NCLEX-PN Content – Client needs categories and integrated nursing processes: safe and effective care environment, coordinated care, safety and Infection control, health promotion and maintenance, psychosocial integrity, physiologic integrity, basic care and comfort, pharmacologic therapies, reduction of risk potential, and physiologic adaptation. The HAPS Course Guidelines (integrated to provide a knowledge base of anatomy and physiology that is essential to the practical nursing student). The elements of nurse Florence Nightingale’s theoretical dimensions and applications are integrated throughout this curriculum (OMEGA-7: Orientation, Medication, Emergency, Gait, Allergies—air, food, water, safety, hygiene, pain, and sleep). An objective is included in each nursing syllabi to identify, demonstrate, integrate, or evaluate OMEGA-7. The curriculum theory is organized by the domains based upon Florence Nightingale’s philosophy of nursing: • Person: An individual whose natural defenses are influenced by a healthy or unhealthy environment. Course content includes body systems, anatomy & physiology, pediatric, child, adolescent, adult and older adults. • Health: A state in which the environment is optimal for the natural body processes to achieve reparative outcomes. Course content includes data collection, functional health patterns, complementary/alternative therapies, health promotion and health maintenance. • Environment: All the external conditions capable of preventing, suppressing, or contributing to disease or death. Course content includes psychology, safety, complementary/alternative therapies, stressors and community resources. • Nursing: Putting the client in the best condition for nature to act. Course content includes caring techniques, nursing skills and procedures, the nursing process, and the scientific basis. The clinical practice for the curriculum theory integrates the Nightingale domains: • Practice: Nurses modify unhealthy aspects of the environment to put the person in the best condition for nature to act. Clinical strategies include caring, data collection, focused assessment, communication, documentation, administration of medications, legal and ethical issues, critical thinking, and working with the interdisciplinary health team.
OMEGA-7 Conceptual Framework at Sumner College Practical Nursing Program The essentials of “OMEGA-7” provide the conceptual framework for critical thinking in approaching health and the nursing process. OMEGA-7 is an acronym for a practical nurse approach in nursing assessment and caring of the person’s health and environmental basic needs: Orientation, Medication, Emergency, Gait, Allergies—air, food, water, safety, hygiene, pain and sleep. The elements of OMEGA-7 are based upon the theory of the pioneer of modern nursing, Florence Nightingale (1820 – 1910). The OMEGA-7 data collection or assessment includes: Orientation: Is the person oriented to person, place, time, and situation? Medication: Does the person know what medications they are taking and for what? Are there any special instructions, monitoring, side effects to watch for, or nursing interventions for any of the medications Emergency : What is the person’s code status? Full code? Part code and conditions? No code? When is the last time they had an emergency need? Gait: Does the person require any assistive devices for ambulation? What risk does the person have for falling? Allergies : Does the person have any allergies to medications or anything in the environment? Air: Does the person require any assistive devices for breathing? Is the person able to breathe on his/her own? Are there any potential or real air toxins or pollutants that could affect the person? What is the appearance of the person’s skin or oxygenation level? Food: Does the person require a special diet related to allergies, diabetes (sugar), hypertension (salt), heart disease (fat/cholesterol), edentulous (soft foods), dysphagia (pureed foods), NPO (nothing by mouth), small amounts (gastric procedure), parenteral feedings (unable to eat on own)? Does the person appear hungry? Weight? Water: What is the recommended amount of water intake for this person? What sources of water has the person had to drink today? Are there any potential toxins or pollutants in the environments to affect the supply of water? How does the person prefer the water (hot, cold, icy, room temperature)? Any signs or symptoms of dehydration? Safety: Is the person’s safety at risk? Are there potential factors for the person’s safety? Is the patient hard of hearing or having visual problems? Is the floor cluttered or wet? Are there toxic chemicals in the environment? Is the person under the influence of drugs?
18 Sumner College Nursing Handbook
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