Meets Oregon State Board of Nursing requirements for students wanting to become nursing assistants at training level 1 (i.e., CNA-1). Students who successfully complete coursework will be able to apply to take the certification exam through the Oregon State Board of Nursing. Students will study patient care, nutrition, safety, legal/ethical issues, physical and mental disease processes, vital signs and infection control, emergency care, and interpersonal skills. Students will be placed in long-term care clinical sites in Josephine or Jackson County to practice their nursing assistant skills during the clinical course (NA101C). Clinical experience is graded on a pass/no pass basis.
Prerequisites: MTH20, RD30, and WR115 or higher placement test scores and attendance at a nursing assistant orientation. Mandatory, following registration, is a criminal history background check; immunizations as listed at orientation; and current CPR Basic Life Support for Healthcare Provider card from American Heart Association or CPR/AED for the Professional Rescuer from American Red Cross. Course may not transfer.
NA110 1 credit
Scope of Practice and Safety Considerations
Covers the review and practice of safety concepts, nursing skills, and knowledge needed to care for individuals across the life span as previously learned in the program. This course is individualized for the re-entry student. The returning student is expected to demonstrate a level of preparedness that reflects independent review, study and groundwork. There will be individualized instruction, practice and evaluation of student performance of specific nursing skills in a laboratory setting. Course is graded on a pass/no pass basis.
Prerequisite: Admission to the Practical Nursing or Nursing programs. Course may not transfer.
Foundations of Nursing – Health Promotion
Introduces the learner to framework of the RCC and Oregon Consortium for Nursing Education (OCNE) curriculum with its focus on 10 competencies. The emphasis on health promotion across the life span includes learning about self-health as well as client health practices. To support self and client health practices, students learn to access research evidence about healthy lifestyle patterns and risk factors for disease/illness, apply growth and development theory, interview clients in a culturally sensitive manner, work as members of a multidisciplinary team, give and receive feedback about performance, and use reflective thinking about their practice as nursing students. Populations studied include children, adults, older adults and the family experiencing a normal pregnancy. Includes classroom/lab covering basic nursing procedures and clinical learning experiences in a variety of community settings and in hospital facilities. The clinical portion of the course includes practice with therapeutic communication skills and selected core nursing skills identified in the OCNE Core Nursing Skills document. Clinical experience is graded on a pass/no pass basis.
Prerequisites: Completion of all prerequisite/preparatory courses (46 credits minimum) and formal acceptance into the RCC AAS Nursing program. This is a limited-entry program.
Foundations of Nursing in Chronic Illness
Introduces assessment and common interventions (including technical procedures) for clients with chronic illnesses common across the life span in major multiple ethnic groups. The client and family’s “lived experience” of the condition is explored. Clinical practice guidelines and research evidence are used to guide clinical judgments in care of individuals with chronic conditions. Multidisciplinary team roles and responsibilities are explored in the context of delivering safe, high quality health care to individuals with chronic conditions (includes practical and legal aspects of delegation). Cultural, ethical, legal and health care delivery issues are explored through case scenarios and clinical practice. Case exemplars include children with asthma, adolescents with a mood disorder, adults with type 2 diabetes, and older adults with dementia. The course includes classroom and clinical learning experiences. Clinical experience is graded on a pass/no pass basis.
Prerequisites: NRS110, NRS112, NRS230, NRS232; NRS231 and NRS 233 taken concurrently.
NRS112 6 credits
Foundations of Nursing in Acute Care I
Introduces the learner to assessment and common interventions (including relevant technical procedures) for care of patients across the lifespan 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.
Prerequisite: NRS110; NRS230 and NRS232 taken concurrently.
LPN Transition to OCNE
Introduces the learner to the framework of the RCC and Oregon Consortium for Nursing Education (OCNE) curriculum including the OCNE competencies and benchmarks and the clinical judgment model. The student is introduced to the role and practice of the registered nurse. Concepts and applicability of the ANA Code of Ethics will be emphasized. Students will be introduced to evidenced-based care including levels of evidence. Concepts of health promotion, chronic care and acute care as applied to nursing practice will be explored. Case studies and concept-based learning activities will be used to provide students opportunities to demonstrate critical thinking in the provision of simulated patient care. Students will begin development of a portfolio they may adapt to fit the criteria for the OCNE partner nursing program to which they are admitted. The course will be delivered through a variety of methods, e.g. distance delivery (Internet), face to face classroom and simulation skills lab clinical. Clinical experience is graded on a pass/no pass basis.
Prerequisites: NRS230, NRS232, and program director permission. This course is only for LPNs accepted into the advanced placement process.
NRS199C 4 credits
Special Studies: Surgical Nursing
Provides an introduction, basic training and clinical nursing experience in the operating room at Rogue Regional Medical Center during summer term following successful completion of the first year of the Nursing program. Enrollment is limited and registration requires program director approval. The course is consistent with AORN Standards, recommended practices, and guidelines. It is designed to provide information needed for the nurse to demonstrate basic skills of surgical nursing. Students allowed to enroll in NRS199C will be required to utilize 16 hours of each of their NRS221C and NRS222C clinical hours plus an additional eight hours during those courses for continuing surgical experiences. With satisfactory completion of the NRS199C and NRS221C and NRS222C clinical hours (including the surgery setting hours), and dependent on availability of clinical teaching associates (CTAs) and space, the students will be eligible to be placed in the RRMC operating room for clinical experiences during NRS224C. The course includes classroom, skills lab and clinical instruction in the operating room suite. Students will work with a CTA in the RRMC surgical suite. Course is graded on a pass/no pass basis.
Prerequisites: NRS110, NRS111, NRS112, and program director permission. This optional course is not financial aid eligible.
Nursing in Chronic Illness II and End-of-Life
Builds on NRS111 Foundations of Nursing in Chronic Illness I. Chronic Illness II expands the student’s knowledge related to family care giving, symptom management and end of life concepts. These concepts are a major focus and basis for nursing interventions with patients and families. Ethical issues related to advocacy, self-determination, and autonomy are explored. Complex skills associated with the assessment and management of concurrent illnesses and conditions are developed within the context of patient and family preferences and needs. Skills related to enhancing communication and collaboration as a member of an interprofessional team and across health care systems are further explored. Exemplars include patients with chronic mental illness and addictions, as well as other chronic conditions and disabilities affecting functional status and family relationships. Includes classroom and clinical learning experiences. Clinical experience is graded on a pass/no pass basis.
Prerequisites: NRS110, NRS111, NRS112, NRS230, NRS231, NRS232 and NRS233.
Nursing in Acute Care II and End-of-Life
Builds on NRS112 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 for disorders with an acute trajectory. Case scenarios incorporate prioritizing care needs, delegation and supervision, 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. Clinical experience is graded on a pass/no pass basis.
Designed to formalize the clinical judgments, knowledge and skills necessary in safe, registered nurse practice. The faculty/clinical teaching associate/student triad model provides a context that allows the student to experience the nursing role in a selected setting, balancing the demands of professional nursing and lifelong learner. Analysis and reflection throughout the clinical experience provide students with evaluative criteria against which they can judge their own performance and develop a practice framework. Includes seminar, self-directed study and clinical experience. Required for AAS degree and eligibility for NCLEX-RN exam. Clinical experience is graded on a pass/no pass basis.
Prerequisites: NRS221 and NRS222.
NRS230 3 credits
Clinical Pharmacology I
Introduces the theoretical background that enables students to provide safe and effective care related to drugs and natural products to persons throughout the lifespan. It includes the foundational concepts of principles of pharmacology, nonopioid analgesics, and antibiotics as well as additional classes of drugs. Students will learn to make selected clinical decisions in the context of nursing regarding using current, reliable sources of information, understanding of pharmacokinetics and pharmacodynamics, developmental physiologic considerations, monitoring and evaluating the effectiveness of drug therapy, teaching persons from diverse populations regarding safe and effective use of drugs and natural products, intervening to increase therapeutic benefits and reduce potential negative effects, and communicating appropriately with other health professionals regarding drug therapy. Drugs are studied by therapeutic or pharmacological class using an organized framework.
Prerequisites: BI234 and NRS110 or instructor permission.
NRS231 3 credits
Clinical Pharmacology II
This sequel to NRS230 Clinical Pharmacology I continues to provide the theoretical background that enables students to provide safe and effective nursing care related to drugs and natural products to persons throughout the lifespan. Students will learn to make selected clinical decisions in the context of nursing regarding using current, reliable sources of information, monitoring and evaluating the effectiveness of drug therapy, teaching persons from diverse populations regarding safe and effective use of drugs and natural products, intervening to increase therapeutic benefits and reduce potential negative effects, and communicating appropriately with other health professionals regarding drug therapy. The course addresses additional classes of drugs and related natural products not contained in Clinical Pharmacology I. Content for NRS231 focuses on drugs for diabetes, concepts of chemotherapy, drugs that act in the central nervous system, drugs that treat inflammation, antiviral drugs, antilipidemics, and diuretics.
NRS232 3 credits
Pathophysiological Processes I
Introduces pathophysiological processes that contribute to many different disease states across the lifespan and human responses to those processes. Includes the foundational concepts of cellular adaptation, injury, and death; inflammation and tissue healing; fluid and electrolyte imbalances; and physiologic response to stressors and pain as well as additional pathophysiological processes. Students will learn to make selective clinical decisions in the context of nursing regarding using current, reliable sources of pathophysiology information, selecting and interpreting focused nursing assessments based on knowledge of pathophysiological processes, teaching persons from diverse populations regarding pathophysiological processes, and communicating with other health professionals regarding pathophysiological processes.
Prerequisites: BI234 and NRS110.
NRS233 3 credits
Pathophysiological Processes II
This sequel to NRS232 Pathophysiological Processes I continues to explore pathophysiological processes that contribute to disease states across the lifespan and human responses to those processes. Students will learn to make selected clinical decisions in the context of nursing regarding using current, reliable sources of pathophysiology information, selecting and interpreting focused nursing assessments based on knowledge of pathophysiological processes, teaching persons from diverse populations regarding pathophysiological processes, and communicating with other health professionals regarding pathophysiological processes. The course addresses additional pathophysiological processes not contained in Pathophysiological Processes I.