Clackamas Community College

Nursing (NRS)

NRS-110  Foundations of Nursing - Health Promotion  
5 credits, Fall  

This course introduces the learner to framework of the OCNE curriculum. The emphasis on health promotion across the life span includes learning about self-health as well as patient health practices. To support self and patient health practices, students learn to access research evidence about healthy lifestyle patterns and risk factors for disease/illness, apply growth and development theory, interview patients in a culturally sensitive manner, work as members of a multidisciplinary team giving and receiving feedback about performance, and use reflective thinking about their practice as nursing students. Populations studied in the course include children, adults, older adults and the family experiencing a normal pregnancy. Includes classroom and clinical learning experiences. 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.

Required: Acceptance into the CCC nursing program
Corequisites: NRS-110C and NRS-230
  
NRS-110C  Foundations of Nursing - Health Promotion Clinical  
4 credits, Fall  

This course introduces the learner to framework of the OCNE curriculum. 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 giving and receiving feedback about performance, and use reflective thinking about their practice as nursing students. Populations studied in the course include children, adults, older adults and the family experiencing a normal pregnancy. Includes classroom and clinical learning experiences.

Required: Acceptance into the CCC nursing program
Corequisites: NRS-110 and NRS-230
  
NRS-111  Foundations of Nursing in Chronic Illness I  
3 credits, Winter  

This course introduces assessment and common interventions (including technical procedures) for patients with chronic illnesses common across the life span in multiple ethnic groups. The patient's 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.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-110, NRS-110C, and NRS-230
Corequisites: NRS-111C, NRS-231, and NRS-232
  
NRS-111C  Foundations of Nursing in Chronic Illness I Clinical  
3 credits, Winter  

This course introduces assessment and common interventions (including technical procedures) for clients with chronic illnesses common across the life span in major ethnic groups within Oregon. The client's 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 considered 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 with simulation experience as part of total clinical hours.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-110, NRS-110C, and NRS-230
Corequisites: NRS-111, NRS-231, and NRS-232
  
NRS-112  Foundations of Nursing in Acute Care I  
2 credits, Spring  

This course 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, patient-centered care. Includes classroom and clinical learning experiences.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-111, NRS-111C, NRS 231, and NRS-232
Corequisites: NRS-112C and NRS-233
  
NRS-112C  Foundations of Nursing in Acute Care I Clinical  
4 credits, Spring  

This course introduces the learner to assessment and common interventions (including relevant technical procedures) for care of patients across the lifespan who require acute care, including natural 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.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-111, NRS-111C, NRS 231, and NRS-232
Corequisites: NRS-112 and NRS-233
  
NRS-221  Chronic Illness II and End of Life  
4 credits, Winter  

This course builds on NRS-111 and 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 settings 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. The course includes classroom and clinical learning experiences.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-222 and NRS-222C
Corequisites: NRS-221C
  
NRS-221C  Chronic Illness II and End of Life Clinical  
5 credits, Winter  

This course builds on NRS-111 and 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 interdisciplinary team 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. The course includes classroom and clinical learning experiences.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-222 and NRS-222C
Corequisites: NRS-221
  
NRS-222  Nursing in Acute Care II & End of Life  
4 credits, Fall  

This course builds on NRS-112, 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, 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.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-112, NRS-112C, and NRS-233
Corequisites: NRS-222C
  
NRS-222C  Nursing in Acute Care II & End of Life Clinical  
5 credits, Fall  

This course builds on NRS-112, and focuses 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 within 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.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-112, NRS-112C, and NRS-233
Corequisites: NRS-222
  
NRS-224  Integrative Practicum  
2 credits, Spring  

This course is designed to formalize the clinical judgments, knowledge and skills necessary in safe, registered nurse practice. Faculty/Clinical Teaching Associate/Student Triad Model provides a context that allows the student to experience the nursing role in a selected setting, balancing demands of professional nursing and lifelong learner. Analysis and reflection throughout the clinical experience provide the student 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: Acceptance into the CCC nursing program
Prerequisites: NRS-221 and NRS-221C
Corequisites: NRS-224C
  
NRS-224C  Integrative Practicum Clinical  
7 credits, Spring  

This course is designed to formalize the clinical judgments, knowledge and skills necessary in safe, registered nurse practice. Faculty/Clinical Teaching Associate/Student Triad Model provides a context that allows the student to experience the nursing work world in a selected setting, balancing demands of job and lifelong learner. Analysis and reflection throughout the clinical experience provide the student with evaluative criteria against which they can judge their own performance and develop a practice framework. Includes clinical debrief, self-directed study and clinical experience.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-221 and NRS-221C
Corequisites: NRS-224
  
NRS-230  Clinical Pharmacology I  
3 credits, Fall  

This course 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.

Required: Acceptance into the CCC nursing program
Corequisites: NRS-110 and NRS-110C
  
NRS-231  Clinical Pharmacology II  
3 credits, Winter  

This sequel to NRS-230 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 NRS-230.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-110, NRS-110C, and NRS-230
Corequisites: NRS-111, NRS-111C, and NRS-232
  
NRS-232  Pathophysiological Processes I  
3 credits, Winter  

This course introduces pathophysiological processes that contribute to many different disease states across the lifespan and human responses to those processes. It includes the foundational concepts of cellular adaptation, injury, and death; inflammation and tissue healing; fluid and electrolyte imbalances; and physiologic response to stressors, 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.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-110, NRS-110C, and NRS-230
Corequisites: NRS-111, NRS-111C, and NRS-231
  
NRS-233  Pathophysiological Processes II  
3 credits, Spring  

This sequel to NRS-232 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 NRS-232.

Required: Acceptance into the CCC nursing program
Prerequisites: NRS-111, NRS-111C, NRS-231, and NRS-232
Corequisites: NRS-112 and NRS-112C