"Utilization of Skills in the Care of the Adult with Common, Well-Defined Health Deviations II" (NS 227) is an associate degree nursing course offered at Chattanooga State Technical Community College to help students implement increasingly complex nursing strategies and develop new competencies related to patients with cardiovascular, respiratory, neurological, and urinary deviations. The course syllabus for NS 227 begins with information on class, laboratory, and credit hours; prerequisites; textbooks; week-by-week course content; course competencies; evaluation criteria; and curriculum coding. The bulk of the syllabus presents competencies, assignments, information sheets, and questions keyed to the textbook for each of the five course units. The units focus on: (1) adaptive needs for sensory stimulation and related health deviations; (2) care of the patient with deviations of the cardiovascular subsystem; (3) care of the patient with deviations of the respiratory subsystem; (4) care of the patient with deviations of the neurological subsystem; and (5) care of the patient with deviations of the urinary subsystem. Finally, a clinical behaviors evaluation form related to course units is presented. (LAL)