Georgia College & State University

College of Health Sciences

Primary Care of Adults I
Spring 2015 NRSG 7000
Department:

Graduate Nursing

Course Prefix
and Number:
Prerequisite:

NRSG 7000 Sections 01 and 02

NRSG 5480; NRSG 6300

Co-Requisite:

NRSG 5800

Course Title:

Primary Care of Adult I

Hours:

Lecture 2

Faculty:

Sallie Coke, PhD., APRN, CPNP, CFNP

Lab 8

Contact 4

Credit 4

Associate Professor, College of Health Science

Macon Graduate Center

Office 478-752-1074
Cell 478-719-2061
Email: sallie.coke@gcsu.edu
Sandra Copeland, DNP, APRN, CFNP, CNS
Assistant Professor, College of Health Sciences
Macon Graduate Center
Office: 478-752-1074
Cell: 478-747-8915
Email: Sandra.copeland@gcsu.edu

Sheryl H. Winn, DNP, MSN, APRN, ANP-BC

Assistant Professor, College of Health Science
Office 478-752-1074
Cell 478-397-1739
Email: Sheryl.winn@gcsu.edu

Clinical Faculty:
Sheryl H. Winn, DNP, MSN, APRN, ANP-BC
Assistant Professor, College of Health Science
Office 478-752-1074
Cell 478-397-1739
Email: Sheryl.winn@gcsu.edu
Darla Rich, MSN, C-FNP
Adjunct Faculty GCSU
Darla.rich@gcsu.edu
478-397-7016
1

Shannon Merritt, MSN

Adjunct Faculty GCSU
478-365-2029
Cynthia Loudin, MSN, C-FNP
Adjunct Faculty GCSU
tloudin@juno.com
478-397-9843
Krystal Canady, MSN, C-FNP
Assistant Professor GCSU
478-290-4638
Krystal.canady@gcsu.edu
Sandra Copeland, DNP, APRN, CFNP, CNS
Assistant Professor, College of Health Sciences
Macon Graduate Center
Office: 478-752-1074
Cell: 478-747-8915
Email: Sandra.copeland@gcsu.edu
Kristy Hatcher, MSN, C-FNP
Adjunct Faculty GCSU
Hatch2@cox.net
478-731-9008

Recommended Text: Buttaro T.M., Trybulski, J., Bailey, P.P., Sandberg-Cook, J. (2012).
Primary care: a collaborative practice, (4th ed.). St. Louis, Missouri: Mosby.
Required Technology for Clinical Practice: One of the following or a similar product
Clinical Constellation-All in one Clinical Solution
http://www.skyscape.com/estore/ProductDetail.aspx?ProductId=1180
Epocrates Essentials

http://www.epocrates.com/products/goPremium
MSN Program Outcomes with Relationship to Program Concepts
Each MSN program outcome is mapped to a curriculum concept.
Concept
MSN Program Outcomes Specialist Practice
1. Communication
2. Evidence-based
Practice
3. Leadership
4. Ethics

Demonstrate effective communication through collaboration,

partnerships, presentations, and scholarly writing.
Improve healthcare outcomes using scholarly inquiry and
analysis of evidence.
Demonstrate advanced practice leadership and management
principles to mitigate risk and enhance healthcare delivery
systems.
Model use of legal & ethical professional standards in the
2

Concept

MSN Program Outcomes Specialist Practice

5. Cultural Diversity
6. Health Promotion &
Disease Prevention
7. Advocacy
8. Collaboration
9. Informatics
10. Professional Role

Course Objectives:
Program
Objective:
2,3,5,6,9,10

2,3,5,6,9,10

2,3,5,6,7,8,9,10
2,3,5,6,9,10

2,3,5,6,9,10

2,3,5,6,7,8,9,10

advanced practice role.

Partner with the client in the provision of compassionate and
coordinated care, based on respect for the clients preferences,
values, and needs.
Use data to monitor and improve the quality and safety of health
promotion & disease prevention outcomes.
Advocate for social justice and equity in healthcare by
supporting improvements in regulatory, legislative, and public
policy development.
Collaborate within nursing and inter-professional team members
to foster open communication, mutual respect, and shared
decision-making.
Demonstrate essential informatics competences to analyze data
and evidence-based care practices.
Demonstrate the competencies associated with the advanced
practice role.
Upon completion of this course the student will:

Course Objective:
1. Apply theories of primary care and a synthesis of knowledge from
medical and nursing sciences to the prevention and management of
common cardiovascular, respiratory, hematology/oncology, mental
health, and neurological health problems in adults.
2. Incorporate a caring approach in the delivery of competent health
care to adults with commonly occurring episodic health problems
related to cardiovascular, respiratory, hematology/oncology, mental
health, and neurological health.
3. Employ current evidence based research findings to provide a basis
for primary care practice that reflects concern for the health care
needs of society and commitment to improving the health care.
4. Develop a plan of care based on current evidence based practice
including drug therapy, diagnostic, health promotion/disease
preventative and client education related to cardiovascular,
respiratory, hematology/oncology, mental health, and neurological
health problems in adults.
5. Differentiate between cardiovascular, respiratory,
hematology/oncology, mental health, and neurological health
problems in adults that can be managed within the scope of practice
as a nurse practitioner and those requiring referral.
6. Examine how residence in urban, suburban or rural communities
impact the health care approaches and client needs.
3

2,3,5,6,7,8,9,10

Topic Outline:

7. Identify ways in which clients cultural beliefs about health care

affect primary practices roles of the family nurse practitioner.
Primary Care management of disorders including:
Health promotion/disease prevention; Psych/mental health; Neurological;
HEENT; Hematology/Rheumatology; Cardiac; Respiratory

Teaching/Learning Methods: Lecture; required and recommended reading assignments as

provided by faculty; commuter based unit and final examinations; Audio/video/PowerPoint
presentations; critical thinking exercises; clinical experience in primary healthcare setting; and
self-evaluation.
Theory Evaluation: Evaluation of course objectives will be accomplished through two (2) unit
exams, a comprehensive final exam, a Standardized Patient Encounter Reflection Paper and 5
EMRs on patients seen during clinical. The student must successfully complete both didactic and
clinical components with an average of B or higher to progress to NRSG 7010. Failure in
either theory or clinical portions of this course will result in course failure. There will be 1
session with standardized patients from Mercer Medical School Assessment Lab and a personal
reflection of the encounter will be submitted for grading and is worth 5% of the total grade for
the course. A grading rubric and information about the paper are located in D2L. The
assignment is due one week after the rotation and no late assignments will be accepted.
If you are unable to take an exam, you must notify Dr. Sallie Coke, Dr. Sheryl Winn, or Dr.
Sandra Copeland before the exam is scheduled to begin. Failure to do so will result in a 0.
No makeup exams will be given. The percentage of the missed exam will be added to the
percentage of the final exam.
Clinical Evaluation: Satisfactory completion of all clinical activities. Students will complete a
minimum of 90 clinical hours. Suturing lab experience counts as 4 clinical hours; Standardized
patient experience counts as 4 clinical hours. The standardized patient experience is
mandatory. Clinical learning activities include: successful completion of 5 EMRs assignments
and clinical time/patient documentation. Students will be allowed to redo only one EMR as long
as it is resubmitted by the stated deadline. Please refer to the handbook regarding clinical
failures and inappropriate clinical behaviors. Each student will have one assigned rotation at
DayBreak with Dr. Sheryl Winn which is mandatory.
Copies of licensure and certifications for clinical preceptors have to be turned in with
preceptor forms prior to starting clinical.
NPs http://www.verify.sos.ga.gov
MDs http://www.medicalboard.ga.gov/look-licensed-provider-1
Professional liability insurance for FNP students must be in force prior to starting clinical.
Grade Computation:

Exam I 30%
4

Exam II....30%
Final Exam...30%
Standardized Patient Reflection Paper......5%
EMRs (5):...5%
Clinical Documentation: (each clinical day)S/U
Standardized Patient Experience Attendance..S/U
Suturing Lab.S/U
Evaluation of Preceptor in QualtricsS/U
Portfolio submissions (1 SP Reflection papers and 3 EMRs)S/U

Grading

A
B
C
D
F

91-100
83-90
75-82
66-74
65 and below

Scale:

Rounding Policy: Rounding for this course will occur only with the final average grade for the
course. There will be no rounding of exam grades or other written assignments during the
semester. If the final course average to the nearest tenth is .5 or more, the final course grade will
be rounded up to the next whole number (i.e. 88.5 would be rounded to 89) (i.e. 88. 45 would not
be rounded).
Graduate Testing Policy for online courses:
Verification of Student Identity in Online Education
Federal requirement has been put into place by the U.S. Department of
Education requiring schools to verify the identity of online students. In
response to this requirement, Georgia College Graduate Nursing Program
has adopted the following policy to ensure that:
The student who registers in online education course or program is the
same student who participates in and completes the course or program and
receives the credit by verifying the identity of a student who participates in
class or coursework.
The student who registers for an online course may elect either of the
following Student verification options that are offered by GC
Graduate Nursing Program
o Face to Face testing at the Macon Graduate Campus
o Proctored Examinations.
o http://www.gcsu.edu/nursing/docs/ProctorPoliciesProce
dures.pdf

http://www.gcsu.edu/nursing/docs/StudentandProctorA
greement.pdf

Technology
Requirements

The minimum technology requirements:

http://www.gcsu.edu/technology/campustech/recommendations.htm
Microsoft on-line training resource: http://office.microsoft.com/enus/support/training-FX101782702.aspx?redir=0

Academic Honesty

The integrity of students and their written/oral work is a critical

component of the academic process. All written work submitted in this
course will be individual work unless otherwise instructed. The
submission of anothers work as ones own is plagiarism and will be
dealt with using the procedures outlined in the Graduate Catalog.
Remember that allowing another student to copy ones own work is
considered cheating. Also see the student Honor Code at the website
below:
http://www.gcsu.edu/studentlife/handbook/code.htm

Religious
Observance

Students are permitted to miss class in observance of religious holidays

and other activities observed by a religious group of which the student
is a member without academic penalty. Exercising of ones rights under
this policy is subject to the GC Honor Code. Students who miss class in
observance of a religious holiday or event are required to make up the
coursework missed as a result from the absence. The nature of the
make-up assignments and the deadline for completion of such
assignments are at the sole discretion of the instructor. Failure to follow
the prescribed procedures voids all student rights under this policy.

Fire Drill Procedure

Fire drills will be conducted annually. In the event of a fire alarm,

students will exit the building in a quick and orderly manner through the
nearest hallway exit. Learn the floor plan and exits of the building. Do
not use elevators. If you encounter heavy smoke, crawl on the floor so
as to gain fresh air. Assist disabled persons and others if possible
without endangering your own life. Assemble for a head count at the
designated assembly area for this building. For more information on
other emergencies, please visit
http://www.gcsu.edu/emergency/actionplanmain.htm

Request for
Disability
Modifications:

If you have a disability as described by the Americans with Disabilities

Act (ADA) and the Rehabilitation Act of 1973, Section 504, you may be
eligible to receive accommodations to assist in programmatic and
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physical accessibility. Disability Services, a unit of the GCSU Office of

Institutional Equity and Diversity, can assist you in formulating a
reasonable accommodation plan and in providing support in developing
appropriate accommodations to ensure equal access to all GCSU
programs and facilities. Course requirements will not be waived, but
accommodations may assist you in meeting the requirements. For
documentation requirements and for additional information, we
recommend that you contact Disability Services located in Maxwell
Student Union at 478-445-5931 or 478-445-4233.

Student Opinion
Survey Statement

Any student requiring instructional modifications due to a documented

disability should make an appointment to meet with the course
coordinator within in the first week of classes. An official letter from
GCSU documenting the disability is expected in order to receive
accommodations.
Near the end of the semester, you will be asked to complete an online
survey. Your responses are valued because they give important feedback
to instructors to help improve student learning. All responses are
completely confidential and your name is not stored with your
responses in any way.

Interlibrary Loan
Students are encouraged to use the GCSU Library and the interlibrary
loan services (http://www2.gcsu.edu/library/ill/) to obtain journal
articles relevant to this course.

This syllabus is subject to change at the discretion of the instructor with due notice.