Portland Community College | Portland, Oregon

Course Number:
NRS 112
Course Title:
Foundations of Nursing in Acute Care I
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:
Special Fee:

Course Description

This course introduces the learner to assessment and common interventions (including relevant technical procedures) for care of clients across the life span who require acute care, including normal childbirth. Disease/illness trajectories and their translation into clinical practice guidelines and/or standard procedures are considered in relation to their impact on providing culturally sensitive, client-centered care. Includes classroom and clinical learning experiences. Prerequisites: NRS 111. Prerequisites/concurrent: (NRS 230 or NUR 231) and (NRS 232 or NRS 233).

Intended Outcomes for the course

At the end of the course, the student will be able to:
1. Conduct a culturally and age appropriate health assessment and interpret health data focusing on physiologic, developmental, and behavioral parameters of the disease trajectory, normal childbirth, and acute exacerbations of chronic conditions and their resolution, and the client response to acute conditions/processes.

2. Develop plans of care that are family-centered, developmentally and culturally appropriate, using evidence including clinical guidelines and integrative literature reviews to implement care plans safely for clients with common acute conditions/processes.

  • manage common symptoms such as acute pain and acute anxiety,
  •  follow evidence based procedures for performing skills safely,
  • use expected illness trajectory,
  • monitor progress toward recovery, occurrence of complications and client€™s response to interventions.

3. Identify potential legal and ethical issues related to client decision-making and informed consent in acute care settings.

4.  Apply ANA Code of Ethics to care of clients with acute conditions/processes.
5. Use therapeutic communication skills in the development of therapeutic relationships with client and families.
6. Identify roles  and interact appropriately with members of the health care team involved in providing care to client and families with acute conditions/processes.
7. Discuss need for delegation of client care with experienced nurses.

Course Activities and Design

Discussion groups
Clinical evaluation
Multiple choice exams
Lab performance evaluation

Outcome Assessment Strategies

Multiple choice exams
Lab performance evaluation
Clinical performance evaluation

Course Content (Themes, Concepts, Issues and Skills)

Themes, Concepts and Issues;
Acute conditions in various body systems
Care for acute conditions across the lifespan
Peri-operative client conditions and care
Evidence based practice
Normal labor and delivery
Post-partum and newborn care
Legal and ethical issues related to care
Developmental stages
Therapeutic communication
Team work
Oxygen administration
Focused physical assessments; Abdominal, Acute cardiac, respiratory and pain
Pain management
Nasogastric tube insertion and maintenance
Peri-operative assessment and care
Wound care-surgical
Suture, staple and clip removal
Drains assessment and care
Postpartum and newborn assessment and care
Urinary catheter insertion
Bladder scan
Intravenous fluid and medication administration and site management
Mathematics related to intravenous drip medication preparation and delivery rates
Computer based documentation