|Lake Superior State University
Department of Nursing
NU 213 Fundamentals of Nursing
Wednesday 11:00- 11:50
Tuesday and Wednesday 2:00-4:50
Weeks 1-3 Clinical Lab: Thursday or Friday 8-10:50
Weeks 4-13 Hospital: Thursday or
Prerequisite courses: NU 211, NU 212, HE 208, MA 086,
Pass Department of
Nursing’s Basic Math Exam with at least 80%, CH 105, BL 223
Co-requisite course: HE 209, HE 232
Lecture Professor: Lynn
Gimpel-Kabke, RN, MSN, CNS Course Coordinator
Clinical Instructors: Lynn Gimpel-Kabke, RN,
Other Clinical Instructor(s) TBA
Marilyn King, RN, BSN
Lab Skill check-offs: Marilyn King, RN, BSN
This course provides a theoretical and clinical foundation upon
which nursing science is applied to clients experiencing common health
stressors. Emphasis is placed upon collecting relevant data,
formulating nursing diagnoses based on the data, implementation of both
appropriate nursing interventions and related psychomotor nursing skills.
Responsibilities as a health team member who displays caring behaviors
and as a self-directed learner are also considered.
1. Use critical thinking and decision making skills
in performing basic
nursing procedures and implementing plans
2. Promotes the holistic health of individuals in the
3. Identifies factors that affect consumer health decisions
planning and implementing nursing care.
4. Demonstrates application of the nursing process
holistic nursing care to diverse
5. Identifies personal values and attitudes that contribute
development of professional caring.
6. Demonstrates safe, ethical, moral, and legal nursing
7. Discusses how direct & indirect components of
health care cost
influence planning and evaluating effectiveness
of nursing practice.
8. Discuss nursing research relevant to basic nursing
9. Recognizes that the skills, competencies and values
for a successful
lifetime of professional practice require
a continuing commitment to
10. Begin to apply nursing and related theories to nursing
11. Describe the impact of the system and policy variables
accessibility and delivery of health care.
12. Begins to assume accountability and responsibility when
13. Begins to use key components of information systems (databases,
communication components, confidentially
Dosage quizzes and final dosage exam
3 Unit exams
Comprehensive final exam
Comprehensive assessment & care plan
Instructional care plans/exercises
Values clarification exercises
Presentation of Research article
In order to successfully pass this course, students must obtain
cumulative 70% average on unit and final exams, pass the final
exam with an 80% or better, complete all paper work at a satisfactory
level, pass all skill checkoffs at a satisfactory level, and pass
your clinical evaluation at a satisfactory level. Written work (teaching
plan and comprehensive assessment/care plan) and lab quizzes will not be
used to bring up a failing grade on exams. High exam scores will
not be used to bring up a failing grade for clinical evaluation.
Therefore, when the student receive's: 1.) 69% or less cumulative grade
on the unit and final exams, but a 70% or higher grade on the overall grade
on Part I of the grading criteria; 2.) an unsatisfactory mark in
any one area of Part II of the grading criteria listed above; OR
3.) fails the clinical portion of the course, the student will receive
a C- for his/her final course grade. When the student has an overall
grade on Part I of the grading criteria of 67% or less, the student will
receive the corresponding grade according to the department's grading scale
in the Student Handbook.
All quizzes and exams must be taken on the assigned date unless
prior arrangements have been made with the instructor. Failure to
make prior arrangements will result in a 0 grade on that exam or quiz.
Exams and Quizzes 70% of final grade
Exams: 50% of final grade
There will be 3 unit exams and one final exam. The final
exam is comprehensive and will consist of the last unit taught plus material
from the 3 previous exams.
Medication Dosage Quizzes and Medication Final Exam: 15%
of final grade (5% each)
The drug dosage book, Math for Meds, is designed to be done as
independent study. The class will cover a portion of this textbook
during the first 4 weeks of the semester. Refer to the Medication
Lab Modules for schedule of reading, quizzes and final exam. Two
dosage quizzes will be given before the final dosage exam. It is the final
dosage exam that must be passed with an 80% or better score. This
is a requirement of the course. One retest will be allowed for students
with a score below 80%, however the first grade is the one which will be
averaged into the final course grade. Students that fail the retest
with less than 80%, will drop the course. If your math skills are
weak, contact the tutoring center immediately in the first week of the
semester for help. Calculators will not be used during dosage quizzes
or final exam.
Written assignments are expected to be submitted on time unless
arrangements are made with the instructor for extenuating circumstances.
A. Graded papers:
1. All late graded papers will be
dropped 10 points for each day
is late, starting from the grade assigned to the
2. At the clinical instructor’s
discretion, graded written
50% may be returned to the student so
made. The resubmitted paper, with corrections,
will receive a
grade no higher than 70%. Failure to resubmit
assignment will result in the original grade being
B. Satisfactory/unsatisfactory graded papers:
Lateness on satisfactory/unsatisfactory
graded papers will result
in a 1 point reduction
of the final course grade. At the clinical
instructor's discretion, an unsatisfactory
written assignment will
be resubmitted with corrections
made. Failure to resubmit the
written assignment will result
in 5 points being subtracted from the
final course grade.
It is expected that instructors will provide students with timely
feedback on written work prior to a similar piece of work being due.
All written work will be SUBMITTED IN A FOLDER and placed in the student
drop box in the nursing office by the designated time set in the lab module.
Values Clarification Exercises: Satisfactory/Unsatisfactory
Periodically throughout the semester you will be asked to submit
values clarification exercises to your clinical instructor. These
exercises will not have any "right or wrong" answers and will not be graded
as such. A grade of satisfactory will result if the student completes
the exercises and hands the exercise in on time one week later. These
exercises will be turned into your clinical instructor.
Charting Exercises: Satisfactory/Unsatisfactory
Practice in documentation will be required throughout the course.
The Charting Lab Module will begin your experience with charting using
the traditional format and computerized charting techniques. It is
through meticulous charting that the nurse documents the nursing process
in practice. These exercises will be turned into your clinical instructor
Care plan Exercises: Satisfactory/Unsatisfactory
Group care plan exercises will be assigned periodically during
the first 7 weeks of the semester to prepare you for creating individual
care plans as part of the student’s preparation for clinical week 8.
Please see instructional care plans below and care plan lab module 4.
These exercises will be turned into your clinical instructor for grading.
Instructional Care Plans: Satisfactory/Unsatisfactory
Instructional care plans will be written as part of the students
preparation for their clinical experience (see clinical preparation).
The instructional care plan is the student's focused plan of care for their
patient using the nursing process. Please refer to the weekly schedule
and assignments in each module for a list of nursing diagnosis pre-selected
for each week. The student will choose the most appropriate nursing
diagnosis for their patient. Consult your clinical instructor if the list
does not include an appropriate nursing diagnosis for your patient.
Beginning week 8, instructional care plans will be turned into your clinical
instructor by 5 PM on your scheduled clinical day. Students will
be provided with feedback on these instructional care plans prior to the
Comprehensive Assessment and Care Plan being due.
Comprehensive Assessment & Care Plan:
25% of final grade
Beginning week 11 of the semester, the student will do a comprehensive
assessment and care plan on their patient. This will be due
week 13 on your clinical day by 5PM. Refer to Care Plan Lab Module
for guidelines on the format to be used. Further information will
be given during class time prior to this project. All of the following
must be turned in:
a. Completed assessment form provided
in Care Plan Lab Module.
b. List of medications patient is on (use
weekly medication summary
found in Medication
c. Comprehensive (complete) prioritized
list of nursing diagnoses
(be sure to
write the complete diagnostic statement).
d. Create a care plan for the top 3 nursing
diagnoses on your
list of nursing diagnoses (part c.
e. Include a reference list for sources
of scientific rationale.
Teaching Plan: 10% of final grade
The student will implement a teaching plan with a selected patient.
The format to be used in the written portion can be found in the Teaching
Plan Lab Module. The student must consult their clinical instructor
about the topic and content of the teaching plan prior to creating and
implementing the plan. Your clinical instructor will grade your teaching
plan. The written teaching plan is due on Monday of the following
week, by 5 PM. All teaching plans must be completed and handed in
by week 11 of the semester, unless prior arrangements have been made with
your clinical instructor.
Community log: Satisfactory/Unsatisfactory
Guidelines for community log will be given out prior to the student's
community clinical experiences.
Clinical Preparation: Satisfactory/Unsatisfactory
Each week the clinical instructor will assign a patient the student
will provide nursing care for in the hospital setting. The student
is expected to collect information on his/her assigned patient, read about
the patient's medical diagnoses, medications, special treatments, and expected
nursing care the DAY BEFORE his/her clinical experience. Before entering
the clinical area the following day, the student will be prepared to share
this information in pre-conference. The first two weeks the student
goes to the hospital, the clinical instructor will gather information on
the student's patient for him/her and provide this information to the student
the day before his/her clinical day. Starting week 6, the student
will collect information on his/her assigned patient at the hospital each
week. Beginning week 8, the student will also include in the preparation
the development of a instructional care plan for one nursing diagnosis
(as described earlier). Failure to come to the clinical experience
prepared will result in an unsatisfactory grade for that clinical day and
the student will either be sent home or reassigned to non-patient care
Community Experience: Satisfactory/Unsatisfactory
A portion of your clinical experience will be in community setting(s).
A list of community sites will be posted and students will sign-up for
their preferred site(s). A written clinical lab log will be submitted
to Professor Kabke for satisfactory/unsatisfactory grading. Further
information on these experience(s) will be discussed later in the semester.
Clinical Evaluation: Satisfactory/Unsatisfactory
Clinical evaluation is based on progress toward satisfactory attainment
of clinical objectives and safe performance of nursing care in
the clinical acute care area and community settings. Satisfactory
clinical preparation is a part of clinical evaluation. See Clinical
Preparation above. Clinical performance will be evaluated by the
instructor using a clinical evaluation tool which will be provided prior
to the first clinical experience in the hospital. Students are expected
to periodically consult with their instructor concerning student progress
toward meeting clinical objectives. Week 14 of the semester students
will meet with his/her clinical instructor for his/her clinical evaluation.
The student brings to this evaluation his/her copy of the clinical evaluation
Refer to Lab Module: Introduction to NU 213 Fundamentals of Nursing
Lab Modules for further information on Lab Module requirements. Lab
module assignments are listed in the weekly schedule and assignments section
of each module.
Skill Checkoffs: Satisfactory/Unsatisfactory
Students are expected to be prepared for skill checkoffs.
A minimum of one hour per week of lab practice is necessary to develop
proficiency. After skills are taught in the lab, the student will
have 2 weeks to demonstrate mastery of the skill checkoff to Marilyn King.
Students must have documented in the LAB LOG that they have sufficiently
practiced a procedure prior to checkoff times. A lab assistant will
be available to help with the learning process during open lab times.
These times will be posted on the lab doors.
Most skill checkoffs will need to be done outside of regular lab
hours. Marilyn King will post times available for skill checkoffs
on the nursing lab doors. It is the student's responsibility to sign-up
for checkoff times posted. If the student has a problem with the
posted times, it is their responsibility to contact Marilyn King for an
alternate time. Further guidelines will be given on the first day
of lab. Any other time needed with Marilyn King may be scheduled
by appointment. Students who do not pass any particular skill checkoff,
must wait at least one day before redemonstrating the skill. All
laboratory skill checkoffs must be completed at a satisfactory level prior
to performing on the hospital unit.
1. Each student must purchase liability insurance through
Department of Nursing prior to beginning NU
213 Fundamentals of
2. All students must have purchased a blood pressure cuff
and a double
lumen stethoscope with a bell and diaphragm
(required in NU 212).
These are brought with the student to each clinical
experience in NU
213 Fundamentals of Nursing.
3. Students are expected to adhere to the program policy
outlined in the 1998-1999 Department of Nursing
BSN Student Handbook.
Students will also adhere to the Department
of Nursing’s dress code
policy in addition to the statements found in
the student handbook.
All students must purchase the white student
uniform top and jacket
(with student nursing patch on each) to be worn
in hospital clinical
experiences by week 4 of the semester.
The blue uniform is worn
during community clinical experiences.
4. It is expected that each student will read the student
be familiar with (and adhere to) the
directives that are outlined in
it. Furthermore, students are expected
to apply standards of
professional nursing ethics, including maintaining
confidentiality and privacy, respecting peers,
the rules and regulations of federal, state,
or provincial laws
governing the administration of drugs.
5. Health History form, Liability insurance, CPR, Immunization
(including rubella titer) and TB records
must be current and placed
in the student's file before registration for
NU 213 Fundamentals of
Nursing. Failure to meet these requirements
will result in a student
being unable to participate in lecture, lab,
experiences. This will result in the student's
inability to meet
requirements to pass the course, necessitating
a drop from the
6. All students are expected to utilize the lab practice
appropriately. A minimum of two hours a week
of non-class time
should be spent in the lab practicing skills,
viewing AV materials,
running computer software and/or completion
7. Students are expected to come to lecture and lab prepared.
reading assignments for that class should be
completed beforehand so
that we can optimize our learning time together.
8. It is the responsibility of each student to identify his/her
individual learning needs and seek assistance
assistants when needed.
9. All borrowed lab equipment must be logged out and returned
of the next week. Students are financially
accountable for any lost
or damaged equipment.
10. Students are expected to comply with the University statement
regarding academic honesty (see LSSU Catalogue
and the Department of
Nursing's Student Handbook 2000-2001).
Any evidence of plagiarism
will be investigated.
11. It is your responsibility to make a copy of all work submitted
instructor. The original will be placed
in a folder and turned into
the instructor via the student drop box in the
Students can pick up their graded papers in
the student drop box's
12. Attendance: Students are responsible for acquiring knowledge,
skills and values necessary for the safe practice
Clinical and laboratory attendance
is necessary to meet course
objectives and to demonstrate safe
practice of nursing in NU 213
Fundamentals of Nursing. Absence or tardiness
makes it impossible to
evaluate the student's ability to meet course
objectives and may
result in course failure. When the student
is absent, it is the
responsible of the student to contact the instructor
hours to determine how course objectives
can be met.
13. The nursing student is expected to make accurate and honest
about his/her state of health as a reason for
university lab and/or clinical section
of NU 213 Fundamentals of
Nursing. When health does not
permit attendance in the clinical
section, it is the responsibility of
the student to notify both the
instructor and the clinical agency
when lateness or illness occurs;
just as one would call in sick/late for work.
Remember, the student
MUST contact the clinical agency PRIOR TO the
clinical experience when
sick or late. Again, the students
must contact the clinical
instructor regarding make up time.
Syllabus: The course syllabus represents the best
estimate and projection of the course content, scope, and sequence.
In the case of extenuating circumstances, events, and the discretion
of the instructor, the course syllabi is subject to change.
Clinical Make-Up Policy: All clinical hours will be
made up. It is the responsibility of the student to contact the clinical
instructor regarding make-up of all clinical absences. The student
will be responsible for any additional costs which may be incurred for
making up clinical time. There is no guarantee that students will
be able to make up clinical experiences within that semester. Where
absence or tardiness makes it impossible to evaluate the student's ability
to meet course objectives, the instructor will report the status of the
student as failing and/or incomplete.
Canadian Work Visa: Those students who are not Canadian
and who are assigned to a clinical group in Canada, have to pick up a Visa
at Canadian Immigration. Be certain that you have picture identification
with you (i.e. driver's license). Check with Janine, Nursing Department's
secretary, to be sure your name was sent to Immigration ahead of time.
You may be denied entry into Canada if you do not have your Visa with you
on any clinical day. This requirement will be discussed prior to
starting at the hospital.
No tape recording of lectures or labs are allowed.
Required Textbooks: (most current edition)
Carpenito, L. ( ).
Nursing diagnosis: Application to clinical practice (7th ed.). Philadelphia:
Kozier & Erb (1999). Fundamentals
of nursing: Human Health
and Function (2nd ed.). Philadelphia: Lippincott.
Curren, A. & Munday, L. (
). Math for meds: Dosages and solutions (7th ed.). San Diego:
No Author (2000). Mosby's nursing
drug guide. St Louis: Mosby.
Fischbach, F. ( ).
A manual of laboratory diagnostic tests (6th ed.). Philadelphia:
Kabke, L. (2001). NU 213 Fundamentals
of Nursing Skills Lab Module Manual (5th ed.). Sault Ste. Marie,
Mi.: Lake Superior State University.
Nu 213 lab kit.
Required textbooks from
previous classes: (or equivalent text)
Alfaro-LeFevre, R. (
). Applying the nursing process (3rd ed.).
American Psychological Association (1994).
Publication manual of the American Psychological Association (3rd
ed.). Washington, D.C., Author.
Bernzweig, E. P. ( ).
The nurse's liability for malpractice (6th ed.). St. Louis: Mosby.
Price, S & Wilson, L. (
). Pathophysiology: Clinical concepts of disease processes, (5th
ed.). St. Louis: Mosby.
Jarvis, C. ( ).
Physical examination and health assessment (2nd ed.). Philadelphia:
McKendry, L. & Salerno, E. (
). Pharmacology in nursing. St. Louis: Mosby
Taber's cyclopedic medical dictionary (
ed.). Philadelphia: Davis.
Whitney, E. & Rolfes, S. (
). Understanding nutrition (7th ed.).
St. Paul: West.