MCCCD Program Description

Registered Nurse Refresher

Course: NUR295

First Term: 2018 Fall

Lecture 10.0 Credit(s) 6.0 Period(s) 6.0 Load
Subject Type: Occupational
Load Formula: T - Lab Load

Description: Update of current principles of nursing theory and practice for registered nurses. Didactic instruction meets all Arizona State Board of Nursing requirements: nursing process and patient centered care; pharmacology, medication calculation, and medication administration; communication; critical thinking, clinical decision making and evidence-based practice; delegation, management, and leadership; working with interdisciplinary teams; meeting psychological and physiological needs of adult clients with medical-surgical conditions; ethics; documentation including electronic health records; informatics; and quality improvement. Concentrated preceptorship experience under the supervision of a registered nurse with faculty guidance. Individualized teaching and learning opportunities to build confidence, competence and an increased level of independent functioning.

MCCCD Official Course Competencies
1. Provide priority-based nursing care to individuals, families and/or groups through independent and collaborative application of the nursing process. (I) 2. Provide patient-centered care with sensitivity and respect for the diversity of human experience. (I) 3. Identify the interrelationship between professional nursing standards of practice, evaluation of practice and the responsibility and accountability for the outcomes of practice. (II) 4. Discuss ethical principles, values, concepts and decision making that apply to nursing and patient care. (II) 5. Identify leadership and management skills essential to the practice of nursing. (III) 6. Assign, direct and supervise ancillary personnel and support staff in carrying out roles/functions aimed at achieving patient care goals. (III) 7. Explain why information and technology skills are essential for the professional nurse. (IV) 8. Define the impact of computerized information management on the role of the nurse. (IV) 9. Use a health information system to access, enter and retrieve data used for patient care.(IV) 10. Identify the impact of physiological, psychological, developmental, spiritual and cultural influences on effective communication. (V) 11. Use clear, concise and effective written, electronic and other verbal/nonverbal communications. (V) 12. Use standardized communication approach to transfer care responsibilities to other professionals whenever patients experience transitions in care and across settings. (V) 13. Describe interrelationships among nursing, the nursing work unit and organizational goals. (VI) 14. Explain the importance of work unit systems in providing supplies, medications, equipment and information to the appropriate personnel. (VI) 15. Describe scope of practice and roles of interdisciplinary and nursing health care team members. (VII) 16. Identify systems factors that facilitate or interfere with effective team functioning. (VII) 17. Model effective communication with interdisciplinary team members to promote cooperative behaviors. (VII) 18. Demonstrate ability to effectively participate in multidisciplinary teams.(VII) 19. Describe processes used in understanding causes of error and in allocation of responsibility and accountability. (VIII) 20. Describe approaches for improving processes and outcomes of care. (VIII) 21. Identify quality initiatives in the practice setting. (VIII) 22. Describe the concept of evidence-based practice including the components of research evidence, clinical expertise and patient/family values. (IX) 23. Explain the role of evidence in determining best clinical practice. (IX) 24. Describe health care documentation requirements and guidelines. (X) 25. Document interventions and nursing outcomes according to professional standards and work unit policy. (X) 26. Adhere to established safety practices to assure safe practice. (X) 27. Demonstrate effective use of strategies at the individual and systems levels to reduce risk of harm to self and others. (X) 28. Describe therapies that impact health promotion, disease/illness prevention and health restoration. (X) 29. Calculate safe oral and parenteral drug dosages for medication administration. (X) 30. Identify principles of safe medication administration for the standard routes of administration. (X) 31. Identify selected prototypes with drug classifications and/or groupings affecting specific body systems including drug actions, effects and nursing implications for safe administration. (X) 32. Use the nursing process to plan holistic, safe and competent nursing care to meet the psychosocial and physiological needs of adult patients with selected medical surgical conditions. (X) 33. Use the nursing process to provide holistic, safe and competent nursing care to meet the psychosocial and physiological needs of adult patients with selected medical surgical conditions. (X)
MCCCD Official Course Competencies must be coordinated with the content outline so that each major point in the outline serves one or more competencies. MCCCD faculty retains authority in determining the pedagogical approach, methodology, content sequencing, and assessment metrics for student work. Please see individual course syllabi for additional information, including specific course requirements.

MCCCD Official Course Outline
I. Patient-centered care A. Nursing knowledge and skills B. Nursing process C. Critical thinking, judgment and clinical decision making D. Cultural competence E. Advocacy II. Professionalism A. Professional roles/values/standards B. Professional associations C. Legal, ethical and regulatory framework of nursing practice D. Accountability and responsibility E. Excellence in care / caring behaviors III. Leadership A. Leadership roles for nurses B. Managing care C. Delegation and supervision D. Decision making and problem solving E. Conflict resolution IV. Informatics and technology A. Information and computer literacy B. Electronic health record C. Information management systems V. Communication A. Types of communication B. Therapeutic communication VI. Systems-based practice A. Organizational structure B. Organizational relationships C. Organizational communication D. Interrelationships among nursing, nursing work unit and organizational goals E. Centers for Medicare and Medicaid VII. Teamwork and collaboration A. Factors that affect communication with individuals and groups B. Interdisciplinary and nursing health care providers C. Strategies to enhance team functioning D. Barriers to team functioning VIII. Quality improvement A. Patient and facility issues B. Lifelong learning C. Regulatory, accrediting and independent agencies D. Quality improvement processes IX. Evidence-based practice A. Research and evidence B. Sources C. Locating evidence D. Online search engines and databases X. Safety A. Documentation B. Patient safety C. Infection control D. Delivery of safe and quality patient care 1. Health promotion/nutrition/disease prevention 2. Patient education 3. Psychosocial, spiritual and cultural considerations 4. Pain management 5. Drug dosage calculations 6. Medication administration 7. Infusion therapy 8. Pharmacology E. Implementation of the nursing process to meet the physiological and psychosocial needs of adult patients with selected medical surgical conditions 1. Fluids, electrolytes and acid-base balance 2. Integumentary system 3. Respiratory system 4. Cardiovascular system 5. Endocrine system 6. Gastrointestinal system 7. Renal system 8. Musculoskeletal system 9. Neurologic system 10. Cancer 11. Surgery

MCCCD Governing Board Approval Date: May 22, 2018

All information published is subject to change without notice. Every effort has been made to ensure the accuracy of information presented, but based on the dynamic nature of the curricular process, course and program information is subject to change in order to reflect the most current information available.