course objectives

Didactic Times & Dates:

May 18 – June 12, 2015
4 days/week at Colby-Sawyer College
Specific days and times to be determined. No class May 20, May 25, June 3 and June 10.

Clinical Times & Dates:

June 15 – July 2, 2015
4 days/week at New London Hospital, New London, N.H.
Specific days and times to be determined.


Nurses who have not accumulated 400 of practice hours within four years or who have been working in a specialty area, and those who feel the need to review and update his/her medical-surgical nursing knowledge and be aware of educational, professional and practice issues occurring in the nursing profession.

Nurses who do not have an active license, are on inactive status, or whose licenses has lapsed must apply to the New Hampshire Board of Nursing for renewal, endorsement or reinstatement. A temporary New Hampshire license must be secured prior to entrance into the Nursing Update course.

Endorsement means the issuance of a license meeting New Hampshire requirements based on a current license in another jurisdiction.

Lapsed License means the license was not renewed prior to the expiration date.

Inactive Status means the license is not current.

Reinstatement means reactivation of a license to practice nursing, or to provide nursing-related activities.

Temporary License means the authorization to practice nursing under specific conditions for a specified period of time.


Upon completion of this course, the registered nurse is expected to have the ability to:

  • Demonstrate knowledge of selected medical-surgical conditions and current diagnostic, treatment and management measures.

  • Provide therapeutic and individualized care to moderately ill medical-surgical patients in order to:

    • Obtain a nursing care data base and identify patient problems

    • Establish priorities of care for the individual patient

    • Plan patient care outcomes and nursing interventions utilizing biophysical, medical and psychosocial information

    • Provide care according to the developed plan

    • Evaluate the effectiveness of care provided in terms of measurable changes in the patient's condition

    • Document patient care information

  • Communicate pertinent information to other nurses and health professionals through oral and written methods (e.g. shift report, POMR, reports, referrals, discharge planning.)

  • Utilize previously acquired basic nursing skills.

  • Demonstrate competent performance of selected basic techniques and procedures, which are the responsibility of the nurse in the medical-surgical setting (e.g. medication administration, physical assessment, CPR, patient teaching, venous access catheters, use of IV pump and basic monitoring equipment.)

  • Evaluate personal knowledge and skills in relation to current Medical-Surgical Nursing Practice standards.

  • Identify the major changes in health care delivery in the last decade (critical pathways, improvement activities, outcome measurement, long-term care, aging population); the restructuring of health care frameworks to respond to needed services; and the role of the nurse and nursing in redesigning and providing services in a changing health care system.

  • Identify trends in the educational, professional and practice areas of nursing (entry level into practice, delegation issues, credentialing, licensure, specialty practice, expanded roles, and research) and the implications for clinical practice for nurses in the future.

  • Discuss the nurse's accountability for maintaining and increasing professional knowledge and competence through continuing education.

Criteria for measurement of Successful Completion

There will be four online quizzes during the didactic portion of the course. Questions may consist of multiple-choice, multiple answer, true-false, matching, mathematical calculation or ordering questions.

Objective testing will account for 50% of the course assessment. Clinical assessment will account for the remaining 50% of the evaluation. There will be a formative evaluation halfway through the clinical experience, and a summative evaluation at the conclusion of the experience. The evaluation will be documented on a clinical evaluation form. A student who does not meet the expectation outlined on the attached form will receive a documented clinical warning with a remediation plan documented.

Students must achieve an average of 75% or better on the quizzes and meet the expectations of standards of safe clinical practice.