Fall 2022 Course Syllabus
Course: RNSG-2362 (Section: 11, CRN: 91498)
Clinical Registered Nursing-Registered Nurse
LSCPA Logo Image
Instructor Information
Instructor Lauren Ratcliff
Email ratcliffle@lamarpa.edu
Phone (409) 984-6334
Office Allied Health - Room: 124
Office Hours Office Hours: Tuesday-Wednesday 11:00-3:00
Drop-ins are welcome but scheduling an appointment is recommended. 
Other hours may be available
Additional Contact Information
Course Information
Description A health-related work-based experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.
Required Textbooks Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer.

Required:
Ackley, B., & Ladwig, G. (2020). Nursing diagnosis handbook: An evidence-based guide to planning care (12th ed). Mosby-Elsevier. ISBN 9780323879880
American Psychological Association. (2020). Concise guide to APA Style (7th ed.). ISBN 9781433832134
Giddens, J (2021). Concepts for nursing practice. (3rd ed.). Elsevier. ISBN 9780323598101
HESI Case Studies: Complete RN Collection. (2021). Elsevier.
HESI (2020). HESI comprehensive review for the NCLEX-RN examination (6th Ed.). Elsevier. ISBN 9780323582452
Lewis, S., Bucher, L., Heitkemper, M., & Hardin, M. (2020). Medical-Surgical nursing, assessment and management of clinical problems. (11th ed.). Elsevier. ISBN 978032359193
Lilley, L., Collins, S. & Snyder, J. (2020). Pharmacology and the nursing process (9th ed.). ISBN 9780323529495
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN
McKinney, E.S, Murray, S.S., James, S.R., Nelson, K., & Ashwill, J. (2022) Maternal-Child nursing (6th ed.). Elsevier ISBN 9780323697880
Perry, A.G., Potter, P.A., Ostendorf, W., & Laplante, N. (2022) Clinical nursing skills & techniques (10th ed.). Mosby-Elsevier. ISBN 9780323758765
Perry, A.G., Potter, P.A., Ostendorf, W., & Laplante, N. (2021) Skills performance checklists for clinical nursing skills & techniques (10th ed.) Mosby-Elsevier. ISBN 9780323758765
Silvestri, L. A., & Silvestri, A.E. (2019). Saunders comprehensive review for the NCLEX-RN examination (8th Ed.). Elsevier. ISBN 9780323358415
Swift River Online.
Townsend, M., & Morgan, K. (2020). Essentials of psychiatric mental health nursing (8th ed.). F.A. Davis Company. ISBN 9780803676787
Vallerand, A., & Sanoski, C. (2020). Davis's Drug Guide for Nurses (17th ed). F.A. Davis Company. ISBN 9781719640053
Van Leeuwen, A. & Bladh, M.L. (2021). Davis's comprehensive manual of laboratory and diagnostic tests with nursing implications (9th ed). F.A. Davis Company. ISBN 9781719640589
Venes, Donald. (2021) Taber's Cyclopedic Medical Dictionary (24th ed). F.A. Davis. ISBN-13: 9781719642859
Zerwekh, J., & Garneau, A. (2020). Nursing today: Transitions and Trends (10th ed). Saunders. ISBN 9780323642088
Zerwekh Illustrated Study Guide for the NCLEX-RN ISBN 9780323530972
Recommended:
Nugent, P., & Vitale, B. (2020). Test success: Test-taking techniques (9th ed.). F. A. Davis. ISBN 9781719640022
Weber, J., & Kelly, J. (2022). Health assessment in nursing (7th ed). Lippincott Williams & Williams. ISBN 9781975161156

Additional Materials/Resources None.
Corequisites/Prerequisites
  • BIOL-2120 Microbiology Laboratory
  • BIOL-2120 Microbiology for Non-Science Majors Laboratory
  • BIOL-2320 Microbiology
  • BIOL-2320 Microbiology for Non-Science Majors
  • BIOL-2420 Microbiology
  • RNSG-1137 Professional Nursing Concepts III
  • RNSG-1260 Clinical Registered Nursing/Registered Nurse
  • RNSG-1538 Health Care Concepts III
  • RNSG-2361 Clinical Registered Nursing/Registered Nurse
Learning Outcomes In accordance with the mission of Lamar State College - Port Arthur, this course encourages the student to develop the particular skills, knowledge, and attitudes needed for success in the field of Associate Degree Nursing. Upon successful completion of the course, the student should be able to:         
1.       Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting. ( PSLO 1; PSLO 3) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
2.       Assume responsibility and accountability for the quality of nursing care provided to patients and their families. ( PSLO 1; PSLO 3) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
3.       Participate in activities that promote the development and practice of professional nursing. ( PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
4.       Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self- analysis, self-care, and lifelong learning. ( PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
5.       Use clinical reasoning and knowledge based on the diploma or associate degree nursing program of study and evidence-based practice outcomes as a basis for decision-making in nursing practice. ( PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
6.       Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based upon interpretation of comprehensive health assessment findings compared with evidence-based health data derived from the diploma or associate degree nursing program of study. ( PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
7.       Analyze assessment data to identify problems, formulate goals/outcomes, and develop plans of care for patients and their families using information from evidence-based practice in collaboration with patients, their families, and the interdisciplinary health care team. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
8.       Provide safe, compassionate, comprehensive nursing care to patients and their families through a broad array of health care services. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
9.       Implement the plan of care for patients and their families within legal, ethical, and regulatory parameters and in consideration of disease prevention, wellness, and promotion of healthy lifestyles. ( PSLO 1) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
10.   Evaluate and report patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice, and plan follow-up nursing care. ( PSLO 1; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
11.   Develop, implement, and evaluate teaching plans for patients and their families to address health promotion, maintenance, and restoration. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
12.   Coordinate human, information, and material resources in providing care for patients and their families. ( PSLO 1; PSLO 2) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
13.   Act as a Patient Advocate for safety using the Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards. ( PSLO 1) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
14.   Implement measures to promote quality and a safe environment for patients, self, and others. ( PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
15.   Formulate goals and outcomes using evidence-based data to reduce patient risks. ( PSLO 1; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
16.   Obtain instruction, supervision, or training, as needed, when implementing nursing procedures or practices. ( PSLO 1; PSLO 3) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
17.   Comply with mandatory reporting requirements of the Texas Nursing Practice Act. ( PSLO 1) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
18.   Accept and make assignments and delegate tasks that take into consideration patient safety and organizational policy. (PSLO Alpha; PSLO 1; PSLO 2) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
19.   Coordinate, collaborate, and communicate with patients, their families, and the interdisciplinary health care team to plan, deliver, and evaluate patient-centered care. ( PSLO 1; PSLO 2; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
20.  Serve as a health care advocate in monitoring and promoting quality and access to health care for patients and their families. (PSLO 1; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
21.  Refer patients and their families to resources that facilitate continuity of care; health promotion, maintenance, and restoration; and ensure confidentiality. ( PSLO 1; PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
22.   Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families. ( PSLO 1; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
23.  Communicate and manage information using technology to support decision making to improve patient care. (PSLO 3; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
24.   Assign and/or delegate nursing care to other members of the health care team based upon an analysis of patient or unit need. (PSLO 1; PSLO 2; PSLO 4) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care. 
25.   Supervise nursing care provided by others for whom the nurse is responsible by using evidence-based nursing practice. (PSLO 1; PSLO 2) Measured by: clinical rotation assignments, observed clinical interactions with patients, families and other team members, and evaluation of delivery of patient care.  
Program Student Learning Outcomes Upon completion of the Upward Mobility Nursing Program graduates will be able to: 

PSLO 1.  Integrates professional caring into practice decisions within the scope of practice for a registered nurse.
 
PSLO 2.  Demonstrates safe, competent, holistic care for a diverse group of individuals who have complex health care needs.
 
PSLO 3.  Accept responsibility and accountability for the effectiveness of one’s own nursing practice and professional growth. 

PSLO 4. Communicate effectively with clients, peers and other members of the interdisciplinary heath care team to provide evidence-based care. 
Lecture Topics Outline
  • Orientation
  • Individual Facility Orientation
  • Medication/Math Review
  • NCLEX-RN Review
Major Assignments Schedule
Week 1 (8/22/22 – 8/28/22):

  • Preceptor Forms due
  • Preceptor Clinical Begins
  • Submit Clinical Schedule
  • Math Exam #1 on 8/22/2022
  • Skills fair practice
Week 2 (8/29/22 – 9/4/22):

  • Submit Clinical Schedule
  • Swift River assignments
  • Math Exam #2 on 8/30/2022
  • Simulation #1 (Skills Fair) Group A, B, C, & D 8/29/222
Week 3 (9/5/22 – 9/11/22):

  • (No Clinical Hours on 09/05- Labor Day) Submit Clinical Schedule
  • Swift River assignments
  • Community Service Request due
  • Math Exam Final attempt #3 on 9/7/22
Week 4 (9/12/22 – 9/18/22):  

  • Submit Clinical Schedule
  • Swift River assignments
  • Clinical Discussion #1
  • Teaching Project Planning due
Week 5 (9/19/22 – 9/25/22):

  • Submit Clinical Schedule
  • Clinical Reflection #1
  • Swift River assignments
  • Teaching Projects Begin
Week 6 (09/26/22 – 10/02/22):

  • Submit Clinical Schedule
  • Teaching Projects continue
  • Medical-Surgical Case Study due
  • Swift River assignments
Week 7 (10/03/22– 10/09/22):

  • Submit Clinical Schedule
  • Teaching Projects continue
  • Swift River assignments
  • Preceptor Mid-term Evaluation due
  • Mid-term Evaluation with Faculty
Week 8 (10/10/22 – 10/16/22):
 
  • Submit Clinical Schedule
  • PreSim assignments due
  • Simulation #2 Group C & D
  • PostSim assignments due
  • Clinical Reflection #2
  • Swift River assignments
  • Teaching Projects Continue
Week 9 (10/17/22 – 10/23/22):
  • Submit Clinical Schedule
  • Teaching Projects continue
  • Swift River assignments
  • PreSim assignments due
  • Simulation #2 Group A & B
  • PostSim assignments due
Week 10 (10/24/22 – 10/30/22):
  •  Submit Clinical Schedule
  • Teaching Projects continue
  • PreSim assignments due
  • Clinical Discussion #2
  • Swift River Assignments
  • Simulation #3 Group A & B
  • PostSim assignments due
 
Week 11 (11/31/22 – 11/06/22):

  • Final Week with Preceptor
  • PreSim assignments due
  • Simulation #3 Group C & D
  • PostSim assignments due
  • Swift River assignments
  • Final week with preceptor
  • Final week for teaching projects
Week 12 (11/07/22 – 11/13/22):

  • Swift River assignments
  • PreSim assignments
  • Simulation #4 Group A & B
  • PostSim assignments due
Week 13 (11/14/22 – 11/20/22):

  • NCLEX-RN Review Course
  • Community Service Hours due
  • Community Experience Summary
  • Swift River assignments
  • Final Preceptor Feedback form
  • Preceptor End of Clinical Feedback form
  • Submit Clinical Attendance Record
  • Submit all Preceptor Evaluation Forms
Week 14 (11/21/22 – 11/27/22):

  • PreSim assignments due
  • Simulation #4 Groups C & D
  • PostSim assignments due
  • End of Clinical Reflection Assignment
  • Student End of Clinical Feedback Assignment
Week 15 (11/28/22– 12/4/22):

  • Clinical Evaluations
  • Final Skills Check-off Sheet due
  • HESI (2539 Course) on 11/29/2022
  • Poster Presentations (2138 Course) on 11/30/22
Week 16 (12/05/22 -12/7/22)
  •  Grades Due/Finals Week/Pinning Ceremony 12/7/22  

Final Exam Date November 28, 2022 - 8:0 AM   Through  November 28, 2022 - 2:0 PM
Grading Scale 90-100 = A 80-89 = B 75-79 = C 74-60 = D 59 or Below = F 
Determination of
Final Grade

The grade for the clinical course consists of two components:
(1) Written work which is given a numerical grade.
(2) Clinical performance which is graded as S (satisfactory) or U (unsatisfactory). 
A student must achieve a minimum average of 75% or greater on written work and an “S” on clinical performance which is determined by:  meeting the required clinical hours and achieving satisfactory on the Clinical Evaluation to pass the course.  The grade received on the written work will be the grade assigned for the course on the transcript provided the student has a satisfactory on clinical performance.
Students with an unsatisfactory for clinical performance will receive a grade of “F” for the course regardless of the numerical grade on the written work. 

The following method will be used to determine each student’s grade in the course:

  • Medical Surgical Case study                                            weighted 25%
  • Clinical Reflections/Discussions/Sim Activities(avg)        weighted 15%
  • Teaching Project                                                               weighted 15%
  • Swift River assignments (avg)                                          weighted 20%
  • Community Experience Summary                                    weighted 10%
  • End of Clinical Reflection Paper                                       weighted 10%
  • Med Administration Exam (avg)                                        weighted 5%

Math/Medication Competency Exam
Students must demonstrate accurate calculation of medication dosages within 3 attempts each semester. Examples of Medication administration problems will be available in each course.  Medication administration questions, which will include dosage calculations, will also be on the majority of didactic course exams.
 
The student must pass a written medication administration competency evaluation in RNSG 2362 with a minimum score of 100.  The student will have three opportunities to achieve a minimum score of 100.  Students who do not achieve a minimum score of 100 by the third medication administration exam will not be allowed to continue in the program. If more than one medication administration exam is required, the average will be used for determination of the medication administration exam grade.
 
First unsuccessful demonstration of Math/Medication Competency -
Classroom setting group remediation will be provided by faculty.
 
Second unsuccessful demonstration of Math/Medication Competency –
The student meets with the assigned clinical faculty and/or other faculty members for individual remediation and retests within one week after individual remediation.
 
Third unsuccessful demonstration of Math/Medication Competency –
The instructor withdraws the student from the nursing courses.
 

Course Policies
Instructor Policies Simulation:
All students will participate in a Skills Fair during their Simulation #1 assigned time. All skills included in the skills fair will be checked off with one of the Upward Mobility faculty. This is a Pass/Fail assignment. The student must pass all skills during the skills fair to continue with their preceptor hours in the clinical setting.  If the student fails any skill during the skills fair, the student will be unable to continue with preceptor hours until the skill has been passed. The student is responsible for setting up a time to practice and repeat the failed skill(s) with the simulation instructor. Once all skills have been completed and passed, the student will be released to continue with their preceptor hours.
 
Community Service Requirements:
Students are required to complete two 3-hour community service experiences within the RNSG 2362 course. The community locations must be preapproved by faculty and must provide different experiences from what was completed in RNSG 1260 and RNSG 2361 Clinical.  Each agency must provide different services to the community.  The student may not complete community service hours at your place of employment.
 
The student will complete a summary of all clinical experiences after completing the required Community Service hours for each clinical course RNSG 1260, RNSG 2361, and RNSG 2362. 
Attendance Policy Attendance at all scheduled classes and clinical experiences is expected. Research has shown that consistent class and clinical attendance contributes to successful completion of not only the Upward Mobility Nursing Program, but also passing the NCLEX-RN. Regular attendance is an essential function of any job in nursing. Students who regularly miss class or clinical clearly demonstrate their refusal to be accountable to report to work regularly.

It is the student’s responsibility to notify the instructor prior to any absence. If the student is missing a clinical, classroom or lab day, s/he must notify the faculty.

Additional Information
Institutional Policies
MyLSCPA Be sure to check your campus email and Course Homepage using MyLSCPA campus web portal. You can also access your grades, transcripts, academic advisors, degree progress, and other services through MyLSCPA.
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSCPA policies (Academic Dishonesty section in the Student Handbook) for consequences of academic dishonesty.
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
COVID 19 Information The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.
Facility Policies No food or tobacco products are allowed in the classroom. Only students enrolled in the course are allowed in the classroom, except by special instructor permission. Use of electronic devices is prohibited.
HB 2504 This syllabus is part of LSCPA's efforts to comply with Texas House Bill 2504.
Mandatory Reporting of Child Abuse and Neglect As per Texas law and LSCPA policy, all LSCPA employees, including faculty, are required to report allegations or disclosures of child abuse or neglect to the designated authorities, which may include a local or state law enforcement agency or the Texas Department of Family Protective Services. For more information about mandatory reporting requirements, see LSCPA's Policy and Procedure Manual.
Title IX and Sexual Misconduct LSCPA is committed to establishing and maintaining an environment that is free from all forms of sex discrimination, including sexual harassment, sexual violence, and other forms of sexual misconduct. All LSCPA employees, including faculty, have the responsibility to report disclosures of sexual misconduct, including sexual harassment, sexual assault (including rape and acquaintance rape), domestic violence, dating violence, relationship violence, or stalking, to LSCPA's Title IX Coordinator, whose role is to coordinate the college's response to sexual misconduct. For more information about Title IX protections, faculty reporting responsibilities, options for confidential reporting, and the resources available for support visit LSCPA's Title IX website.
Clery Act Crime Reporting For more information about the Clery Act and crime reporting, see the Annual Security & Fire Safety Report and the Campus Security website.

Grievance / Complaint / Concern If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.
Department Information
Allied Health
Chair:Shirley MacNeill
Email:macneisb@lamarpa.edu
Phone:(409) 984-6365