Concepts and skills related to nursing care of medical/surgical patients and families with ambulatory, acute and critical needs. Discharge planning emphasized. Multiple standards of nursing care are synthesized to meet basic human needs of individual patients. This course is for the Columbia Gorge Nursing Program only. Prerequisites: NUR 110, 111, 112, 210. Clinical: Registration must be completed and TB test results and proof of current immunizations submitted before student permitted in clinical area. Current CPR certification required.