Undergraduate

Curricula overview

The following sections describe the undergraduate curricula offered by the School of Nursing and list the courses each student must complete. Students are expected to follow the general policies of the University, the school, and specific policies of their degree curriculum. The school reserves the right to update and modify curricula content to keep current with trends in health care.

B.S. degree

The purpose of the School of Nursing's baccalaureate degree is to prepare competent clinicians who are committed to excellence in practice and to Christian principles. The faculty believe that baccalaureate education in nursing is the basis for professional practice. The curriculum leading to the Bachelor of Science (B.S.) degree is consistent with the faculty's belief that students should be broadly educated. The focus is on the synthesis of nursing knowledge and skills with those from the humanities and sciences. Preparation for practice includes experiences in primary and acute care—with clients from various ages, cultural groups, and socioeconomic strata.

Undergraduate curriculum sequence

The undergraduate curriculum begins with four quarters of preclinical work—which forms the general education and science base for nursing. These quarters may be completed at any regionally accredited college or university. After completion of an additional eight quarters at Loma Linda University, the student is eligible to receive the B.S. degree and is prepared for professional nursing practice at the baccalaureate level. The clinical experience develops the student's technical and theoretical capabilities in a progressive manner and within the context of the nursing process.  Most of the baccalaureate nursing major courses are in the upper division, where clinical experience is gained in a broad variety of settings. Integral components of upper division courses are leadership concepts and skills, research, health promotion, and activities that foster collaboration in planning health care with the family and all members of the health-care team.

Learning outcomes for baccalaureate nursing

The learning outcomes of the baccalaureate nursing program are designed to prepare competent nursing professionals.

  1. Patient-centered care: Evaluate nursing care and education provided to patients, families, groups, populations, and communities across the lifespan from diverse backgrounds in a variety of settings to ensure that it is holistic, compassionate, age and culturally appropriate; and based on a patient's background, preferences, values, and needs.
  2. Teamwork and collaboration: Collaborate with members of the interprofessional health-care team to manage and coordinate the provision of safe, quality care for patients, families, and groups.
  3. Evidence-based practice: Integrate scientific information and best current evidence with clinical expertise and patient preferences when making clinical judgments in the management of patient-centered care.
  4. Quality improvement: Use quality improvement measures to evaluate the effect of change on the delivery of patient-centered care and patient outcomes.
  5. Safety: Evaluate effectiveness of strategies used to reduce the risk of harm to patients, self, and others in health-care, home, and community settings.
  6. Informatics: Use empirical and evidence-based information and patient care technology to communicate relevant patient information, manage care, and mitigate error in the provision of safe, quality, patient-centered care.
  7. Professionalism: Model integrity and accountability in practices that uphold established regulatory, legal, and ethical principles while providing standard-based nursing care.
  8. Leadership: Integrate leadership and management theories and principles into practice when managing a caseload of patients and making clinical judgments about their care.
  9. Communication: Use verbal, nonverbal, and written communication strategies that promote an effective exchange of information; development of therapeutic relationships; and shared decision making with patients, families, groups, populations, and communities from diverse backgrounds.

Professional registration

Satisfactory completion of the California Board of Registered Nursing-required content prepares the student to sit for the NCLEX-RN examination. All states require that a nurse pass the NCLEX-RN examination for licensure to practice. California application forms and fees are submitted to the California Board of Registered Nursing, P.O. Box 944210, Sacramento, CA 94244-2100; website: <http://www.rn.ca.gov/>.

Four B.S. degree options

  1. Standard (generic) B.S. degree curriculum
    Students must complete all prerequisite courses prior to starting clinical courses. Occasional exception for certain prerequisites can be made.  For more specifics, consult with admissions department staff. 
  2. B.S. degree for the licensed vocational nurse
    Students must complete all prerequisite courses prior to starting clinical courses.
  3. B.S. degree curriculum (for student with bachelor's degree in another area)
    Applicants for this track must fulfill the same admission requirements and degree requirements as the standard B.S. degree.  Students entering with a nonnursing baccalaureate degree may write the NCLEX-RN after completing nursing courses required for licensure.  This allows students to write the NCLEX-RN after six quarters and prior to completing the B.S. degree.  Students who choose this option and obtain employment as an RN may be eligible to enroll in online courses in the RN to B.S. academic track subject to space availability. 
  4. RN to B.S. curriculum
    The returning RN may complete a baccalaureate degree in four quarters of full-time course work. Part-time study is an option. Courses are designed in the on-line format.  On-line activities will include weekly discussions and assignments designed to focus on the working environment of the RN.  The returning RN must have completed all prerequisite courses prior to acceptance into the program, must be currently working as an RN, and must meet the following noncourse requirements:
    • Current RN license
    • A.S. degree or diploma in nursing

Nondegree option

The 45-quarter unit RN licensure option

Licensed LVNs who have been admitted and are currently in our nursing program have the option of requesting the 45-quarter unit option for LVNs.  Since the LVN choosing this option does not meet the requirements for a degree as outlined by the school, neither a degree nor a certificate will be issued; nor will a graduation exercise be included. In addition, the student will not be eligible to wear the school pin, cap, or other insignia. An RN license obtained through this option is valid in California and may not be transferable to other states.

Prerequisite per BRN

High school diploma
Current LVN license in California (skills will need to be validated)
Completion of physiology and microbiology with a grade of C or higher
G.P.A. of at least 2.0

Academic plan
Required courses
Required courses
NRSG 217Psychiatric Mental Health Nursing6
NRSG 301Adult Health Nursing I6
NRSG 302Adult Health Nursing II8
NRSG 338Essential Leadership Concepts for Nursing Licensure1
NRSG 405Health Transitions and Post-Acute Care3
Optional courses (to complete 45 units)
Obstetrical and Neonatal Nursing
Child Health Nursing
Wellness and Health Promotion
Critical Care Nursing

NOTE: The student in this 45-unit RN option must maintain a G.P.A. of at least 2.0 and earn a grade of at least a C in each course throughout enrollment at Loma Linda University. A grade below a C will cause the student to be dropped from the LLU School of Nursing.

Academic residence

To qualify for an undergraduate degree from Loma Linda University, the student must take a minimum of 45 units at Loma Linda University; 32 of the units must be at the senior level. At minimum, three clinical nursing courses are required as part of these units.

Nursing courses

Nursing course grades

Most nursing courses in the undergraduate curriculum are divided into approximately equal components of theory and clinical laboratory practice. A grade for a nursing course represents a combination of the theory and the clinical laboratory grades. In order to pass a nursing course, a student must receive a grade equivalent to a C or above in the theory and must receive a C or a satisfactory in the clinical laboratory sections of the course. To receive a passing grade in theory, the student must obtain a cumulative score of at least 76 percent on examinations within that course. A grade of C- or below places the student on provisional status and requires that the student repeat the course.  Enrollment in the School of Nursing will be terminated if a student receives two grades of C- or below in nursing or required cognates.

Percentage breakdown for grading

The undergraduate division of the School of Nursing uses the following percentages for computing grades:

95-100% A
92-94% A-
88-91% B+
85-87% B
82-84% B-
79-81% C+
76-78% C
71-75% C-
68-70% D+
63-67% D
Below 62% F

Clinical experiences

Clinical experiences are under the direction of the course coordinator. The student has supervised experience under a clinical instructor in the care of patients.  Tardiness or unexcused absences from class or clinical laboratory is cause for failure.  Three times of being tardy to class and/or laboratory is equal to one absence.  Absence in excess of 20 percent of course appointments (class, seminar and/or clinical) may be cause for failure.  Students must make up for absences from clinical due to extenuating circumstances (e.g., personal illness or death in the family). A fee of $200 will be charged for make-up of clinical laboratory during nonclinical time.

Nursing students are required to practice in client care settings under the supervision of a registered nurse during assigned clinical laboratory time.  Each student will be expected to be able to apply basic theoretical concepts to clinical practice by assessing, planning, and implementing nursing procedures; and evaluating the care of individuals, families, and communities. In the performance of routine nursing care, all students will function within the policies of the clinical agency and demonstrate the professional behavior outlined in the University catalog and the University Student Handbook.

Students are expected to be knowledgeable about clients and their problems and about the plans for care prior to actually giving care. They must come prepared for the clinical experience and must adequately assess a client. Students are expected to perform skills safely. Students whose performance is deemed unsafe may fail the course or be dropped from the program.

Students are responsible for their individual transportation to off-campus clinical sites.  Individual transportation does not mean arrangements to car-pool with someone.  Off-campus clinical assignments cannot be promised on the basis of the student's transportation convenience.  Students may be required to complete a clinical experience on a Sunday or a holiday.

Licensure

To be eligible to write the NCLEX-RN examination, the student must have completed all required nursing courses required for licensure.  Further, the student needs to be aware that, under the laws of California, a candidate for the examination is required to report all misdemeanors, driving citations, and felony convictions. If a candidate has a criminal history, the California Board of Registered Nursing will determine the eligibility of that individual to write the licensing examination.

Credit by examination

Challenge/equivalency examination

An undergraduate student may meet academic requirements by passing an examination at least equal in scope and difficulty to examinations in the course. Undergraduate students with prior education in nursing or in another health-care profession are eligible to challenge nursing courses required for California state licensure. The applicant's background in health-care theory and clinical experience must be commensurate with the theory and skills required for the course.

Challenge examinations in nursing courses include both a written examination covering theory and an examination of clinical competence. A fee is charged for a challenge examination. See the "Schedule of Charges" in this section for fees.

Progression to the next level in the program is permissible only after successful completion of the challenge examination at 76%. A grade of S is recorded for challenge credit earned by examination only after the student has successfully completed a minimum of 12 units of credit at this University with a G.P.A. of 2.0 or above.

Advanced placement program

Credit toward graduation may be accepted by the school for an entering student who has passed one or more Advanced Placement (AP) examinations with a score of 3, 4, or 5. Records for AP courses must be sent directly from the College Board to University Records.

For specific policy and time limits regarding CLEP examinations, see "Academic Policies" in the Section II of the CATALOG.

Military Option for Advanced Placement

Individuals who have held military health care occupations in the areas including, but not limited to Basic Medical Technician Corpsmen, Army Health Care Specialist, or Air Force Independent Duty Medical Technician may be eligible to apply for advanced placement into the 2nd quarter courses of the nursing program at Loma Linda University School of Nursing if they are able to provide verifiable education and experience required to meet the equivalency for first quarter coursework.  Interested candidates are advised to meet with the Associate Dean for Undergraduate Program at least 4 weeks prior to application to review eligibility requirements.

Academic support

In order to promote academic success in the nursing program, if a student earns a grade of "C" or "C+" in NRSG 224 Nursing Pathophysiology and/or NRSG 232 Fundamentals of Nursing, and/or NRSG 233 Health Assessment the student will be required to:

  • Register for NRSG 244 Strategies for Academic Success (1 unit) during the second quarter and  through completion of NRSG 302 Adult Health Nursing II.
  • Follow an individualized plan for continued involvement with the Academic Center for Excellence (ACE) in subsequent quarters.  The individualized plan will be developed based on individual needs as determined by the ACE faculty mentor, course instructor(s), advisor, and student.

Repeating a course

A grade of C (2.0) is the minimum passing grade for nursing and required religion courses.  Any nursing or named cognate course taken while a student at Loma Linda University School of Nursing in which the earned grade is C- or lower must be repeated.  A nursing or religion course may be repeated only once. When a student repeats a course, both the original and repeat grades are entered into the student's permanent record; but only the repeat grade and credit are computed in the grade point average and included in the total units earned.

Probation status

Students whose cumulative G.P.A. at the end of any quarter is less than 2.0, or who have received a C- or below in a nursing course or named cognate, or who have withdrawn (W) due to failing are placed on academic probation. Students on probation status will be required to take NRSG 244 Skills for Academic Success and to communicate regularly with the academic advisor. Students on probation status may take only one clinical nursing course at a time and no more than 12 units. When the course work has been repeated successfully, the student is returned to regular status. Enrollment in the School of Nursing will be terminated if a student receives two grades of C- or below in nursing or required cognates. See Student Handbook for grievance procedure.

Graduation requirements

A candidate must complete the undergraduate Intent to Graduate form two quarters prior to completion of degree.

A degree will be granted when the student has met the following requirements:

  1. Completed all requirements for admission to the respective curriculum.
  2. Completed all requirements of the curriculum, including specified attendance, level of scholarship, and length of academic residence.
  3. Completed a minimum of 185 quarter units for the baccalaureate degree, with a minimum overall G.P.A. of 2.0.
  4. Given evidence of moral character, of due regard for Christian citizenship, and of consistent responsiveness to the established aims of the University and of the respective discipline.
  5. Discharged financial obligations to the University.

It is the responsibility of the student to see that all requirements have been met.

A student who completes the requirements for a degree at the end of the Spring or Summer Quarter is expected to be present at the University's ceremony for conferring of degrees and presentation of diplomas. Permission for the conferral of a degree in absentia is granted by the University upon recommendation of the dean of the school.

A student who completes the requirements for a degree at the end of Autumn or Winter quarter is invited, but not required, to participate in the subsequent conferring of degrees. Degrees are conferred at graduations only.

The University reserves the right to prohibit participation in commencement exercises by a candidate who has not satisfactorily complied with all requirements.

Additional requirements/policies

For additional policies governing Loma Linda University students, see Section II of this CATALOG, as well as the University Student Handbook. Students are responsible for informing themselves of and satisfactorily meeting all regulations pertinent to registration, matriculation, and graduation.

Courses

NRSG 214. Fundamentals of Professional Nursing. 8 Units.

Introduces the profession of nursing. Emphasizes the basic health needs of the adult-client system, with the goal of optimal wellness/wholeness. Identifies stressors to the client system's lines of defense. Develops beginning-nursing decision-making skills. Supervised experience in application of nursing knowledge to adult-client systems in acute-care settings. Socializes into the role of professional nursing, including exploration of historical, ethical, cultural, and legal aspects. Current issues in professional nursing/health care.

NRSG 216. Basic Nursing Skills and Health Assessment. 4 Units.

Introduces the basic skills required to assess, maintain, and strengthen client lines of resistance and defense. Supervised practice in communication skills and nursing interventions to achieve optimal client wellness. Foundation to clinical decision-making and client education. General concepts and techniques for performing a head-to-toe physical examination and proper documentation of assessment findings.

NRSG 217. Psychiatric Mental Health Nursing. 6 Units.

Focuses on the care of adult patients experiencing cognitive, mental, and behavioral disorders. Integrates concepts of crisis intervention, therapeutic communication, anger management, and coping skills throughout the course. Provides the student through clinical experience an opportunity to apply theoretical concepts and implement safe patient care to patients in selected mental health settings.
Prerequisite: NRSG 232, NRSG 233.

NRSG 224. Nursing Pathophysiology. 5 Units.

Focuses on the altered processes of human physiology. Emphasizes exploration of changes of biological processes of the body and the effects of homeostasis. Studies alteration of health problems, along with the associated clinical manifestations and treatments. Builds foundations for understanding the rationale behind assessment, findings, and nursing intervention.

NRSG 227. LVN Bridge Course for Gerontological Nursing. 2 Units.

Designed for the LVN transfer student. Content includes an introduction to baccalaureate nursing and gerontology.

NRSG 230. Principles of Professionalism, Clinical Reasoning, and Self-Care. 4 Units.

Teaches personal and professional accountability and principles of self-care that enhance the student's ability to cope with stressors and succeed in the academic setting, as well as in the nursing profession. Teaches students to think in a systematic and logical manner that equips them to make sound clinical nursing judgments.

NRSG 231. Foundations of Nursing. 3 Units.

Provides an introduction to the profession of nursing and the roles of the nurse. Formation of the role of the professional nurse, including scope of practice and supporting guidelines. Explores current issues in health care and professional accountability of the nurse, including patient-centered care, safety; confidentiality; communication; and upholding regulatory, legal, and ethical principles. Applies nursing knowledge to an adult/aging individual in the community.

NRSG 232. Fundamentals of Nursing. 7 Units.

Builds on the theoretical foundation of nursing practice and expands discussion of the roles of the nurse, as well as profession-related and patient-care concepts. Emphasizes whole patient care that includes physical, psychological, developmental, spiritual, and cultural aspects. Introduces the nursing process, providing a decision-making framework to assist in developing effective clinical judgment skills. Includes an introduction to basic nursing skills.
Prerequisite: NRSG 224, NRSG 230, NRSG 231.

NRSG 233. Health Assessment. 3 Units.

Provides knowledge and skills to conduct whole person health assessment of the adult patient. Emphasizes taking a basic health history, as well as performance of a complete physical examination--including physiological, psychological, sociocultural, and spiritual assessments. Skills laboratory experiences provide an opportunity to practice physical assessment skills.
Prerequisite: NRSG 231.

NRSG 244. Strategies for Academic Success. 1 Unit.

Assessment of student's learning needs, with individualized approaches to learning strategies essential for success in nursing education and practice.

NRSG 299. Directed Study. 1-8 Units.

Opportunity for clinical learning in a selected area of nursing.
Prerequisite: Consent of instructor and the associate dean.

NRSG 301. Adult Health Nursing I. 6 Units.

Focuses on the care of adult and older adult patients with health alterations that require medical and/or surgical intervention. Introduces the care of older adults while focusing on their unique physiological and psychological needs. Emphasizes the care of patients with alterations in selected body functions. Integrates concepts of patient-centered care, cultural sensitivity, informatics, safe practice, and professionalism throughout the course.
Prerequisite: NRSG 224, NRSG 232, NRSG 233.

NRSG 302. Adult Health Nursing II. 8 Units.

Focuses on the care of adult patients with complex medical/surgical health problems. Emphasizes helping patients and their families cope with alterations in body functions. Integrates concepts of pharmacology, health promotion and education, evidence-based practice, and interdisciplinary collaboration throughout the course. Clinical experiences that provide the student an opportunity to apply theoretical concepts and skills to implement safe care to patients.
Prerequisite: NRSG 301.

NRSG 303. Adult Health Nursing III. 7 Units.

Focuses on advanced concepts of nursing care as they relate to patients with complex, multisystem alterations in health. Emphasizes implementing time management and organizational skills while managing the care of patients with multiple needs and collaborating with interdisciplinary team. Integrates complex clinical skills; as well as priority setting, clinical judgment, and tenets of legal and theoretical practice throughout the course.
Prerequisite: NRSG 302.

NRSG 305. Nursing Pharmacology. 2 Units.

Provides an introduction to the principles of pharmacology, including pharmacokinetics, pharmacodynamics, medication interactions, and potential adverse medication reactions. Emphasizes drug classifications and nursing care related to the safe administration of medication to patients across the life span.
Prerequisite: NRSG 224.

NRSG 308. Adult Health Nursing I. 8 Units.

Emphasizes the wholistic nature of the adult/aging client system in response to acute, short-term stressors. Uses the nursing process to assist the client system in achieving optimal wellness through strengthening lines of resistance and defense. Supervised practice in caring for the adult-client system in acute-care settings.
Prerequisite: NRSG 214, NRSG 216, NRSG 224.

NRSG 309. Gerontological Nursing. 4 Units.

Focuses on older adult client systems experiencing normal aging. Examines age-related stressors to client variables—physiological, psychological, sociocultural, developmental, and spiritual. Guided learning experiences in nursing care of the older client in long-term care and community settings.
Prerequisite: NRSG 214, NRSG 216.

NRSG 314. Obstetrical and Neonatal Nursing. 5 Units.

Provides an integrative, family-centered approach to the care of mothers and neonates. Emphasizes normal and high-risk pregnancies, normal growth and development, family dynamics, and the promotion of healthy behaviors in patients. Includes clinical experiences that provide the student an opportunity to apply theoretical concepts and implement safe patient care to mothers and neonates in selected settings.
Prerequisite: NRSG 301.

NRSG 315. Child Health Nursing. 6 Units.

Provides an integrative, family-centered approach to the care of children from infancy through adolescence. Emphasizes normal growth and development, family dynamics, common pediatric disorders, and the promotion of healthy behaviors in patients. Includes clinical experiences that provide the student an opportunity to apply theoretical concepts and implement safe patient care to children in selected settings.
Prerequisite: NRSG 302.

NRSG 316. Wellness and Health Promotion. 3 Units.

Introduces students to the concepts of health, wellness, healthy lifestyle behaviors, and health promotion. Examines factors that influence health and health behaviors and the dynamics of behavior change, with an emphasis on motivational theory. Examines exemplary behaviors in nutrition, physical activity, stress management, and tobacco cessation to gain an understanding of their contribution to health and wellness. Emphasizes wellness for the student and practicing nurse.
Prerequisite: NRSG 224, NRSG 231.

NRSG 317. Adult Health Nursing II. 8 Units.

Continues NRSG 308. Explores relationships among adult and aging client/family system variables in the development of primary, secondary, and tertiary interventions for chronic stressors that require comprehensive nursing care. Guided practice in acquiring advanced nursing skills and clinical integration.
Prerequisite or concurrent*: NRSG 308, NRSG 217*, NRSG 309.

NRSG 324. Nursing Informatics and Evidence-Based Practice. 3 Units.

Provides an overview of nursing informatics as it relates to the provision of safe, quality, patient-centered care. Emphasizes the establishment and provision of evidence-based practice. Stresses the use of information management systems in the collection, management, and communication of patient data; as well as the maintenance of patient privacy and confidentiality.

NRSG 337. Strategies for Professional Transition. 4 Units.

Student assesses and strengthens the application of skills in communication, research, professional responsibility, teaching-and-learning process, management, nursing process, and individual empowerment. Additional skills include nursing informatics, orientation to LLU campus/University setting, assessment and development of learning objectives, critical thinking, and portfolio development.
Prerequisite: Admission to RNBS program.

NRSG 338. Essential Leadership Concepts for Nursing Licensure. 1 Unit.

Management issues related to entry into nursing practice. For students who have a previous B.S./B.A. degree or LVN taking the 45 unit option and who wish to sit for boards at the end of the junior year. Course does not apply towards the bachelor's degree.

NRSG 375. Introduction to Applied Biostatistics for Nurses. 3 Units.

Introduces statistical methods of summarizing, analyzing, presenting, and interpreting data, with emphasis on health-related data. Topics include normal and binomial distributions, probability, central limit theorem, confidence intervals; as well as hypothesis testing using t-tests, ANOVA, correlation, linear regression, and chi-square. Includes a brief introduction to multivariable analysis. Practice in reading and interpreting statistical summaries.
Prerequisite: Competency in introductory-level mathematics.

NRSG 375L. Computer Applications in Biostatistics. 1 Unit.

Uses SPSS to apply appropriate statistical methods in the summary and analysis of health-related data, including descriptive; as well as hypothesis testing using t-tests, correlation, linear regression, chi-square, and ANOVA.
Prerequisite or corequisite: NRSG 375.

NRSG 376. Introduction to Applied Biostatistics for Nurses. 4 Units.

Teaches statistical methods for summarizing, analyzing, presenting, and interpreting health-related data with an emphasis on nursing evidence-based practice. Emphasizes the practical application of biostatistics through practice in reading and interpreting statistical summaries of studies and through the use of the Statistical Package for Social Sciences (SPSS) software. Students learn the relevance of statistics to EB nursing practice.

NRSG 399. Nursing Externship. 1 Unit.

An elective work-study course that provides opportunity for experiential understanding of the nature of nursing in the work place. Focuses on application of the Neuman framework. The student, under the supervision of an RN preceptor, applies previously learned skill in providing direct patient care.
Prerequisite: NRSG 408.

NRSG 404. Introduction to Epidemiology for Nursing. 2,3 Units.

Explores disease occurrence in human populations. Studies methods of observation and interpretation in order to guide valid clinical decision making and promote optimum patient outcomes. Comprehensive focus on assessment and measurement of disease occurrence and prevention of illness, infection control practices, and evaluation of research. Analyses use of evidence that impacts delivery of care on local, national, and global levels. Focus on hospital infections required for 3rd unit.
Prerequisite: NRSG 375 or NRSG 376.

NRSG 405. Health Transitions and Post-Acute Care. 3 Units.

Provides a wholistic approach to care of clients transitioning across the health-illness continuum and across health-care settings. Focuses clinical experiences on chronic disease management in post-acute settings. Addresses the unique physiological and psychological needs and common health alterations of older adults, including end-of-life. Introduces students to community resources that facilitate continuity of care and promote safety and optimal wellness.
Prerequisite or concurrent*: NRSG 303, NRSG 314, NRSG 315*, NRSG 316.

NRSG 407. Complex Nursing Concepts of Health and Disease. 6 Units.

Explores the complex pathophysiological concepts across the lifespan, using a systems approach. Applies multifaceted alterations at the cell/system levels and potential resulting functional changes to the nursing practice. Presents comprehensive clinical case studies based on theory to support nursing assessments and interventions. Uses theories relating etiology, pathogenesis, and clinical manifestations to investigate and understand the common disease processes. Builds on previous knowledge.
Prerequisite: NRSG 337.

NRSG 408. Critical Care Nursing. 8 Units.

Focuses on advanced concepts of nursing care as they relate to critically ill patients. Emphasizes implementation of time management and organizational skills while managing the care of patients' multiple needs, and collaborating with the interdisciplinary team. Integrates complex clinical skills; as well as priority setting, clinical judgment, and tenets of legal and ethical practice throughout the course.
Prerequisite: NRSG 303, NRSG 314, NRSG 315, NRSG 316.

NRSG 409. Home Health Nursing. 3 Units.

Wholistic care of the client system across the lifespan within the home. Clinical experience focuses on acute and chronic stressors. Introduces community resources to facilitate continuity of care and to promote optimal wellness.
Prerequisite: NRSG 314, NRSG 315, NRSG 316, NRSG 317.

NRSG 414. Management and Leadership for the Working Nurse. 5 Units.

View of the health-care agency or nursing unit as the core system, with lines of defense and lines of resistance. The management process as the set of interventions aimed at maintaining or restoring a state of equilibrium and order within the organization. The role of the first-line manager observed and some aspects experienced.
Prerequisite: NRSG 337; NRSG 407.

NRSG 415. Community Mental Health Nursing. 4 Units.

Delivers community mental health nursing care in a variety of clinical settings. Provides guidance for assessing stressors and developing primary, secondary, and tertiary interventions within community populations at risk for psychosocial stress/illness. Emphasizes practice of case-management strategies and psychoeducational interventions. Examines the impact of life stressors and includes principles of health promotion through behavior changes/health. S. students only, NRSG 337, NRSG 407.
Prerequisite: For RN to B.

NRSG 416. Public Health Nursing. 4 Units.

Focuses on the optimal wellness of the community as client. Intervention strategies emphasizing primary, secondary, and tertiary prevention with micro- and macro-client systems. Emphasizes assessing factors that influence the health of populations and the use of evidence-based practices in the delivery of spiritually and culturally appropriate health promotion and disease-prevention interventions. Explores the role of the nurse as advocate for social justice.
Prerequisite: NRSG 404, NRSG 405, NRSG 408.

NRSG 416L. Public Health Nursing Clinical Laboratory. 4 Units.

Clinical application focusing on the optimal wellness of the community as client. Intervention strategies emphasizing primary, secondary, and tertiary prevention with micro-/macro-client systems.
Prerequisite or concurrent*: NRSG 404, NRSG 416*.

NRSG 418. Capstone Nursing Practicum. 6 Units.

Provides student the opportunity to function as a contributing member of the interprofessional team, and to collectively apply the knowledge and practice the skills acquired in previous courses. Gives students the opportunity to provide care to a caseload of patients that is safe, evidence-based, patient-centered, and focused on promoting positive patient outcomes. Emphasizes demonstration of professional behaviors.
Prerequisite: NRSG 416, NRSG 416L, NRSG 429.

NRSG 419. Leadership Principles and Trends in Nursing. 6 Units.

Facilitates transition of the student to the role of a professional nurse in the health-care system. Emphasizes contemporary issues and management concepts; as well as development of the skills of delegation, conflict management, and leadership. Discusses legal and ethical issues with a focus on personal accountability and responsibility. Analyzes health-care policy, fiscal responsibility, and standards of practice according to regulatory requirements and institution policies.
Prerequisite or concurrent: NRSG 408.

NRSG 420. NCLEX Preparation. 1 Unit.

For students who already have a BS/BA degree (or for LVNs taking NCLEX early). Focuses on preparation for the NCLEX–RN examination, with emphasis on ATI capstone review and professional/licensure issues. Prerequisite or concurrent. NRSG 408.

NRSG 424. Professional Practice for the Working RN. 7 Units.

Provides opportunity for synthesis and application of knowledge and skills to a clinical practice environment. Focuses on using the nursing process to promote wellness of individuals, families, and groups in diverse circumstances. Enhances clinical decision making in the clinical practice area by clinical readings, case studies, discussions, research reviews, a teaching project, an interprofessional simulation, and identification and exploration of ethical and clinical issues.
Prerequisite: NRSG 337, NRSG 407.

NRSG 426. Public Health Nursing for Working RNs. 4 Units.

Focuses on promoting a healthy population. Integrates public health and nursing science to provide an evidence-based foundation for improving the public’s health. Examines social and ecological determinants of health, along with health disparities and vulnerable populations. Integrates the concepts of primary, secondary, and tertiary interventions.
Prerequisite: NRSG 337, NRSG 404, NRSG 407.

NRSG 426L. Public Health Nursing Clinical Laboratory for the Working RN. 3 Units.

A supervised clinical experience designed for the RN to BS nursing student. Includes the clinical application of public health nursing—public health with a focus on populations while addressing individuals, families, and groups. Intervention strategies utilize primary, secondary, and tertiary prevention in the community. Includes independent and group work in a variety of community settings.
Prerequisite or Concurrent*: NRSG 337, NRSG 426*.

NRSG 428. Health Promotion for RNs. 4 Units.

Examines health promotion in relation to health models. Utilizes evidence-based practice to promote wellness and optimum health across the lifespan. Examines the role of lifestyle behaviors in health promotion and illness prevention. Applies strategies for health behavioral change to promote wellness and optimum health across the lifespan. Applies the role of lifestyle behaviors in health behavioral change to promote high-level wellness in individuals.
Prerequisite: NRSG 337.

NRSG 429. Nursing Research. 3 Units.

Promotes clinical decision making, based on evidence, through the exploration and integration of current scientific evidence, use of clinical reasoning, identification of patient preferences, and assessment of available resources. Provides the knowledge and understanding of qualitative and quantitative systems of inquiry. Focuses on analysis and synthesis of evidence to answer a clinical question relevant to nursing practice and patient-centered care.
Prerequisite: NRSG 324.

NRSG 434. Public Health Nursing Laboratory for the Working RN. 3 Units.

The clinical application of public health with a focus on vulnerable populations. Intervention/strategies involve health promotion and disease prevention in the community. Clinical experiences include independent work in a variety of community workplace settings. Designed for the RN to B.S. student who is not seeking state certification as a public health nurse.
Prerequisite or concurrent*: NRSG 337, NRSG 426*.

NRSG 497. Advanced Clinical Experience. 3-12 Units.

An elective course open to students seeking clinical experience in nursing.

NRSG 499. Directed Study. 1-8 Units.

Opportunity for clinical experience in a selected area of nursing.
Prerequisite: Consent of instructor and the associate dean.

NRSG 518. Orientation to Clinical Practice. 1 Unit.

Orientation to the clinical setting through supervised experiences in the management of patients throughout the perianesthetic continuum. Focuses on preparation of the anesthetizing location and successful creation and implementation of an anesthetic plan of care. Emphasizes patient safety and prevention of iatrogenic complications. Requires participation in weekly grand rounds.

NRSG 519. Advanced Role Development for the Nurse Anesthetist. 4 Units.

Examines advanced practice registered nurse roles and core competencies. Focuses on issues relevant to nurse anesthesia practice, including history of nurse anesthesia, role of the nurse anesthetist in California, and an overview of ethical medical-legal issues. Emphasizes collaborative communication and the nurse anesthetist as educator. Per week: theory three hours, practicum zero hours.

NRSG 522. Principles of Nurse Anesthesia Practice III. 5 Units.

Applies basic and advanced principles of anesthesia to the individualized perianesthetic management of patients with various coexisting diseases and disorders across the life span. Per week: theory 4 hours, practicum 1 hour.
Prerequisite: NRSG 521.

NRSG 523. Principles of Nurse Anesthesia Practice IV. 4 Units.

Focuses on the perianesthetic management of patients impacted by increasingly complex coexisting diseases and/or procedures. Includes an examination of various regional anesthesia techniques and associated considerations. Per week: theory 3 hours, practicum 3 hour.
Prerequisite: NRSG 522.

NRSG 524. Clinical Practicum and Correlation Conference I. 3 Units.

Supervised experience in the management of patients throughout the perianesthetic continuum. Focuses on preparation of the anesthetizing area and successful creation and implementation of an anesthetic plan of care. Emphasizes patient safety and prevention of iatrogenic complications. Clinical correlation conference participation includes attendance at required grand rounds and conferences, participation in class discussions and projects, and review of selected anesthetic concepts and techniques. Per week: theory 1 hour, practicum 2 hours.
Prerequisite: NRSG 522.

NRSG 525. Clinical Practicum and Correlation Conference II. 4 Units.

Continued supervised experience in the management of patients throughout the perianesthetic continuum, focusing on identification and intervention of physiological responses to anesthesia and surgery. Clinical correlation conference participation includes attendance at required grand rounds and conferences, participation in class discussions and projects, and review of selected anesthetic concepts and techniques. Per week: theory 1 hour, practicum 3 hours.
Prerequisite: NRSG 524.

NRSG 526. Clinical Practicum and Correlation Conference III. 4 Units.

Continued supervised experience in the full scope of anesthesia practice, focusing on predicting and preventing anesthetic management issues in cases with increasing complexity. Clinical correlation conference participation includes attendance at required grand rounds and conferences, participation in class discussions and projects, and review of selected anesthetic concepts and techniques. Per week: theory 1 hour, practicum 3 hours.
Prerequisite: NRSG 525.

NRSG 527. Clinical Practicum and Correlation Conference IV. 4 Units.

Continued supervised experience in the full scope of anesthesia practice. Emphasizes exposure to advanced anesthetic and surgical techniques. Clinical correlation conference participation includes attendance at required grand rounds and conferences, participation in class discussions and projects, and review of selected anesthetic concepts and techniques. Per week: theory 1 hour, practicum 3 hours.
Prerequisite: NRSG 526.

NRSG 528. Clinical Practicum and Correlation Conference V. 4 Units.

Continued unrestricted experience in advanced anesthetic techniques and surgical specialties. Includes orientation and instruction of junior students enrolled in Clinical Practicum and Correlation Conference I. Clinical correlation conference participation includes attendance at required grand rounds and conferences, participation in class discussions and projects, and review of selected anesthetic concepts and techniques. Per week: theory one hour, practicum three hours.
Prerequisite: NRSG 527.

NRSG 529. Clinical Practicum and Correlation Conference VI. 4 Units.

Focuses on the development and implementation of anesthetic care plans using all major techniques for all surgical specialties, with increasing independence based on individual skill levels. Provides opportunities for refinement of decision-making skills in preparation for the independent management of anesthetics. Clinical correlation conference participation includes attendance at required grand rounds and conferences, participation in class discussions and projects, and review of selected anesthetic concepts and techniques. Per week: theory one hour, practicum three hours. Prrerequisite: NRSG 528.

NRSG 561. Primary Care Adult-Gerontology Nurse Practitioner I. 4 Units.

Introduces the role, professional responsibilities, and clinical practice of the primary care adult-gerontology nurse practitioner (A-GNP). Focuses on primary health-care concepts related to health maintenance and promotion of optimal wellness and to common illnesses of the adult. Per week: lecture two hours, practicum six hours. Prerequisites: NRSG 555, NRSG 556, NRSG 651; NGRD 625.

NRSG 562. Primary Care Adult-Gerontology Nurse Practitioner II. 6 Units.

Focuses on the A-GNP role of health promotion and management of common acute and chronic conditions across the adult life span. Per week: lecture three hours, practicum nine hours.
Prerequisite: NRSG 561; NRSG 566.

NRSG 563. Primary Care Adult-Gerontology Nurse Practitioner III. 6 Units.

Continues focus on the A-GNP role of health promotion and management of patients with acute and chronic conditions across the adult life span. Per week: lecture three hours, practicum nine hours.
Prerequisite: NRSG 562.

NRSG 564. Primary Care Adult-Gerontology Nurse Practitioner IV. 7 Units.

Focuses on health maintenance and management of patients with complex acute and chronic conditions across the adult life span. Per week: lecture three hours, practicum twelve hours.
Prerequisite: NRSG 563.

NRSG 565. Primary Care Adult-Gerontology Nurse Practitioner V. 6 Units.

Final clinical practicum. Emphasis on integrating prior learning and increasing clinical competence in primary care settings. Includes case study discussions and on-line certification practice testing. Per week: lecture zero hours, practicum eighteen hours.
Prerequisite: NRSG 564.

NRSG 650. Family Nurse Practitioner: Children and Adolescents. 4 Units.

Focuses on the FNP role of health promotion and management of common conditions in infants, children, and adolescents. Emphasizes normal growth and development and principles of anticipatory guidance. Per week: theory 3 hours, clinical 3 hours.

NRSG 652. Family Nurse Practitioner I. 4 Units.

Introduces the role, professional responsibilities, and clinical practice of the family nurse practitioner (FNP). Focuses on primary health-care concepts related to health promotion, maintenance, and common illnesses across the life span. Per week: theory two hours, practicum six hours. Prerequisites: NRSG 555, NRSG 556; NRSG 651; NGRD 625.

NRSG 653. Family Nurse Practitioner II. 6 Units.

Focuses on the FNP role of health promotion and management of common acute and chronic conditions across the life span. Per week: lecture three hours, practicum nine hours.
Prerequisite: NRSG 652.

NRSG 654. Family Nurse Practitioner III. 7 Units.

Continues focus on the FNP role of health promotion and management of patients with acute and chronic conditions across the life span. Per week: lecture three hours, practicum twelve hours.
Prerequisite: NRSG 653.

NRSG 655. Family Nurse Practitioner IV. 7 Units.

Focuses on health promotion, maintenance and management of patients with complex acute and chronic conditions across the life span. Per week: lecture three hours, practicum twelve hours.
Prerequisite: NRSG 654.

NRSG 656. Family Nurse Practitioner V. 7 Units.

Final clinical practicum. Emphasis on integrating prior learning and increasing clinical competence in primary care settings. Includes case study discussions and on-line certification practice testing. Per week: lecture zero hours, practicum twenty-one hours.
Prerequisite: NRSG 655.