South Texas College DIVISION OF NURSING/ALLIED HEALTH Associate Degree Nursing Master Syllabus

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1 South Texas College DIVISION OF NURSING/ALLIED HEALTH Associate Degree Nursing Master Syllabus Chair s Information : 1. Name of Chair: Jayson T. Valerio, RN, MSN 2. Office Location: Nursing and Allied Health Center, Room Telephone #: (956) FAX#: (956) Address: jaysonva@southtexascollege.edu Course Information: 1. Course Name: Management of Client Care 2. Course Number and Section Number: RNSG 2121 (1 1 0) 3. Days and Time Class Meets: Friday AF1 8:30 to 10:30 in R Friday AF2 12:30 to 2:30 in R Catalog Course Description: This course is an exploration of leadership and management principles and current issues applicable to the role of the nurse as a provider of care, coordinator of care, and member of the profession. It will include application of knowledge, judgment, skill, and professional values within legal/ethical framework. 5. rogram Learning Outcomes: 0. Students will develop a prioritized patient plan of care appropriate to the level based on nursing process. 1. Evaluate legal, ethical role within scope of nursing practice with the client healthcare team to meet client's healthcare needs. 2. Implement individualized teaching plan for client/family concerning promotion, maintenance or restoration of health. 3. Apply the use of critical thinking to analyze clinical data evidence-based nursing literature as bases for decision-making. 4. Develop with assigned healthcare team, plan for post-hospital healthcare needs. 5. Demonstrate safe, effective efficient care of clients in a caring environment either through direct care or assignment and/or delegation of care to a member of the healthcare team. 6. articipate in activities that promote the development and practice of professional nursing. 6. Course Learner Outcomes/Educational Objectives: The students will: define and describe leadership. critique qualities of leadership. 1

2 specify the linkage between followership and leadership. distinguish the difference between management and leadership. apply leadership to clinical nursing practice. analyze the roles a manager plays. relate management concepts to nursing leadership and management. distinguish between statutory law and common law. analyze how the law and professional codes of ethics play a vital role in nursing practice. describe the Texas Board of Nursing mission statement. discuss how the Texas Board of Nursing Rules relate to the statutes in Texas Occupation Code. identify and describe the grounds on which nurses and health care organizations can be found legally liable for harm caused to others by civil wrongs. identify the standards of nursing practice and apply in clinical nursing practice. identify effective communication tools. analyze and apply problem-solving and conflict resolution tools. discuss rationale for good time management skills. describe delegation, delegator, delegate and supervision. analyze the legal and regulatory aspects of delegation and supervision. analyze the use delegation and supervision to licensed vocational nurse and unlicensed assistive personnel. demonstrate confidence and readiness to successfully pass NCLEX-RN. recognize individual student remediation needs and develop a plan for final NCLEX preparation. demonstrate student test taking skills at the application, synthesis and analysis levels. identify strengths and areas for focused review in relation to NCLEX-RN test plan. 2

3 7. Course Competencies: Upon completion of the course the student will A. rovider of Care rogram Learning Learning Activities Outcomes 1. Analyze the health status and holistic in-depth assessment criteria of clients 1 Reading, collaborative learning, of cases, computer assignments, 2. Analyze the appropriate use of delegation in the health care setting and the potential out comes to the patient population 3. Distinguish effective nursing interventions for clients with alterations in health utilizing principles of Leadership and Management. 4. Identify potential outcomes of client responses and revision possibilities of plan of care plan within a leadership framework. 5. Evaluation direct and indirect care assignments for appropriate outcome management. 6. Evaluate evidence-based practices for decision making in practice outcomes. B. Coordinator of Care 1. Analyze human and material resources that will best allow the nurse to manage costeffective care for clients and their families within culture and health care network. 2. Analyze scenarios of client/family and health care providers for appropriate collaborative communication choices to prioritize, delegate and provide for continuity of care in structured settings. 3, 6 Reading, individual and collaborative assignments, lecture & discussion, NCLEX Questions 1, 2 Reading, assignments, case method, NCLEX Questions 1, 5, 7 Feedback Lecture, text, collaborative assignments, NCLEX Questions 1, 3 4 Reading assignment, Lecture, collaborative assignment NCLEX Questions Evaluation Test Test and roject Tests and roject Tests and roject Test 1, 6 Reading, lecture feedback, Test 1, 2, 3, 6 Collaborative learning, Test reading, lecture, NCLEX Questions Test and 3. Analyze staffing principles for appropriate care outcomes of clients in an acute setting. 2 Critical Thinking Group Work 4. Analyze various health care scenarios to choose safe management concepts and 6, 7 Reading, lecture, videos, local nursing practice for planning, providing, and delegating care within the organizational structured Collaborative framework of a given nursing unit scenario Group; NCLEX Questions project Test, short paper C. Member of rofession 1. Distinguish nursing responses that demonstrate accountability and responsibility (including ethical and legal rights) for the quality of nursing care provided to multiple system failure clients and when managing care for multiple clients. 2. Distinguish behaviors that emulate a respectful caring nursing presence that advocates for quality health care for clients and their families. 3 2 Reading, assignments, collaborative group work, NCLEX Questions 6 Reading, lecture, classroom presentation, NCLEX Questions 3. Solve management and leadership scenario for positive patient outcomes 1, 2 Reading, class discussion, collaborative assignment, NCLEX Questions Test Test Tests, Collaborative group assignment

4 SCANS INFORMATION 1. Department Foundation Skills Examples of Necessary Skills Used In This Class Basic Skills Textbooks, professional journals, internet research a. Required reading Short papers on assigned topics, study guide, software programs assignments, tests b. Written communication Receive, interpret, and respond to verbal messages in large, small groups and during observation exercises c. Listening Oral reports, in class group discussion, clarifying, collaboration with members of health care team d. Oral communication Basic word processing, searching for legitimate health care articles in the web-engines e. Computer literacy Thinking Skills ersonal Qualities In class individual & group projects to analyze data, practice critical thinking exercises necessary to establish a nursing care plan; CAI-NCLEX Review, health care site analysis For projects, set goals, practice self-management, establish client/peer/staff/instructor rapport, complete activities initiating personal responsibility for accuracy, honesty and on time completion. 2. WORKFORCE COMETENCIES Upon program completion the student Resources a. Coordinates human and material resources Interpersonal a. Implements strategies to improve care b. Develops and implements methodologies to improve care outcomes c. Evaluates client and family responses to improvement interventions d. Collaborates with clients, families and health professionals e. Assumes accountability & responsibility for quality care Information a. Determines improvement opportunities for clients, families and the organization b. Analyzes systems and processes for outcome management c. Uses clinical data and current literature in nursing Work lace Competency artially () or Completely (C) met in this course and /or has been completed in this course for the level objectives. The following objectives will contribute to the completion of the work place competencies B-1, 2, 3; C-1, 2, 3 C A-30, 5; B-1, 2, 3, 4; C-1, 2, 3 A-4 A-5; B-2; C-2 A-1; 2; 3; 5; B-2 A-5; 6; 7 C-1, 3 A-1, 4, 5 A-2, 3; B-3 A-4,7 4

5 Systems a. rovides for the care of multiple clients, families in structured settings by directing care or through appropriate delegation to others b. Refers clients & families to appropriate assistance c. Functions within the organizational health care system d. Acts as client/family advocate in health care e. articipates in professional activities Technology f. Uses technology to enhance client care, adhere to legal/ethical principles, impact quality outcomes, and financial implications C A-2; B-1, 2, 3 B-1, 2, 3 B-3 B-1, 4 C-4 A-5; 6 C-3 A-3, 5; 7 B-1 Developmental Studies olicy Statement: The College s Developmental Education lan requires students who have not met the college-level placement standard on an approved assessment instrument in reading, writing, and/or mathematics to enroll in Developmental Studies courses including College Success. Failure to attend these required classes may result in the student's withdrawal from ALL college courses. Statement of Equal Opportunity: No person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program or activity sponsored or conducted by South Texas College on the basis of race, color, national origin, religion, sex, age, veteran status or disability. Alternative Format Statement: This document is available in an alternative format upon request by calling (956) ADA Statement: Individuals with disabilities requiring assistance or access to receive services should contact disability Support Services at (956)

6 8. Course Delivery, Evaluation Methods, Grading Criteria and rocedures: A. Delivery: This course will be delivered via face-to-face and a portion distance learning. It will enable the students to complete academic work in a flexible manner. DVD/videos, textbooks, articles, and access to an online course platform will be made available to each student. Online assignments include discussion questions (accomplished through a threaded discussion forum), collaborative group activity and individual assignments. B. Method of Evaluation: Students grades will be based in the following ways: 1. Discussion Forum/Reflection: 5 % of Final Grade The online discussion forum provides opportunity collaboration and dialogue with other students. Each discussion consists of the following: related topics as per syllabus outcome of collaborative group activity discussion forum activity in which students are asked to interact with each other and/or with members of the group to brainstorm ideas. Note: For online discussion forum, you will be directed to: - post your thoughts/insights/ideas for other students to consider - read student s comments/postings - respond to at least two number of postings from other students - reflect your own posting and other students postings - see grading criteria for online discussions under course homepage Netiquette for Online Discussions: a. Acknowledge other students' comments/postings, even when you disagree, and always provide clear, logical and reflective insights for your views. b. Respect the rights of other students to participate in ways which are free from harassment and intimidation. Flaming (comments intended to abuse or insult) and personal abuse are entirely inappropriate. c. Always assume good intent and respond accordingly. If you are unsure of or annoyed by a message, wait 24 hours before responding. d. When posting a message choose your words carefully to communicate what you intend. Don t assume that others will interpret your message in the same way that you do. Try to re-word your message if you think there is a chance that others will misunderstand your message and be offended by it. e. Avoid typing in all capitals because it is difficult to read and is considered the electronic version of shouting. f. Avoid the use of emoticons when posting comments. Emoticons are textual expressions representing the face of a writer's mood or facial expression. f. Give your postings and replies to postings meaningful Subject titles related to what you are saying so as to assist others to locate and read your messages. g. Quote the relevant message or excerpt when responding. This will help other students see which point you are responding to in a complex multi-level discussion thread. h. If you include an attachment to your message please ensure that it is free of any viruses before posting it. 6

7 2. Collaborative Group Activity: This group activity will be given during the class. See grading criteria for collaborative work activity under course homepage 3. Unit Exams: 20 % of Final Grade There are two scheduled unit exams for the course. 4. Quizzes: 5 % of Final Grade There are scheduled quizzes for every topic and will be available online from (AM Class: 10:30 to 1:30 M) (M Class: 2:30 to 5:30 M) in the ASSESSMENT link on the home page. You will only have one chance to log on and take the exam. Quizzes are timed and NO SECOND ATTEMTS will be allowed under any circumstances. 5. NCLEX reparation: 50 % of Final Grade This component of the course will reinforce and complement prior knowledge gained in the nursing curriculum. It will be a self-directed learning with the use of blackboard learning to access different exams. Students will utilize the nursing process and critical thinking skills to review previously learned nursing concepts. Completion of this portion will assist students to further prepare for NCLEX-RN Examination. NOTE: All students will: do a minimum of 100 NCLEX review questions per assigned topic. (See outline) select the questions from a computerized NCLEX review program such as Davis Q & A, Mosby, Saunders, or NCLEX EVOLVE Student Review for NCLEX questions CD will also be acceptable. o Be sure to choose a review program that gives a printed evaluation of your performance. o Take the test without using your text books or any references. o After completing the test, print your score/result. Highlight the topic and score and submit the print out result to the instructor. be required to score equal to or greater than 85% on 100-item practice question tests as passing grade. To calculate this portion of your grade to your final grade: o Weekly Assignments Average =10% o Exit Exam 1 Conversion Score + Exit Exam 2 Conversion Score = Average = 90% 6. Final Exam: 20 % of Final Grade 7

8 FACULTY FEEDBACK SCEHDULE: Written assignments will be returned within working seven days following the due date. Responses to , texts and voic queries will be made within 48 hours. C. Grading Criteria: Your final grade will depend on the following criteria: Units Test = 20% Final Exam = 20% NCLEX reparation = 50% Group Activity/Discussion Forum = 5% Quizzes = 5% Grade Scale: At the end of the course, students will earn a grade based on the following scale: LETTER GRADE OINTS EARNED A % B 83-89% C 75-82% D 65-74% F 64% and BELOW Student must achieve a grade of 75.0 or better in the course. The numerical equivalent is rounded off at 0.5 or above for grades of 75 only. For example, 89.5 would become 90, and 92.2 would become 92; 74.5 remains 74. rogram rogression: Student must have a 75% course average for RNSG 2121, RNSG 2331 and have successfully completed clinical RNSG 2163 to progress to the RNSG rocedures: Discussions: Your active participation in the discussions and timely completion of assignments are critical to the success of this course. Delivery of Assignments: Assignments (including NCLEX requirements) are to be submitted at the end of each class. Late Assignment olicies: It is imperative that assignments and discussion forum postings are submitted by the time and date specified. In extenuating circumstances, the faculty may agree to accept a late assignment with a late course work form that is available in the home page under handout. In the event that a late assignment is accepted, the faculty will impose ten (10) points deducted for each day late. Assignments more than one week late are not accepted. Quizzes and discussion forum postings are not to be made up. oints will be deducted for missed postings. 8

9 10. Other Requirements: Student Handbook: Students must review the Student Handbook and sign the attached sheet stating they have read the attendance, cheating, professional appearance, and Statement Regarding Board Regulation for License Eligibility; Article 4519 a and 4525 policy. Eligibility for State Board Exam: Students must review attendance, eligibility for exam make-up, Statement Regarding Board of Nurse Examiners for the State of Texas Regulation Eligibility for Licensure: Sec & Sec in the STC Nursing Student Handbook, (on line at Students must sign the attached form confirming understanding and acceptance of the policies in both documents. Academic Honesty and lagiarism: Academic integrity is the pursuit of scholarly activity free from fraud and deception and is an educational objective of South Texas College and the Nursing/Allied Health Division. Academic dishonesty includes, but is not limited to, cheating, plagiarizing, fabricating information or citations, facilitating acts of dishonesty by others, having unauthorized possession of examinations, submitting work of another person or work previously used without informing the instructor, or tampering with the academic work of other students. Individuals found guilty of academic dishonesty may receive a failing grade for the assignment and/or course as per instructor decision. It is the student's responsibility to have a clear understanding of the various aspects of academic dishonesty. lagiarisms and other forms of scholastic dishonesty are serious academic violations that will not be tolerated. Scholastic dishonesty encompasses, but is not limited to, cheating, plagiarism, collusion, and any act designed to give an unfair academic advantage to the student. Cheating includes, but is not limited to * copying from another student s work; * using materials not authorized by a testing proctor; * possessing materials that are not authorized by a testing proctor, such as lessons, books, or notes; * knowingly using or soliciting, in whole or part, the contents of an non-administered test; * collaborating with or seeking aid from another student without authorization during the test; * substituting for another person, or permitting another person to substitute for oneself, in taking a course test or completing any course-related assignment; lagiarism includes, but is not limited to, the appropriation, buying, receiving as a gift, or obtaining by any means someone else s work and then submitting that work for credit as if it were one s own. Collusion includes, but is not limited to, unauthorized collaboration with another person in the preparation of an academic assignment offered for credit. The penalties for scholastic dishonesty in graded assignments include the possibility of failure in the course. Scholastic dishonesty in examinations will result in a grade of F on the examination and an F in the course. Furthermore information about the South Texas College Conduct may be found in the student handbook online at 9

10 11. Course Materials: Texts: Whitehead D., Weiss S., Tappen R., (2010). Essentials of Nursing Leadership and Management (5 th ed). hiladelphia, A: F.A. Davis. Ohman K., (2010). Davis Q&A For The NCLEX-RN EXAMINATION (1 st ed). hiladelphia, A: F.A. Davis. DVDs/Videos: A Times Mirror Company. (1995). Legal and Ethical Issues in Nursing: Ethical Dilemmas and Decision Making. Mosby-Year Book, Inc. Optional Texts: Jones, R. (2007). Nursing Leadership and Management (1 st ed). hiladelphia: F.A. Davis Company Boyd, D., Hinds, M., Hylands, J., Saccoman, E., (2008). Comprehensive Review for the NCLEX-RN Examination (2 nd ed.) Mosby: Elsevier Doenges, M.E. & Moorehouse, J.B. (2000). Nurses pocket guide: Nursing diagnoses, interventions, and rationales (7 th ed.). hiladelphia, A: F.A. Davis. Silvestri, L. (2008). Saunders Comprehensive Review for NCLEX- RN (4th ed). hiladelphia: W.B. Saunders. In accordance with copyright laws copied texts are not allowed in the classroom. 10

11 Topic Outline I. Leadership and Followership (September 9) a. Definition of leadership, followership b. Leadership Theories c. Qualities of an Effective Leader d. Behaviors of an Effective Leader II. Manager a. Definition of management b. Management Theories c. Qualities of an Effective Manager d. Behaviors of an Effective Manager M Class: NCLEX Diagnostic Test 8:30 to 11:30 in R 406 AM Class: NCLEX Diagnostic Test 12:30 to 3:30 in R 406 III. Nursing ractice and the Law/Nursing Licensure & Regulation in Texas (Sep 16) a. Identify three major sources of law. b. Differentiate between malpractice and negligence. c. Explain how standards of care are used in determining negligence and malpractice. d. Describe how nursing practice acts guide nursing practice. e. Explain purpose of licensure, multi-state licensure and discuss issues of licensure. f. Discuss advance directives and how they pertain to client s rights. g. Discuss the legal implications of the Health Insurance ortability and Accountability Act. h. Restate the mission of the Board i. Differentiate the roles and functions of the BON from those of nursing and healthcare specialty associations. j. Explain the functions of the Board. k. Explain why a license is required to practice nursing. l. Locate the statutes and rule that protect the title nurse. m. List the minimum information required on a name badge. n. Different appropriate methods of verifying a nurse s license. o. List requirements for licensure renewal. p. Describe nurse licensure compact. q. Locate the rule and resources information that lists the Continuing Education requirements for licensure renewal. IV. Nursing Ethics a. Define the term ethics. b. Seven basic ethical principles to an ethical issue. c. Ethical principles. 11

12 V. Scope of Nursing ractice a. Identify the differences in the nursing process for professional conduct and grounds for BON disciplinary action and other boundary violations. b. Explain how to file a report complaint regarding a nurse who is believed to have violated some portion of the statutes or rules. c. Identify who can supervise the nursing practice of a vocational nurse. d. Describe conduct by a nurse that is subject to reporting to BON versus non-reportable conduct. e. Discuss the mandatory reporting requirement of a nurse. f. Identify others who have mandatory reporting requirement. g. List the grounds for disciplinary action against a nurse s license authorized in statute. h. Explain the purpose of the BON s position statements, guidelines and other documents on the BON web page other the statutes and board rules. i. Define the nurse s duty to the patient. j. Locate appropriate resources a nurse can use to determine what is or is not within his/her individual scope of practice. k. Discuss the guidelines associated with graduate vocational and graduate nurses and newly licensed nurses; and with nurses who are transitioning back into practice or to a new practice setting. l. Differentiate the role of the LVN and RN according to the Interpretive Guideline for LVN Scope of ractice under rule n. Discuss rule , Standards of Nursing ractice and identify the standards that apply to all nurses; then differentiate the standards of practice for LVNs, RNs and RNs with advanced practice authorization. o. Recognize human factors, such as fatigue and look-alike medication packaging that contribute to nursing errors and can place patients at risk of harm. Quiz: AM Class: 10:30 to 1:30 & M Class: 2:30 to 5:30 in the ASSESSMENT link Discussion Forum see topic for discussion forum. This discussion forum will be open for one week. Unit Exam 1: Sep 30, 2011; Time TBA; Room TBA VII. Getting eople to Work Together (Oct. 7) a. Definition of communication b. rinciples of effective communication c. Assertiveness in communication d. Barriers to effective communication in the work place e. Communication with colleagues f. Reporting client information g. Seeking evaluative feedback h. erformance appraisal VIII. Dealing with roblems and Conflicts a. Sources of conflict b. Resolving problems and conflicts c. Collective bargaining: Definition and urpose IX. Time Management a. Organizing your work 12

13 b. Setting your own goals lists c. Setting limits d. Streamlining your work Exit Exam 1: Computerized roctor Exam M Class: Evolve NCLEX Exit Exam 8:30 to 11:30 in R 406 AM Class: Evolve NCLEX Exit Exam 12:30 to 3:30 in R 406 X. Delegation of Client Care (Oct. 14) a. Define the term delegation, supervision and training. b. Understand the legal implications of making assignments to other health care personnel. c. Discuss the five rights of delegation d. Recognize barriers to successful delegation. e. Give examples of delegation scenario and recognize proper delegation of care. f. Identify the level of nursing licensure required in Texas in order to delegate tasks to unlicensed personnel. Quiz: AM Class: 10:30 to 1:30 & M Class: 2:30 to 5:30 in the ASSESSMENT link Unit Exam 2: Oct 21, 2011 Time TBA; Room TBA X. Your Nursing Career (Oct. 28) 1. Evaluate personal strengths, weaknesses, opportunities and threats using SWOT analysis. 2. Develop a resume and cover letter. 3. Discuss proper ways on how to send electronic resume. 4. Discuss components of interview process. 5. Identify appropriate dress for a successful job interview. 6. Discuss potential interview questions and identify acceptable answers. 7. Discuss many nursing opportunities available upon graduation. 8. Identify various opportunities for certification. XI. NCLEX reparation and rofessionalism (Oct. 28) a. Outline preparation for NCLEX. b. Relate factors associated with NCLEX RN performance. c. Outline components of organizing a review to prepare for NCLEX. d. Identify elements of a profession. e. Analyze commitment to professional development. Exit Exam 2: Computerized roctor Exam M Class: Evolve NCLEX Exit Exam 8:30 to 11:30 in R 406 AM Class: Evolve NCLEX Exit Exam 12:30 to 3:30 in R406 Final Exam: Nov. 4, 2011 Time TBA; Room TBA 13