributive) and DIC
Sensory Perception
- Increased intracranial pressure
Tissue Integrity
- Burns