Gavilan College
AH 64

Pediatric & Medical/Surgical Nursing



Instructor: Debbie Amaro
Office: HOB 111 Phone 408 848-4841 Beeper 408 686-8047
Email: Hm:
Office Hrs: Mon/Tues @ Hospital by appointment
Wed 10 - 11 AM
Thurs 10 AM - 12 PM
Clinical Hrs: M/T 6:30 AM - 2:00 PM or 2:00 - 9:00 PM @ KST
Lecture Hrs: W/Th 1:10-4:00 PM

Secretary Phone: 408 848-4883 Office Fax: 408 848-4769

Prerequisite: Successful completion of AH 61, 62, and 63 or equivalent. Equivalency determined by written and performance exams.
Units: 11
Key to Books & References: MCN = Maternal-Child Nursing, Emily Slone McKinney, Jean Weiler Ashwill, Sharon Smith Murry, Susan Rowen James, Tryula Myers Gorrie, Susan Colvert Dorske. Saunders, 1st Ed. 2000

NCA = Nursing Care of Adults, Linton, Matteson, Maebuis. Saunders, 2nd Edition. 2000.
Pharm = Pharmacology, Linda Lane Lilley, Robert S. Aucker, Linda Wendling. Mosby, 2nd Ed. 1999
BVN = Board of Vocational Nursing Practice Act
Course Description This semester the course contains two components to provide theoretical and clinical experience in medical-surgical and pediatric nursing. Content includes care of clients with disorders of the endocrine and neurosensory systems, mental health, emergency nursing and care of the child, including preventive measures and health teaching. A leadership component is included to prepare the student for the realistic work assignment of the licensed vocational nurse.
There will be student presentations that focus on various cultural and religious needs of hospitalized patients and their support persons.
Student Honesty Policy Reference Statement:
"Students are expected to exercise academic honesty and integrity. Violations such as cheating and plagiarism will result in disciplinary action which may include recommendation for dismissal."
ADA Accommodation Statement:
"Students requiring special services or arrangements because of hearing, visual, or other disability should contact their instructor, counselor, advisor, or the Disabled Student Services Office."
Occupational/Vocational Statement:
"Occupational/Vocational Students - Limited English language skills will not be a barrier to admittance to and participation in Vocational Education Programs."
Course Objectives:

Upon completion of the medical-surgical component of this course, the student will be able to:

  1. Use the nursing process in the care of patients with medical-surgical disorders and conditions.
  2. Identify the ethical and legal role of the vocational nurse in care for the complex patient.
  3. Formulate and participate in health education and discharge planning using available resources within the hospital and community.
  4. Recognize common behavioral changes in adults.
  5. Report verbally and in writing on patient care experiences.
  6. Identify the skills that are necessary to direct and supervise others in giving quality care within the vocational nurse limitations.

Upon completion of the pediatric component of this course, the student will be able to:

  1. Define terminology specific to pediatrics.
  2. Perceive the psychosocial needs of the ill child and the adolescent.
  3. Identify signs of rapidly changing conditions often seen in children.
  4. Utilize effective communication skills when dealing with ill children and their parents.
  5. Report verbally and in writing on patient care experiences.
Clinical Requirements

Per the Gavilan College Nursing Student Handbook
Clinical Rotation Assignment
Pediatric Nursing / Medical-Surgical Nursing
The students will be expected to bring their Clinical Packet each clinical day.

On-Line Requirements

Pediatric Assignments
#1. Growth and Development Patterns
#2. Children's Understanding of Grief

Medical-Surgical Nursing Care Plans
#1. The Patient in Shock
#2. The Substance Abuse Patient

Expected Outcomes 1) Each student will successfully complete the written exams with a grade greater than 70% (Make-up exams by arrangement with instructor.)
2) Complete weekly reading assignments.
3) Complete written clinical assignments on time.
4) Complete on-line assignments on time.
5) Quizzes may be given before lecture begins. Quiz material will be from the assigned readings for that day.
6) Complete the oral/written culture and religion research assignment.
7) Adhere to the policies presented in the Gavilan College Nursing Student Handbook.
8) Consistently demonstrate competency (85% or greater correct) on clinical math calculations.
9) Adhere to individual instructor's clinical policies.
10) No late assignments.
11) Complete the assigned computer software within the week the material is assigned.


Clinical = Pass/Fail Any student needing to make up clinical hours and who utilizes the computer lab will not have their time counted if they fail to "log on" at any given time.

Theory - (No extra credit assignments!) Points:
A = 93-100% of total possible points Quizzes 120
A- = 90-92% of total possible points Midterm Exam 110
B+ = 87-89% of total possible points Final Exam 110
B = 83-86% of total points possible Culture/Religion 40
B- = 80-82% of total points possible IBM 25
C+ = 77-79% of total points possible Care Plans (2) 40
C = 70-76% of total points possible Internet Assignments 20
F = 69% or less of total points possible + Other Quizzes TBA
(Not passing) + Homework TBA
-Assigned homework is due on the date
announced by the instructor for each
assignment. (Generally, in one week.) Homework will be:
2 pts - on time
1 pt - 1 day late
0 pts after 1 day, but still required.

Clinical: Must pass clinical, maintain a grade of "C" or better in theory, and demonstrate proficiency in
medication calculation with a minimum of 85% correct to pass course.

Per Gavilan College Nursing Student Handbook
Approximate additional semester fees:
Live Scan Fingerprinting $23.50
LVN Exam application fees $200
LVN Licensing fees $75-$80
Career Mobility Exam $50-$75 (RN Program Applicants Only)

IBM Assignments

Choose 5

Immunizations of Infants & Children
Eliminating Pediatric Medication Errors
Toddler Hospitalized with Seizures
Endocrine System
Child with Respiratory Difficulty
School Age Child with Leukemia
Insulin Dependent Diabetic
School-Age Child with Cerebral Palsy
Adolescent Eating Disorders
Pediatric Oncology
Student Objectives Upon completion of the AH 64 Medical Surgical Nursing Component Clinical Lab, the student will be able to:

1. Perform diabetic urine testing and blood testing.

2. Observe for impending signs of diabetic acidosis or insulin reaction and take appropriate nursing measures.

3. Develop a teaching plan, implement and document actual teaching performed relative to drug therapy and monitoring of diabetes.

4. Demonstrate proper technique for administering insulin.

5. Assist a physician during diagnostic tests of the nervous system.

6. Demonstrate the ability to perform a neurological check.

7. Employ proper technique when turning or caring for the patient on the Circ-O-Lectric bed or Stryker frame.

8. Exhibit proper nursing technique of turning the patient with a spinal cord injury.

9. Demonstrate proper technique for apply bracing corset for patient with back injuries.

10. Assist the blind patient or eye surgery patient with the activities of daily living.

11. Demonstrate proper technique for instilling eye drops.

12. Exhibit proper technique for eye or ear irrigations.

13. Employ proper technique for applying hot or cold compresses.

14. Demonstrate proper technique for changing eye dressings.

15. Employ nursing measures to care for patient with disorder of immunity.

16. Observe common defense mechanisms used by the hospitalized patient.

17. Employ nursing measures to help alleviate anxiety in the hospitalized patient.

18. Observe and report common neurotic disorders in the patient not diagnosed as mentally ill.

19. Observe and report common signs of substance abuse disorders.

20. Function as part of the nursing team in the Emergency Room.

21. Demonstrate ability to locate all apparatus on the crash cart.

22. Function as a team leader, make patient assignments and evaluate care.

23. Assist team members.

24. Conduct a patient care conference.

25. Conduct rounds with physician.

26. Audit charts.

Student Objectives Upon completion of the AH 64 Pediatric Nursing Component Clinical Lab, the student will be able to:

1. Employ safety precautions needed for pediatric patients.

2. Prepare the pediatric patient physically and psychologically for surgery.

3. Employ nursing measures to maintain a patent airway in the pediatric patient.

4. Demonstrate care of the child in isolation and employ nursing measures to alleviate boredom.

5. Employ nursing measures to promote comfort for the pediatric patient experiencing disorders of the integumentary system.

6. Employ nursing measures to promote comfort for the pediatric patient experiencing disorders of the musculoskeletal system.

7. Employ nursing measures to promote comfort for the pediatric patient with traction, casts, or braces.

8. Perform postural drainage on the patient with cystic fibrosis.

9. Demonstrate nursing measures to increase comfort of the patient following tonsillectomy.

10. Observe the pediatric post-operative patient for complications.

11. Employ nursing measures to promote comfort for the pediatric patient experiencing disorders of the circulatory system.

12. Employ nursing measures to promote comfort for the pediatric patient experiencing disorders of the digestive system.

13. Exhibit nursing measures for psychological support of the dying pediatric patient and patient's family.

14. Employ nursing measures to increase comfort and decrease boredom of the pediatric patient undergoing long-term rehabilitation.

15. Demonstrate proper techniques for skin care, positioning, bowel and bladder care of the rehabilitative patient.

16. Demonstrate behavioral modification practices used in pediatric rehabilitation.