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General Information

Course ID (CB01A and CB01B)
NURS D93AL
Course Title (CB02)
Pediatric Nursing Clinical
Course Credit Status
Credit - Degree Applicable
Effective Term
Fall 2021
Course Description
This course focuses on the application of concepts learned in the theory class, to the management of nursing care of children and their families. Students will use nursing processes, research, problem-solving and critical thinking skills to facilitate culturally congruent care in acute care settings within the framework of safe patient-centered/ family-centered, evidence-based care. Learning experiences will be enhanced with clinical simulation and observation activities. Both NURS 93AL and NURS 93A must be taken and passed concurrently within the same quarter (failure of either component requires both courses to be retaken).
Faculty Requirements
Course Family
Not Applicable

Course Justification

This course is in a CTE program that was developed based on requirements from the California Board of Registered Nursing (BRN), and input from current/potential healthcare employers and current/future health needs of society. This course belongs on the A.S. degree in Nursing. This course is a BRN mandated component of the nursing program and exposes students to the clinical practice of nursing a pediatric population. Successful completion of this course is required for students to be eligible for the national licensing exam.

Foothill Equivalency

Does the course have a Foothill equivalent?
No
Foothill Course ID

Course Philosophy

Formerly Statement

Formerly Statement
(Formerly NURS D83AL.)

Course Development Options

Basic Skill Status (CB08)
Course is not a basic skills course.
Grade Options
  • Pass/No Pass
Repeat Limit
0

Transferability & Gen. Ed. Options

Transferability
Transferable to CSU only

Units and Hours

Summary

Minimum Credit Units
2.0
Maximum Credit Units
2.0

Weekly Student Hours

TypeIn ClassOut of Class
Lecture Hours0.00.0
Laboratory Hours6.50.0

Course Student Hours

Course Duration (Weeks)
12.0
Hours per unit divisor
36.0
Course In-Class (Contact) Hours
Lecture
0.0
Laboratory
78.0
Total
78.0
Course Out-of-Class Hours
Lecture
0.0
Laboratory
0.0
NA
0.0
Total
0.0

Prerequisite(s)

NURS D092., NURS D092L, and NURS D092P

Corequisite(s)

NURS D093A

Advisory(ies)

Limitation(s) on Enrollment

Entrance Skill(s)

General Course Statement(s)

Methods of Instruction

Discussion of assigned reading and videos

Demonstration and evaluation of clinical skills in direct patient contact

Modeling of clinical nursing behaviors

Discussion of patient conditions and nursing interventions

Other: Weekly review of nursing care plans, medication sheets and facility documentation

Review of skill and math questions

Assignments

  1. Required reading assignments
  2. Required written assignments- Patient-specific Pediatric Development Assignments
  3. Audiovisual reviews
  4. Weekly patient assessments and nursing care plans
  5. Medication review worksheets
  6. Facility patient documentation
  7. Math calculation review
  8. Clinical simulation exercise

Methods of Evaluation

  1. Demonstration of safe and effective care as evaluated per the final Clinical Evaluation Tool.
  2. Nursing care plans, using the Nursing Process, to critically analyze pertinent data, demonstrate the ability to summarize, integrate and apply information. Evaluated per the Standards of Nursing Practice. Medication calculations evaluated for thoroughness of information and accuracy of calculations.
  3. Final skills testing for skill mastery and competency compared to critical element checklist
  4. Successful completion of NURS 93A within the same quarter is required to pass NURS 93AL.

Essential Student Materials/Essential College Facilities

Essential Student Materials: 
  • Student uniforms including name tags
  • Stethoscope, watch with second hand, hemostat, scissors
  • Current background check and drug testing
  • Transportation to clinical sites
  • Current CPR certification for health care professional
  • Current physical examination with updated immunization
Essential College Facilities:
  • A current Foothill-°®¶¹´«Ã½ Community College District contract with each affiliating clinical facility on file with the district office;
  • Skills lab equipped with supplies and equipment for practice and demonstrations

Examples of Primary Texts and References

AuthorTitlePublisherDate/EditionISBN
* Hockenbury & Wilson. "Wong's Essentials of Pediatric Nursing", 10th ed. 2016. Elsevier.
Van Leeuwen & Bladh. "Davis's Comprehensive Handbook of Laboratory and Diagnostic Tests with Nursing Implications", 7th ed. 2018. F.A. Davis.
Ignatavicius, Workman & Rebar. "Medical Surgical Nursing: Patient-Centered Collaborative Care", 9th ed. 2018. Elsevier.
Purnell. "Guide to Culturally Competent Health Care", 3rd. edition. 2014. F.A. Davis.
Morris. "Calculate With Confidence", 7th ed. 2018. Elsevier.

Examples of Supporting Texts and References

AuthorTitlePublisher
Potter, Perry, Stockert & Hall,. "Fundamentals of Nursing", 9th ed. 2017. Elsevier.
Doenges, Moorhouse & Geissler-Murr. "Nursing Diagnosis Manual", 5th ed. 2018. F.A. Davis.
Nursing 93AL syllabus-on Canvas site
A drug reference handbook
A medical/nursing dictionary
°®¶¹´«Ã½ College, Department of Nursing Student Handbook, on-line

Learning Outcomes and Objectives

Course Objectives

  • Assess patient problems or needs and analyze data trends to accurately identify and frame problems within the context of care for the pediatric patient.
  • Interact effectively with pediatric patients, families, students and staff, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.
  • Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making for pediatric patients.
  • Influence the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition of shared goals.
  • Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning and development to enhance pediatric patient and peer satisfaction and health outcomes.
  • Identify, evaluate and integrate the best current evidence with clinical expertise and consideration of patient preference, experience and values to make practice decisions for pediatric patients.
  • Use data to monitor the outcomes of care and examine approaches to improve the quality and safety of health care systems and individual performance, thus minimizing the risk of harm to pediatric patients and providers.
  • Demonstrate accountability for the delivery of standar-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles.
  • Recognize the patient/ family member as the source of control and full partner when providing compassionate and coordinated care based on respect for pediatric patient preferences, needs and cultural values.

CSLOs

  • Use the nursing process to provide comprehensive care for pediatric patients and their families in an acute care setting.

  • Formulate a plan of care for a pediatric patient taking into consideration growth and developmental abilities and tasks.

Outline

  1. Assess patient problems or needs and analyze data trends to accurately identify and frame problems within the context of care for the pediatric patient.
    1. Use the nursing process to manage care of pediatric patients experiencing health challenges.
    2. Perform comprehensive assessment of pediatric patients, including growth and developmental changes, and organize the assessment data to facilitate clinical decision-making.
    3. Utilize assessment data to identify problems and potential problems and formulate priorities of care.
    4. Develop and implement the plan of care based on the assessment and identified real and potential problems.
    5. Include in the plan of care interventions and measure that promote continuity of care across healthcare settings.
    6. Use data to critically evaluate outcomes of care and modify the plan of care.
  2. Interact effectively with pediatric patients, families, students and staff, fostering mutual respect and shared decision making, to enhance patient satisfaction and health outcomes.
    1. Demonstrate principles of therapeutic communication with patients, families, staff and instructor.
    2. Develop and discuss plan of care with patients, families, instructor and team members, remaining open to input and feedback.
    3. Communicate and document pertinent information to nurses, instructor and other healthcare team members in a timely manner and at each transition of care, including handoffs.
    4. Educate patient/ family about nursing actions, medications, procedures, discharge plans and communication, in clear and concise patient-friendly terms.
    5. Demonstrate accountability and maintain professional integrity in all aspects of the learning process and nursing care.
  3. Use information and technology to communicate, manage knowledge, mitigate error, and support decision-making for pediatric patients.
    1. Use available information technologies to collect assessment data and other relevant information before providing care and throughout the shift to support clinical decision-making.
    2. Check for new orders and patient data throughout shift.
    3. Document patient care in a clear and appropriate manner, in accordance with instructor and clinical agency guidelines.
    4. Use the available technology and information management systems to detect changes in patient status, communicate with other team members and respond to changing care needs and directions.
    5. Utilize scholarly sources and resources provided by clinical agencies to facilitate clinical decision-making.
  4. Influence the behavior of individuals or groups of individuals within their environment in a way that will facilitate the establishment and acquisition of shared goals.
    1. Recognize different styles of communication used by pediatric patients, families and other healthcare providers.
    2. Reflect critically on own leadership and communication styles and adapt them to facilitate effective collaboration.
    3. Function professionally and effectively in the role of a team leader within own scope of practice.
    4. Demonstrate accountability and maintain professional integrity in all aspects of the learning process and nursing care.
  5. Function effectively within nursing and interdisciplinary teams, fostering open communication, mutual respect, shared decision making, team learning and development to enhance pediatric patient and peer satisfaction and health outcomes.
    1. Participate in interdisciplinary care within own scope of practice.
    2. Assess and evaluate role of team members, and critically reflect on own role as a member of the healthcare team.
    3. Provide salient information to interdisciplinary team to facilitate referrals.
    4. Interact with and make suggestions to health team members related to improvement of care.
    5. Evaluate patient outcomes and make recommendations to the interdisciplinary team.
  6. Identify, evaluate and integrate the best current evidence with clinical expertise and consideration of patient preference, experience and values to make practice decisions for pediatric patients.
    1. Utilize scholarly and practice resources to make practice decisions.
    2. Involve, patient, family and other members of the healthcare team when formulating goals of care.
    3. Use established guidelines to prevent and treat infections and other complications.
  7. Use data to monitor the outcomes of care and examine approaches to improve the quality and safety of health care systems and individual performance, thus minimizing the risk of harm to pediatric patients and providers.
    1. Protect the pediatric patient from safety hazards, using QSEN principles and hospital protocols.
    2. Articulate and implement measures to prevent infections and complications of hospitalization.
    3. Complete care in timely manner and notify team members of any critical changes in patient conditions in timely manner.
  8. Demonstrate accountability for the delivery of standar-based nursing care that is consistent with moral, altruistic, legal, ethical, regulatory, and humanistic principles.
    1. Advocate for a pediatric patient and family members within own scope of practice.
    2. Identify and critically reflect on patient care situations that pose legal and ethical issues affecting professional nursing practice in the context of care of the pediatric patient.
    3. Demonstrate retention and proficiency of previously and concurrently learned knowledge and skills.
    4. Seek proactively and respond professionally to feedback from the instructor and care team members.
  9. Recognize the patient/ family member as the source of control and full partner when providing compassionate and coordinated care based on respect for pediatric patient preferences, needs and cultural values.
    1. Treat the patient and family members as partners in care.
    2. Integrate patient and family values, preferences, experiences and values when planning and implementing care.
    3. Provide compassionate, age-appropriate and culturally-congruent safe and effective care considering pediatric developmental stages in all aspects of cars.
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