Prepared by: Ashley White, MSN, RN, OCN Wendy Stewart, MSN, RN, CNE Mary Alice Estes, MSN, RN, CNE

Transcription

1 ASSOCIATE DEGREE NURSING CLINICAL NURSING CONCEPTS OF NURSING PRACTICE I FOR ARTICULATING STUDENTS RNSG 1262 SUMMER 2014 Prepared by: Ashley White, MSN, RN, OCN Wendy Stewart, MSN, RN, CNE Mary Alice Estes, MSN, RN, CNE

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3 Concepts of Nursing Practice I for Articulating Students RNSG 1417 & 1262 Schedule of Classes/Clinicals Summer 2014 ***This schedule is subject to change. Instructor will notify students as soon as possible.*** Monday Tuesday Wednesday Thursday 2- Jun 3-Jun 4-Jun 5-Jun Content: - Syllabus review - Concepts in nursing practice - Legal aspects - SBAR Lewis: 1, Texas NPA Potter & Perry (Practice modules 1&2) Calculation Exam 1 9-Jun 10-Jun 11-Jun 12-Jun Content: - Critical Thinking & Nursing Process - Care Plans - Chronic illness & older adults - Health Promotion Lewis: 1, 2, 4, 5, 8, 9, 11 (independent: 7, 10) 8-9 Exam 1 Content: Diabetes, HIV/Immune Lewis: 14-15, Lilley: 32, 40 P&P modules: 3, 4, 5, 6, 10, 11 Content: Hematology, Oncology Lewis: 16 (omit Transplant), Lilley: 45-48, 52, 54 (Omit DIC, TTP, ITP, HIT) Calculation Exam 2 Intro to ATI, DocuCare Simulation: SCD Skills check off: Injections, IV fluids Inventory Nurse Packs P&P module due: 5 &6

4 17-Jun 18-Jun 19-Jun 20-Jun 8-9 Exam 2 Content: Integument Lewis: Lilley: 56 Content: Cardiac Lewis: (omit transplant), Lilley: 19, 22-24, Content: Continue Cardiac Simulation: CHF Skills Check Off: Sterile dressings, wound care P&P module 18 due Lab: Wound care (Need nurse packs) P&P module: 12 & Jun 24-Jun 25-Jun 26-Jun 8-9 Exam 3 Content: Musculoskeletal Lewis: Lilley: 12, 44 Lab: Positioning with wedge; transfers; slides Content: Respiratory Lewis: Lilley: 36-38, 41 Content: Continue Respiratory Simulation: COPD Skills: Transfers; assistive devices Skills check off: Urinary catheterization P&P module due: 7 &16 P&P module: 7, Jun 1-Jul 2-Jul 3-Jul 8-9 Exam 4 Content: Eye/Ear Lewis: Lilley: Content: Genitourinary Lewis: 45, 46, 55 Lilley: 28 Content: Gastrointestinal Lewis: Lilley: 50-53, 55 Simulation: PUD Skills check off: NG tubes P&P module due: 14 P&P module: 14

5 7-Jul 8-Jul 9-Jul 10-Jul 8-9 Exam 5 Content: Mental Health Content: Mental Health Content: Mental Health Content: Mental Health Mental Health jeopardy 14-Jul 15-Jul 16-Jul 17-Jul Mental Health ATI Exam 8-9 Exam 6 (Mental Health) Med-Surg ATI Exam Clinical Orientation *12 Step Paper and ATI Practice exams Due 21-Jul 22-Jul 23-Jul 24-Jul Mainland 7a-7p Mainland 7a-7p 28-Jul 29-Jul 30-Jul 31-Jul Mainland 7a-7p Mainland 7a-7p 4-Aug 5-Aug 6-Aug 7-Aug Mainland 7a-7p Mainland 7a-7p Clinical Evaluations 11-Aug 12-Aug 13-Aug 14-Aug Final Exam

6 COURSE INTRODUCTION RNSG 1262: Clinical Nursing: Concepts of Nursing Practice I for Articulating Students (2 credits: 6 lab hours per week) Course Description A health related work-based learning experience that introduces the vocational nurse in the application of nursing theory, skills and concepts within the roles of the professional nurse as provider of patientcentered care, patient safety advocate, member of the health care team and member of the profession. Direct supervision is provided by the clinical professional. Concurrent theory enrollment is required in RNSG End-of-Course Outcomes As outlined in the learning plan, 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. Prerequisites: Admission into the ADN Program, RNSG 1215, BIOL 2401, BIOL 2402, BIOL 2420, PSYC 2301, PSYC 2314, and ENGL 1301 Corequisites: RNSG 1417 INSTRUCTORS A. White, MSN, RN, OCN Office S Office awhite@alvincollege.edu Office hours: M-Th W. Stewart, MSN, RN, CNE Office S Office wstewart@alvincollege.edu Office hours: M-Th M. A. Estes, MSN, RN, CNE Office S Office mestes@alvincollege.edu Office hours: M-Th Communicating with your Instructor: The preferred method for communicating with your instructor is through the ACC or you may call at the number listed above. Please leave your first and last name, a phone number or address where you can be contacted and what you need to discuss. Normal response time is within 24 hours Monday-Thursday and by the next business day on Friday-Sunday. Textbook information For information on the textbook and other course materials, including details about how to order your book online and have it delivered to you, visit the ACC College Store website.

7 Required textbooks Lilley, L., Rainforth Collins, S., & Snyder, J.S. (2014). Pharmacology and the nursing process (7 th ed). St. Louis, MO: Mosby. Nursing Central, available for iphone, BlackBerry, Android, Palm & Windows Mobile from nursing.unboundmedicine.com Potter, P & Perry, A.G. (2013). Nursing skills online version 3.0 for fundamentals of nursing (8 th St. Louis, MO: Mosby/Elsevier. ed.). Shives, L. (2011). Basic concepts of psychiatric-mental health nursing [bundled with interactive case studies and Lippincott s DocuCare] (8 th ed). Philadelphia, PA: Lippincott, Williams, & Wilkins/ Wolters Kluwer. Wolters Kluwer/Lippincott, Williams & Wilkins. (2010) Lippincott s Docucare (computer software). Philadelphia, PA: Lippincott, Williasm, & Wilkins/Wolters Kluwer. Nursing Central Includes: Doenges, M.E., Moorhouse, M.F. & Murr, A.C. (2013). Nurse s Pocket guide: Diagnoses, prioritized interventions & rationales. Philadelphia, PA: F.A. Davis Company. Sommer, M.S. (2013). Diseases & disorders: A nursing therapeutics manual (4 th ed.). Philadelphia: PA: F.A. Davis Company. Vallerand, A.H. & Sanoski, C.A. & Deglin, J.H. (2014). Davis drug guide for nurses, (13 th ed.). Philadelphia, PA: F.A. Davis Company. Van Leeuwen, A.M., Poelhuis-Leth, D.J. & Bladh, M.L. (2013). Davis s comprehensive handbook of laboratory and diagnostic tests with nursing implications. Philadelphia, PA: F.A. Davis Company. Venes, D. (2013). Taber s cyclopedic medical dictionary (22 nd ed.). Philadelphia, PA: F.A. Davis Company. Recommended textbooks Curren, A. (2010). Dimensional analysis for meds (4 th ed). Albany, NY: Delmar Dirksen, S.R., Lewis, S.L., Heitkemper, M.M., Bucher, L. (2014). Medical-surgical nursing: Assessment and management of clinical problem; Clinical companion (9 th ed). St Louis, MO: Mosby. Hogan, M. A. (2013). Mental health nursing: Reviews and rationales (3 rd ed.). Upper Saddle River: Prentice Hall Health. Lewis, S.L., Dirksen, S.R., Heitkemper, M.M., Bucher, L., Harding, M.M. (2014). Medical-surgical nursing: Assessment and management of clinical problem Study Guide(9 th ed). St Louis, MO: Mosby.

8 Varcarolis, E. (2015). Manual of psychiatric nursing care planning (5th ed.). St. Louis: Saunders. Weber, J. & Kelly,J. (2010). Health assessment in nursing (4 th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. BOOKS OF CHOICE: Anatomy & physiology textbook, Nutrition textbook Additional resources Databases available through ACC Library homepage Nursing Resources: Ovid SP: Provides access to the following Journals: Nursing AJN (American Journal of Nursing) Home Healthcare Nurse Nursing Critical Care Nursing Made Incredibly Easy! Advance for Nurses: Nurse Week: Texshare: Course Goals & Objectives At the end of the course and in conjunction with RNSG 1417 the student will be able to meet the following objectives in a satisfactory manner: 1. Utilizes advanced beginner clinical reasoning skills in the application of the nursing process to provide safe, quality care to the adult medical/surgical patient. 2. Delivers safe, effective, nursing care at an advanced beginner level to enhance the self-care potential of culturally and socially diverse individuals and their families with psychosocial and physiological health needs across the lifespan. 3. Identifies and develops communication and collaboration with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families at an advanced beginner level. 4. Identifies and adheres to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse at an advanced beginner level. 5. Identifies and serves as an advocate to promote and provide quality, patient-centered health care at an advanced beginner level to clients and their families. 6. Demonstrates skills in using client care technologies and information systems at an advanced beginner level that support safe nursing practice. 7. Promotes safety and quality improvement at an advanced beginner level when managing nursing care. 8. Demonstrates, at an advanced beginner level, the knowledge of basic delegation, management, and leadership skills. SCANS Students will be evaluated based on workforce expectations in accordance with the Secretary s Commission on Achieving Necessary Skills (SCANS). See clinical evaluation tool.

9 Methods of instruction Clinical practice for RNSG 1262 occurs in a medical surgical facility and in both inpatient and community mental health facilities. Objectives and clinical practice guidelines are unique for the different areas. Post-conferences are a part of the clinical experience and include discussion and problem-solving sessions. The students are expected to bring assigned materials for post-conference discussion. During the course, students develop concept map care plans and process recordings, provide patient care and practice technical and communication skills under the supervision of the clinical instructor. Specific learning objectives are listed in this syllabus. Grading Summary: CLINICAL ACTIVITIES POINTS Potter & Perry Modules (See schedule) 30 Care Plan (Med-Surg #1) 100 Care Plan (Med-Surg #2) 100 Docucare Daily Sheet-Med-Surg (x 2) 50 Skills checklist (Med-Surg) 50 Simulation Preparation (Med-Surg) 75 Psychosocial Careplan (Mental Health) 100 Docucare Daily Sheet- Mental Health 25 Reflective Journal (50 pts x 2) 100 Medication Jeopardy (Group project) step paper 10 Drug Calculation Test (1 st attempt) 100 Portfolio 10 Clinical Evaluation Tool ** 800 (earned grade x 8) TOTAL COURSE POINTS 1600 ** Student must achieve 600 points (75%) on the Clinical Evaluation Tool to successfully complete course** GRADING SCHEDULE POINTS = A = B = C = D BELOW A total course point grade of 75% (1200 points) or greater must be achieved on clinical work and the final evaluation as a part of the final grade. The final clinical evaluation is worth 800 course points or 50% of the final clinical grade. The student must score 600 points (75%) or higher on the clinical evaluation in order to pass the clinical course. Failure to receive at least 75% (1200 points) overall prevents the student from progressing in the Associate Degree Nursing Program and the student receives a D or F on the transcript for the course. In addition concurrent enrollment in the theory course RNSG 1417 Concepts of Nursing Practice I for Articulating Students is required for this course. If a student needs to repeat RNSG 1262, the student will be required to complete RNSG 1417 at the same time. Even though these are two separate courses, they are related and must be completed together.

10 W...Withdrawal. It is recommended that the student talk to the instructor before withdrawing. Current course withdrawal information can be found in the printed version of the ACC Schedule for this semester or online at ACC Course Withdrawal Instructions. Students who file withdrawal requests by the published deadline and have not exceeded the withdrawal maximum will receive a grade of W. I...Incomplete. No Incompletes or I grades will be given except for extreme circumstances. If an I grade is assigned and the course work is not completed by the pre-arranged time limit, this grade will convert to an F. Dosage Calculation Exam Policy Successful completion of a dosage calculation exam given in RNSG 1262 demonstrating 90% proficiency is a clinical requirement and must be achieved prior to administration of medications in the clinical area. Refer to course calendar for schedule of initial test that will be given during class in RNSG Students may use simple calculators during this test. If a student fails to score 90% on the initial exam, a second exam must be taken. The retake exam date is at the instructor's discretion and will be announced as soon as known. The maximum number of retake exams allowed is three (3). Therefore, the exam can be taken a total of 4 times, including the original, first exam. Review for the exam is the responsibility of each individual student. Those students who are unable to pass the calculation exam with a 90% after all opportunities have been exhausted must withdraw from RNSG 1262 & NOTE: Dosage calculation exam score on the first test will be the recorded grade for the Clinical Coursework portion of this course (worth 100 points). Late Course Work Policy A total of 10% will be deducted for late papers per day. In addition, papers received later than a week from the due date will not be accepted and the grade will be a zero. Classroom Protocol It is the right of each student to participate in his or her learning, and it is the responsibility of each student to not interfere with the learning of other students. It is the expectation of the college that each student assumes the responsibility to follow college policies and procedures governing campus and classroom conduct. This information is published in the ACC Student Handbook: Clinical evaluation Students will have the opportunity to do a self-evaluation, in addition to the instructor s evaluation, so that the student can determine his/her progress. The final clinical evaluation is worth 600 course points or 50% of the final clinical grade. The student must score 600 points (75%) or higher in order to pass the clinical course. If the final evaluation grade is below a 75% the student will not pass clinical, regardless of grades earned on clinical paperwork. A grade of "D" will be recorded for those who score below 75%. Refer to the evaluation tool for specific evaluation criteria. NOTE: At any time during the semester, the instructor may drop any student from the clinical rotation if the student's clinical performance is unsafe. The student will be counseled regarding the unsafe performance, using due process, prior to the final removal. Review the Criteria for Unsafe Clinical Performance, the Clinical Evaluation tool, and the Expected Daily Clinical Behaviors.

11 Attendance Policy CLINICAL ATTENDANCE: Attendance is required for ALL scheduled clinical days, including scheduled simulation days on campus. If ill, students must notify the appropriate hospital area at least 2 hours before the scheduled clinical starting time. The student must also notify their clinical instructor before the clinical day starts. Students who are ill are expected to seek appropriate medical care, and the instructor may request written medical permission before allowing a student to return to clinical in the event of unusual or prolonged illness. (See ADN Student Handbook.) Also, tardiness hampers continuity of patient care. Two clinical tardies will be counted as a clinical absence. A student is tardy when they are not present at the start of the clinical day. Late arrival to the clinical facility of 60 minutes or more will be considered an absence. For any student missing a clinical day, 80 points (5%) will be deducted from the final grade for each absence. With a clinical absence, the student will be assigned a written case study due to the clinical instructor on the next clinical day. This case study will be graded and will have a maximum value of 50 points. Regardless of absences, it is the student s responsibility to complete the course clinical objectives and paperwork. Any student who has more than two (2) clinical absences will be in serious jeopardy of not meeting course objectives and at risk for failure. Students are allowed one 15 minute break and a 30 minute lunch break during the clinical day. The student must report to the Staff Nurse prior to and on returning from break. The Clinical Instructor must be able to find you at any time during the clinical day. Students are also expected to be on time for post-conferences. ACC ACADEMIC SUCCESS AND SUPPORT SERVICES: Americans with Disabilities Act ACC complies with ADA and 504 Federal guidelines by affording equal access to individuals who are seeking an education. Students who have a disability and would like classroom accommodations must register with the Office of Disability Services, A 136, (281) Instructors are not able to provide accommodations until the proper process has been followed. Behavioral Intervention Team (BIT) Letting someone know The Behavioral Intervention Team (BIT) at Alvin Community College is committed to improving community safety. College faculty, staff, students and community members may communicate safety concerns to the BIT team by , bitcore@alvincollege.edu or through an electronic reporting option located on the BIT page of the college website. The ACC Library is an excellent source for research and writing help. Quiet rooms are available for studying and doing class work. For more information, visit the ACC Library Website or call The ACC Tutoring/Learning Lab, located upstairs in building A, provides students with a variety of services including tutoring (math, writing, and other disciplines); computers and printers; a testing facility; and tables/carrels. Call or visit the ACC Tutoring/Learning Lab Website for more information. MyBlackboard Support for MYBlackboard can be obtained by completing the ONLINE SUPPORT FORM. WEBACCESS, Passwords or ACC Computer Lab Information- -Help Desk Website or contact the IT Dept. Help Desk at

12 CODE OF ACADEMIC INTEGRITY AND HONESTY Alvin Community College students are members of an institution dedicated to the pursuit of knowledge through a formalized program of instruction and learning. At the heart of this endeavor, lie the core values of academic integrity which include honesty, truth, and freedom from lies and fraud. Because personal integrity is important in all aspects of life, students at Alvin Community College are expected to conduct themselves with honesty and integrity both in and out of the classroom. Incidents of academic dishonesty will not be tolerated and students guilty of such conduct are subject to severe disciplinary measures. Disclaimer The instructor reserves the right to modify this syllabus as needed and will notify the students of any changes using the ACC or MyBlackboard or announcements.