Nonpharmacologic pain management during labor ati

 Meeting Times Class Length: 10 weeks

For every 1 hour in a theory class, it is expected that students complete 2–3 hours of study in preparation for class. For this course, it is expected that a minimum of 10–15 hours of study outside of class is completed each week. Please check your Student Portal for specific class meeting times, dates, and locations.

In some courses, there is a required online Blackboard Collaborate Virtual Class Session in week 10. Please see course specifics below.

You are not required to complete any pre-work before Week 1, however, preparation for class is recommended.

 Contact Information

 Course Description This course focuses on nursing concepts in the therapeutic care of women, mothers, infants, children, adolescents, and their families. Concepts include major health promotion and disease prevention, nursing process, therapeutic communication, evidence-based practice, teaching/learning principles, and role development in the care of women, infants and children, and families.

Total Course Credits:

2

Total Course Hours:

30

Lecture Hours In-Class:

30

Lab Hours:

0

Supervised Clinical/Practicum Hours:

0

Externship/Internship Hours:

0

Requisites Course Prerequisites: NURS 120 and NURS 121L Course Corequisites: NURS 316L

 Course Learning Outcomes 1. Interpret how the Healthy People 2020 Objectives and other major health promotion and disease prevention concepts will improve

the health and welfare of women, newborns, and families. 2. Discuss current issues regarding women's health care as they transition through the life cycle. 3. Describe significant aspects of human sexuality and reproduction and apply this knowledge in planning nursing care and

comprehensive teaching plans for individuals and families throughout the life cycle.

WCU Miami · College of Nursing

NURS 306 Expanding Family and Community (OB) 202101SPI VR-D01 202101SPI 2021 Section 01/25/2021 to 04/04/2021 Modified 01/11/2021

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4. Analyze the physiologic and psychosocial aspects of uncomplicated and complicated pregnancy from conception to postpartum and plan appropriate nursing interventions for actual and potential self-care demands for each stage.

5. Discuss and apply the nursing process to the obstetrical patient and neonates suffering from a variety of acute and chronic disease states, assessing health deviations, developing expected outcomes, and identifying and validating the effectiveness of nursing interventions.

6. Incorporate evidence-based nursing research from a variety of sources including pharmaceutical, biological, psychosocial, and behavioral sciences in the nursing process when planning care for women, newborns, and families.

7. Evaluate the impact of cultural, ethical, legal, gender, and economic issues related to health care of women, newborns, and their families.

8. Describe nutritional requirements for newborns and for women throughout the life cycle, with emphasis on pregnant, breastfeeding, and post-menopausal women, and plan nursing interventions for actual and potential nutritional deficits for selected patients.

9. Identify and explore the role of the nurse as provider, manager, and coordinator of therapeutic care for women, newborns, and their families.

10. Identify community resources and referrals appropriate for childbearing women, newborns, and families; with particular attention to families facing major health problems and special health care needs.

Week CLOs PLOs ILOs AACN Essentials

1 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

2 3, 4, 6, 7, 9 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

3 4-6, 9 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

4 4-10 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

5 4-7, 9 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

6 4, 5, 7, 8, 10, 11 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

7 4-7, 9 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

8 4-7, 9, 10 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

9 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

10 1-10 1-9 1-7 I, II, III, IV, V, VI, VII, VIII, IX

 Program Learning Outcomes

College of Nursing Mission Statement

The mission of the College of Nursing is to provide evidence-based and innovative nursing education to culturally diverse learners, preparing nurses to provide quality and compassionate care responsive to the needs of the community and the global society.

College of Nursing Philosophy

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The philosophy of the College of Nursing is that education is a continuous process occurring in phases throughout an individual’s lifetime. Nurses are lifelong learners and critical thinkers.

Program Learning Outcomes

The following Program Learning Outcomes were selected to provide the essential body of knowledge and experience necessary to educate students to move directly into their new role. For the undergraduate, this role is as professional registered nurses according to the Essentials of Baccalaureate Education for Professional Nursing Practice (AACN, 2008). (https://learn.westcoastuniversity.edu/bbcswebdav/xid-13634517_1)

1. Support professional nursing practice decisions with concepts and theories from the biological, physical, and social sciences. 2. Plan preventative and population-focused interventions with attention to effectiveness, efficiency, cost, and equity. 3. Support therapeutic nursing interventions for patients and families in a variety of healthcare and community settings using

evidence-based practice. 4. Apply nursing process and critical thinking when providing holistic, patient-centered nursing care to diverse populations. 5. Design healthcare education for individuals, families, and communities. 6. Comply with the professional standards of moral, ethical, and legal conduct in practice. 7. Develop an effective communication style to interact with patients, families, and the interdisciplinary health team. 8. Model leadership when providing safe, quality nursing care, when coordinating the healthcare team, and when tasked with

oversight and accountability for care delivery. 9. Use patient care technology and information systems when providing nursing care in a variety of settings.

 Course Materials Visit the West Coast University bookstore (https://bncvirtual.com/westcoastuniversity) to purchase any required materials, including publisher access codes, as needed.

Please be aware that used textbooks may not include access codes, study guides and/or DVDs containing additional course materials that may be required for the course. In some cases supplemental materials may be directly purchased from the publisher. However, students will be held accountable for obtaining these materials in order to meet all course requirements.

Publication Manual of the American Psychological Association Author: American Psychological Association Publisher: American Psychological Association Edition: 7th Optional

Maternal-Newborn Nursing: The Critical Components of Nursing. Author: Durham, R. F. & Chapman, L. Publisher: F.A. Davis

Recommended Learning Resources: National Health Objectives (http://www.healthypeople.gov) United States Department of Health and Human Services (http://www.hhs.gov/)

Optional

ATI Assessment Technologies Institute. (2019)

ATI product solutions (http://atitesting.com/)

ATI is required throughout the program.

Remind App 3 of 22

Remind app will be used as a course communication tool. Initial communication will come from a telephone number individualized for each student. Please feel free to save that number and use it either by text or telephone during "office hours".

Alternatively, you can download the Remind app (https://www.remind.com/apps/) and communicate using in-app messaging. If this is your first time using Remind, please login using your university email address and click on the Forgot Password link to set a new password.

For support please contact support@remindhq.com from your university email address or visit https://help.remind.com/

 Evaluation

West Coast University Grading Scale (Reflective of final course grade; see associated policy in Catalog)

Grade Points WCU Grading Scale

A 4 93–100

A- 3.7 90–92

B+ 3.3 87–89

B 3.0 83–86

B- 2.7 80–82

C+ 2.3 76–79

C 2.0 73–75

C- 1.7 70–72

D+ 1.3 66–69

D 1.0 63–65

D- 0.7 60–62

F 0.0 59 or below

AU 0.0 Audit

CR 0.0 Credit

P 0.0 Pass

NP 0.0 Not Passed

I 0.0 Incomplete

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TC 0.0 Transfer Credit

W 0.0 Withdrawal

(Before Drop Deadline)

WF 0.0 Withdrawal

(After Drop Deadline)

Note: AU, CR, P, NP, I, TC, W, and WF are used on the Academic Record but have no point values and are not computed in the Cumulative Grade Point Average (CGPA) (http://westcoastuniversity.smartcatalogiq.com/en/Fall-2017/West-Coast-University-Catalog/Academic-Policies-and- Procedures/Calculating-the-Cumulative-Grade-Point-Average)

A minimum passing grade is required for each course and varies by program. Earned grades below the minimum passing grade reflect that the course has not been successfully completed. Each academic program has unique prerequisite requirements. Please see the specific program section for additional information.

Students should review the program specific grading scale in the University Catalog. (http://westcoastuniversity.edu/admissions/catalog.html)

Evaluation Criteria

The evaluation criteria consists of Formative and Summative assessments of student learning.

Formative: Assessment that occurs throughout the course to provide feedback and support for improved performance as part of an ongoing learning process. Examples: Evidence-based research, presentations, case studies, specific class projects, weekly quizzes, homework assignments, clinical or lab assignments, practice exams

Summative: Assessment that occurs at the conclusion of the course to determine whether student learning outcomes have been achieved. Examples: Final exam, term paper, or term project Signature Assignments, where applicable, are course assignments designed to comprehensively measure student achievement of course and program learning outcomes.

Additional Information:

All assignments are to be submitted via the online classroom except where otherwise noted. Email submissions will not be accepted. Grades and comments on graded items will be posted in the Blackboard Gradebook, unless otherwise specified. All assignments submitted for each course must be created for that particular course. Any assignment (a paper or presentation) submitted for credit in one course may not be duplicated and submitted for credit in any other course unless approved by the faculty or noted in the syllabus. Please review all rubrics in the course for assignment grading criteria, found under the My Grades tab. It is important that you save all of your completed assignments for your records. Please ensure that you have saved copies of all your work on a drive such as Dropbox or a personal hard drive as you may be asked to recall these assignments as you near the end of your program.

Criteria *Critical Assignments (where applicable)

If a student achieves 76% or more on each Critical Assignment, then the grades earned on the remaining course assignments will be included in the final course grade. If a critical assignment has multiple submissions, i.e. concept maps or weekly

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clinical reports, must achieve a 76% average grade to pass. If a student achieves less than 76% on the Critical Assignments, then the grades earned on the remaining course assignments will not be included in the final course grade. A student’s final grade will be the percentage earned out of the Critical Assignment points.

It is your responsibility to complete all assignments in the course. It is possible to earn a failing grade even though you have met the minimum requirements for critical assignments. Some courses do not have critical assignments.

It is your responsibility to review the grading criteria for each course. Critical assignments are designated with an asterisk (*) in the course syllabus. Please see your instructor if you have questions about grading or assignment criteria.

Each student must complete and turn in ALL course assignments, as instructed, in order to pass the course. Even assignments that will be late after 3 days and receive a zero score must be submitted.

All tests are cumulative. They confirm a cognitive level based on the NCLEX test plan structure.

Time to test: Each assessment is limited to a specific time per question. All ATI Proctored tests are 1 minute per question. For all faculty-created tests, students are allowed 1.5 minutes per question for 100-level courses and 1 minute per question for 200 and higher-level courses (e.g. 300, 400).

Assignment

Weight / Points

Week Due Details

Formative

ATI Real Life RN Case Studies

130 4, 5, 6, 7

ATI Real Life RN Case Studies

32.5 points each

Week 4: Teaching Prenatal and Newborn Care Week 5: Preterm Labor Week 6: Preeclampsia Week 7: Postpartum Hemorrhage

Scoring Key For Real Life RN Scenarios

Strong 32.5 points

Satisfactory 0 points

Needs Improvement 0 points

ATI Practice Assessment

0 6 RN Maternal newborn online practice 2019 B

Focused Review Hours

60 7, 9 Focused Review Hours

30 points each

Week 7: After ATI practice assessment Week 9: After ATI proctored exam

Minimum 1 hour focus review and minimum of 4 templates.

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*Assessments 450 2, 3, 4, 5, 6, 7

75 points each

Week 2: Assessment 1 Week 3: Assessment 2 Week 4: Assessment 3 Week 5: Assessment 4 Week 6: Assessment 5 Week 7: Assessment 6

Nursing Evolution

10 9 This is a portfolio assignment that must be completed at the end of the course.The student will not be allowed to sit for the final without having completed the evolution for this course.

Active Learning Engagement

30 9

Blackboard Collaborate Virtual Class Session Summary

25 10 Attend the online Blackboard Collaborate session. Participation is required. Your instructor will post details regarding the session in the announcements. There is no in-class meeting during week 10. Directions for using Collaborate are located in your Blackboard Course. After attending the Collaborate session, submit a 1 paragraph (4-5 sentence) summary to Blackboard for grading. Details of the summary requirements will be presented during the Collaborate session.

Summative

*ATI Proctored Exam

120 8 RN maternal newborn

*Comprehensive Final Exam

175 9

Total 1,000 points total

*Total Critical Assignments Points

745

Assignment

Weight / Points

Week Due Details

 Course and Program Specific Policies

ATI Policy Tutorials (where applicable)

Tutorials promote acquisition and application of information related to nursing concepts and skills. Students will be required to spend a minimum amount of time on most assigned tutorials. Times required will vary from tutorial to tutorial. Points awarded for tutorial assignments will be based on time spent (when applicable) and completion of activities (such as pre-tests and post- tests). You will submit evidence of tutorial hours and activities done to the course faculty as instructed to earn points toward the course grade.

Practice Assessments and Focused Reviews (where applicable)

Practice assessments help students to assess learning and prepare for proctored exams. Students should take the practice assessment the first time without prior knowledge of the questions and without looking answers up, as if it were a proctored exam. This will result in a focused review plan that accurately reflects learning needs and helps the students to prepare for proctored exams.

Proctored Exams and Focused Reviews (where applicable)

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Proctored exams help students to assess content mastery and prepare for NCLEX-RN. The goal on these is to score at least a Level 2 on each proctored exam. This indicates the ability to meet NCLEX-RN standards in this content area.A focused review is always required after proctored exams.

Please see the grading criteria section of the syllabus and directions in your course regarding specific ATI directions and grading parameters.

Completion of ATI assignments are mandatory. ATI modules are assigned throughout the BSN program.

All ATI assignments, if required, must be accessed within the term dates that the student is scheduled for the course, and completed and submitted by the stated deadlines. Each student must complete and turn in ALL course assignments, as instructed, in order to pass the course.

Nursing Program or Accreditation Requirements Nursing students may repeat no more than one failed or unsuccessfully completed course. Any nursing student who fails or unsuccessfully completes any two courses or the same course twice, with the exception of NURS 493, will be dismissed from the program.

NURS 493: See details in course criteria. NURS 340/342L: A student who has completed NURS 340/342L and fails any or all courses in the subsequent terms will not be dismissed. The student will be provided an opportunity to repeat the required coursework and any additional failures will result in dismissal from the university.

A student who previously withdrew from a course may not subsequently withdraw from the same course. In addition, a student who fails a course may not subsequently withdraw from the same course. In either case, if a student chooses to withdraw from a course being repeated before successfully completing the course, the student will receive a grade of “F” in the course.

Please see the University Catalog (http://westcoastuniversity.edu/admissions/catalog.html) for more information under Course Withdraw and Dismissal Policies.

Students should review the RN Student Handbook (https://westcoastuniversity.edu/student-affairs/student-services.html)for more information.

All ATI assignments, if required, must be accessed within the term dates that the student is scheduled for the course, and completed and submitted by the stated deadlines. Each student must complete and turn in ALL course assignments, as instructed, in order to pass the course.

Each student is required to complete and turn in the End of Course Evaluation prior to sitting for the final exam.The student will not be allowed to sit for the final without having completed the evaluation for this course.

AACN Essentials of Baccalaureate Education

The Essentials of Baccalaureate Education for Professional Nursing Practice provides an important framework for designing and assessing baccalaureate education programs for professional nursing practice. You may access the full publication here: AACN Essentials (http://www.aacnnursing.org/Portals/42/Publications/BaccEssentials08.pdf)

Late and Make Up Work Assignments and Activities (written papers, journals, blogs, projects or similar, both in class or online):

Students may be allowed to make up assignments and work missed as a result of absences with penalty. Assignments submitted after the established due date will be penalized at 10% per day. Late assignments will not be accepted more than 3 days after the due date unless preapproval from the instructor has been obtained in writing. Be sure to contact the instructor if you believe you must submit an assignment after the due date. Approvals outside the 3 days are generally provided for extenuating circumstances only.

Quizzes and Tests*

It is the student’s responsibility to contact the faculty member within 48 hours of the original examination date of a quiz or test and follow the program policies for missed work. Students will not be allowed access to a quiz or test after the due date. Students

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may be able to complete a make-up quiz, test, or alternative assignment based on instructor discretion. Students who do not contact the faculty within 48 hours of the original examination date will earn a zero.

Examinations (Midterm and Final Examinations, Proctored Examinations, Proctored Assessments, or similar)*

Students are required to be present for all examinations. If the student must miss an examination due to a compelling reason**, the student must complete and submit the Examination Date Change Request form with the required supporting documentation for the event to the faculty member for that course. The documentation must be submitted at least three (3) weeks in advance of the examination. The faculty member will review and sign the request before submitting the documentation to the Dean, Director, or designee for approval or denial of the request. The documentation must be submitted at the time of the request, and the decision based on the original request is final.

Extenuating Circumstances

An extenuating circumstance is defined as an absence that is due to an unforeseeable circumstance and not a compelling reason or scheduled event. The student must notify the faculty member of the course within 48 hours before or after the date and time of the examination. The Dean, Director, or designee will make a determination regarding student eligibility to take an alternate form of make-up examination. If the student is able to demonstrate extenuating circumstances (such as the inclusion of healthcare provider documentation, a copy of obituary notice or death certificate, or a copy of police report for automobile accidents), the Dean, Director, or designee may permit an alternate form of a make-up examination. The student may earn up to 100% on this make-up examination based on the review of the supporting documentation of the extenuating circumstances.

The make-up examination must be taken within five (5) business days of the initial examination administration or before the date of the next class. The make-up examination may not be the same examination but may be an alternative format such as an essay examination. The student must take the make-up examination in a proctored environment. If the student is not able to provide acceptable documentation for either a compelling reason or an extenuating circumstance, the maximum score that the student may earn on the examination is 76%. Students who do not take the examination on the scheduled make-up date or who do not contact the instructor within 48 hours of missing the examination will receive a zero score for the examination. One form is required for each request. Any future make-up requests require a new form. Receiving the maximum amount of points on a make-up examination will be considered only for students who provide documentation of a compelling reason** for missing the examination or if an extenuating circumstance occurs and is supported by documentation. This does not apply for students who miss their regularly scheduled examinations due to student choice or error (e.g., oversleeping). The final determination for approval of a make-up examination is at the discretion of the Academic Dean, Director, or designee.

*Course curriculum varies from course to course. Not all courses have quizzes, tests, or examinations. It is your responsibility to review each syllabus for assignment criteria.

** A compelling reason is defined as planned events or discretionary participation in activities such as weddings or required travel.

No work is accepted after the last scheduled class (on ground) or the last day of class (online).

Minimum Passing Grade The minimum passing grade in the core nursing program is a C+.

"P" or "NP" are the grades issued for all nursing clinicals, Global Studies/Symposium, and capstone courses (e.g., NURS 497 and NURS 493).

SafeAssign Plagiarism Check Each course has an open SafeAssign dropbox. Students can use this dropbox to submit drafts of assignments. SafeAssign will generate a report that checks for plagiarism and academic integrity. It is the student's responsibility to review the report and make any changes to the assignment before the final submission. It is the student's responsibility to ensure that the final submission

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aligns to West Coast University's academic integrity policy, located in the syllabus and the University Catalog.

When the final assignment is checked and complete you must submit to its respective assignment dropbox for grading. The SafeAssign draft area is for checking your assignment only and will NOT be graded.

Sigma Theta Tau Nurse Manager Certificate Sigma Theta Tau Nurse Manager Certificate modules are to be completed following the ATI/STT instructions found in your courses. You must spend a minimum of 70 hours and score 80% or above to pass and receive credit. You must submit proof of completion and the grade to the course instructor in order to receive credit for the Nurse Manager Certificate as part of the NURS 497 portfolio.

The Nurse Manager Certificate is a requirement for the program.

 Course Outline The Course Outline below serves as a course roadmap, displaying the topics and activities intended to be covered each week. This schedule is subject to change in the event of extenuating circumstances.

Objectives reflect the teaching activities that, if engaged in, are intended to lead to specific, measurable student learning outcomes. Course Activities and Assignments outline the teaching strategies used and the assessment requirements that students are to fulfill throughout the duration of the course.

*Refer to the assignment rubrics in your course for specific grading criteria, if applicable. Rubrics can be found in the My Grades section and/or in your assignment dropbox.

Week Topic Objectives Activities & Assignments

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1 Menstruation and Conception 1. Identify critical components of conception, embryonic development, and fetal development

2. Discuss the relevance of genetics within the context of the care of the childbearing family.

3. Describe methods for diagnosis of pregnancy and determination of estimated date of delivery.

4. Describe the anatomical and physiological changes during pregnancy.

5. Link the anatomical and physiological changes of pregnancy to signs, symptoms, and common discomforts of pregnancy.

6. Describe appropriate interventions to relieve common discomforts of pregnancy in the antepartum setting.

7. Identify the critical elements of assessment and nursing care during initial and subsequent prenatal visits.

8. Describe the elements of patient education and anticipatory guidance in the antepartum setting.

Reading

Durham & Chapman Ch. 3 - 5

Content Outline

Menstrual cycle conception, embryo and fetal development placenta, membranes, amniotic fluid, and umbilical cord Genetic diseases and teratogens Preconception healthcare; PE and screening Anticipatory guidance and education in preconceptual and prenatal periods; assessment of risk factors by trimester Diagnosis of pregnancy Physiological changes in pregnancy Self-care/relief measures for physical changes and common discomforts of pregnancy Prenatal care assessment, education, and timing of routine care during first, second, and third trimester Maternal, paternal, and family adaptations to pregnancy

Specific Course Activities

Discuss 5 or more NCLEX-style test questions related to class content Watch ATI video

Danger signs of paregnancy Measuring fundal height Leopolds maneuvers

Need to know prenatal assessment terminology

G/P Gravida Para GTPAL nulligravida Primigravida Multigravida Critical components Intimate partner buse Danger signs of the first trimester, second and third trimesters medications Prenatal vitamin and iron supplementation folic acid

ATI

ATI review module Ch. 3 - 6

2 Pregnancy and Labor 1. Identify the five P’s of labor 2. Describe the four stages of labor and the related

nursing and medical care. 3. Describe the mechanism of spontaneous vaginal

delivery and related nursing care. 4. Identify supportive care modalities for women during

Reading

Durham & Chapman Ch. 6 Ch. 8 - 9

ATI Review Module (View media supplement:

Week Topic Objectives Activities & Assignments

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labor and childbirth. 5. Identify the modes of fetal monitoring, auscultation,

and EFM. 6. Articulate the physiology of FHR accelerations and

decelerations. 7. Identify normal and abnormal FHR patterns and

correct nursing actions based on monitor strip interpretations.

8. Define terms used in antenatal tests. 9. Describe the purpose, procedure, interpretation,

advantages, and risks of antenatal tests. 10. Articulate the nursing responsibilities and teachings

related to antenatal tests. 11. Explain Standards of Practice in maternity nursing.

Early, Late & Variable decelerations) Ch. 11 - 14

Content Outline

Process of labor Factors affecting labor Onset of labor Stages of labor and childbirth Cardinal movements Episiotomy and lacerations Newborn transition and Apgar scoring Management of discomforts labor Pharmacologic and nonpharmacologic