BRAZOSPORT COLLEGE DIVISION OF HEALTH PROFESSIONS ASSOCIATE DEGREE NURSING DISTANCE SYLLABUS COURSE INFORMATION

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1 BRAZOSPORT COLLEGE DIVISION OF HEALTH PROFESSIONS ASSOCIATE DEGREE NURSING DISTANCE SYLLABUS RNSG 2360 COURSE INFORMATION 1. COURSE NAME: CLINICAL III 2. COURSE NUMBER: RNSG CLASSROOM: TBD 4. CLASS DAY(S) & TIME (INCLUDE GENERAL CLINICAL SITE INFORMATION): TBD 5. CATALOGUE COURSE DESCRIPTION (INCLUDES PRE-REQUISITES, CREDIT HOURS, LECTURE HOURS, LAB HOURS: RNSG 2360 Clinical Nursing III RN Training is an advanced level clinical experience course. RNSG 2360 is a health related clinical learning experience facilitating student application of specialized occupational theory, skills, and concepts from RNSG 2208 and 2201). Direct supervision is provided by clinical professionals. RNSG 2360 is placed in the first semester of the second professional year. CREDIT HOURS: 3 credit and 240 clinical hour course. HOURS OF INSTRUCTION: see schedule PREREQUISITES: Unrestricted admission to Brazosport College and Brazosport College ADN Program, in full compliance with program progression policy and procedures. 6. COURSE COMPETENCIES AND LEARNING OUTCOMES: COURSE SPECIFIC COMPETENCIES AND LEARNING OUTCOMES FLOW FROM PROGRAM OUTCOMES. PROGRAM OUTCOMES ARE THE DIFFERENTIATED ENTRY- LEVEL COMPETENCIES (DELC), DEFINED AND PUBLISHED BY THE TEXAS BOARD OF NURSING. (DELC) ARE DEFINED IN FOUR CATEGORIES; 1) PROVIDER OF PATIENT CENTERED CARE, 2) PATIENT SAFETY ADVOCATE, 3) MEMBER OF THE HEALTH CARE TEAM, AND 3) MEMBER OF PROFESSION. INTEGRAL TO PROGRAM AND COURSE OUTCOMES ARE THE QSEN COMPETENCIES. THE QSEN COMPETENCIES ARE INTEGRATED WITH DELC COMPETENCIES THROUGHOUT THE NURSING CURRICULUM; PROGRESSING FROM SIMPLE TO COMPLEX. MINIMUM SAFE ENTRY-LEVEL NURSING PRACTICE IS ASSESSED BY THE NCLEX-RN LICENSURE EXAM. THE NATIONAL COUNCIL OF STATE BOARDS OF NURSING (NCSBN MAINTAINS AND REVISES THE NCLEX-RN LICENSURE EXAM. THE NCLEX-RN IS REVISED EVERY THREE YEARS. EXAM REVISIONS ARE BASED ON COMPREHENSIVE RESEARCH OF NEW GRADUATE NURSE ACTIVITIES. THE NCLEX-RN TEST BLUEPRINT CONTAINS WEIGHTED ASSESSMENT CATEGORIES BASED ON GRADUATE NURSE ACTIVITIES. NURSE ACTIVITIES DESCRIBE EXPECTATIONS, DUTIES, AND RESPONSIBILITIES. 1

2 (DELC) DIFFERENTIATED ENTRY-LEVEL COMPETENCIES COMPETENCIES of GRADUATES OF TEXAS NURSING EDUCATION PROGRAMS ASSOCIATE DEGREE NURSING 2013 A. Provider of Patient-Centered Care: 1. Provide comprehensive nursing care to patients and their families. 2. Determine the health status and health needs of patients and their families based upon interpretation of health related data and evidence-based health practices 3. Formulate goals/outcomes and plans of care for patients and their families using established best practices in collaboration with the patient, their family and the multidisciplinary health care team. 4. Implement plan of care within legal, ethical and regulatory parameters and in consideration of client factors. 5. Develop and implement teaching plans for patients and their families to address health restoration, maintenance and promotion. 6. Evaluate patient outcomes and responses to therapeutic interventions. 7. Use the nursing process and critical thinking to analyze clinical data and current literature as a basis for decision-making in nursing practice. 8. Coordinate human and material resources for the provision of care for patients B. Patient Safety Advocate: 1. Demonstrate knowledge about the Texas Nursing Practice Act and Board Rules. 2. Implement measures to promote a safe environment for patients and others. 3. Obtain instruction, supervision or training as needed when implementing nursing procedures or practices. 4. Know, recognize and maintain professional boundaries of the nurse-patient relationship. 5. Comply with mandatory reporting requirements of the Texas Nursing Practice Act. 6. Understand the concept of scope of practice and function within individual scope of practice. 7. Accept and/or make assignments that take into consideration patient safety and that are commensurate with educational preparation and employing health care institutional policy. C. Member of the Health Care Team: 1. Collaborate with patients, families and the multidisciplinary health care team for the planning, delivery and evaluation of care. 2. Refer patients and their families to resources that facilitate continuity of care and health promotion. 3. Function within the nurse s legal scope of practice and in accordance with the policies and procedures of the employing health care institution 4. Communicate and collaborate in a timely manner with members of the multidisciplinary health care team to promote and maintain the patient s optimal health status. 5. Assign and/or delegate nursing care to other members of the health care team as needed. 6. Supervise nursing care provided by others for whom the nurse is responsible. D. Member of a Profession: 1. Assume responsibility and accountability for the quality of nursing care provided to patients. 2. Serve as health care advocate in monitoring and promoting quality and access to health care for patients. 3. Participate in activities that promote the development and practice of professional nursing. 4. Demonstrate responsibility for one s own continued competence in nursing practice and professional growth. Texas Core Curriculum Purpose & Learning Outcomes (TCCPLO January 2010) (Purpose) Through the core curriculum, students will gain a foundation of knowledge of human cultures and the physical and natural world; develop principles of personal and social responsibility for living in a diverse world; and advance intellectual and practical skills that are essential for all learning (Learning Outcomes) Through the core curriculum, students will prepare for contemporary challenges by developing and demonstrating six competencies: critical thinking skills, communication skill, quantitative literacy, teamwork, civic knowledge and engagement, and ethical reasoning and action. The TCCPLO competencies are integrated in program and course competencies as illustrated in the following rubric. 2

3 TCCPLO 1.Critical thinking skills (to include creative thinking, inquiry, analysis, and synthesis of information) 3.Quantitative literacy (to include application of mathematical and statistical concepts and skills to address real world situations) 2.Communication skills (to include effective written and oral communication) 4.Teamwork (to include the ability to collaborate effectively, consider different points of view, and work with others to support a shared purpose or goal) 5. Civic knowledge and engagement (to include both local and global intercultural knowledge and competence) 6. Ethical reasoning and action (to include the ability to connect choices an actions to ethical decisions) DELC & QSEN COMPETENCIES DELC) PROVIDER OF PATIENT CENTED CARE (QSEN) PATIENT CENTERED CARE EVIDENCE BASED PRACTICE & INFOMATICS (DELC) PATIENT SAFETY ADVOCATE (QSEN) QUALITY IMPROVEMENT PATIENT SAFETY & INFOMATICS (DELC) MEMBER OF HEALTH CARE TEAM (QSEN) TEAMWORK and COLLABORATION EVIDENCE BASED PRACTICE (DELC) MEMBER OF PROFESSION (QSEN) TEAMWORK and COLLABORATION ADN COURSE LEARNING OUTCOMES ADN GRADUATES ACHIEVE LEARNING OUTCOMES THROUGH OBJECTIVE ASSESSMENT MEASURES DEMONSTRATING UNDERSTANDING OF AND ABILITY TO: COURSE LEARNING OUTCOMES ADN 2013 ADN GRADUATES ACHIEVE LEARNING OUTCOMES THROUGH OBJECTIVE ASSESSMENT MEASURES DEMONSTRATING UNDERSTANDING OF AND ABILITY TO: (DELC) PROVIDER OF PATIENT CENTER CARE (QSEN) PATIENT CENTERED CARE EVIDENCE BASED PRACTICE INFOMATICS (DELC) PATIENT SAFETY ADVOCATE (QSEN) QUALITY IMPROVEMENT PATIENT SAFETY INFOMATICS (DELC) MEMBER OF HEALTH CARE TEAM (QSEN) TEAMWORK AND COLLABORATION EVIDENCE BASED PRACTICE (DELC) MEMBER OF PROFESSION TEAMWORK AND COLLABORATION INSTRUCTIONAL METHODS Desire2Learn Learning Platform Clinical learning experiences in pediatric settings with specific learning objectives Content specific learning modules ATI Skill Modules ATI Assignments and Activities Documentaries, films ASSESSMENT METHODS Clinical objective assessment rubrics Pre and post assessments Quizzes Normed Assessments (ATI) Care Maps Completes Assigned Episodic Screenings Written Papers 3

4 7. COURSE REQUIREMENTS, EVALUATION METHODS, AND GRADING CRITERIA COURSE REQUIREMENTS Academic Honesty Students are expected to demonstrate personal and professional integrity at all times See Nursing Student Handbook and College Catalogue. Attendance.Absences will lower student grade and may result in course failure. Cell phones and pagers must be turned OFF during class, clinical and any program activities. If a student leaves class before a regular break, the student must WAIT for the next break to re-enter. See Nursing Student Handbook, Attendance and Clinical Absence Policy. Class Participation Students are expected to complete all written and reading assignments, to be prepared, and to participate in classroom discussions. EVALUATION METHODS Grade Scale The Brazosport ADN Program uses the following grading scale throughout the program A = B= C= F= 74.9 and below A grade of C- (74.9%) or less is failing. Students earn grades. Grades are not deserved. Grades are not inflated or curved in the nursing program. Students with grade dependent scholarships are responsible for earning required grades. Faculty members will not inflate or adjust grades, or provide special assignments for students with scholarship or other financial return based on grades. Requesting faculty members to adjust grades is considered unprofessional behavior. Content mastery is assessed through written exams, quizzes, skill competency, presentations, professional papers, behavioral evaluations, normed assessments, critical thinking activities, and application via patient scenarios. Make-up Course work and Exam Policy See Student Handbook for program exam policies. Instructors specify additions instructor preferences and classroom management. Exams may not be made up unless specific make up criteria are provided by the instructor. Assignments and exams missed due to absence or tardy cannot be made up. Students cannot leave an exam until completed. Exams are graded and evaluated after class and grades conveyed according to written guidelines in the class syllabus. Exam review will be scheduled outside regular class time periods and are optional. Each instructor provides guidelines beyond the handbook for challenging an exam item and grade notification. Do not ask instructors to deviate from written policy and procedure. Personal messages are NOT relayed to students. Family members, friends, relatives must be instructed by the student of contact policies and procedures. Students must provide contact information to family members. Program faculty and staff will NOT relay messages. Family, friends, children and spouses are NOT allowed in class, at clinical or during school activities. Student information will NOT be provided to family members unless the student is present and provides written permission. 4

5 Course Grade The final course grade is derived from the following course requirements: Clinical documentation and Evaluations Pass/Fail 8. REQUIRED TEXTBOOKS AND RESOURCES Text: Abrams, A.C., Pennington, S.S., Lammon, C.B. (2007). Clinical drug therapy. (8 th Ed.). Philadelphia: Lippincott, Williams & Wilkins Boyer, M.J. (2006). Math for nurses. (6 th Ed.). Philadelphia: Lippincott, Williams & Wilkins Boyer, M.J. (2008). Study guide to accompany Brunner & Suddarth s textbook of medical-surgical nursing. (11 th Ed.). Philadelphia: Lippincott, Williams & Wilkins Fischbach F. (2004). A manual of laboratory & diagnostic tests. (7 th Ed.). Philadelphia: Lippincott, Williams & Wilkins Kirkpatrick, M.J. (2007). Study guide to accompany Abrams clinical drug therapy. (8 th Ed.). Philadelphia: Lippincott, Williams & Wilkins Kyle, T. (2008). Essentials of pediatric nursing. Philadelphia: Lippincott, Williams & Wilkins Lynn, P. (2008). Taylor s clinical nursing skills. (2 nd Ed.) Philadelphia: Lippincott, Williams & Wilkins Orshan, S.A. (2008). Maternity, newborn & women s health nursing. Philadelphia: Lippincott, Williams & Wilkins Rayfield S. and Manning L. Pharmacology Made Insanely Easy ICan Publishing. Order on-line from Sylvia Rayfield website Rayfield S. and Manning L. Nursing Made Insanely Easy (5 th Ed.) ICan Publishing. Order on-line from Sylvia Rayfield website Silvestre, Linda, Saunders Comprehensive Review for NCLEX-RN, 4 th edition, Saunders: ISBN: Smeltzer, S.C., Bare, B.G., Hinkle, J.L., Cheever, K.H. (2008). Brunner & Suddarth s textbook of medical-surgical nursing. (11 th Ed.). (Vol. 1 & 2). Philadelphia: Lippincott, Williams & Wilkins Taylor, C. R., Lillis, C., LeMone, P., Lynn, P. (2008). Fundamentals of nursing. (6 th Ed.) Philadelphia: Lippincott, Williams & Wilkins Weber, J., Kelley, J. (2007). Health assessment in nursing. (3 rd Ed.). Philadelphia: Lippincott, Williams & Wilkins Weber, J., Kelley, J., Sprengel, A. (2007). Lab manual to accompany health assessment in nursing. (3 rd Ed.). Philadelphia: Lippincott, Williams & Wilkins Zerwekh, Joann and Claborn, Jo Carol. Illustrated Study Guide for the NCLEX RN Exam. (6 th Ed. 2006) Mosby ISBN-13: Transitional Education and Supplemental Instruction Resources DISABILITIES ACT The Associate Degree Nursing Program complies with college policies regarding rights of individuals with disabilities. Applicants and students must notify the college of disabilities. The purpose of ADA is to provide a clear and comprehensive national mandate for elimination of discrimination against individuals with disabilities, to provide clear, strong, consistent enforceable standards addressing discrimination, to ensure the Federal government plays a central role in enforcing standards established in this act on behalf of individuals with disabilities. (1991) An individual with a disability is a person who has a physical or mental impairment that substantially limits a major life activity, or has a record of such impairment, or is regarded as having such impairment. A qualified individual with a disability is one who meets essential eligibility requirement for the program or activity offered by a public entity with or without reasonable accommodation. (ADA ) Essential functions are those functions the individual who holds the position must be able to perform unaided or with the assistance of a reasonable accommodation. (ADA ). Reasonable accommodation: Change in the way things are customarily done that will enable an individual with a disability to enjoy equal opportunities. (ADA ) Performance requirements are basic activities a student must be able to complete in a reasonably independent manner. A student who poses a direct threat to health or safety of others or themselves does not meet clinical and skills competencies required by Associate Degree Nursing Program. A 5

6 direct threat is defined as a significant risk to health or safety of others that cannot be eliminated or reduced to acceptable levels by modification of policies, practices or procedures, by provision of auxiliary aids or services. Determination is made on an individual basis. Nursing students must be fully able to comply with program Critical Core Attributes throughout entire program (See Critical Core Attributes). CODE OF CONDUCT One goal of the Associate Degree Nursing program is to assist students become a safe practitioner of professional nursing. The primary mission of the Texas Board of Nursing is to protect and promote the welfare of the people of Texas by assuring professional nurses are competent and safe practitioners. Preparing safe practitioners is facilitated by holding students accountable. Safe care guided by a code of ethics and professional standards of behavior assists students to meet board of nursing professional nursing standards. The following code of conduct has been established to make the student aware of guidelines regarding the department s expectations, which are in keeping with the general rules pertaining to disciplinary process and procedure found in the College Catalog and ADN Student Handbook. ACADEMIC DISHONESTY Academic dishonesty is not tolerated in any form. Dishonesty is a serious offense which can result in automatic failure and program dismissal. Academic dishonesty is defined to include cheating on examinations, removing information about exam content from the classroom, and plagiarism. Plagiarism is further defined as "the act of using source materials of other persons (either published or unpublished) without following accepted crediting procedures. Offending material that may constitute plagiarism includes, but not limited to: bibliography cards, formal papers, book reports, written nursing care plans, papers, presentations, and other submissions. The accepted format for crediting and citing sources is APA most current edition HIPAA Students are responsible for maintaining strict confidentiality of patient information. Breach in confidentiality results in disciplinary action and possible dismissal from the nursing program. Patient confidentiality includes oral, written and electronic communication. The Health Insurance Portability and Accountability Act (HIPAA), is a Federal law which prohibits unauthorized disclosure of private patient information. HIPAA provides both civil and criminal penalties for violations that range from fines of $250,000 and 10 years in prison. Students should inform family members of the program s privacy policy. Student information of any kind is not discussed or released to any family member. Family, friends, children, relatives, or any other non-program related persons are NOT permitted at college, in class, at clinical, or at any other program event, unless specifically invite. COURSE SCHEDULE (Instructors reserve the right to change the course schedule as needed to meet course objectives) Clinical schedule varies per semester. 6