BSN Program N2250 Healing 1, Nursing Skills Class Section 2

Transcription

1 BSN Program N2250 Healing 1, Nursing Skills Class Section 2 Section 2 Kelly Hughes RN, Master s Candidate Office: C316b Telephone: [email protected] 2010/20

2 Table of Contents Course Outline.....p. 3 Learning Outcomes.....p. 3 Process.....p. 4 Overview of Concepts.....p. 4 Resources.....p. 5 Required Texts.....p. 6 Evaluation.....p. 6 Assignments.....p. 7 Professional Responsibilities.....p. 8 Schedule.....p. 9

3 COURSE OUTLINE Page 3 of 9 The focus of this course is on people's experience with healing, with particular reference to episodic health challenges. Participants integrate theory and concepts of health as they relate to healing. Participants develop a repertoire of nursing practice skills, including critical thinking, decision making for nursing practice, interpersonal, organizational, and psychomotor skills to promote healing. Nursing 2250 is divided into two different classes; Healing Workshop (Healing I) and Nursing Skills Class. Both classes complement each other. In the healing class you will learn the theory behind people s experience in healing from an episodic health challenge. The Nursing Skills Class complements the theoretical component by teaching you the hands- on nursing skills that supports people s healing. For example in your healing class, you will learn about fluid and electrolyte balances and imbalances created by various health challenges. In your skills class, you will learn how to administer and maintain intravenous fluids required to assist the body to return to homeostasis. In addition, theoretical concepts such as pain, transition, anxiety/fear, vulnerability, healing and trust are incorporated into the learning activities associated with each new psychomotor skill. This Nursing Skills Class will give you the opportunity to develop nursing skills, interpersonal skills, organizational skills, pattern recognition, critical thinking, clinical judgment and decision making skills in simulated situations involving episodic health challenges by using the Decision Making for Nursing Practice (DMNPF) Framework (Appendix III). Knowledge and skills learned within the Nursing Skill classes are integrated into Nursing practice classes and clinical experience. LEARNING OUTCOMES Students have the opportunity to: Learn skills related to the 10 critical components of a skill. Discuss the purpose, principles and rationale involved with each practice skill Practice the psychomotor skill in the context of the whole person using critical thinking and clinical judgment by incorporating the DMNPF into practice Demonstrate the critical components of all skills including: assessment, comfort, privacy, asepsis, teaching, safety, organization, resources, body mechanics, documentation Partake in self-evaluation Practice safely.

4 PROCESS Page 4 of 9 Using an interactive format for simulations, paradigm cases, and other learning experiences, participants gain an experiential knowledge of the course concepts in reference to an episodic health challenge. Participants integrate knowledge from clients (individuals and families) lived experiences, nursing theory, nurses work, pathophysiology, and pharmacology in coming to understand these challenges. Through personal experience, participants have opportunities to develop nursing practice skills, including critical thinking, decision making for nursing practice, interpersonal, organizational, and psychomotor skills. Nursing 2250 Skills Class is a weekly 3-hour nursing course. It is delivered in a mixedmode format; consisting of face-to-face class component and skills practice. Classes consist of a variety of methods including but not limited to short lectures, demonstrations, discussions, individual work, and small and large group work. CLASS CANCELLATION The nursing department makes every effort to replace a nurse educator when he or she is unable to attend a class. If a nurse educator needs to cancel a class day, for whatever the reason, information regarding the class cancellation will be posted on Blackboard CE 6 as well as at the Registrar's Office (B-Building). OVERVIEW OF CONCEPTS This course is organized around the philosophical foundations of the curriculum and reflects the following concepts: acute pain transition (e.g., experience with inflammation, obstruction, degeneration, altered cellular growth, trauma, etc.) anxiety/fear unpredictability (e.g., ambiguity, unfamiliarity, instability, unknown technology, etc.) vulnerability (e.g., fatigue, invasion, violation, etc.) healing (e.g., restorative, spirituality, relief, freedom, culture, etc.) trust suffering hardiness control (e.g., empowerment, mobility/immobility, loss [including loss of reality, loss of consciousness], invasions, balance/imbalance, ethical dilemmas, technology, etc.) abuse (e.g., self, others, system, etc.) courage resilience

5 Page 5 of 9 The concepts in Healing I and Healing II are common to both Semesters. These concepts are to be used as triggers for learning. Each site will decide the theoretical content that will be covered under each concept. Some concepts will be attended to in Healing I, and others in Healing II. The learning activities reflect the concepts of Healing I and include; pain (acute), transition, anxiety/fear, unpredictability, vulnerability, healing, trust, and control. The organization of this Skills Class course is around the philosophical foundations of the curriculum and reflects the following concepts: Asepsis Assessment Mobility/immobility Therapeutic modalities Wound care When learning and practicing skills in context you will need to apply, understand and demonstrate the 10 Critical Components of a Skill: 1. Assessment 2. Psychological and physical patient comfort 3. Privacy 4. Asepsis 5. Teaching 6. Safety 7. Organization (sequence and time) 8. Resources (equipment and human) 9. Body mechanics (for client and self) 10. Documentation RESOURCES Resources include required texts from previous terms and also: Canadian Nurses Association (2008) Code of ethics. Ottawa: Author. College of Registered Nurses of British Columbia. (2008) Professional Practice Requirements. Vancouver, BC: Author. e Nursing Department. (2008) BSN handbook. Vancouver, BC: Author. e Nursing Department (2008) Proficiency tracking tool. Vancouver, BC: Author. e Nursing Department. (2008) Program overview. Vancouver, BC: Author. e Nursing Department (2008) Term 3 Performance Appraisal Form. Vancouver, BC: Author.

6 The Writing Centre, located on the second floor of the e Library. Laboratory and nursing practice settings Self-directed nursing lab Selected readings Pathophysiology text Diagnostics text Family nursing text Competencies Required of a New Graduate (RNABC, 2000) Standards for Nursing Practice in British Columbia (RNABC, 1998) Simulations (e.g., computerized, interactive video, role play, etc. Other nurse educators who are responsible for this course are: Lucille Aunger RN MBA Office C317b [email protected] Office Hours: TBA REQUIRED TEXTS Page 6 of 9 Brophy, K. M., Scarlett-Ferguson, H. & Webber, K. S. (2008). Clinical drug therapy for Canadian practice. Philadelphia: Lippincott, Williams and Wilkins. Lewis, S., Heitkemper, M. & Dirksen, S. (2010). Medical surgical nursing in Canada: Assessment and management of clinical problems (2 nd Canadian ed.) Elsevier Mosby. Potter, P. A., Perry, A. G., Ross-Kerr, J. C., & Wood, M. J. (2009). Canadian Fundamentals of Nursing (4 th ed.) Toronto: Elsevier Mosby. Predham, B. & Buchholz, S. (2010). Henke s Med-Math (1 st Canadian ed.) Lippincott, Williams & Wilkins. Weber, J. & Kelley, J. (2003). Health assessment in nursing. (2nd edition). Philadelphia: Lippincott, Williams and Wilkins. EVALUATION In order to receive a minimum of 60% or a C or S grade in Nursing 2250, students must complete and submit all classroom assignments. A failing grade will be given if a student does not complete all of the course requirements. Nursing 2250 is comprised of two components including Classroom and Nursing Skills. Students are required to achieve a minimum 60% or C grade in each part to achieve a

7 minimum 60% or C grade, for Nursing 2250 Page 7 of 9 According to Nursing Department policy, 60% or a C or S grade is the minimum grade requirement for successful completion of all nursing courses. The grading scale for the Nursing Department is as follows: A % A % A % B % B 75 79% B % C % C 60 64% C % D 50 54% F 49% or below Evaluation of the Learning Outcomes of Nursing 2250 Skills Class include: Evaluation Weight % Due Date I-Clicker Tests 10% N/A Quiz #1 15% June 11th SPA #1 Injectable Medications 10% June 18th Quiz #2 15% July 16th SPA #2 Wound Care 10% July 23rd Final Exam 40% Exam Week Your final mark in the skills class is worth 40% of your final mark in N2250. A Safe Practice Appraisal (SPA) is an opportunity for students to safely demonstrate the 10 critical elements of a nursing skill. There are a number of SPAs in the BSN program; some may also include a written quiz/exam. If a SPA has a quiz/exam, it must be written prior to the demonstration of the nursing skill being assessed during the SPA; otherwise the student will receive an unsatisfactory (U) or failing grade for the course. If you are successful on your first appraisal you will receive 4 marks. If you are not successful in your first attempt you will have another opportunity to repeat the appraisal AFTER practicing in the lab. If you are successful on your second attempt you will receive a score of 2 marks. If a third attempt after practice is made and you are unsuccessful you will receive a mark of 0. After this, 2 marks will be deducted for each unsuccessful attempt from your Quiz.

8 PROFESSIONAL RESPONSIBILITIES Page 8 of 9 e requires all members of the College community (students and nurse educators) to conduct themselves in a manner that promotes a learning and working environment characterized by encouragement, free enquiry, integrity, mutual respect, professionalism, recognition of achievement, and social responsibility. The College community respects diversity, is civil, and provides for individual safety ( 1). Every practicing nurse in British Columbia, from the beginning student to the expert nurse, is required to assume full responsibility for knowing and adhering to the professional standards of practice. These standards serve primarily to ensure an acceptable level of professionalism (CRNBC, 2008). One of the College of Registered Nurses of British Columbia (CRNBC, 2008) standards of practice is Professional Responsibility and Accountability. Students are expected to have a working knowledge and adhere to the policies of e and those outlined in the e Nursing Department Student Handbook. In particular, the following policies should be reviewed during Week 1 of the semester: ATTENDANCE AND PARTICIPATION SAFE PRACTICE APPRAISAL (SPA) CLASS CONDUCT PROFESSIONALISM & ACADEMIC HONESTY ASSIGNMENTS AND EXAMS EXAM SECURITY WEB NETIQUETTE Students are also required to use appropriate language and APA style for all assignments. Questions relative to the methods of evaluation should be directed to the nurse educator teaching the course section in which students are registered.

9 SCHEDULE Week Date Class Content 1 May 14 Introduction to Term III Skills Class Review of Oral & Narcotic Medication Administration Withdrawing Medications from a Vial 2 May 21 Administering Parenteral Medications An Introduction Administering IM Medications Single Medications Administering IM s via Z-Track method 3 May 28 Withdrawing Medications from an Ampoule Administering SC Medications Single Medications Administering SC Medications through SC Butterfly Cannulas 4 June 4 Administering Mixed Medications 5 June 11 Quiz #1 Consolidation & Practice for Injectable Medications 6 June 18 Safe Practice Appraisal #1 Injectable Medications 7 June 25 Review of Quiz #1 Regulating & Maintaining Peripheral IV Infusions 8 July 2 Conversion of a Continuous IV to a Saline Lock Flushing a Saline Lock Page 9 of 9 9 July 9 Introduction to Wound Care Closed Wounds Incisional Care & Circular Wound Care 10 July 16 Quiz #2 Consolidation & Practice for Simple Wound Care 11 July 23 Safe Practice Appraisal #2 Wound Care 12 July 30 Review of Quiz #2 Suture and Staple Removal Application of Steri-strips 13 Aug. 6 Comprehensive Review of Skills Content Classroom & Instructor Evaluations