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Nursing 23 – Nursing of Children
Course Syllabus 2010-2011
Prerequisites: NUR 20, 22 Credits – Hours: 5 cr., 17 hrs
Pre or Co requisites: SOC 31

(one – hour semester)

Course Overview
This course introduces the students to nursing care of children from infancy through adolescence, and their families. The students will
develop an awareness of the physiological and psychosocial adaptation that may occur during childhood. It is expected that the student
synthesize prior facts and principals from the biological, physical and behavioral sciences when utilizing the nursing process. Area such
as normal growth and development, nutrition and anticipatory guidance will be discussed. Learning experience will include health care
maintenance of children as well as concepts relevant to hospitalized children. Class work for the typical week will consist of lecture
discussion -6 hours, weekly on-campus labs/simulation, and health agency experience -8 hours. It is essential to engage in addition
practice for the maintenance of skills. Provisions are available for additional time in the college laboratory for practice.
Student Learning Outcomes: Upon completion of the course, the students will:
Course Level Student Learning Outcomes

Assessment measure
Integrate knowledge and skills from biological, behavioral and physical sciences
Students will perform satisfactory assessment of vital signs and performance of physical
when caring for children from infancy through adolescence.
assessment; formulation of client-specific nursing diagnoses based on assessment findings.
Successful performance will be evaluated and documented on source specific clinical
competency and evaluation tool used in both clinical and simulation laboratory. Course
examinations will reflect competency.

Incorporate knowledge of the influence of culture of the childbearing family in
Students will complete and submit the Pediatric Client Assessment Guide which addresses
the delivery of nursing care.
the role culture impacts on the care of the pediatric client. Students will successfully
answer questions on examinations that related to the role culture plays on the pediatric
client and their families. Cultural issues will be reflected in the students’ nursing care plans.

Analyze and incorporate adaptive response of well and ill children and their
Students will analyze assessment findings and formulate relevant nursing diagnoses;
families in meeting complex needs.
Students will identify appropriate nursing interventions and correctly compare client
outcomes to established client-specific goal statements. These will be reflected in the
care plans, clinical performance and performance during laboratory simulations. 1

Identify developmental tasks of children across the health/illness continuum.
Students will performance successfully on course examinations that reflect those
Developmental tasks. Appropriate nursing diagnoses and interventions formulated in the
Clinical area will reflect an understanding of these developmental tasks.

Apply critical thinking skills in the application of the nursing process.
Students will analyze assessment findings and formulate relevant nursing diagnoses;
Students will identify appropriate nursing interventions and correctly compare client
outcomes to established client-specific goal statements. Successful performance will be
evaluated and documented on the course specific clinical evaluation tool; students will
perform successfully on course exams which will include imbedded questions to test
students understanding of the application of the nursing process.

Participate actively and effectively in the discussions with children and their
Students will communicate therapeutically with the pediatric client and their families while
families and health team members.
will report of other members of the healthcare team using the SBAR and through the
medical record. Successful completion will be evaluated within the guidelines of the
grading rubric of the nursing care plan, clinical performance and participation in pre
and post conference discussion.

Practice within the legal-ethical standards while providing care for children and
Students will identify legal and ethical principles and their implications for nursing
their families.
practice. Students will performance according to these principles in the clinical area and
answer exam questions appropriately that related to these topics.

Maintain client safety in the clinical agency when caring for children.
Students will apply safety principles when completing nursing interventions in the
Clinical area and the laboratory simulation experiences.
Demonstrate competencies in performing therapeutic psychomotor nursing
Students will satisfactorily perform required skills as addressed in the skills checklist and
interventions.
Clinical evaluation form when in the clinical agencies and laboratory simulations.
10. Administer and explain the effects of pharmacological agents when caring for
Students will demonstrate an understanding of the nursing responsibilities involved with
children.
each agent administered to the individual pediatric client. These will be evaluated in
pre and post conferences, nursing care plans, clinical and simulation experiences.

11. Use teaching learning principles when teaching children and their families in the
Students will incorporate the teaching-learning process in the care of the pediatric client
clinical setting.
and apply these principles on the clinical unit, reflect them in the nursing care plan. They
will also perform successfully on course examinations related to teaching.

12. Identify the need for community resources for children and their families.
Students will use community resources as references as part of their clinical assignments.
This will be evaluated as reflected in the nursing care plan.
13. Formulate a comprehensive care of care for assigned pediatric clients.
Students will use the nursing process to complete their care of the pediatric client and
reflect this plan on the nursing care plan.

Topical Outline
Unit I - Orientation to Nursing of Children
Unit II - Assessment and Management of the Infant and Family
Unit III - Assessment and Management of the Toddler and Family
Unit IV - Assessment and Management of the Preschooler and Family
Unit V - Assessment and Management of the School Age Children and Family
Unit VI – Assessment and Management of the Adolescent and Family
Teaching Strategies
Lecture – Discussion
Weekly on-campus labs/simulation
Case Studies
Health Agency Experiences
School Experiences
Pre and Post Conferences
Multimedia

Course Requirements
1. Textbooks
Required: Hockenberry, Marilyn and Wilson, David. (2009) Wong’s Essentials of Pediatric Nursing. St. Louis: Elsevier, Mosby
Co., 8th Edition,.

Lowdermilk, Deitra and Perry, Shannon E. (2003) Maternity Nursing St. Louis: The C.V. Mosby Co., 6th Edition.,
Carpenito, Linda Jull. (2006) Nursing Diagnosis Handbook. Philadelphia: J.B. Lippincott Co., 12th Edition,.
Abram, A.C. (2007). Clinical Drug Therapy, 8th Edition, Lippincott, Co.,.
Dudek, Susan G. (2006) Nutrition Handbook for Nursing Practice, 5th edition, J.B. Lippincott, Co.,

Optional References: American journal of Nursing
Journal

maternal

Fatigue can certainly impair a health care worker’s ability to provide safe, professional nursing care. Thus KCC ‘s Nursing Department states : All
students need to carefully assess his/her level of fatigue, school requirements in terms of lecture, on-campus labs and clinical experiences and own
work schedules. This assessment should carefully consider the potential impact of excessive employment on his/her ability to provide safe,
professional nursing care. Each student has an ethical responsibility to ensure that fatigue does not negatively impact student nurse responsibilities.
2. Attendance
Complete participation in class is possible only when students are able to focus attention on the class, therefore entering class after it has begun is disrespectful
to Faculty and classmates. Talking out of turn or exhibiting other disruptive behaviors is not tolerated and students will be asked to leave the classroom or lab.
All pages, wireless phones, electronic games, radios, tape or CD players or other devices that generate sound must be turned off when any member of the
academic community enters a classroom. Cellular devices are allowed to be on in the classroom only if the owner is using the caller ID, voice messages or a
vibrating battery/ universal clip mechanism. Members of the academic community must exit the classroom to make or receive calls.
A student is deemed excessively in any course when he or she has been absent 15% of the number of contact hours a class meets during a semester. More than
6 hours lecture/ lab OR one-half clinical day’s absence will be deemed excessive. Furthermore, attendance is mandatory for the school and Pediatric Clinic
experience. When a student is excessively absent, a grade of “W”, “WU”, will be assigned as described in the college catalogue.
Attendance at pre and post conferences for clinical agency experiences is required. Absence from these conferences constitutes an absence for the day’s
experience.
3. Malpractice Insurance – Health Clearance and evidence of CPR Training - Students are required to have malpractice insurance, health clearance and
CPR training prior to registration.
During the semester any change in the student’s health clearance (e.g. serious illness, accident, pregnancy, etc.) necessitates evaluation by student health
service. A student responsibility includes notification of the clinical instructor and course coordinator. Health clearance must be maintained to continue course
enrollment.

4. Evaluation Grades will be calculated according to college policy as follows:
F 59 and below W Withdraw without penalty Wu Unofficial withdrawal, e.g. – excessive absence (counts as a failure) Course work not completed count as an “F” grade unless work is completed within six months
Grades will be determined as described below:
Quizzes = 60%
Final Exam = 40%
Nursing Care Plans – satisfactory
Nursery School Assignment – satisfactory
Pediatric Client Assessment Guide – satisfactory

Academic Integrity

The Department of Nursing adheres to the policy and procedures on academic integrity put forth by the City University of New York. For details, refer to KCC Nursing Handbook, KCC catalogue, and/or CUNY website. • All students must use the “Test Taking Strategies” software within the first 2 weeks of the course. The program is located in all computer Labs.
Students are expected to take all examination on scheduled dates.
All make-up quizzes/exams will be given on the day of the final exam of the course.
Students who fail to take the scheduled make-up exam will receive a grade of zero for the exam.
All make-up final exams will follow college police.
The end of semester National League of Nursing (NLN) examination is requires for completion of the course. Failure to take the exam as schedule
result in a grade of incomplete

Students performance in the clinical agency experiences will be evaluated as satisfactory or unsatisfactory. Clinical performance designated as unsatisfactory at the
course will result in failure of the course.

Written assignment – Pediatric Nursing Assessment and Nursing Care Plan, Nursery School Assessment and Pediatrics client Assessment Guide.
Pediatric nursing assessment and nursing care plan must be submitted: a minimum of two satisfactory sets (one infant, & one school-age or adolescent) are necessa
course completion. If these are not submitted, the students will receive a grade of “F” for the course. Late submission will not receive a satisfactory grade.
A conference with the instructor is required within the last three weeks of the semester, at which time the students progress in the course will be discussed. In additi
may initiate conferences with the instructor at other times.

5. Clinical Agency Experience Requirements:

To fulfill the clinical agency experience requirements, the students will: a. be on time for the scheduled pre-conference in full uniform. b. have a written nursing care plan for the assigned client as designated. c. have drug information for the assigned client’s mediation needs. d. attained and participate in pre and post conferences. e. attend a practice laboratory at the college when requested to do so by the clinical instructor.
If these requirements are not met the student may be requested to leave the clinical area, this being considered an absence.

6. Dress Requirements
Students must present themselves as professional role models. Students are to travel to and from clinical agencies in street clothes. “In Uniform” refer
standard uniform of Kingsborough Community College Department of Nursing:
• Men – White surgical shirt, matching trousers, hose and shoes • Women – Knee length dress or pant suit, plain white sheer or opaque hose, closed white nursing shoes. • The uniform is to be properly fitted, clean, pressed and/or in good repair. • Name pin must be worn. 5. Stethoscope.
6. No jewelry other than plain wedding ring.
7. Nails should not extend beyond fingertips and should be rounded and clean.
8. Hair is to be clean, neat, off the face and above the collar line. Decorative and pointed hair ornaments are not permitted.
Dress requirements must be met prior to leaving the locker area and maintained until returning to locker area.
7. Drug Calculation Policy
Nur/17 “Drug Calculation in Nursing” is a pre- or co- requisite of Nursing 18, and a pre-requisite to all other nursing courses. Throughout the rest of the p
drug knowledge and skills will be integrated and tested in every nursing course.

CRITERIA FOR RETENTION IN THE NURSING PROGRAM
Effective Fall 2008
Criteria for retention in the Nursing Program mandates that students: Receive no grades below a C in any of the co-requisite courses; Earn a minimum a “C” grade in every required Nursing course with a clinical component; Students who fail a clinical nursing course achieving a grade of not less than “C-” may apply to repeat the course one time
only in the semester immediately following the failure. Repeating the course is subject to space availability.
Students must submit an “Intent to Return to Nursing Courses Form” outlining what they thought caused them to be unsuccessful
and include a plan for success that demonstrates significant changes in how they will approach the course when repeated. A second earned grade of less than a “C” in any nursing course with a clinical component will result in dismissal from the Nursing Nursing students who enter Nursing 17 and Nursing 18 for the first time MUST complete the Nursing Program within four years from the date of entry into
the core nursing courses. Any student who has not attended nursing courses for two or more consecutive semesters cannot be readmitted into the Nursing Program unless qualifying examinations have been passed in sequential order in the courses previously completed. In accordance with the retention criteria of the Nursing Department, qualifying examinations may be repeated only once. Orientation to pediatric Nursing Care
Learning Objective
Content Outline
Related Learning Experienc Clinical Objectives
Lab experience # 1
Wong’s Essentials of Pediatric manifestations of adverse Clinical experience # 1
“Promoting Normal Growth in providers. “Pediatric Intravenous therapy strategies 8.1 Evaluate of Outcome Criteria Revision of Plan Unit 11 Assessment and Management Of The Infant And Family
Learning Objectives
Content Outline
Related Learning Experience
Clinical Objectives
Lab experience # 2:
The student will 1. Assess a child’s immunization status 1. Describe the developmental 1.1 Development 2. Prepare and correctly administer prescribed 3. Teach the parent manifestations of adverse Clinical experience # 2
1. Perform a nursing assessment 2. Analyze data 6. Implement the plan 7. Evaluate client outcomes. assessment of the infant with a 1. Respiratory Syncytial assessment of an infant with a 3B. Assessment 4. Identify nursing diagnoses 4. Nursing Diagnoses e. Diagnostic/Lab Tests: 1. Ultrasonography 4C. Identify nursing diagnoses 4C. Nursing Diagnoses for an infant with an immune for an infant with an immune system/ congenital disorder. for an infant with an immune system/ congenital disorder. c. Health Teaching d. Discharge Planning 7C. Evaluate the plan care g. Transcultural 23 Unit III – Assessment and Management of the Toddler and Family
Learning Objective
Content Outline
Related Learner Experience
Clinical Objectives
On-campus lab #3
The student will: 1. Describe pathophysiology. 6. Identify health teaching of a child with asthma. Clinical experience #3:
2. Analyze data 3. Formulate nursing diagnoses 4A. Identify nursing diagnoses 4A. Nursing Diagnoses for a toddler with a respiratory a. Altered growth and disorder. d. altered tissue perfection e. high risk for infection NUR23 Unit III – Assessment and Management of the toddler and family Learning Objective
Content Outline
Related Learner Experience
Clinical Objectives
NUR23 Unit IV – Assessment and Management of the Preschooler and Family
Learner Objective
Content Outline
Related Learner Experience
Clinical Objectives
Lab experience #4
1.1 Development tasks
Clinical experience #4
1.2 Health maintenance
4A. Identify nursing diagnoses 4A. Nursing Diagnoses for a preschooler with a a. Health promotion 6.2 Collaborative Activities 7.1 Evaluate of outcome Criteria 7.2 Revision of plan NUR23 Unit V – Assessment and Management of the School-Age and Family Page 30
1. Health Maintenance Regimen a. Nutrition d. Accident-prevention/ Safety e. Sex Education NUR23 Unit V – Assessment and Management of the School-Age and Family
Learner Objective
Content Outline
Related Learner Experience
Clinical Objectives
4A. Identify nursing diagnoses 4A. Nursing Diagnoses Campus Lab # 5
for a school-age child with a. altered growth and nursing diagnoses for a child with epilepsy/seizure NUR23 Unit V- Assessment and Management of the School-Age and Family
Learner Objective
Content Outline
Related Learner
Clinical Objectives
Experience
Clinical experience #5:
1. Perform a nursing assessment of an adolescent. 7A. Evaluation the plan of care g. Transcultural considerations school-aged child’s need for nutrition and elimination. child’s need for nutrition and elimination. NUR23 Unit V- Assessment and Management of the School-Age and Family
Learner Objective
Content Outline
Related Learner Experience
Clinical Objectives
school-age child for safety and security. 3. Attention Defecit Hyperactivity disorder 1. Auditory and visual perception measurements (EEG) 3. Tomography 4. Serum Electrolytes NUR23 Unit V- Assessment and Management of the School-Age and Family
Learner Objective
Content Outline
Related Learner Experience
Clinical Objectives
for a school-age child with a need for safety activities. d. Legal/ethical implication child’s need for safety and security. g. Transcultural considerations 7.1 Evaluation of outcome NUR23 Unit VI – Assessment and Management of the Adolescent and Family
Learner Objectives
Content Outline
Related Learner Experience Clinical Objectives
Campus lab # 6:
a. Erikson-Identify vs. role psychology 32 Clinical experience #6:
1. Perform a nursing assessment of an adolescent. 8. Communicate and collaborate with client, 4A. Identify nursing diagnoses 4A. Nursing Diagnoses 5A. Develop a plan of care to meet the adolescence’s NUR23 Unit VI – Assessment and Management of the Adolescence and Family
Learner Objective
Content Outline
Related Learner Objective
Clinical Objectives
need for physical and psychological safety and

Source: http://www.kingsborough.edu/academicdepartments/nursing/syllabus/Documents/nursing23syllabus_2010_11.pdf

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