Maricopa Community Colleges  NCE205   20002-99999 
Official Course Description:   MCCCD Approval:  12/14/99  
NCE205      20002-99999 LEC 4 Credit(s) 4 Period(s)
Emergency Room Nursing
Roles of emergency health team. Medical/legal issues specific to emergency room care. Triage classifications for specific emergency room/department situations, nursing care for selected conditions, trauma, and disease processes. Organ donation issues, discharge procedures and client education. Prerequisites: Registered Nurse (RN), or Licensed Practical Nurse (LPN), or currently enrolled in a nursing program, or permission of instructor.
 
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MCCCD Official Course Competencies:
 
NCE205   20002-99999 Emergency Room Nursing
1. Explain the emergency medical system and specific roles of the emergency nurse, physician, and paramedical emergency staff. (I)
2. Describe medical legal considerations specific to emergency nursing care. (I)
3. Select specific triage classifications for given emergency situations. (I)
4. Outline professional nursing responsibilities for client discharge procedures in the emergency room/department. (I)
5. Describe the importance of client education in the emergency room/department. (I)
6. Assign nursing diagnosis to selected client complaints. (II - XVII)
7. Plan, implement, and evaluate nursing care for adult and geriatric clients presenting with selected conditions, trauma, and disease processes as stated in program outline. (II, III, IV, V, VI, VII, VIII, IX)
8. Demonstrate nursing responsibilities in a simulated code situation. (II, XVI)
9. Describe the specific treatment and procedure for care of the abused client. (IX)
10. Identify protective measures and emergency interventions for psychiatric clients who may be disorientated and /or violent. (IX)
11. Explain the role and responsibilities of the emergency room nurse in the organ donation process. (IX)
12. Describe nursing care for patients presenting with selected OB/GYN problems. (X)
13. Plan , implement, and evaluate emergency nursing care for neonate and pediatric clients presenting with selected conditions, trauma, and disease processes. (XI, XII)
14. Demonstrate cervical spine immobilization and other orthopedic stabilization devices. (XII)
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MCCCD Official Course Outline:
 
NCE205   20002-99999 Emergency Room Nursing
    I. Introduction to Emergency Room Nursing
        A. Organization
        B. Role of the emergency room nurse
        C. Role of the emergency room physician
        D. Role of unlicensed assistive personnel
        E. Legal aspects of emergency room nursing
        F. Documentation
        G. Triage
        H. Client discharge instructions
      II. Cardiac Emergencies
          A. Chest pain
          B. Congestive heart failure
          C. Aortic dissection
          D. Pericarditis/tamponade
          E. Myocardial infarction/thrombolytic
          F. Code drugs
          G. Mock codes
        III. Pulmonary Emergencies
            A. Pulmonary embolus
            B. Spontaneous pneumothorax
            C. Pleural effusion
            D. Pneumonia
            E. Asthma
            F. Chronic Obstructive pulmonary disease
            G. Smoke inhalation/carbon monoxide
          IV. Endocrine Emergencies
              A. Acid base
              B. Fluid resuscitation
              C. Electrolytes
            V. Neurologic Emergencies
                A. Headache
                B. Seizures
                C. Cerebrovascular accidents
                D. Unconsciousness
                E. Head injuries
                F. Spinal cord injuries
              VI. Ear, Eye , Nose and Throat emergencies
                  A. Eye trauma
                  B. Eye burns
                  C. Medical problems of the eye
                  D. Foreign bodies of the eye, nose, ears and throat
                  E. Epistaxis
                  F. Dental emergencies
                VII. Toxicological Emergencies
                    A. Overdoses
                    B. Food poisoning
                    C. Other poisoning
                  VIII. Environmental Emergencies
                      A. Snakebites
                      B. Spiders, bees, scorpions
                      C. Heat related
                    IX. Miscellaneous Emergencies
                        A. Sexual assault
                        B. Domestic violence
                        C. Child abuse
                        D. Psychiatric emergencies
                        E. Organ donation
                      X. Obstetrical and Gynecological Emergencies
                          A. Childbirth
                          B. Bleeding in pregnancy
                          C. Pelvic inflammatory disease
                          D. Pelvic exam
                        XI. Pediatric/Neonate Emergencies
                            A. Codes
                            B. Medical emergencies
                            C. Respiratory emergencies
                            D. Shock states
                            E. Seizures
                            F. GI problems
                          XII. Trauma Emergencies
                              A. Wounds
                              B. Penetrating trauma
                              C. Bites
                              D. Facial trauma
                              E. Shock management
                              F. Chest trauma
                              G. Abdominal trauma
                              H. Multiple trauma
                            XIII. Musculoskeletal/Orthopedic A Soft tissue injuries
                                B. Fractures
                                C. Traction splint/crutches/other devices
                                D. Cervical spine immobilization
                              XIV. Abdominal
                                  A. Appendicitis
                                  B. Pancreatitis
                                  C. Peptic ulcer disease/gastroesophogeal reflux
                                  D. Intestinal obstruction
                                  E. GI bleeding
                                  F. Cirrhosis
                                XV. Hematology
                                    A. Blood products
                                    B. Blood transfusion
                                  XVI. Genitourinary emergencies
                                      A. Renal trauma
                                      B. Bladder trauma
                                      C. Phlebonephritis
                                      D. renal calculi
                                      E. Epididymitis
                                      F. Testicular torsion
                                    XVII. Infectious Diseases
                                        A. AIDS/HIV
                                        B. Bacteremia
                                        C. Cellulitis
                                        D. Herpes
                                        E. Meningitis
                                        F. Tuberculosis
                                        G. Childhood diseases
                                        H. Mad cow disease
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