Portland Community College | Portland, Oregon

Course Number:
NRS 222
Course Title:
Acute Care II
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:
Special Fee:

Course Description

This course builds on Nursing in Acute Care I, focusing on more complex and/or unstable patient care conditions, some of which may result in death. These patient care conditions require strong noticing and rapid decision making skills. Evidence base is used to support appropriate focused assessments, and effective, efficient nursing interventions. Life span and developmental factors, cultural variables, and legal aspects of care frame the ethical decision-making employed in patient choices for treatment or palliative care with the acute care setting. Case scenarios incorporate prioritizing care needs, delegation and supervision, and family and patient teaching for either discharge planning or end-of-life care. Exemplars include acute conditions affecting multiple body systems. Includes classroom and clinical learning experiences. Prerequisite: NRS 221.

Intended Outcomes for the course

By the end of the course, the student will be able to:
1. Conduct evidence-based assessment, using age, and developmentally and culturally appropriate communication skills, specifically by:monitoring a variety of data and accurately interpreting obvious deviations from expected patterns in increasing complex acute conditions (e.g. co-morbidities, complications, high-risk pregnancies, acute psychosis, life threatening situations, diverse health beliefs);recognizing potential problems and rapidly changing physiologic and behavioral situations;recognizing pathophysiological changes and symptoms experienced by the patient which are
associated with the dying process; regularly monitoring patient€™s level of comfort and ability to manage symptoms and symptom distress;assessing family€™s response to client€™s illness; and recognizing impact of individual development, as well as family development and dynamics on physiologic and behavioral status.
2. Developing and using evidence-based, individualized, developmentally appropriate interventions that are dynamic and based on changing needs of client and family.
3. Collaborating with health care team members to provide comfort and symptom management.
4. Developing discharge plans in collaboration with client, family and health care team members.
5. Reflecting on experiences in caring for clients with acute conditions.

Course Activities and Design


Outcome Assessment Strategies

Clinical performance evaluation
Multiple choice exams
Lab performance evaluation
Project and participation evaluation

Course Content (Themes, Concepts, Issues and Skills)

Complex/unstable care situations
developmental care
cultural care
Evidence based care
Palliative care
End of life care in acute setting
Legal/ethical issues
Rapid decision making
Delegation and supervision
Family and patient teaching
Acute psychiatric disorders
Pregnancy-related complication care
Tracheostomy care
CHest tubes
Meds for multiple clients
Intreview video
Computer documentation