VN 400: OBSTETRIC NURSING VN 430A: INTERNAL CLINICAL EXPERIENCE

Class Days and Hours: AM Class: included PM Class: included Instructor: Phone: Email: Office Hours: COURSE DESCRIPTION: This course emphasizes the total care of the obstetrical client including the therapeutic 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/video presentations. 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 and describe 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 nonpharmacological. 9. Identify altered conditions and health problems complicating pregnancy. 9:00am - 2:00pm with one hour of internal clinical experience 5:00pm 10:00pm with one hour of internal clinical experience

10. Describe normal and abnormal postpartum adjustment of childbearing women and their families in multicultural 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 hours VN 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 hour 20 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 (11th Ed.). 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 can include 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 prorated hourly 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.

6. Students who arrive to class 1-15 minutes late are considered to be tardy. Students who also leave class 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 didactic make-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 strongly affect 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 clean appearance 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 phone number. Students who are not in compliance with this policy are subject to disciplinary probation, suspension, or termination at the discretion of the school administration.

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 all class members view, including the instructors, by concealing all instructional notations and sto ring 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 termination at 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 perspective will 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 other documents 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 to attending 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 examination 4. OB Project 5. 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

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

EVALUATION: Homework: 9 @ 1 point Quizzes: 9 @ 7 points Final Exam 20 points Project 5 points TOTAL:

= 9% = 63% = 20% = 5% = 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 90 100% B 80 89.9% C 75 79.9% D 65 74.9% F Below 64% In the Vocational Nursing Program, the lowest acceptable grade is a C. MID MODULE STUDENT PROGRESS RECORD The mid module student progress record is designed to monitor students progress in all coursework and target areas of 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 is to improve the student's chance for successful completion of the Vocational Nurse (VN) program and to strengthen areas 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 in dismissal from the program. It is the responsibility of the student to adhere to and complete the plan of action in order 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 program if 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 course grade, nor is it considered, extra credit. For a student to continue within the program the Plan Of Remediation will have 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.

GURNICK ACADEMY OF MEDICAL ARTS

VN 400: OBSTETRIC NURSING VN 430A: INTERNAL CLINICAL EXPERIENCE

SCHEDULE OF CLASSES
READING and HOMEWORK ASSIGNMENT

WEEK

MEETING

LECTURE TOPIC Contemporary Maternity Care, Family and Cultural Considerations Reproductive Anatomy and Physiology Fetal Development QUIZ #1: Chapters 1, 2, 3 Physiologic and Psychologic Changes During Pregnancy Healthcare and Fetal Assessment During Pregnancy QUIZ #2: Chapters 4, 5 Health Problems Complicating Pregnancy QUIZ #3: Chapter 13 Process of Normal Labor Management of Pain During Labor QUIZ #4: Chapters 6, 8 Nursing Care During Labor Complications of Labor and Birth QUIZ #5: Chapters 7, 14 Physiologic Adaptation of the Newborn and Nursing Assessment QUIZ #6: Chapter 9 Nursing Care of the Newborn Newborn Feeding QUIZ #7: Chapters 10, 11 Postpartum Assessment and Nursing Care Postpartum Complications QUIZ #8: Chapters 12, 17 Family Planning and Infertility Womens Health Issues QUIZ #9: Chapters 19, 20 Individual Projects DUE Review for Final Exam: Comprehensive FINAL EXAM: Comprehensive

Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 13 Chapter 6 Chapter 8 Chapter 7 Chapter 14

2 3

Chapter 9 Chapter 10 Chapter 11 Chapter 12 Chapter 17 Chapter 19 Chapter 20

10 11

VN 430A: INTERNAL CLINICAL EXPERIENCE

WEEK

MEETING

Introduction to the birthing simulator

READING and HOMEWORK ASSIGNMENT Chapter 1 Chapter 2 Chapter 3 Chapter 4 Chapter 5 Chapter 13

Chapters 1, 2, 3
Given a patient assignment in the clinical setting, the student will explain and demonstrate the following with respect to the identified cultural beliefs of the patient: Purpose of all instruments and equipment, Effects or possible effects on mother and fetus

Chapters 4, 5 3
Given 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 during pregnancy, Exercises for muscle strengthening and relaxation during pregnancy

4 5 6 7 8 9

Chapter 13
Internal Clinical Experience

Chapters 6, 8
Internal Clinical Experience

Chapters 7, 14
Internal Clinical Experience

Chapter 6 Chapter 8 Chapter 7 Chapter 14 Chapter 9 Chapter 10 Chapter 11 Chapter 12 Chapter 17 Chapter 19 Chapter 20

Chapter 9
Internal Clinical Experience

Chapters 10, 11
Internal Clinical Experience

Chapter 12, 17
Internal Clinical Experience

10 11

Chapters 19, 20
Internal Clinical Experience Internal Clinical Experience

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 must be 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 respective students folder.

FOR INSTRUCTOR USE ONLY!!

DO NOT DISTRIBUTE TO STUDENTS
WEEK 1 2 MEETING CLINICAL HOUR OBJECTIVE
Introduction to the birthing simulator

Chapters 1, 2, 3
Given a patient assignment in the clinical setting, the student will explain and demonstrate the following with respect to the identified cultural beliefs of the patient: Purpose of all instruments and equipment, Effects or possible effects on mother and fetus

Chapters 4, 5 3
Given 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 during pregnancy, Exercises for muscle strengthening and relaxation during pregnancy

Chapter 13
Utilizing 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 + 5 Utilizing the birthing simulator, the student will observe and explain the characteristics of contractions: Increment, Peak, Decrement, Frequency, Duration, Intensity Utilizing 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 the woman 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 patient with: False labor, Continuous electronic fetal monitoring, Accelerations, Decelerations

5 6

Chapters 6, 8
Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Postpartum Hemorrhage; Amniotic Fluid Embolism

Chapters 7, 14
Utilizing 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 8 9

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

Chapters 10, 11
Utilizing the patient simulator, the student will demonstrate the skills in the attached nursing scenario: Hyperemesis Gravidarum ; Abruptio Placentae Secondary to Cocaine Use

Chapter 12, 17
Using 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, Bonding Teach: 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 care Utilizing 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, 20
Utilizing 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 aids Utilizing 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