South Texas ollege DIVISION OF NURSING/ALLIED HEALTH Associate Degree Nursing Master Syllabus hair s Information : 1. Name of hair: Jayson T. Valerio, RN, MSN 2. Office Location: Nursing and Allied Health enter, Room 231 3. Telephone #: (956) 872-3142 4. FAX#: (956) 872-3031 5. E-mail Address: jaysonva@southtexascollege.edu ourse Information: ourse name: LINIAL Paramedic to RN Track ourse number: RNSG 1163 (0-4-1) 3. atalog ourse Description: A health related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts to clients. Direct supervision is provided by the clinical instructor. Prerequisites: Admission to the Associate Degree Nursing Paramedic to RN Option Tractwith nonencumbered paramedic license; or Administrative Approval. o-requisite: RNSG 1517, RNSG 1301 4. Department: ourse Learner 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. This transition course provides the Paramedic to RN student the opportunity to study the concepts and principles necessary to perform basic, intermediate or advanced nursing skills; Demonstrate competence in the performance of nursing procedures. 5. Departmental/Program Learning Outcomes: Page 1
Students will develop a prioritized patient plan of care appropriate to the level based on nursing process. Evaluate legal, ethical role within scope of nursing practice with the client healthcare team to meet client's healthcare needs. Implement individualized teaching plan for client/family concerning promotion, maintenance or restoration of health. Apply the use of critical thinking to analyze clinical data evidence-based nursing literature as bases for decision-making. Develop, with assigned healthcare team, plan for post-hospital healthcare needs. 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. Participate in activities that promote the development and practice of professional nursing. Page 2
6. Departmental ourse ompetencies/learning Objectives: By the end of this semester the paramedic will have the opportunity to perform nursing care as a provider of care, coordinator of care, and member of a profession in a medical-surgical clinical settings: SUGGESTED LEARNING PLO ATIVITIES EVALUATION A. Provider of are 1. Describe the health status and health needs of adult and geriatric clients and their family based upon interpretation of health data and preventive health practices in collaboration with clients and interdisciplinary health care team members. 2. Develop goals/outcomes and communicate plan of care based on nursing diagnoses in collaboration with clients and interdisciplinary health care team members. 3. Discuss plan of care within legal and ethical parameters, including scope of practice, in collaboration with the client and interdisciplinary health care team to assist client in meeting health care needs. 4. Review and implement teaching plans for clients concerning promotion, maintenance, and restoration of health. 1, 5 Reading, are map, computer software, collaborative learning experiences. lient care. 1, 5 Reading, are map, computer software, collaborative learning experiences. are map & daily evaluation tool; evaluation tool. are map & daily evaluation tool; evaluation lient care. tool. 2 Reading, computer assisted instruction are map & daily evaluation tool; evaluation tool. 3 Reading, are map, collaborative learning experiences. Actual client teaching; lient care. 5. Interpret clients response and outcomes to therapeutic interventions. 6 Reading,, and client care. Use of diagnostic equipment and assessment. 6. Provide for the basic, safe care of multiple clients through supervised direct care in a caring environment. 7. Interpret critical thinking approach to identify clinical data and current literature as a basis for decision-making in nursing practice. B. oordinator of are 1. Review human and material resources for the provision of care for adult and geriatric clients. 2. ollaborate with clients and the interdisciplinary health care team for the planning and delivery of care. 4 Text, nursing literature, select internet sites, are map; client care. 4 Text, nursing literature, select internet sites, are map, client care. 5, 6 Reading, nursing literature search, select internet sites, and client care. ollaborative learning, reading, listening and observation of family dynamics. lient care. 3. List resources that facilitate continuity of care for clients. 5, 6 ommunity and national groups which meet client needs (referrals). 4. Describe the organizational framework of various health care settings. 6, 7 Agency orientation, reading, videos, safety guidelines and standards of practice, client care.. Member of a Profession 1. Explain accountability and responsibility for the quality of nursing care provided to the adult and geriatric client family. are map & daily evaluation tool; teaching plan. are map & daily evaluation tool; postconference discussion. are map & daily evaluation tool. are map rationales and evaluation. are map rationales, references, and clinical evaluation tool. Pre- and Post-conference, are map and evaluation tool. are map and discharge plan. are map, seminar presentation, daily evaluation. 6, 7 Group discussion, and reading. Pre and Post conference discussion, are map,evaluation tool. 2. Describe the advocate s role to promote the provision of quality health care for clients. 6 Reading, computer software, client care. Pre and Post conference 3. Describe activities that promote the development and practice of professional nursing. 7 Assigned activities, Read on community resources and utilize during discharge planning and identify client advocacy needs. discussion and are map Pre and Post-conference discussion and are map Page 3
7. Departmental ourse Requirements, Evaluation Methods, and Grading riteria: ourse grade will be determined by the following: 80% linical Performance Evaluation 20% Teaching plan, Discharge plan, Gordon s functional health pattern assessment, Referral guide form, Quizzes, Pre/Post conference, linical Portfolio 100% A. Provider of are: A.1. Safety 30% 1. Identify assigned patient by reading ID bracelet/two identifiers before initiating care. 2. Protect the patient from physical harm at all times, including but not limited to: side rails are raised when indicated, bed in low position, call light within easy reach. 3. Medication administration a. Validate carefully that MAR is consistent with physician s most recent order for each medication. b. Prepare medication as indicated for nonparenteral or parenteral route. c. heck drug label before, during and after preparation. d. Know drug classifications, dose, route, and time, reason for each medication order, anticipated effects, and nursing implications 4. orrectly perform nursing procedures and interventions and explain their rationale. A.2. Infection ontrol 20% 1. Observe standard precautions. Wash hands before initiating direct contact with patient and whenever hands are contaminated by patient s body secretions. Wear gloves and other personal protective equipment whenever coming in contact with bodily-infected fluids. Protect patient, self and others from contamination. 2. Dispose of contaminated materials in designated containers. 3. Keep patient, room, and area clean. 4. Implement any special precautions as required/indicated. A. 3. ritical Thinking 30% 1. Apply standards and principles of evidence-based practice when assessing, analyzing, planning, implementing, and evaluating care. 2. Assess systematically and comprehensively within a reasonable time frame as indicated in the assigned case. 3. Determine significance of data; distinguish relevant data from irrelevant data; and cluster and properly analyze relevant data. Page 4
4. Develop priority nursing diagnoses based upon assessment of patient s biopsychosociocultural needs and make decisions appropriately. 5. orrelate data, including but not limited to health history, medical diagnosis and pathophysiology, and data from the chart such as vital signs and diagnostic testing results, including all disease processes and medications that could affect vital signs. 6. Evaluate and monitor responses and results to nursing care given. 7. Report critical information and intervene in a timely manner when indicated. B. oordinator of are: B. 1. oordinator of are 10% 1. ommunicate effectively verbally and in writing, including proper documentation. Demonstrate appropriate communication and teaching with patient, family and the multi-disciplinary health care team for the planning, delivery and evaluation of care. 2. Effectively manage human, fiscal, and material resources for quality health care outcomes for patient and families within their culture and health care network. 3. Refer patient and their families to appropriate resources when necessary to facilitate continuity of care and health promotion.. Member of Profession:.1. Professionalism & Accountability 10% 1. Follow all clinical policies outlined by the program as written in the student handbook and required by the affiliated institution, including dress standards. 2. Prepare for clinical assignment by collecting pertinent information and utilize appropriate resources. 3. Demonstrate a caring, positive attitude and maintain professional relationships with peers, health care team, faculty, and patients and families. Advocate for patient. 4. Function within the Board of Nursing scope of practice. The student will be evaluated according to these clinical performance criteria on a scale of 1-5: SALE INDEPENDENT 5 SUPERVISED 4 STANDARD PROEDURE Safe Accurate Safe Accurate PERFORMANE QUALITY Proficient, coordinated, confident. Expedient use of time. Efficient, coordinated, confident. ASSISTANE Without Direction With occasional physical or verbal Page 5
ASSISTED 3 MARGINAL 2 DEPENDENT 1 Mostly safe and accurate Questionable safe and questionable accurate Unsafe Inaccurate Expedient use of time. Partial demonstration of skills. Inefficient or uncoordinated. Delayed time expenditure. Unskilled and inefficient. onsiderable and prolonged time expenditure. Unable to demonstrate procedures. Lacks confidence, coordination and efficiency. direction Frequent verbal and/or physical direction ontinuous verbal and/or physical direction ontinuous verbal and/or physical direction The student is expected to practice in a safe and responsible manner regarding him/herself, the patient/client and environment. The failure by the nursing professional student to meet any part of the above standards will cause action to be taken by the clinical instructor, program chair and Division of Nursing and Allied Health Dean. The minimal action to be taken will be a written report and reprimand. The maximum action may be immediate dismissal from the course. The action taken will be dependent on the nature of the incident and potential or real threat to client safety and wellbeing. Refer to the ADN Student Handbook. The final course grade is calculated by averaging the scores then divided by the number of clinical for the entire semester and using the following point grading scale. Grade Scale: At the end of the course, student will earn a grade based on the following scale: LETTER GRADE POINTS EARNED A 90-100% B 83-89% 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. Program Progression: Student must have a 75% or above course average for RNSG 2121, RNSG 2331 and RNSG 2163 to progress to the RNSG 2363. Page 6
If the instructor determines that a student has not had the opportunity to earn points for a given clinical indicator the item will not be applicable for that week. The clinical instructor will document the reasons for a letter grade of in student s clinical performance in the clinical evaluation tool or in the clinical warning form, refer to retention specialist as deemed necessary. Unsafe practice is defined as: 1. Failure to carry out the requirements, including nursing care plans/. 2. Engaging in activities judged to be unsafe for students level and clinical assignment based on course objectives. Engaging in any activity that has the potential to place the client in physical or emotional jeopardy. An instructor has the right and responsibility to dismiss students from the clinical area at any time client care is jeopardized. FAILURE OF THE ENTIRE LINIAL OURSE AN OUR BASED ON UNSAFE PRATIE. Program Progression: 1. The following will be included in determining progression: a. Achieve a final course grade of 75 or higher in this course, RNSG 1517 and Pharmacology in order to progress to Level II. b. Take into consideration a student s professional conduct, character, and ethical behaviors demonstrated in the program regardless of a grade in the course.(see ANA ode of Ethics and NAH Unsafe linical Practice and Standards of Professional Nursing Practice in ADN Student Handbook) http://nah.southtexascollege.edu/adn/. c. onsider input from current and previous course faculty. d. onsider course/clinical disciplinary conferences/warnings/issues. e. onsider student s resolution of mental, emotional, and physical issues influencing program success. Any student can be called in front of the Admissions and Progressions ommittee regarding their professional conduct, character, and ethical behaviors demonstrated in the program regardless of grade in the course. Behaviors unbecoming of the nursing profession can result in dismissal from the program. 2. Students are required throughout the ADN Program to remain current in the following areas: a. ardio-pulmonary resuscitation--health are Provider Basic Life Support (PR HP- BLS) certification by the American Heart Association. b. liability insurance c. PPD (repeated every year) or chest X-ray every two (2) years d. up-to-date immunizations of diphtheria, tetanus, measles/mumps/rubella, polio, chicken pox d. ompletion of hepatitis B series or titer. e. Evidence of medical health insurance each semester. Page 7
STUDENT POLIIES Students must review the Student Handbook (on-line at www.nah.southtexascollege.edu) and sign the attached sheet stating they have read the attendance, cheating, professional appearance, Statement Regarding Board Regulation for License Eligibility; Article 4519a and 4525 policy. Students must be in appropriate uniform and wear ST ID badge at all times. ESSENTIAL FUNTIONAL ABILITIES: All nursing students in the ADN program must possess the following general qualities which include: ritical thinking, communication skills, sound judgment, emotional stability and maturity, empathy, physical and mental stamina, and the ability to learn and function in a variety of didactic and clinical setting. ATTENDANE: linical attendance is required for the completion of clinical learning objectives. The students are required to attend clinical at the assigned time and location. Absences that total more than 10% of the scheduled clinical hours may result in dismissal from the program. See the Student Handbook. STUDENT SHEDULE: Students will be assigned in medical-surgical units. Agency assignments will be made by faculty and are subject to change throughout the semester. PREP WORK/ASSIGNMENTS: ompleting prep work/assignments prepares you for the scheduled clinical learning experience. Students are required to submit a Late oursework Form, found in your Student Handbook, with any assignment that is not submitted by due date and time. Forms will be placed in student s personal file. Ten points will be deducted for each late day. 8. Required Textbook & Resources: Kozier, B., Erb, G., Berman, A., & Snyder, S. (2012) Fundamentals of Nursing. (9th ed.) Upper Saddle River, N.J.: Prentice Hall ISBN 0132425998 Altman, Gaylene B. (2010). Fundamentals and Advanced Nursing Skills (3 rd ed.). NY: Delmar engage Learning. ISBN 13: 9781418052331 ISBN 10: 1418052337 OR Book with omprehensive Skills DVDs ISBN 143542364X (highly recommended) Booth, K., Whaley, J., Sienwkiewicz, S., & Palmunen, J. (2012). Math & Dosage alculations for Health care Professionals (4 th ed.) Mac-Graw Hill ompanies, NY. ISBN 978-0-07-337469-7 Page 8
Mosby s dictionary of medicine, nursing, & health professions (8 th ed.). (2009). St. Louis: Mosby. ISBN 978-0-323-04937-5 Ralph, S.S., Taylor,. M. (2011). Sparks and Taylor s Nursing Diagnosis Pocket Guide. Philadelphia:Wolters Kluwer/Lippincott Williams & Wilkins. ISBN 978-1-58255-733-5 Smeltzer, S. (2011) Brunner & Suddarth s Handbook of Laboratory and Diagnositic Tests. Philadelphia:Wolters Kluwer/Lippincott Williams & Wilkins. ISBN 9781451127720 Smeltzer, S.., Bare, B.G. et. al. Brunner and Suddarth s Textbook of Medical-Surgical Nursing (12 th ed.). Philadelphia:Wolters Kluwer/Lippincott Williams & Wilkins. ISBN: 978-0- 7817-8590-7) Wilson, B. A., Shannon, M. T., Shields, K. M., Stang,. L., (2011). Prentice Hall Nurse s Drug Guide 2011. Upper Saddle River: Prentice Hall. (ISBN 978-0132149709) Page 9
SANS Information: REQUIRED SKILLS as defined by the State of Texas-ommission On Skills and Nursing Education Advisory ouncil FOUNDATION SKILLS 1. Basic Skills a. Required reading b. Written communication c. Listening d. Oral communication e. Arithmetic &mathematics Examples of Necessary Skills Used In This lass Textbooks, professional journals, Internet research Short papers on assigned topics, study guide, software programs assignments, tests Receive, interpret, & respond to verbal messages in large, small groups and during observation exercises Oral reports, in class group discussion, clarifying, collaboration with members of health care team Uses arithmetic and mathematics for determining correct drug dosages and I.V medication 2. Thinking Skills In class individual & group projects to analyze data, practice critical thinking exercises necessary to establish a nursing plan of care. 3. Personal Qualities 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. WORKFORE OMPETENIES Upon program completion the student 4. Resources a. oordinates human and material resources 5. Information a. Determines the health status and needs of clients and Families b. Formulates goals and plan of care c. Uses clinical data and current literature in nursing 6. Interpersonal a. Implements plan of care b. Develops and implements teaching plans c. Evaluates clients/families responses to therapeutic intervention. d. ollaborates with clients, families, health professionals e. Assumes accountability & responsibility for quality care Workforce competency Partially (P) or ompletely () met in this course and/or has been completed in this course for the level objectives Page 10 The following objectives will contribute to the completion of the workforce competencies. A-1 to 5; B 1 to 4; -1 A-1, 2; B-1,4 A-2 to 5, 7; B-3 A-1 to 6; B-4; -1 A-3; B-1, 4; -1 to 3 A-3, 4 A-1, 5, 7; B-2, 4 B-2, 3; -1 to 3 B-4; -1 to 3 7. Systems a. Provides for the care of multiple clients, families in structured settings; direct care or delegation to others P A-1 to 5; B-1, 2, 4; -3 b Refers clients & families to appropriate assistance P A-1, 6; B-3 c. Functions within the organizational health care system e. Acts as client/family advocate in health care f. Participates in professional activities Technology a. Uses technology to enhance client care A-1 to 3; B-1, 2, 4 B-1, 2, 4; -2 A-1 to 5; B-4; 1 to 3 A-1 to 3, 6; B-4
Developmental Studies Policy Statement: The ollege s Developmental Education Plan 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 ollege 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 ollege on the basis of race, color, national origin, religion, sex, age, veteran status or disability. Alternate Format Statement: This document is available in an alternative format upon request by calling (956) 872-3142. ADA Statement: Individuals with disabilities requiring assistance or access to receive service should contact disability Support Services at (956) 872-2173. 11