MCCCD Program Description

Emergency Room Nursing

Course: NCE205

First Term: 2000 Spring

Lecture 4 Credit(s) 4 Period(s) 4 Load
Subject Type: Occupational
Load Formula: S

Description: Roles of emergency health team. Medical/legal issues specific to emergency room care. Triage classifications for specific emergency room/department situations, nursing care for selected conditions, trauma, and disease processes. Organ donation issues, discharge procedures and client education

MCCCD Official Course Competencies
1. Explain the emergency medical system and specific roles of the emergency nurse, physician, and paramedical emergency staff. (I) 2. Describe medical legal considerations specific to emergency nursing care. (I) 3. Select specific triage classifications for given emergency situations. (I) 4. Outline professional nursing responsibilities for client discharge procedures in the emergency room/department. (I) 5. Describe the importance of client education in the emergency room/department. (I) 6. Assign nursing diagnosis to selected client complaints. (II - XVII) 7. Plan, implement, and evaluate nursing care for adult and geriatric clients presenting with selected conditions, trauma, and disease processes as stated in program outline. (II, III, IV, V, VI, VII, VIII, IX) 8. Demonstrate nursing responsibilities in a simulated code situation. (II, XVI) 9. Describe the specific treatment and procedure for care of the abused client. (IX) 10. Identify protective measures and emergency interventions for psychiatric clients who may be disorientated and/or violent. (IX) 11. Explain the role and responsibilities of the emergency room nurse in the organ donation process. (IX) 12. Describe nursing care for patients presenting with selected OB/GYN problems. (X) 13. Plan, implement, and evaluate emergency nursing care for neonate and pediatric clients presenting with selected conditions, trauma, and disease processes. (XI, XII) 14. Demonstrate cervical spine immobilization and other orthopedic stabilization devices. (XII)
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. Introduction to Emergency Room Nursing A. Organization B. Role of the emergency room nurse C. Role of the emergency room physician D. Role of unlicensed assistive personnel E. Legal aspects of emergency room nursing F. Documentation G. Triage H. Client discharge instructions II. Cardiac Emergencies A. Chest pain B. Congestive heart failure C. Aortic dissection D. Pericarditis/tamponade E. Myocardial infarction/thrombolytic F. Code drugs G. Mock codes III. Pulmonary Emergencies A. Pulmonary embolus B. Spontaneous pneumothorax C. Pleural effusion D. Pneumonia E. Asthma F. Chronic Obstructive pulmonary disease G. Smoke inhalation/carbon monoxide IV. Endocrine Emergencies A. Acid base B. Fluid resuscitation C. Electrolytes V. Neurologic Emergencies A. Headache B. Seizures C. Cerebrovascular accidents D. Unconsciousness E. Head injuries F. Spinal cord injuries VI. Ear, Eye , Nose and Throat emergencies A. Eye trauma B. Eye burns C. Medical problems of the eye D. Foreign bodies of the eye, nose, ears and throat E. Epistaxis F. Dental emergencies VII. Toxicological Emergencies A. Overdoses B. Food poisoning C. Other poisoning VIII. Environmental Emergencies A. Snakebites B. Spiders, bees, scorpions C. Heat related IX. Miscellaneous Emergencies A. Sexual assault B. Domestic violence C. Child abuse D. Psychiatric emergencies E. Organ donation X. Obstetrical and Gynecological Emergencies A. Childbirth B. Bleeding in pregnancy C. Pelvic inflammatory disease D. Pelvic exam XI. Pediatric/Neonate Emergencies A. Codes B. Medical emergencies C. Respiratory emergencies D. Shock states E. Seizures F. GI problems XII. Trauma Emergencies A. Wounds B. Penetrating trauma C. Bites D. Facial trauma E. Shock management F. Chest trauma G. Abdominal trauma H. Multiple trauma XIII. Musculoskeletal/Orthopedic A Soft tissue injuries B. Fractures C. Traction splint/crutches/other devices D. Cervical spine immobilization XIV. Abdominal A. Appendicitis B. Pancreatitis C. Peptic ulcer disease/gastroesophogeal reflux D. Intestinal obstruction E. GI bleeding F. Cirrhosis XV. Hematology A. Blood products B. Blood transfusion XVI. Genitourinary emergencies A. Renal trauma B. Bladder trauma C. Phlebonephritis D. renal calculi E. Epididymitis F. Testicular torsion XVII. Infectious Diseases A. AIDS/HIV B. Bacteremia C. Cellulitis D. Herpes E. Meningitis F. Tuberculosis G. Childhood diseases H. Mad cow disease

MCCCD Governing Board Approval Date: 12/14/1999

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.