Apply to USF Now | Graduate Admissions | Events & Workshops | Giving to the Office of Graduate Studies

Graduate Course Proposal Form Submission Detail - NGR6232C

Edit function not enabled for this course.


Current Status: Approved by SCNS - 2015-02-01
Campus: Tampa
Submission Type: Change
Course Change Information (for course changes only): Adjust credit hours from 6 credits to 7 credits; 4 credits of didactic instruction and 3 credits of clinical. This change is necessitated by the removal of NGR 6244C from the Adult-Gero Acute Care NP concentration.
Comments: In review 9/4/14; to GC. Approved. To USF Sys 11/4; to SCNS 11/12. Apprd eff 2/1/15


  1. Department and Contact Information

    Tracking Number Date & Time Submitted
    5043 2014-07-15
     
    Department College Budget Account Number
    Nursing NR 620100020
     
    Contact Person Phone Email
    Dewel Lindsey 8133969978 jlindsey@health.usf.edu

  2. Course Information

    Prefix Number Full Title
    NGR 6232C Clinical Mgmt of Acutely & Critically Ill Adults & Older Adult

    Is the course title variable? N
    Is a permit required for registration? N
    Are the credit hours variable? N
    Is this course repeatable?
    If repeatable, how many times?

    Credit Hours Section Type Grading Option
    7 O - Other R - Regular
     
    Abbreviated Title (30 characters maximum)
    Cl Mgmt Acute & Critical Adult
     
    Course Online? Percentage Online
    B - Face-to-face and online (separate sections) 50

    Prerequisites

    NGR 6210C

    Corequisites

    Course Description

    Management of adults and older adults covering a spectrum of care that includes acute and critical care management to stabilize the patient’s condition, prevent complications, restore maximum health, and/or provide palliative care.


  3. Justification

    A. Please briefly explain why it is necessary and/or desirable to add this course.

    Needed for program/concentration/certificate change

    B. What is the need or demand for this course? (Indicate if this course is part of a required sequence in the major.) What other programs would this course service?

    Required course, offered twice per year

    C. Has this course been offered as Selected Topics/Experimental Topics course? If yes, how many times?

    Yes, 1 time

    D. What qualifications for training and/or experience are necessary to teach this course? (List minimum qualifications for the instructor.)

    Terminal degree in nursing and expertise in Acute Care nursing.


  4. Other Course Information

    A. Objectives

    1. Analyze urgent and emergent critical changes while planning appropriate support to maintain physiological functioning of adults and older adults.

    2. Establish realistic restorative, curative, rehabilitative, maintenance, palliative, and/or end-of-life care goals while collaborating with the family, surrogate decision-makers, and members of the interdisciplinary healthcare team.

    3. Prioritize pharmacologic and biophysical interventions to support physiologic functioning.

    4. Demonstrate correct technique of specialized procedures in the management of acutely and critically ill adults and older adults.

    5. Evaluate whether expected outcomes of the plan of care are being achieved while adjusting interventions to optimize outcomes as indicated.

    6. Coordinate transition of care with other health care providers.

    B. Learning Outcomes

    At the conclusion of this course, students will be able to:

    1. Demonstrate competency in history taking, physical examination, and formulation of a differential diagnoses in acutely and critically ill adults and older adults.

    2. Demonstrate competency in the utilization and integration of health information and biophysical data.

    3. Develop individualized plans of care to include pharmacologic /non-pharmacological therapies and nursing/supportive therapies.

    4. Demonstrate proper technique in performing specialized procedures while caring for patients with acute and critical illness.

    5. Implement the use of evidence-based practice guidelines, differentiating the management between adults and older adults who are acutely and critically ill.

    6. Demonstrate competency in the utilization and integration of health information technology to transform health care of acutely and critically ill adults and older adults.

    C. Major Topics

    1. Management of adults and older adults who are acutely and critically ill with a focus on, but not limited to the following conditions:

    a. Acute cardiovascular diseases: Hypertensive crisis, acute myocardial infarction, acute decompensated heart failure, cardiogenic shock

    b. Acute lung injury, advanced ventilation strategies / high frequency ventilation /extracorpeal membrane oxygenation (ECMO)

    c. Acute cerebrovascular accident (CVA), cerebral bleeds, and cerebral blood flow

    d. Acute kidney injury and renal replacement therapy

    e. Diabetes ketoacidosis, thyroid storm

    f. Management of inflammation & sepsis

    2. Management of fluid, electrolyte, and acid-base disorders.

    3. Procedures associated with the management of acutely and critically ill adults and older adults, including, but not limited to arterial lines, central lines, intubation, ventilator management, lumbar puncture, intracranial pressure monitoring, & continuous hemodynamic monitoring.

    4. Pharmacologic / non-pharmacologic interventions in caring for acutely and critically ill adults and older adults.

    5. Measures for sedation, therapeutic paralysis, pain management, and nutritional management, risk assessment for fall, pressure ulcers and poly pharmacy.

    6. Coordination of comprehensive care in the development and implementation of National and State policies.

    7. Coordination of comprehensive care in end-of-life, hospice and palliative care.

    D. Textbooks

    Marik, P.E. (2010). Handbook of evidence-based critical care (2nd ed). New York,

    NY: Springer.

    Marini, J.J., & Wheeler, A.P. (2010) Critical Care Medicine: The Essentials. Lippincott,

    PA. ISBN: 978-0-7817-98396

    E. Course Readings, Online Resources, and Other Purchases

    F. Student Expectations/Requirements and Grading Policy

    1. Case study and/or Journal club on diagnosis and evidence-based management including, but not limited to the following conditions

    a. Acute lung injury

    b. Management of acute cardiogenic shock

    c. Acute renal failure

    2. Quizzes on fluid electrolyte, acid imbalance, and nutritional needs

    3. Case study including a translational / evidence-based written strategy in the assessment and management of acutely ill adults and older adults with a significant ethical complicating dilemma in the management of sepsis (similar to comp exam-but smaller version for practice).

    4. Case study on acute pain management based on clinical guidelines and the role of acute care NP in transition of care and policy development.

    5. Demonstrate skills and proficiency in the procedures related to the management of acutely and critically ill adults and older adults.

    G. Assignments, Exams and Tests

    1. Case study and/or Journal club on diagnosis and evidence-based management including, but not limited to the following conditions

    a. Acute lung injury

    b. Management of acute cardiogenic shock

    c. Acute renal failure

    2. Quizzes on fluid electrolyte, acid imbalance, and nutritional needs

    3. Case study including a translational / evidence-based written strategy in the assessment and management of acutely ill adults and older adults with a significant ethical complicating dilemma in the management of sepsis (similar to comp exam-but smaller version for practice).

    4. Case study on acute pain management based on clinical guidelines and the role of acute care NP in transition of care and policy development.

    5. Demonstrate skills and proficiency in the procedures related to the management of acutely and critically ill adults and older adults.

    H. Attendance Policy

    Course Attendance at First Class Meeting – Policy for Graduate Students: For structured courses, 6000 and above, the College/Campus Dean will set the first-day class attendance requirement. Check with the College for specific information. This policy is not applicable to courses in the following categories: Educational Outreach, Open University (TV), FEEDS Program, Community Experiential Learning (CEL), Cooperative Education Training, and courses that do not have regularly scheduled meeting days/times (such as, directed reading/research or study, individual research, thesis, dissertation, internship, practica, etc.). Students are responsible for dropping undesired courses in these categories by the 5th day of classes to avoid fee liability and academic penalty. (See USF Regulation – Registration - 4.0101,

    http://usfweb2.usf.edu/usfgc/ogc%20web/currentreg.htm)

    Attendance Policy for the Observance of Religious Days by Students: In accordance with Sections 1006.53 and 1001.74(10)(g) Florida Statutes and Board of Governors Regulation 6C-6.0115, the University of South Florida (University/USF) has established the following policy regarding religious observances: (http://usfweb2.usf.edu/usfgc/gc_pp/acadaf/gc10-045.htm)

    In the event of an emergency, it may be necessary for USF to suspend normal operations. During this time, USF may opt to continue delivery of instruction through methods that include but are not limited to: Blackboard, Elluminate, Skype, and email messaging and/or an alternate schedule. It’s the responsibility of the student to monitor Blackboard site for each class for course specific communication, and the main USF, College, and department websites, emails, and MoBull messages for important general information.

    I. Policy on Make-up Work

    J. Program This Course Supports

    Nursing MS


  5. Course Concurrence Information

    None



- if you have questions about any of these fields, please contact chinescobb@grad.usf.edu or joe@grad.usf.edu.