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Master Syllabus

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Administrative Unit: Nursing Department
Course Prefix and Number: NURS 214
Course Title: Medical Surgical Nursing I
Number of:
Credit Hours 6
Lecture Hours 3
Lab Hours 3
Catalog Description:

This course is designed to integrate knowledge and skills from previous nursing courses to develop a progressing knowledge base in medical surgical nursing across the lifespan. Fluid and electrolytes and acid/base concepts are introduced. Common medical surgical health deviations are reviewed with an emphasis on pathophysiology, health promotion and nursing interventions. Principles of communication, patient teaching, pharmacology, nutrition and culture/ethnic/socially diverse concepts are integrated with these topics to develop critical thinking skills in patient care. Introduction to leadership and management theories are presented. $35 lab fee. Prerequisites: Admission to the nursing program; NURS 210, NURS 211, NURS 212, NURS 213. The nursing program is offered to nursing students at the campus site they regularly attend.  The lecture portion of the course may be offered by in-classroom instruction or by interactive video classroom technology.*

Prerequisite(s) / Corequisite(s):

Admission to the nursing program; NURS 210, NURS 211, NURS 212, NURS 213.

Course Rotation for Day Program: Offered Fall (2nd 8 weeks) and Summer.
Text(s): Most current editions of the following:

Medical-Surgical Nursing: Clinical Management for Positive Outcomes Study Guide (8th Edition)
By Black, J.M. & Hawks, J.H. (2009) (Elsevier: Saunders)
Medical-Surgical Nursing: Clinical Management for Positice Outcomes: Virtual Clinical Excursions
By Black, J.M. & Hawks, J.H. (Elsevier:Saunders (2009))
Math for Meds: Dosages and Solutions (10th Edition)
By Curren, A.M., & Munday, L.D. (W.I. Punlications Inc.)
A Manual of Laboratory and Diagnostic Tests (8th Edition)
By Fischbach, F. (J.B. Lippincott Co.)
Medical-Surgical Nursing: Clinical Management for Positive Outcomes
By Sublett, C. M. & Blair, M. (Elsevier: Saunders)
Handbook of Nursing Diagnosis (13th ed)
By Carpenito-Moyet, L.J. (J.B. Lippincott Co. (2009))
Course Objectives
  • To differentiate the collection of comprehensive biopsychosocial data while recognizing patient individuality.
  • To examine cultural sensitivity in interactions with medical surgical patients.
  • To differentiate the nursing process in planning care for medical surgical patients.
  • To employ collaboration skills with members of the multidisciplinary team in caring for the medical surgical patient.
  • To appraise teaching and learning strategies that are patient and family appropriate for the medical surgical patient.
  • To differentiate the nursing process when planning care for the medical surgical patient.
  • To appraise professional behaviors valued by nursing as reflected in clinical practice and education for the medical surgical patient.
  • To support evidenced-based nursing knowledge to guide practice for the medical surgical patient.
  • To critique the nursing process in a responsible, accountable and ethical manner for the medical surgical patient.
  • To judge principles of therapeutic communication within the nurse-patient relationship for the medical surgical population.
Measurable Learning

  • Describe fluid and electrolyte maintenance and deviations.
  • Discuss parenteral fluids as a therapy for health deviations.
  • Analyze acid base imbalances by interpreting arterial blood gas reports.
  • Discuss various renal diseases and their implications for nursing care.
  • Examine the realm of diabetes care in patients across the lifespan.
  • Describe care of the patient with peripheral vascular disease.
  • Identify implications for nursing care of patients with hematologic deviations.
  • Analyze pain and pain management for patients across the lifespan.
  • Discuss effects of chronic illness on quality of life.
  • Examine the role of the nurse for the patient who is dying.
  • Discuss orthopedic injuries and deviations and implications for nursing care.
  • Describe perioperative care of patients across the lifespan.
  • Perform nursing actions safely and adhere to agency policies and procedures (clinical).
  • Demonstrate therapeutic communication techniques in verbal and nonverbal interactions with medical surgical patients across the lifespan (clinical).
  • Apply professional verbal and nonverbal communication with peers, instructor and other members of the healthcare team in the clinical environment (clinical).
  • Utilize evidence-based practice and critical thiking by presenting an in-service to peers on a medical-surgical topic (clinical).
  • Develop, implement, and evaluate nursing care plans using the nursing process on medical surgical patients integrating permocological, nutritional and socio-cultural principles (clinical).
  • Describe pathophysicologic changes that occur in the medical-surgical patient related to selected disease processes (clinical).
  • Demonstrate appropriate delegation of tasks to members of the health care team (clinical).


    Topical Outline:

  • Fluid, electolyte and acid-base concepts
  • Common medical surgical health deviations
  • Pathophysiology
  • Health promotion
  • Nursing interventions

    Methods of instruction: lecture,interactive video classroom technology, clinical rotation, post-conference discussions, small group activities, skills lab/simulation, community agencies, case situations, video tapes, demonstration.

    Testing: HESI Evolve Total Testing - Medical-Surgical Nursing

    *Columbia College Nursing Network (CCNN)


    Recommended maximum class size for this course: 40

    Library Resources:

    Online databases are available at You may access them from off-campus using your CougarTrack login and password when prompted.

    Prepared by: Joyce Gentry Date: July 1, 2011
    NOTE: The intention of this master course syllabus is to provide an outline of the contents of this course, as specified by the faculty of Columbia College, regardless of who teaches the course, when it is taught, or where it is taught. Faculty members teaching this course for Columbia College are expected to facilitate learning pursuant to the course objectives and cover the subjects listed in the topical outline. However, instructors are also encouraged to cover additional topics of interest so long as those topics are relevant to the course's subject. The master syllabus is, therefore, prescriptive in nature but also allows for a diversity of individual approaches to course material.

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