Montgomery College. Associate Degree Nursing Student. Handbook PREFACE

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1 Montgomery College Associate Degree Nursing Student Handbook PREFACE 1

2 This student handbook contains both general policies for all nursing students in NHMCCD, which includes both the ADN integrated and block programs, as well as specific policies for the Vocational Nursing programs. Please note any specifics for your nursing program. ADA STATEMENT It is the policy of NHMCCD College to comply with requirements of the Americans with Disabilities Act (ADA) unless such action shall pose an undue burden or would result in a fundamental alteration of programs of the district. Individuals requesting assistance under the letter or spirit of ADA should contact Angela Martin at or ACADEMIC ACCOUNTABILITY Although participation and sharing of experience is an integral part of the Nursing Program, responsibility for learning must be assumed by the individual student. Certain learning experiences are designated under the Academic Integrity guidelines. Under these guidelines, the student will neither solicit, accept, nor give help on exams. At all times the student will honor his/her responsibility not to take credit for work that is not his/her own. See Statement of Academic Integrity in this Handbook. 2

3 TABLE OF CONTENTS ASSOCIATE DEGREE NURSING PROGRAM MISSION AND PHILOSOPHY... 6 CONCEPTUAL FRAMEWORK... 8 PROGRAM OUTCOMES ENTRY LEVEL COMPETENCIES LEVEL ONE COMPETENCIES VOCATIONAL NURSING EXIT OUTCOMES (MEEP) ADN PROGRAMS: LEVEL 2 COMPETENCIES COMPETENCIES OF NEW GRADUATES STUDENT ACCOUNTABILITY FOR MEETING REQUIREMENTS OF DEGREE PLAN BOARD OF NURSE EXAMINERS DECLARATORY ORDERS BOARD OF NURSE EXAMINERS REQUIREMENT FOR LVN LICENSURE DEPARTMENTAL POLICIES ATTENDANCE APPEALS CLINICAL ASSIGNMENTS CONFIDENTIALITY STATEMENT CODE OF CONDUCT CRIMINAL BACKGROUND CHECKS PROFESSIONAL LIABILITY INSURANCE PROGRESSION REQUIREMENTS READMISSION REFUSAL TO PROVIDE CARE STUDENT REPRESENTATIVES TRANSFER OF NURSING CREDITS GRADING AND EVALUATION

4 EXAMINATION REVIEW ACADEMIC SUPPORT, STUDENT SERVICES NHMCCD TRANSFER OF NURSING STUDENTS CHILDREN IN THE CLASSROOM STUDENT HEALTH POLICIES & PROCEDURES STUDENT ADMISSION WITH HIV & OTHER INFECTIOUS DISEASES.. 39 STUDENT IMMUNIZATIONS TUBERCULOSIS POLICIES AND PROCEDURES PREVENTION OF EXPOSURE TO BLOOD OR BODY FLUIDS STUDENTS WITH TEMPORARY DISABILITY IMPAIRED STUDENTS IN CLINICAL PRACTICE DRUG AND ALCOHOL ABUSE COMPLIANCE WITH AMERICANS WITH DISABILITIES ACT STATEMENT OF ACADEMIC INTEGRITY STUDENT POLICIES FOR CLINICAL AREA CLINICAL MEDICATION POLICY CLINICAL DRESS GUIDELINES GUIDELINES FOR THE EMPLOYMENT OF NURSING STUDENTS GLOSSARY OF TERMS IN THE CURRICULUM APPENDIX A NURSING HONORS CONTRACT APPENDIX B COMPLIANCE WITH AMERICANS WITH DISABILITIES ACT APPEALS PROCEDURE APPEALS PROCEDURE FLOWCHART CONFIDENTIALITY STATEMENTS AND SIGNATURE FORMS CHEMICAL DEPENDENCY POLICY FOR CAUSE HESI EXIT EXAM OPTIONS

5 APPENDIX C STUDENT ACKNOWLEDGEMENT SIGNATURE FORMS DRUG & ALCOHOL ABUSE POLICY / SIGNATURE FORM DOCUMENTATION OF IMMUNIZATION FORM STATEMENT OF ACADEMIC INTEGRITY STUDENT EMERGENCY PROCEDURE INFORMATION STUDENT RELEASE OF LIABILITY APPENDIX D DIFFERENTIATED ENTRY LEVEL COMPETENCIES (DELC) - 5

6 To Provide: Mission Statement Montgomery College Nursing Program The communities of northern Harris and Montgomery counties in the state of Texas with quality nursing education through partnerships with healthcare affiliates. An innovative, flexible, multi-entry-exit nursing education program to fulfill the changing needs of the local community which we serve and strive for continuous improvement of the program. Culturally and ethnically diverse nursing graduates, who possess the technical and critical thinking skills necessary to adapt to an ever-changing nursing profession through lifelong learning. Nurses who are committed to developing a caring, holistic environment, treating clients with respect and dignity, and who are committed to serve their communities through volunteerism, mentorship, and stewardship by providing healthcare information and treatment. A work environment that values faculty and staff, fosters team-work, collaboration, innovative problemsolving, respect for peers and students, and provides excellent role models for the nursing profession. Philosophy Montgomery College Nursing Program The nursing faculty supports a curriculum that develops student learning holistically across the life span through progressive and integration of learning. The faculty believes that this dynamic approach reduces the compartmentalization of knowledge and facilitates student retention of nursing knowledge into long-termmemory and the development of critical thinking skills. The nursing faculty values the student-teacher relationship in which the teacher uses self as an expert to teach novice student learners about human beings, the environment, health, nursing and the teaching and / or learning process. Human Beings - Human beings (refer to and include) individuals, families, and communities. Growth and development, culture, family dynamics, and community influence human beings. Each individual possesses the potential for learning and developing over the life span. They have inherent worth and dignity as well as being unique. They also have the right to optimal health. Environment - The sum of internal and external environmental factors affects health along the wellnessillness continuum, utilizing the concepts of primary, secondary, and tertiary care. Environment is inclusive of technological advances utilized in the delivery of healthcare needs. Health - Health is perceived as a continuum of wellness-illness across the life span. It is manifested by continuous interaction and adaptation within internal and external environments. Nursing - Nursing synthesizes knowledge and skills gained from previous courses in the arts, sciences, and nursing to create a theoretical base for the provision of individualized, holistic care for individuals, families, and communities. Emphasis is placed on health promotion, prevention of illness, restoration, 6

7 and maintenance of optimal functioning. Nursing is a unique profession that blends scientific knowledge and caring. Teaching-Learning - Learning is a lifelong, dynamic process of personal and professional growth. Teachers and learners take active roles to collaborate in the process that prepare the students for the practice of nursing. Nurse educators must be proactive and visionary in providing educational experiences and opportunities that will assist students by stimulating intellectual curiosity, social responsibility, and skills and knowledge to support a productive life. 7

8 Conceptual Framework The conceptual framework utilizes two central themes as the basis for developing the nursing educational program: (1) healthcare consumer, and (2) the practice of nursing. In addition, there are several concepts which are unifying threads throughout the curriculum. Healthcare Consumer Basic Needs An individual's behavior is a result of striving toward meeting needs, beginning with those essential to life and progressing toward creative self-realization. Needs are communicated through a wide variety of behaviors. Nursing needs to be knowledgeable about various behavior patterns in society to develop an understanding of individuals and assist them in maintaining health and coping with illness and other crises. Development across the Life Span The developmental process is a continuous, lifelong progression through definable stages that begin with conception and end with death. Human development is the outcome of the individual's response to a variety of intrinsic and extrinsic forces: biological, psychological, social and environmental. Nursing practice as it relates to the developmental process focuses upon an identification of the stages of the human life cycle to promote the factors that permit attainment of the individual's optimal potential. Social Organization The individual, the family, and the community are interacting with components of the social structure. Nursing practice utilizes a broad biological and behavioral science background, as well as an awareness of diverse cultural influences, as a prerequisite for the nursing focus on the individual, the family, and the community. Health As the individual interacts and responds to the internal and external environment, varying degrees of health are experienced. The wellness continuum is a symbolic representation of the varying degrees of health experienced by the individual, the family and the community through time and space. The changing status of health, on a continuum, is influenced by both the maintenance and promotion of wellness and the alleviation of illness. The nurse relates the totality of a person's life to those factors affecting health maintenance. A broad range of biological, psychological and social factors are considered in helping a person formulate programs for health maintenance. Practice of Nursing Nursing Role Development A role can be defined as a cluster of those functions a person performs when occupying a specific position within a particular social context. In response to a dynamic society, nursing is continually redefining nursing roles to provide more individual and comprehensive healthcare. Nursing roles identified by the National League for Nursing are Provider of Care, Coordinator of Care, and Member of the Profession. Standards of care for each level of nursing as well as competency statements guide the nurse in fulfilling the roles of Provider of Care, Coordinator of Care, and Member of the Profession. The graduate nurse demonstrates competencies in these roles, depending on the educational level completed, for example: The Certified Nursing Assistant practices in structured settings and provides basic nursing care under the direct supervision of a licensed nurse. The Licensed Vocational Nurse is an accountable member of the healthcare team and collaborates in providing basic preventative, therapeutic, and rehabilitative measures for clients of all ages and cultural backgrounds in a variety of structured settings. The Associate Degree Nurse is an accountable member of the healthcare team, providing preventative, therapeutic, and rehabilitative measures for clients and families of all ages and cultural backgrounds, 8

9 coordinating care for a group of clients and families through use of the problem solving process, and supervising other healthcare providers in a variety of community based settings. The Baccalaureate of Science Nurse is an accountable member of the healthcare team, developing and applying nursing research and theory, implementing comprehensive nursing care for a variety of clients in various settings, coordinating care for individuals, families, aggregates and communities, and supervising other healthcare workers. Provider of Care Nurses of all educational backgrounds provide preventative, therapeutic, and rehabilitative measures for clients in a variety of settings. Nurses use critical thinking to make appropriate nursing decisions, based on a specific knowledge base, experience, competencies, attitudes, and standards. Nurses incorporate knowledge from nursing literature and advancing technology to provide relevant and safe nursing care. The nursing process is an organized, systematic method to assess health needs, plan, administer, and evaluate care given to individuals or groups in various settings. Nursing requires effective use of communication skills to function in interviewing, teaching/learning, and counseling situations. Communication of empathy, respect and care facilitate effective delivery of nursing care. Coordinator of Care Nurses organize and facilitate the delivery of comprehensive services to clients. Collaboration with the client, significant others, and members of the multidisciplinary healthcare team is essential to nursing care. Nursing services are provided in a variety of healthcare settings. Because disease is only one aspect of the wellness continuum, problems of health promotion, maintenance, and restoration are encountered in many different settings (home, community, school, work, recreation, and institutions). The nursing education program is designed to provide exposure to a variety of disciplines and clinical experiences in diversified settings to enhance the learner's understanding of man and his environment. Member of the Profession As increasing scientific and technological progress and social change result in consumer demands for more comprehensive healthcare, nursing must respond by redefining and expanding nursing roles to meet the needs of a dynamic, diverse, and multicultural society. Responsibilities of the nurse should include: commitment to the profession through active participation in those political and professional organizations designed to promote the development and practice of nursing, accountability and responsibility in nursing practice, legal and ethical nursing practice, and assurance of high standards in the practice of nursing. Other organizing concepts incorporated throughout the nursing curriculum are: The Teaching Learning Process for The Adult Learner Learning is an active process that utilizes the thinking and perceiving abilities and knowledge previously acquired to gain new knowledge in explaining events, facilitating change, and solving problems. Nursing utilizes learning theories in conjunction with a broad scientific foundation to promote the development of critical thinking and the synthesis of learning. Through partnership in learning, both students and faculty are active participants in the learning process. In addition, the content flows from simple to complex. The Development of the Nursing Role Through a multiple entry - exit system, the nursing program addresses the needs of the adult learner in the community. The unified nursing program provides the following: entry through tech-prep with preparatory courses in local high schools, preparation as a certified nurse assistant through the continuing education department, entry into the LVN program at various sites, entry into the ADN program with an elective to take 9

10 the LVN licensing exam, a transition for currently licensed LVN's and Paramedics into the ADN program, courses to prepare for a higher degree at local universities, a transition for ADN graduates into the baccalaureate program available at the University Center at the Montgomery College site, and continuing education courses at various sites. Each component of the nursing program has been designed to promote a seamless educational journey which encourages and expedites mobility between the levels of nursing. The Decision Making Process Decision making, the end product of the problem solving process, is utilized to fulfill needs and reach goals. The decision making process, in addition to being a part of the nursing process, is an inherent aspect of daily living. Critical thinking is essential to the decision making process in nursing, incorporating information from a specific knowledge base, experience, competencies, attitudes, and standards. Decisions are also based on knowledge from research and advancing technology. The Communication Process Communication is the means through which social interaction and learning take place. It is the process by which ideas, attitudes and knowledge are transmitted and received. Nursing requires effective use of communication skills to function in interviewing, teaching-learning, and counseling situations. The Process of Health Promotion The promotion of health is an integral component of nursing practice. This includes promotion, maintenance and restoration of optimal health. The Process of Developing a Caring Relationship A caring relationship between nurses, clients, and their families begins with self-awareness on the part of the nurse. The nurse must then recognize the other person's worth, dignity, and frame of reference, within the diversity of experience, lifestyle, and culture. The nurse-client relationship progresses to the giving of self while providing competent nursing care to clients and their families. A caring relationship develops as the nurse becomes empathetic and responds to the needs of the individual, family, and group. Interaction with clients in a humanistic, empathetic manner is the artistic activity of caring in nursing. 10

11 Threads Threads II III IV Role of the Nurse Intro to RN Roles (NLN)- Legal; BNE; Licensure; Provider of care to client with basic needs; Provider of Care to Client with Predictable outcomes; Provider of Care to Complex client; Coordinator of Care; Introduction to delegation Communication (concepts of caring and teaching learning are also included) Community / Culture (environment and social organization) Health / Wellness Intro. Medical Terminology / abbreviations; Intro. Concepts of therapeutic communication; Intro basic documentation of stable or well client; Intro caring trust relations Types HC facilities (LTAC, Office, Hospital); Patients Rights; Multiculturalism Beliefs; Student Nurse Organization; Professional Organizations; c Responses to local Healthcare needs Basic Care Introduction to H / W continuums; Influencing factors, perception; Primary prevention nutrition, sleep, exercise, immunizations; Chronic and Wellness Medical terminology of acute care; Therapeutic communication with clients acutely ill; preparatory teaching; periop documentation; crisis intervention Introduction community resources; acute care; volunteerism; Response to local healthcare needs First aid, therapeutic communication Acute care; Pre-op; Recovery; Secondary Prevention Medical terminology of complex care; Therapeutic communication of complex; Teaching plan (formal) Complex care - Cost / benefits / rights; PT / nurse ratios; Bioterrorism / disaster Response to local healthcare needs Triage, nursing interventions Complex Care; Rehabilitation Provider of Care; Coordinator of Care; Member of Profession; Team Manager Management delegation; conflict resolution; interview and hiring, disciplining; Resume / resignation; Quality control CQI Communication resources utilization / referral / management / Team management Response to local healthcare needs Coordination and mobilization of resources Rehabilitation; Complex Chronic Geriatrics Basic Needs Life Span ADLs, none sterile non invasive nursing skills Pediatric, adults and geriatrics; response to stress, age specific communication; primary prevention Sterile non invasive nursing skills, perioperative care Sterile invasive nursing skills, critical care Normal newborn, maternal Complex high risk maternity, labor and delivery, post partum; neo-natal intensive care, acute adult and geriatric care; complex Pedi adults and acute adolescent and adult geriatrics.; complex psychiatric, psychiatric care; and secondary Pedi adolescent and adult; prevention Tertiary preventions; Community needs and resources Complex chronic and genetic community care across the life spans including mental retardation 11

12 Montgomery College Associate Degree Nursing Program Summary of Implementation of Conceptual Framework Threads (Topics Across Curriculum) Practice of Nursing RNSG 1119 Vital Signs Infection Control Activities of Daily Living Introduce Medical Terminology Overall Curriculum The Workforce Education Course Manual Directed Flow of Content RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Primary Disease Prevention Health Promotion (diet, exercise, immunization) Nursing Assessment Normal Deviations Begin Nursing Process (Maintenance of basic Common Healthcare Needs in acute care Apply Nursing Process Perinatal Care (normal NB,LD, PP) PeriOp Care Frequently occurring Diseases (i.e. Aging, chronic secondary Acute Complex Healthcare Needs Client Advocate and Coordinator of Care Health Maintenance Collaboration Tertiary Health Restoration Chronic Complex Health Problems Leadership Management Delegation Decision Making Trends Values functioning with in the prevention, predictable systems as they are outcomes) Community introduced) Secondary Prevention Introduction Role of the Professional Nurse RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Professional Organizations Professional Growth Personal Growth Teaching Plan Application of the nursing process, goal setting and History of Nursing Roles defined (provider and coordinator of profession Levels of prevention Nursing process overview with a focus on assessment Critical thinking Intro to Legal and Ethical issues Introduction to NPA Theorists (Orem, Erickson, Maslow, Kubler Ross) Teaching / learning intro Documentation - systems Role of the Nurse Provider Coordinator of Care (COC) Member of Profession Collaboration (NPA) advocate nurse as a manager Application of the nursing process, evaluation and revisions Member of a profession Case Management Transition student nurse to profession Professionalism / Boundaries Leadership Group dynamics Change theory Conflict resolution Management of Patients Delegation Application of legal / ethical Legal / Ethical (NPA) Communication public formal Trends / Issues Research 12

13 Nursing Management of Maternal Child Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Normal labor vaginal delivery PIH Fetal Postpartum DM / GD Distress Fetal Assessment Bleeding Instrument Newborn Assessment (late/early), Delivery / Parenting PPH, PP, PA CS Support System Dysfunctional Brachial - Well fetal monitoring labor Plexus Biopsy - Uterine growth Premature Gestational Breast feeding labor age Bottle feeding Age extremes assessment Treatment STD maternal, infant Prepregnancy Antepartum Age related Normal sexuality Birth Control HIV in pregnancy Maternal / fetal demise Substance abuse (alcohol, smoking and drugs) FAS TORCH (Herpes, G-BetaS, Heb B) Multiple gestation Cardio Valvular, chronic Nursing Management of: Mental Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Intro Therapeutic Communication Ego Defense Mechanisms Death and Dying Substance Abuse Anxiety Disorders Mood Disorders (depression) Crisis intervention Anger/hostility/aggression Situational/Maturational crisis Suicide Bipolar Schizophrenia Somatoform disorders Personality disorders Medications ADHD/ADD Abuse (sexual, child, domestic) Mental retardation (PKU, fragile X, autism, down syndrome) Eating disorders Antidepressants Nursing Management of: Neurological Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Ears hearing deficits Eyes visual deficits Basic Neuro assessment Headaches Dementia (Alzheimer s) Delirium Pain, comfort, stress, sleep Basic Gerontology Disc Problems Spinal abnormalities Peri-neuropathy Febrile Seizure CVA Brain trauma (bleeds, ICP, herniation) Brain infection (meningitis, encephalitis) Brain Tumor Advanced neurological assessment Epilepsy Spinal cord injuries Spinal cord tumors Chronic Neurological disorders (MS, MG, Parkinson, ALS, CJD, Gillian Barre) Congenital Problems Hydrocephalus Myelomeningocele Nursing Management of: Respiratory Health 13

14 RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 O2 transport O2 Therapy ABG s basic URI Respiratory Allergies COPD Asthma Bronchitis, Emphysema, Epigotlitis Reactive Airway Pneumonia RSV TB RF (RDS, others) ABGs advanced interpretive Chest Trauma (pneumo / hemo thorax, flail chest) Pulmonary Edema/embolism Cystic Fibrosis Application of ABG s Nursing Management of: Circulatory Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 CHF Intro and chronic mgmt. Cardiomyopathies Inflammatory Heart Disease Shock Type Application of EKG ID of Congenital Heart defects pacer Blood transfusions Hypertension Vascular disease CAD (angina and MI) Vascular Disease HTN DVT Peripheral Vascular Disease Intro Basic EKG (brady/tachy/sinus) Intro CBC: H & H RBC WBC Platelets CHF Acute Management ECG Dysryhthmia management Advanced MIs (CABG, angioplasty, cardiac caths, Thrombocylics, tamponade, aneurysms Abdominal aneurysms HTN crisis Valvular disease DIC / HELLP Sickle Cell MSOF Type Nursing Management of: GI Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Hemocult screening Constipation Diarrhea Impaction Stool collection GERD Peptic Ulcer Cholecystitis / Cholelithiasis Infections and inflammatory (Crohns, Colitis, Gastritis, gastroenteritis) Obstructions Colostomy small and large bowel Peritonitis Eppendcytitis Liver (Hepatitis, Cirrhosis, CA) Pancreatitis (CA, chronic and acute) Tumors Biliary atresia Nursing Management of: GU Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG

15 Dehydration status Electrolytes Incontinence UTI (upper and lower) Male and Female wellness check-ups BPH - TURP Prolapse Menopause Hysterectomy Renal Calculi Renal Failure (Acute/Chronic/infections) Dialysis Transplants Wilms tumor Nursing Management of: Endocrine Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Thyroid Parathyroid Gestational diabetes Diabetes Basic Nutrition Cushing s syndrome/disease; Addison s disease Pituitary tumors Pheochromocytoma DKA Somogyi and Dawn phenomena HHNK Diabetes insipudus / SIADH Nursing Management of: Musculoskeletal Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Basic mobility Immobility Osteoporosis Contusions Strains Sprains Hips / Joint Replacements MD Muscular Dystrophy Osteoarthritis Neurovascular assessment Birth defects club foot, DHD Spinal deformities Tractions Amputations Multiple trauma Scleroderma Infection (Osteomylitis Rhabdomyolis Nursing Management of: Immune Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG

16 Infections Immunizations Infectious Diseases of childhood CA: Treatment and effects (top 5) Arthritis types (gout, rheumatoid) Lupus Blood / Lymph disorders (leukemia, Hodgkin, non- Hodgkin, hemophilia) HIV Blood Products, advanced Hematology Aplastic Anemia / Thallasmia Nursing Management of: Integumentary Health RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Rashes / pressure ulcers Skin infections Wound assessment Burn / grafts Nursing Management of: Perioperative Client RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Preop Intraop Postop Hospital Diets Introduction to Emergency Management RNSG 1523 RNSG 2504 RNSG 2514 RNSG 2535 Emergency Management Toxic substances / poisons / OD Bioterrorism Emergency OR Legionnaires Clinical Focus

17 Identifies, interprets and begins utilizing effective and appropriate communication skills. Collects the appropriate data necessary to provide safe and effective nursing care. Discusses the nursing process in relation to clinical situations. Identifies complete and accurate documentation of care with beginning involvement. Demonstrates competency in basic clinical skills. Demonstrates time management and / organizational skills in assisting clients with activities of daily living. Collaborates effectively with other healthcare members Functions within the healthcare setting as a novice team member. Associates critical thinking skills with clinical decisionmaking. Demonstrates effective and appropriate communication skills. Utilizes the appropriate data necessary to provide safe and effective nursing care. Applies the nursing process to clinical situations. Provide complete and accurate documentation of care. Demonstrates competency in intermediate clinical skills. Demonstrates time management and / organizational skills. Administers medications in a safe and competent manner. Administer PO medications independently by the end of the semester. Cares for two clients each clinical day. Demonstrates critical thinking skills in clinical decision-making. Demonstrate the ability to utilize critical thinking skills. Develop / implement a plan of care for diverse client / family with complex healthcare needs. Working knowledge of the Nurse Practice Act. Use therapeutic communication skills. Recognize opportunities for client advocacy and professional development activities. Collaborate in multidisciplinary planning to provide complex healthcare needs. Evaluate the effectiveness of the plan of care. Organize care for a group of clients utilizing available human and material resources. Demonstrate the ability to make safe and ethical collaborative clinical decisions. Incorporate clinical data, current literature, accountability and critical-thinking skills. Develop, implement, and evaluate a plan of care for clients whose health needs may be difficult to predict. Incorporate clinical data, current literature, accountability and critical thinking skills. Provide care for multiple clients and their families. Analyze the implications of the Nursing Practice Act. Demonstrate leadership and management skills. Use collaboration and communication techniques. Implement and analyze the effectiveness of clients with long-term healthcare needs. Serve as a positive role model. Use current technology and literature to enhance client and family care. Coordinate human and material resources for the provision of care for clients and families. Make safe and ethical clinical decisions Student will apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry. (Workforce Education Course Manual). Lab Skills RNSG 1105 RNSG 1144 RNSG 1170 No Lab Course 17

18 Legal Issues Therapeutic communication Infection: standard precautions/transmission based isolation Head to toe assessment Documentation Meds PO Tubes and General principles Meds eyes, ears, topical, inhalation, vaginal and rectal Blood sugar checks and specimen collection and non-pharm pain management Tube feedings, types of tubes, intake and output, enemas Oxygen and Mobility IV assessment and Discontinuing Wounds Pressure ulcer/ Medical aspesis / Types of Dressings Ostomy LPE Check offs Surgical Asepsis Urinary Catheter Insertion Sterile Dressing Change Intravenous Access Therapy Intramuscular Injections Subcutaneous Injections Intradermal Injections Insulin Administration Documentation Nasogastric Tube Insertion and Regulation Heart and Breathe Sounds Neurovascular/Neurological Assessment Hemodynamic monitoring Chest tubes IV: insertion, HL, SL, IVPB, IVP and Phlebotomy Central lines Ventilators ECG/ rhythms Trachea Care / suctioning TPN/PPN Blood administration ENTRY Tech Prep CNA LVN GRADUATE BOARDS/WORK 18

19 ADN PREREQUISITES BOARDS/WORK BSN PREREQUISITES BSN/WORK MASTERS ADVANCED PRACTICE 19

20 NORTH HARRIS MONTGOMERY COMMUNITY COLLEGE DISTRICT ASSOCIATE DEGREE NURSING PROGRAM OUTCOMES At the completion of the Associate Degree Nursing program at NHMCCD, the graduate will be able to: 1. Provide individualized health care, based on the nursing process and a commitment to caring, to culturally diverse clients and families across the life span and wellness-illness continuum. a. Determine the health status and health needs of clients and their families based upon interpretation of health data, incorporating biological, psychological, social, and spiritual needs. b. Formulate goals and plan of care for clients and their families based on a multidisciplinary problem solving approach. c. Implement the plan of care within legal and ethical parameters and demonstrate caring behavior to assist clients and their families to meet health care needs. d. Participate with the individual client and family members in the evaluation of the individual's progress toward meeting identified goals and responses to therapeutic interventions. e. Use clinical data, current literature, critical thinking, and accountability as a basis for decision making in nursing practice. f. Provide for the care of multiple clients and their families in a variety of structured settings either through direct care or assignment and/or delegation of care to other members of the health care team. 2. Use communication techniques effectively with clients, families, and health care team members. 3. Develop and implement teaching plans for clients and their families concerning promotion, maintenance and restoration of health. 4. Coordinate human and material resources for the provision of care for clients and families, in collaboration with clients, families, and other health care professionals. a. Refer clients and their families to appropriate sources of assistance when necessary to meet health needs. b. Function within the organizational framework of various structured health care settings. c. Establish priorities for nursing care for a group of clients. 5. Contribute to the improvement of nursing practice by serving as a role model and by adhering to high legal, ethical and professional standards. a. Assume accountability and responsibility for the quality of nursing care provided to clients and families. b. Act as an advocate to promote the provision of quality health care for clients and their families. c. Participate in activities that promote the development and practice of nursing. 6. Assume responsibility for personal and professional growth to enhance knowledge and skills for self and others through participation in continuing education activities. 20

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