School of Nursing  - UT Health Science Center San Antonio

Fall 2008

NURS 4212 Strategies for Professional Nursing: Health Assessment

This course resides in the Department of Chronic Nursing Care.

Course materials will be available on the course website.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements

FACULTY

Course Coordinator:

Lorena C. Guerrero, MSN, RN, FNP
E-mail:  GuerreroL@uthscsa.edu
Phone:  (210) 567-5923
Fax: (210) 567-5376
Office:  2.114
Office Hours: Mondays, 2-5 PM
Chronic Nursing Care Department

Margaret L. Bell, PhD, RN

 Email:  BellM@uthscsa.edu

 Phone:  (210) 567-5792

 Fax(210) 567-1719

 Pager(210) 230-3537

 Office 2.134

 Office Hours: Mondays, 12-3 pm

 Acute Nursing Care Department


COURSE DESCRIPTION
This course focuses on the theory and skills of health assessment, including health history and physical examination across the life span.  Students apply selected principles and skills in a simulated practice setting.

CREDIT AND TIME ALLOCATION

2 semester hours (1 hour Theory, 1 hour Clinical)

Students should anticipate at least 3 hours of work time each week for theory and at least 3 hours a week of clinical time.


PREREQUISITES
LVN:  NURS.3312, 3313, 3220, 3409
RN: Admission to the Flexible Process Program

COURSE OBJECTIVES
  1. Apply the nursing process in the physical examination of patients across the lifespan.
  2. Participate as partners in the customized techniques of health history and physical examination of patients to protect, promote, and restore optimal health.
  3. Apply therapeutic communication skills when engaged in the assessment of the patient in professional practice.
  4. Demonstrate critical thinking as the basis for formulating decisions and improving practice when doing health history and physical examination.
  5. Apply theory and research findings for customizing the health history and physical examination of the individual patient.
  6. Demonstrate the ability to partner through collaborative relationships with patients.
  7. Demonstrate ethical and legal behaviors that reflect the standards of nursing practice in the assessment of patients.
  8. Demonstrate commitment to professional role development in the integrated learning process

CLINICAL OBJECTIVES
  1. Collect and record an accurate, complete health history.
  2. Use effective communication skills when conducting a health history interview and performing physical examination.
  3. Demonstrate accurate physical examination of each designated body system.
  4. Demonstrate an accurate, integrated head-to-toe physical examination.
  5. Use appropriate standards of care in the performance of physical examination.
  6. Demonstrate active involvement in the learning process.

CRITERIA FOR EVALUATION / GRADES

10% - Exam 1

10% - Exam 2

10% - Exam 3

10% - Exam 4

10% - Exam 5         

20% - Clinical and Online Assignments

30% - Final Integrated Physical Examination Demonstration
100% - Total

A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

Successful completion of NURS 4212 requires:
    1. A minimum grade of 70% as a final course grade AND
    2. A minimum average of 70% on the five Exams AND
    3. A minimum grade of 85% on the Final Integrated Physical Examination Demonstration.
        The student who earns less than 85% on the Final Integrated Physical Examination
        Demonstration will have only ONE additional opportunity to repeat this demonstration to
        achieve the required grade to pass the course.  The grade received on the first demonstration
        will be used for the final course grade calculation.

Assignment Due Date Policy:
No assignments will be accepted after the specified due date.

Testing Policy:
If a student cannot take an exam due to extenuating circumstances, the student must notify the course coordinator PRIOR to the exam time.  The student will have one week to make up the missed exam.  It is the student's responsibility to contact the course coordinator to schedule the make up exam.  If a student fails to notify the course coordinator, the missed exam is counted as a ZERO and averaged into the course grade.

Exams will be available for review for two weeks after grades are posted. After that time they are not available.


Assessment Technologies Institute®, LLC (ATI) RN Content Mastery Series®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series® & the RN Comprehensive Predictor® practice and proctored exams to assist students in preparing for the NCLEX-RN® exam (generic and LVN flexible process students). Through practice and proctored examinations, students are able to assess their own knowledge and receive feedback and direction for content review throughout the program of study.

The proctored exams are administered in specific courses in both undergraduate tracks (i.e. ATI Pharmacology in N3312 Pharmacotherapeutics; ATI Fundamentals in N3610 Chronic Health Transitions, ATI Leadership in N4410 Leader-Manager, etc.). The proctored exam is required to complete the course.

In order for a student to take the course related proctored exam, documentation of achieving ≥ 70% on the content series practice exam is required. The content practice exams can be taken as many times as necessary to achieve ≥ 70%.

Students will receive additional points added to the corresponding course grade for a Level 3 or Level 2 performance on the proctored exam (after achieving ≥ 70% on graded course requirements). For a Level 3 performance on the exam, 3 points will be added. For a Level 2 performance on the exam, 1 point will be added.


SCHOLASTIC DISHONESTY
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

American with Disabilities Act (ADA) Accommodations
Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Students within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: 1.118-16

REQUIRED TEXT / REFERENCE

Bickley, L. S., & Szilagyi, P. G.  (2007).  Bates’ guide to physical examination and history taking (9th ed.).  Philadelphia: Lippincott, Williams & Wilkins.


RECOMMENDED (OPTIONAL) TEXT / REFERENCE

American Psychological Association.  (2001).  Publication manual of the American Psychological Association (5th ed.).  Washington, DC: Author.


CONTENT OUTLINE
  1. Health History
  2. Integument Assessment
  3. Eye, Ear, Nose & Throat Assessment
  4. Head & Neck Assessment
  5. Neurological Assessment
  6. Musculoskeletal Assessment
  7. Pulmonary Assessment
  8. Cardiovascular Assessment
  9. Basic Arrhythmias Recognition
  10. Breast Assessment
  11. Abdominal Assessment
  12. Male & Female Genitalia Assessment
  13. Special Populations

CALENDAR - First Week Only
Please check the Fall 2008 Schedules for recent updates on Class Dates & Room.
Date Topic / Assignment Due

Wednesday, 8/27/08
Time:  1:00 - 4:50 PM
Room:  1.222

Introduction to Course
Health History