THE UNIVERSITY OF TEXAS AT TYLER

College of Nursing and Health Sciences

NURS 3611: Medical- Surgical Nursing I

Fall 2017
Tuesdays 8AM 10:45AM

COURSE DESCRIPTION:
The course focuses on the use of the nursing process and developing critical thinking skills while
providing and coordinating nursing care for the adult patient with commonly occurring medical-
surgical problems. The student has the opportunity to apply the concepts of this course
throughout the clinical and lab portion of the program.

CREDIT:
8 Credit hours (3 hrs class/wek, 2 hrs lab/wek, 16 hrs clinical/wk)

PROGRAM LEVEL II

REQUIRED TEXTBOOKS:
Pellico, L.H. (2013). Focus on Adult Health: Medical-Surgical Nursing. Lippincott, Williams &
Wilkins, Wolters Kluwer Health. ISBN 978-1582558776
Wilkinson, J.M., Treas, L.S., Barnett, K.L., & Smith, M.H. (2015). Fundamental of Nursing. 3rd
ed. Philadelphia: F.A. Davis. ISBN 978-0803640771
Wilkinson, J.M., Treas, L.S., Barnett, K.L., & Smith, M.H. (2015). Fundamental of Nursing
Vol 2: Thinking, Doing, and Caring. 3rd ed. Philadelphia: F.A. Davis. ISBN 978-0803640764
McCuistion, L.E., Yeager, J.J., Winton, M.B., & DiMaggio, K. (2015). Pharmacology: A
Patient-Centered Nursing Process Approach. 9th ed. Elsevier. ISBN 978-0323399166

OPTIONAL RECOMMENDED TESTBOOKS:

Pellico, L.H. (2013). Study Guide for Focus on Adult Health: Medical-Surgical Nursing.
Lippincott, Williams & Wilkins, Wolters Kluwer Health. ISBN 978-1582558868
Skidmore-Roth, L. (2017). Mostys 2017 Nursing Drug Reference. 30th ed. Elsevier. ISBN 978-
0323448260
Van Leeuwen, A.M. & Bladh, M.L. (2017). Daviss Comprehensive Handbook of Laboratory
and Diagnostic Tests with Nursing Implications. 7th ed. Philidelphia: F.A. Davis Company. ISBN
978-0803659438
Doenges, M.E., Moorhouse, M.F., & Murr, A.C. (2015). Nursing Diagnosis Manual: Planning,
Individualizing, and Documenting Client Care. 5th ed. Philidelphia: F.A. Davis Company. ISBN
978-0803644748
Jarvis, C. (2015). Physical Examination and health Assessment. 7th ed. Elsevier. ISBN 978-
1455728107

COURSE COORDINATOR:
Danielle Fleming
BSN, RN, SCRN
Dfleming2@patriots.uttyler.edu

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Cell: (210)274-7794

COURSE FACULTY:
TBA

CLINICAL FACULTY:
TBA
Clinical Site is East Texas Medical Center 1000 South Beckham, Tyler, TX 75701
Clinical rotation sign up will be available during clinical orientation the first week of class.

LAB COORDINATOR:
TBA

COURSE OBJECTIVES:
At the end of the course, the student will be able to:
1. Define the role of the professional nurse as a member of the inter-professional health care
team in care of the patient in the medical-surgical setting.
2. Utilize the nursing process in developing a care plan for the patient in the medical-
surgical setting.
3. Utilize knowledge of adult health problems and current EBP when providing nursing
care.
4. Develop and understanding of the physical, mental, emotional, cultural, and spiritual
needs of adult patients in the medical-surgical environment.
5. Demonstrate use of the nursing process and clinical reasoning.
6. Plan, implement, and evaluate medical and surgical interventions.
7. Administer medications utilizing the rights of medication administration as well as
identify sources of information regarding drugs and their administration.
8. Understand diagnostic tests and therapeutic measures utilized in patient care.
9. Identify disease processes and the effects on different body systems.
10. Develop leadership and management skills.
11. Safely perform nursing skills in both the lab and clinical environment.

EVALUATION AND GRADING:

A = 89.5-100
B = 79.5-89.4
C = 74.5-79.4
D = 69.5-74.4
F = 69.4 and below

Exams 40%
Final Exam 20%
Medication Calculation Test 10%
Care Plans 10%
ATI RN Adult Med Surge Online 5%
Practice A

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ATI RN Adult Med Surge Online 5%
Practice B
ATI Med Surg Comprehensive Exam 10%
100%

Lab and Clinical portions of this course are PASS/FAIL. A separate syllabus will be provided
outlining expectations.

Last day to withdraw with a W:

Last day to withdraw for the term with WP or WF:

TESTING/QUIZES/EXAMS
Test and exam dates and content will be published in the course calendar. A blueprint will be
provided by the faculty and distributed to the student prior to the test or exam and will provide
the student with the subject content and the number of questions.

Testing
Test dates and corresponding chapters are found within the student calendar. The exams will only
be offered one time. Students are expected to be on time and prepared as no students will be
allowed entry to the testing area after testing has begun. It is the responsibility of the student to
arrange a make-up exam within one week of the exam date. The makeup exam will not be the
same as the exam missed, but will correspond with the blueprint. Students are permitted to have
only 1 make up occurrence, after which the grade assigned will be a ZERO for missed exams, to
include the final exam. Exams will be computer based with makeup exams being a paper-version
of the exam and will utilize the appropriate Scantron sheet to complete the exam if it is the paper
version. Exam review will be allowed for 1 week after all students have taken the exam.

In the event that the exam date/time must change, students will be notified as soon as possible. If
a student must miss an exam, they must notify the faculty that they will not be present for the
exam and schedule a date for the make-up exam within one week of the date of the exam.

Medication Calculation
Medication calculation tests will be administered during the course and will count towards the
final course grade. ATI dosage calculation study modules will be provided and students are
encouraged to complete the modules prior to the test.

Care Plans
Students will complete two (2) care plans during the course based on 2 separate patients that the
student encounters during the clinical portion of the course. Further instructions will be provided.

ATI
Students will be provided with ATI login information by faculty during the first week of class.
Students are encouraged to complete the associated study modules, but it is not required. No
grades will be given for completion of the ATI study modules. Students will take the associated
ATI RN Comprehensive Online Practice Tests A & B, as indicated on the course calendar, in the
university computer lab for a grade as indicated in the syllabus.

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COURSE CALENDAR:

We Date Topic
ek
Augus Classes Begin
t 28, Read Pellico Ch. 1, 4, & 7
2017 Visit: http://www.nhpco.org/ - explore the website
Read: Cultural Competency in Grief and Loss by Robin Fiorelli and
Wanda Jenkins at
http://www.nhpco.org/sites/default/files/public/education/Cultural_Com
ptency_Grief-Loss_Sept_09_NL.pdf
1 Augus Course Intro.
t 29, Medication Calculation Lecture and Practice
2017 Lecture Unit 1 & 2 (Nurses Role, End of Life, & Fluid and
Electrolytes): Ch. 1, 4, 7
Watch: https://www.youtube.com/watch?v=-
EEbrXC0rDY&list=PL3NAm8UHLUnLDTVn0SyvnNpH_1Y2Bm2na
Fluids & Electrolytes
Visit: www.bon.texas.gov explore website
Read: 15.28 The Registered Nurse Scope of Practice at
https://www.bon.texas.gov/practice_bon_position_statements_content.as
p#15.28
2 Septe Medication Calculation Test #1
mber Lecture Unit 3 (Respiratory & Gas Exchange): Ch. 8-11
5, Madappa, T. (2016). Atelectasis. Medscape. Retrieved from
2017 http://emedicine.medscape.com/article/296468-overview
Watch: https://www.youtube.com/watch?v=taPLOQIY8Vo COPD
Septe Census Date
mber
11,
2017
3 Septe Exam #1: Lecture and Text Units 1 3
mber Lecture Unit 4 (Cardiovascular and Circulatory): Ch. 12-18
12, Watch: https://www.youtube.com/watch?v=-q4jJVoVqPU Cardiac
2017 Anatomy and Physiology Part 1 Fundamentals &
https://www.youtube.com/watch?v=-HLHsFTyOco Part 2
Read: Your one minute guide to the cardiovascular system. (2012).
Nursing Times. Retrieved from https://www.nursingtimes.net/student-
nt/your-one-minute-guide-to-the-cardiovascular-system/5048380.article.
4 Septe Medication Calculation Test #2

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 mber Lecture Unit 8 (Endocrine) & 14 (Integumentary): Ch. 29-31; Ch. 51
19, Watch: https://www.youtube.com/watch?
2017 v=eEC28Sy5PLM&index=2&list=PLPbxOVYbTivjmMcSgfr1zT8uA1
AMht5Q0 Pituitary SIADH vs DI Part 1 For Nursing Students
Read: 13. (2015). Diabetes Care in the Hospital, Nursing Home, and
Skilled Nursing Facility. Diabetes Care, 35(1):S80-S85. DOI:
10.2337/dc15-S016. Retrieved from:
http://care.diabetesjournals.org/content/diacare/38/Supplement_1/S80.ful
l.pdf.
5 Septe Exam #2: Lecture and Text Units 4, 8, & 14
mber Lecture Unit 11 (Musculoskeletal): Ch. 40-41
26, View: https://www.slideshare.net/nclexvideos/musculoskeletal-system
2017 Watch: https://www.youtube.com/watch?v=2l9wj3-byWk Nursing
School Osteomyelitis
Read: Atlas, S.J. & Deyo, R.A. (2001). Evaluating and managing acute
low back pain in the primary care setting. Journal of General Internal
Medicine, 16(2); 120-131. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495170/.
6 Octob ATI RN Comprehensive Online Practice Test A
er 3, Read: Zonozy, R.M. (2012). Blood transfusion reactions: what nurses
2017 need to know. John Hopkins Nursing. Retrieved from
http://magazine.nursing.jhu.edu/2012/04/blood-transfusion/.
Read: Bielefeldt, S. (2010). The rules of transfusion: best practices for
blood product administration. American Nurse Today, 5(4). Retrieved
from https://www.americannursetoday.com/the-rules-of-transfusion-best-
practices-for-blood-product-administration-2/.
7 Octob Lecture Unit 5 (Hematologic Function): Ch. 19-20
er 10, Watch: https://www.youtube.com/watch?v=V2jnYRsYiLU Introduction
2017 to the Hematologic System
Read: Care after the removal of the spleen (spenectomy) or if your
spleen doesnt work properly (functional hyposplenism) and attached
patient advice card. (2010). NSW Government: Health. Retrieved from
http://www.health.nsw.gov.au/factsheets/Pages/spleen-removal.aspx.
8 Octob Lecture Unit 6 (Digestive, Gastrointestinal, and metabolic Function):
er 17, Ch. 21-25
2017 Watch: https://www.youtube.com/watch?v=f-
Fxlsb2dtQ&list=PLIuf_0K4lO_9oZ3BAu_nAkwdIEEExp_g8&index=1
6 Liver Cirrhosis
Read: Pears, E. (2010). Hepatitis C virus infection: risk factors,
diagnosis and management. Nursing Standard, 25(15). Retrieved from

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 http://journals.rcni.com/doi/full/10.7748/ns2010.12.25.15.49.c8208.
9 Octob Exam #3: Lecture and Text Units 5, 6 & 11
er 24, Lecture Unit 10 (Immunologic): Ch. 36-39
2017 Read: Kumar, R.P. (2012). Latex allergy in clinical practice. Indian
Journal of Dermatology, 57(1); 66-70. Retrieved from
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312665/.
Visit: https://www.aids.gov/hiv-aids-basics/ - explore
Octob Last day to withdraw
er 30,
2017
10 Octob Lecture Unit 12 (Neurologic), 13 (Sensorineural Function): Ch. 43, 46,
er 31, 47; Ch. 48-50
2017 Care Plan #1 Due
Watch: https://www.youtube.com/watch?v=-J9QEddbJAU Learn 12
Cranial Nerves in 5 mins (The Easy Way)
Read: Smith, S.J.M. (n.d.). EEG in the diagnosis, classification, and
management of patients with epilepsy. Journal of Neurology,
Neurosurgery, & Psychiatry, 76(2). Retrieved from
http://jnnp.bmj.com/content/76/suppl_2/ii2.
Visit: http://aann.org/ - explore.
11 Nove ATI RN Comprehensive Online Practice Test B
mber Visit: https://www.cancer.org/cancer/breast-cancer/non-cancerous-
7, breast-conditions.html - explore and read about Fibroadenomas, Fibrosis
2017 and Simple Cysts, and Mastitis.
12 Nove Exam #4: Lecture and Text Units 10, 12, 13
mber Lecture Unit 7 (Urinary) & 9 (Reproductive): Ch. 26-28; Ch. 32 & 35
14, Watch: https://www.youtube.com/watch?v=-KDhlIV_jT0 UTI song
2017 Urinary tract infection official song
Read: Lees, C. (2011). Urinary tract infection (UTI). McMaster
Pathophysiology Review, 156(2); 131-6. Retrieved from
http://www.pathophys.org/uti/.
Nove Thanksgiving Holiday
mber Take a break!
20-25,
2017
13 Decem Care Plan #2 Due
ber 5, ATI Med Surg Comprehensive Exam
2017 Final Comprehensive Exam Blueprint Review
Watch: https://www.youtube.com/watch?v=q04qcf6rTnU Patient
Prioritization Part 1 (Beyond the ABCs)
Read: Epstein, E.G. & Delgado, S. (2010). Understanding and

Fleming 3/20/2017 Medical-Surgical Nursing I Page 6

 addressing moral distress. The Online Journal of Issues in Nursing,
15(3). Retrieved from
http://www.nursingworld.org/MainMenuCategories/EthicsStandards/Res
ources/Courage-and-Distress/Understanding-Moral-Distress.html.
14 Decem Final Comprehensive Exam
ber 12,
2017
All dates are subject to change with notification.

CLASS ATTENDANCE:
1. Attendance during lecture, clinical experiences and clinical conferences is a professional
expectation and will be monitored by course faculty. Participation grade will be impacted
by attendance. Refer to the university catalog for the policy regarding student attendance
and possible student consequences.
2. Students should read and understand the attendance statement in the current UT Tyler
General Catalogue.
3. Students are responsible for all material discussed and all announcements made if they
are absent.
4. Students must notify the instructor prior to any scheduled clinical or post clinical
conference if an absence is necessary. When scheduled in the clinical agency, the students
must contact the agency personnel at least one hour prior to the scheduled clinical time. If
the student is going to be late, the student must notify the agency and indicate the
approximate time of arrival.
5. The use of pagers and cellular phones during class and in the clinical setting is prohibited.
Due to the interference with the interactive video equipment, all cell phones are to be
turned completely off during lecture unless otherwise specified.
6. For further information, please see University Policies.
7. Non-emergent course and clinical absences: Course and/or clinical absences (including
international travel) MUST be approved by the course coordinator a minimum of 2 weeks
in advance. Approval of any absences will be determined by availability of
course/clinical make-up opportunities and determined by the course coordinator. If the
student wishes to participate in a study abroad program and seeks clinical/course credit,
the faculty must pre-approve objectives and number of clinical hours credited.
8. To make up any activity in class or clinical requires approval of the faculty. Medical
excuse or appropriate documentation related to a funeral will need to be provided.

POLICY ON ACADEMIC INTEGRITY:

1. Students are expected to assume full responsibility for the content and integrity of all
academic work submitted as homework and examinations.
2. Students are advised to review the UT Tyler Academic Dishonesty Policy and Academic
Integrity Policy in the Current College of Nursing Student Handbook and Academic
Integrity Policy for UT Tyler students.
3. Plagiarism, cheating, and collusion are unacceptable and if found violating any of these
standards the student will be disciplined accordingly (See BSN/MSN Nursing Student
Guide for definitions).

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 4. The College of Nursing reserves the right to dismiss students from the program for any
infraction of a legal, moral, social, or safety nature, pursuant to the procedures detailed in
the Regents Rules.

Student Responsibilities:
To know and understand the policies that affect your rights and responsibilities as a student at UT
Tyler, please follow this link: http://www2.uttyler.edu/wellness/rightsresponsibilities.php.

Disability Statement:
In accordance with Section 504 of the Rehabilitation Act, Americans with Disabilities Act
(ADA) and the ADA amendments Act (ADAAA) the University offers accommodations to
students with learning, physical and/or psychiatric disabilities. If you have a disability, including
non-visible disabilities such as chronic diseases, learning disabilities, head injury, PTSD or
ADHD, or, or you have a history of modifications or accommodations in a previous educational
environment you are encouraged to contact the Student Accessibility and Resources office and
schedule an interview with the Accessibility Case Manager/ADA coordinator, Cynthia Lowery
Staples. If you are unsure if the above criteria applies to you, but have questions or concerns
please contact the SAR office. For more information or to set up an appointment please visit the
SAR office located in the University Center, Room 3150 or call 903.566.7079.

Standards of Professional Nursing Practice: (BON 213.27, 217.11, 217.12) Please refer to the
Board of Nursing at www.BON.state.tx.us for any additional information regarding the Texas
Nurse Practice Act.

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