NORTH CENTRAL TEXAS COLLEGE COURSE SYLLABUS

 

The North Central Texas College (NCTC) Course Syllabus provides the following as required by the Texas Higher Education Coordinating Board (THECB): (1) a brief description of the course including each major course requirement, assignment and examination; (2) the learning objectives for the course; (3) a general description of the subject matter of each lecture or discussion; and (4) any required or recommended readings.  Contact information for the instructor is also provided. The Course Syllabus also provides institutional information to indicate how this course supports NCTC’s purpose and mission. Information specific to a particular section of the course will be included in the Class Syllabus and distributed to enrolled students.

Course Title:  Nursing in Health and Illness II
Course Prefix & Number: VNSG1509		Section Number:  330	Term Code: 2017SU
Semester Credit Hours:   5		Lecture Hours:  80	Lab Hours:  N/A
Course Description (NCTC Catalog):     Continuation of Nursing in Health and Illness II. Further study of common medical-surgical health problems of the client.
Course Prerequisite(s):  Successful completion of all Level I courses.  VNSG1420 Anatomy & Physiology for Allied Health 4 VNSG1323 Basic Nursing Skills 3 VNSG1400 Nursing in Health and Illness I 4 VNSG1227 Essentials of Medication Administration 2 VNSG1360 Clinical I 3
Course Type: o - Academic General Education Course (from Academic Course Guide Manual but not in NCTC Core) o - Academic NCTC Core Curriculum Course x - WECM Course
Name of Instructor:	Toni G. Perkins, MS, APRN, FNP-C
Campus/Office Location:	Gainesville Campus, Online
Telephone Number:	940-368-3531
E-mail Address:	tperkins@nctc.edu
Office Hours:	Monday - 6:00pm- 9:00pm (Online) Wednesday - 5:00pm - 8:00pm (Online)

 

Name of Chair/Coordinator:	Theressa Borden, RN, BSN
Office Location:	Gainesville Campus, LVN Dept.
Telephone Number:	940-668-7731
E-mail Address:	tjborden@nctc.edu

 

 

REQUIRED OR RECOMMENDED COURSE MATERIALS

TEXTBOOKS and RESOURCE REQUIREMENTS

Linton, A.D.  Introduction to Medical Surgical Nursing.  6^thed. (2016)

St. Louis: Elsevier   ISBN # 9781437717082         

 

 

COURSE REQUIREMENTS, EVALUATION METHODS AND GRADING CRITERIA

# of Graded Course Elements	Graded Course Elements	Percentage or Points Values
As assigned	Daily Grades	05%
5	Unit Exams	70%
1	Final Exam	25%

 

 

INSTITUTIONAL LEARNING GOALS

 

o          A quality general education curriculum in all associate degree programs.

o          Quality freshman and sophomore level courses in arts and sciences which parallel the lower division offerings of four-year colleges and universities.

x          Quality technical programs leading directly to careers in semi-skilled and skilled occupations, and quality technical education programs up to two years in length leading to certificates and associate degrees.

o          Quality programs and services in support of adult literacy and basic skills development as a mean of workforce enhancement and expanding access to higher education.

 

PROGRAM PURPOSE STATEMENT

 

NCTC seeks to implement its goal of providing quality technical programs leading directly to careers in semi-skilled and skilled occupations, and quality technical education programs up to two years in length leading to certificates and associate degrees by offering a coherent sequence of courses with appropriate breadth and depth to prepare students for success in the workforce.

 

DEPARTMENTAL PURPOSE STATEMENT

 

To prepare Vocational Nursing students for licensure and advanced degrees in health sciences is the purpose of the department.

 

 

 

 

 

STUDENT LEARNING OUTCOMES

 

Student Learning/WECM Outcomes:

 

1. Compare and contrast normal physiology of body systems to pathologic variations in the patient with medical-surgical health problems
2. Evaluate and treat patients with medical-surgical health problems using the nursing process including nutrition and drug therapy.

 

OVERALL COURSE OBJECTIVES

Upon successful completion of Health and Illness II, the student will be able to:

 

Member of the Profession (DEC I, 1)

-Function within nurse’s scope of practice and in accordance with the policies and procedures.

 

Provider of Patient-Centered Care (DEC II, 5, 6, 7)

-Use clinical reasoning/established evidence-based policies as the basis for decision making.

-Assist in determining physical and mental health status/needs/preferences of culturally/ethnically/socially diverse patients/families.

-Report data to assist identification of problems/formulation of goals/outcomes and plans of care patients/families/health care team.

 

Patient Safety Advocate (DEC III, 14, 15)

-Implement measures to promote quality/safe environment for patients/self/others.

-Assist in formulation of goals/outcomes to reduce patient risks.

 

Member of the Health Care Team (DEC IV, 19, 20, 21)

-Communicate/collaborate with patients/families/team.

-Advocate activities that improve the health care of patients/families.

-Identify patient needs for resources of continuity of care, and ensure confidentiality.

 

 

 

 

 

 

 

 

 

 

 

 

GENERAL DESCRIPTION OF SUBJECT MATTER FOR EACH LECTURE/DISCUSSION:

 

VNSG 1509, COURSE LAYOUT

 

Week 1                 Lecture, Unit 1:  Chapter 17, Surgical Care

 

Week 2                 UNIT 1 EXAM     

Begin lecture, Unit 2:  Respiratory Pathophysiologies, Chapters 30 & 31 & 32

 

 

Week 3                 Complete lecture, Unit 2:  Respiratory Pathophysiologies, Chapters 30 & 31 & 32

 

Week 4                 UNIT 2 EXAM     

Begin lecture, Unit 3:  Cardiovascular Pathophysiologies, Chapters 36, 37, & 38

 

 

Week 5                 Continue lecture, Unit 3:  Cardiovascular Pathophysiologies, Chapters 36, 37, & 38

 

Week 6                 UNIT 3 EXAM     

Lecture, Unit 4:  Fluids and Electrolytes, & Intravenous Therapy

Chapters 14, 18, & 19

 

Week 7                 UNIT 4 EXAM     

Begin lecture, Unit 5:  Hematologic and Immunologic Disorders

Chapters 33, 34, & 35

                                                

Week 8                 Complete lecture, Unit 5, Hematologic and Immunologic Disorders

                             Chapters 33, 34, & 35

 

Week 9                UNIT 5 EXAM

 

Week 10               FINAL EXAM

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UNIT 1:

CHAPTER 17 – Surgical Care

Chapter Learning Outcomes:    By the end of this unit, the student will be able to:

1. Identify the purpose of each type of surgery: diagnostic, exploratory, curative, palliative, and cosmetic.
2. Describe the phases of perioperative care.
3. Describe the data to be included in the nursing assessment of the preoperative client, and how this information can help identify surgical risk factors.
4. Assist in identifying the nursing diagnoses, goals and outcome criteria, and interventions relevant to the Perioperative client.
5. Outline a teaching plan that addresses preoperative needs, postoperative care, and discharge planning needs.
6. Describe roles & functions of each member of the surgical team.
7. Compare common types of anesthesia and explain the nursing implications of each type.
8. Explain how the nurse can help prevent postoperative complications.
9. Discuss criteria used to evaluate & interventions used to provide care to the ambulatory surgical client.

Lecture Content Outline:

          -Purposes of surgery

-Variables affecting surgical outcome: age, nutritional status, fluid balance, medical diagnoses, drugs, habits

          -The preoperative phase

          -The intraoperative phase:  Surgical team, Anesthesia

          -The postoperative phase and surgical complications

          -The ambulatory surgical client

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book: BLS, Perioperative Nursing Care

______________________________________________________________________

 

 

 

 

 

 

 

 

 

                                                          

                                                             UNIT 2:

CHAPTERS 30, 31, & 32 – RESPIRATORY DISORDERS

Chapter Learning Outcomes:    By the end of the unit, the student will be able to:

1.      Describe the structures & normal physiology of the respiratory system.
2. Describe data to be collected in the nursing assessment of a client’s respiratory system, including a client with a respiratory disorder.
3. Identify the potential complications due to age-related changes in the respiratory system.
4. Describe the pathophysiology, signs and symptoms, complications, diagnostic measures, and medical treatment for selected acute & chronic respiratory disorders.
5. Assist in the development of a nursing care plan and concept map for the client with a respiratory disorder.
6. Describe diagnostic tests, therapeutic treatments, teaching needs and nursing interventions for patients undergoing respiratory procedures.
7. Explain the relationship between cigarette smoking and chronic respiratory disorders.
8. Explain the rationales for selected medical interventions, including endotracheal intubation, chest tube insertion, and tracheostomy, and be familiar with the related nursing care required.
9. Discuss applicable nursing care and treatment options for clients with short or long-term airway management problems.

Lecture Content Outline:

-Review anatomy and physiology of the respiratory system, including age-related changes

-Nursing assessment of the respiratory system:  Health history, Physical examination

-Diagnostic tests and procedures:  radiologic studies, imaging procedures, pulmonary function tests, pulse oximetry, sputum analysis, laryngoscopy, fiberoptic bronchoscopy, arterial blood gases, Mantoux test, endoscopic procedures

-Common therapeutic measures:  thoracentesis, breathing exercises, chest physiotherapy, suctioning, humidification and aerosol therapy, oxygen therapy, IPPB treatments, artificial airways,  chest tubes, thoracic surgery, video thoracoscopy, drug therapy, CPAP, BIPAP, APAP

-Disorders of the respiratory system:  Rhinitis (common cold), Sinusitis, Acute bronchitis, Pharyngitis, Laryngitis, Tonsillitis/Adenoiditis, Epistaxis, Influenza, Pneumonia, Airway obstruction, Airway Trauma, Pleurisy (pleuritis), Abscess, Empyema, Chest trauma, Pneumothorax, Hemothorax, Rib fractures, Flail chest, Pulmonary embolus, respiratory arrest, pulmonary HTN, pulmonary edema, ARDS, cancer, atelectasis, COPD:  Asthma, Chronic bronchitis, Emphysema, Bronchiectasis, Cystic fibrosis, TB, Sarcoidosis, occupational lung disease, diffuse interstitial fibrosis, Sleep Apnea

 

 

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

Adult Client with a Respiratory Disorder, Positioning Clients, & Care of a Client with a Tube

UNIT 3:

CHAPTERS  36, 37, & 38 – CARDIOVASCULAR DISORDERS

Chapter Learning Outcomes:    By the end of the unit, the student will be able to:

1. Describe the anatomy & physiology of the circulatory & cardiovascular systems, including normal blood flow.
2. Explain pathophysiology, risk factors, signs & symptoms, complications, medical & nursing treatment for selected cardiac disorders: including infectious & inflammatory disorders, valvular disorders, coronary artery disease, cardiac dysrhythmias, and heart failure.
3. State the pathophysiology, risk factors, signs & symptoms, complications, medical and nursing treatments for selected vascular disorders.
4. Define hypertension and discuss the physiology of blood pressure regulation
5. Name specific data to be obtained in assessing the client with a cardiac and/or vascular disorder and identify what are normal versus abnormal findings of a cardiovascular assessment.
6. Assist in the development of nursing care plans/concept maps specific to the client with cardiac disorders, vascular disorders, &/or hypertension.
7. Describe nursing implications for common therapeutic measures; include drugs, diet, oxygen therapy, EKG monitoring, telemetry, pacemakers, cardioverters, surgical procedures, and CPR.
8. Discuss the conduction system of the heart and the order of normal impulse conduction.
9. Identify EKG rhythms, including normal sinus rhythm, sinus bradycardia, sinus tachycardia, atrial fibrillation, PVC, ventricular tachycardia, and ventricular fibrillation.
10. State nursing implications related to common dysrhythmias.         
11. Identify common procedures & tests utilized to diagnose cardiac disorders & the nursing implications of each.
12. Identify tests and procedures used to diagnose selected vascular disorders and the nursing considerations for each.
13. Identify risk factors, signs and symptoms, diagnosis, treatment, and complications of hypertension.
14. Describe the nursing considerations when administering selected antihypertensive drugs.
15. List the data to be obtained in the nursing assessment of a client with known or suspected hypertension.
16. Identify the nursing diagnoses, goals, interventions, and outcome criteria for the client with hypertension.
17. Identify the different types of shock and their associated signs and symptoms.
18. Discuss medical and nursing interventions for shock.

Lecture Content Outline:

-Review anatomy and physiology of the heart:  Chambers, valves, blood pathway, electrical conduction, cardiac function

          -Age-related changes of the CV system: Heart, arteriosclerosis, atherosclerosis

          -Nursing assessment of cardiac function: Health history, physical examination, normal versus abnormal data

-Diagnostic tests and procedures:  ECG, ambulatory ECG (Holter monitor), echocardiogram (heart sonogram), Transesophageal echocardiogram (TEE), CT, EBCT, MRI, Multiple-gated acquisition scan (MUGA), Stress test (exercise or drug induced), Electrophysiology study (EPS), pulse oximetry, serum labs, Cardiac catheterization (cardiac angiography, coronary arteriography), CXR

-Common therapeutic measures:  Drug therapy, diet therapy, oxygen therapy, pacemakers, cardioversion, CPR (new guidelines released 2010), Enhanced external counterpulsation, Cardiac catherization with angioplasty, stent placement or atherectomy, CABG, transmyocardial revascularization

          -Cardiac surgery:  Perioperative care

-Cardiac disorders:  CAD, acute MI, CHF, infectious and inflammatory disorders, cardiomyopathy, cardiac transplantation, sudden cardiac death, valvular disease, aortic regurgitation

-ECG (EKG) monitoring:    12-Lead EKG, telemetry monitoring, interpretation of EKG rhythms, arterial line, hemodynamics

-Anatomy and physiology of the vascular system:  arteries, veins, lymph vessels, capillaries

          -Factors that affect blood flow

-Nursing assessment of the vascular system:  Health history, Physical examination, normal versus abnormal assessments

-Vascular diagnostic tests and procedures:  Doppler ultrasound, Plethysmography, Pressure measurement, Exercise        (treadmill) test, Angiography

-Common therapeutic measures for vascular problems:  Exercise, stress management, pain control, smoking cessation, ellastic stockings, intermittent pneumatic compression, positioning, thermotherapy, protection, patient teaching, surgical procedures, drugs, dietary interventions, topical hyperbaric oxygen (

-Disorders of the peripheral vascular system:  Thrombophlebitis, Thromboangiitis obliterans, Arteriosclerosis, Atherosclerosis, Arterial or Venous Thrombosis, Phlebothrombosis, and/or Embolism, Raynaud’s disease, Varicose veins, Chronic venous insufficiency, Aneurysms, Aortic dissection

-Anatomy and physiology of blood pressure regulation:  cardiac output, peripheral vascular resistance

     -Age-related changes affecting blood pressure

-Risk factors, signs & symptoms, complications, tests, procedures, & treatment of:  Primary (essential) & secondary hypertension, and hypertensive emergencies                    

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

               Adult Client with a Cardiovascular Disorder

______________________________________________________________________

UNIT 4:

CHAPTER 14 - FLUIDS & ELECTROLYTES, CHAPTER 18 - IV THERAPY, and CHAPTER 19 SHOCK

Chapter Learning Outcomes:    By the end of the unit, the student will be able to:

1. Identify normal location, primary sources, function and recommended intake of fluid in the body.
2. Describe the mechanisms involved to regulate fluid & electrolyte balances in the body.
3. Describe and give examples of diffusion, osmosis, filtration, and active transport in the human body.
4. Detail the causes, assessment data (signs & symptoms), nursing interventions, and criteria for evaluating effectiveness of care for clients with a nursing diagnosis of Fluid Volume Deficit or Fluid Volume Excess.
5. Detail the causes, assessment data, nursing interventions, and criteria for evaluating effectiveness of nursing care for clients with electrolyte imbalances including: sodium, potassium, calcium, and magnesium imbalances.
6. Discuss the importance of pH regulation in the human body and identify the normal range of plasma pH.
7. Describe the two pH buffer systems that regulate acid-base balance in the human body.
8. Differentiate the causes, assessment data, and nursing interventions for metabolic and respiratory acidosis and alkalosis.
9. Discuss principles of nursing management for clients receiving fluids and electrolytes via oral supplements, IV solutions, enteral feedings, and TPN.
10. List the indications for IV therapy, including both crystalloid and colloid solutions.
11. Describe the types of fluids and venous access devices used for IV fluid therapy.
12. Accurately calculate hourly flow rates and drop rates.
13. Discuss the causes, signs and symptoms, and nursing implications for the complications of IV fluid or drug therapy, including blood or blood product transfusion.
14. Describe the nursing responsibilities when a patient is receiving IV therapy.
15. Assist in development of nursing care plans/concept maps for clients with selected fluid, electrolyte, and/or acid-base imbalances.
16. Assist in the development of concept maps for patients receiving IV therapy.

Lecture Content Outline:

-Assessment of fluid volume status and fluid volume imbalances:  hypovolemia vs. hypervolemia, third-spacing

          -Review of diffusion, osmosis, filtration, and active transport

-Assessment of electrolyte imbalances:  Hyponatremia vs. hypernatremia, hypokalemia vs. hyperkalemia, hypocalcemia vs. hypercalcemia, and hypomagnesemia vs. hypermagnesemia

          -Acid-Base Balance:  ABG interpretation, respiratory buffers, metabolic buffers

          -Interventions for acidosis and alkalosis

-Types and indications for IV solutions:  crystalloid (isotonic, hypotonic, and hypertonic), and colloids 

-Venous access devices: needles, catheters, implanted devices, intermittent infusion devices

          -Initiation of IV therapy:  equipment, site selection, procedure, documentation

          -Maintaining IV therapy:     Factors affecting flow, calculating rate, infusion control devices, IV infusion of medications

          -Changing the venous access devices and administration sets

          -Termination of IV therapy

          -Precautions and complications of IV therapy, including the older adult patient

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

     Medication & IV Administration, Acid-Base Balance, Fluids and Electrolytes

______________________________________________________________________

UNIT 5:

CHAPTERS 33, 34, & 35:  Hematologic & Immunologic Pathophysiologies

Chapter Learning Outcomes:  By the end of the unit, the student will be able to:

1. Describe the anatomy & physiology of the hematopoietic, lymphatic & immune systems.
2. Describe the data collection when assessing a client with a hematopoietic disorder.
3. Discuss tests and procedures used to diagnose hematopoietic disorders and the nursing implications for each.
4. Describe the signs & symptoms, medical diagnoses, and medical treatment for selected hematopoietic disorders.
5. Describe the nursing care for clients undergoing common therapeutic measures for disorders of the hematopoietic system.
6.     Describe the data collection necessary when assessing a client with a disorder of the immune system.
7. Discuss tests and procedures used to diagnose immune disorders and the nursing implications for each.
8. Describe the signs & symptoms, medical diagnoses, and medical treatment for selected immune disorders.
9. Describe the nursing care for clients undergoing common therapeutic measures for disorders of the immune system.
10. Differentiate between active & passive immunity & define related terms: innate immunity, actively acquired immunity, naturally acquired immunity, immunological tolerance, and anergy.
11. Describe the signs & symptoms, medical diagnoses, and medical treatment for immune disorders.
12. Assist in the development of nursing care plans/concept maps and teaching plans for clients with hematopoietic, lymphatic, and/or immune disorders.

Lecture Content Outline:

-Review anatomy and physiology of the hematopoietic and immunologic systems, including age-related changes, and types of immunity

-Nursing assessment of the hematopoietic and immunologic systems:  Health history, Physical examination

-Defining characteristics of disorders of the hematopoietic and immunologic systems, including HIV & AIDS

-Diagnostic tests and procedures:  Blood tests, Bone marrow biopsy, Schilling test, lymph node or tissue biopsy, ultrasound, lymphangiography, xrays, CT, bone scans, MRI, surgical procedures, urine tests, skin tests, C&S of blood, urine, sputum, and stool, Gallium scan, PET scan

-Common therapeutic measures for hematopoietic and immunologic disorders: Reverse isolation, neutropenic precautions, blood product transfusions, Colony-stimulating factors, bone marrow transplant, peripheral blood stem cell transplant, chemotherapy, drug therapy, dietary supplements or modifications, TED hose, exercise regimen or activity restrictions, visitor restrictions

-Nursing interventions for the patient diagnosed with anemia, erythrocytosis, leukocytosis, agranulocytosis, pancytopenia, and/or coagulopathies, and patients diagnosed with immune system disorders, including HIV infection, AIDS

-Nursing actions for the patient diagnosed with occlusive, inflammatory and/or infectious disorders of the lymph system, and/or lymphoma

 

 

 

 

 

 

 

Student Learning Activities:

1. Attend & participate in class lectures
2. Read the chapter
3. Answer the review questions at the end of the chapter
4. Complete the chapter in the student study guide
5. Complete daily work as assigned
6. Review and answer questions in NCLEX-PN Review book on:

               Adult with an Immune Disorder

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Last day to Withdraw		For the Summer 2017 semester, the last day to withdraw from a course with a “W” is July 26, 2017.
Student Rights & Responsibilities		NCTC Board policy FLB (Local) Student Rights and Responsibilities states that each student shall be charged with notice and knowledge of the contents and provisions of the rules and regulations concerning student conduct.  These rules and regulations are published in the Student Handbook published in conjunction with the College Catalog.  All students shall obey the law, show respect for properly constituted authority, and observe correct standards of conduct.
Scholastic Integrity		Scholastic dishonesty shall constitute a violation of college rules and regulations and is punishable as prescribed by Board policies. Scholastic dishonesty shall include, but not be limited to cheating on a test, plagiarism, and collusion.
STUDENT SUPPORT SERVICES
Financial Aid, Scholarships, and Veterans Services	The Financial Aid Office is responsible for administering a variety of programs for students who need assistance in financing their education.  The first step for financial aid is to complete a FAFSA.  For more information, please visit your nearest Financial Aid Office.
Disability Services (OSD) The Office for Students with Disabilities (OSD) provides accommodations for students who have a documented disability. On the Corinth Campus, go to room 170 or call 940-498-6207. On the Gainesville Campus, go to room 110 or call 940-668-4209.  Students on the Bowie, Graham, Flower Mound, and online campuses should call 940-668-4209. North Central Texas College is on record as being committed to both the spirit and letter of federal equal opportunity legislation, including the Americans with Disabilities Act (ADA) of 1990, ADA Amendments Act of 2009, and Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112).   http://www.nctc.edu/StudentServices/SupportServices/Disabilityservices.aspx   The Office for Students with Disabilities (OSD) provides accommodations for students who have a documented disability. On the Corinth Campus, go to room 170 or call 940-498-6207. On the Gainesville Campus, go to room 110 or call 940-668-4209.  Students on the Bowie, Graham, Flower Mound, and online campuses should call 940-498-6207. North Central Texas College is on record as being committed to both the spirit and letter of federal equal opportunity legislation, including the Americans with Disabilities Act (ADA) of 1990, ADA Amendments Act of 2009, and Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112).   http://www.nctc.edu/StudentServices/SupportServices/Disabilityservices.aspx   The Childcare Reimbursement Program provides support services for NCTC students pursuing a career in a technical field of study to help them complete their career plans. The program will reimburse technical declared students a percentage of their daycare expenses if the child is attending a licensed or registered daycare facility.  This is on a first come first serve basis, and is available to students on all 5 campuses. Please note, we do not have a childcare facility on any of our 5 campuses. This is a reimbursement program only. Students who wish to become eligible for Childcare Assistance Program need to: Declare in a technical field of study Establish financial need Ex: Pell Grant recipient, Food Stamp recipient, W2,  etc. Complete a Childcare Reimbursement Program Application and provide all necessary documentation.  The  Application can be found online at http://www.nctc.edu/StudentServices/Childcare.aspx For more information, please contact Yvonne Sandmann on the Gainesville Campus at 940-668-4209 ext. 4321, or by email at ysandmann@nctc.edu Support Services Counseling and Testing staff offer a variety of services to current and prospective students, such as College 101, placement testing, academic advising and course registration, transfer assistance, and College Success seminars (Time Management, Study Skills, Test Anxiety, Choosing a Major, Learning Style Strategies, Career Exploration), and much more.  http://www.nctc.edu/StudentServices/CounselingTesting.aspx   Student Success offers academic coaching, tutoring, including a Writing Center, a Math Lab, free 24/7 online tutoring through Grade Results and assist new students acclimate to college by providing computer lab services for prospective students.   First generation students can also participate in TRIO which offers specialized support services. http://www.nctc.edu/StudentServices/SupportServices.aspx Financial Aid offers financial resources for students that qualify, visit the financial aid offices for more information.  http://www.nctc.edu/FInancialAidHome.aspx   Early Alert/CARES The NCTC Early Alert program has been established to assist students who are at risk of failing or withdrawing from a course. Your instructor may refer you to this program if you are missing assignments, failing tests, excessively absent, or have personal circumstances impacting your academic performance. If submitted as an Early Alert you will be notified via your NCTC e-mail address and then contacted by a Counseling and Testing advisor or counselor to discuss possible strategies for completing your course successfully.  The NCTC CARES (Campus Assessment Response Evaluation Services) Team addresses behavior which may be disruptive, harmful or pose a threat to to the health and safety of the NCTC community-such as stalking, harassment, physical or emotional abuse, violent or threatening behavior, or self-harm. As a student, you have the ability to report concerning behavior which could impact your own safety or the safety of another NCTC student. Just click the NCTC CARES Team logo posted on MyNCTC, or send an e-mail to CARESTeam@nctc.edu.  As always, if you feel there is an immediate threat to your own safety or welfare (or to another student), please call 911 immediately.