|
Spring 2019 Course Syllabus
Course: RNSG-1260- Section: 12 Clinical Registered Nursing-Registered Nurse |
|
| Instructor Information | |||||||||
|---|---|---|---|---|---|---|---|---|---|
| Instructor | Melanie James | ||||||||
| jamesmc1@lamarpa.edu | |||||||||
| Phone | (409) 984-6374 | ||||||||
| Office |
|
||||||||
| Department |
|
||||||||
| Course Information | |||||||||
| Description | A health-related, work-based learning experience that enables the student to apply specialized occupation theory, skills and concepts. Direct supervision is provided by the clinical professional. | ||||||||
| Prerequisites | Admission to Upward Mobility Nursing Program | ||||||||
| 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 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. 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 Alpha; 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 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. |
||||||||
| Core Objectives |
Communication skills: Students will demonstrate effective written, oral and visual communication. Critical Thinking Skills: Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions. Empirical and Quantitative Skills: Students will demonstrate applications of scientific and mathematical concepts. Teamwork: Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view. Social Responsibility: Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities. Personal Responsibility: Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making. |
||||||||
| Program Student Learning Outcomes |
Upon completion of the Upward Mobility Nursing Program graduates will be able to: PSLO Alpha: Reading Skills – Demonstrates comprehension of content-area reading materials. PSLO 1. Adhere to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse while promoting safety and quality improvement as an advocate and manager of nursing care. PSLO 2. Use a systematic problem-solving process to provide individualized, evidence-based nursing care and coordinate care for a limited number of patients who have complex needs in various health care settings demonstrating knowledge of delegation, management, and leadership skills. PSLO 3. Use clinical reasoning and knowledge based upon the nursing program of study, evidence-based practice outcomes, and research based policies and procedures for decision-making, demonstration of skills with patient care technologies and information systems, and providing comprehensive, safe patient care. PSLO 4. Coordinate, collaborate and communicate with diverse patients, families and the interdisciplinary health care team to plan, deliver, and evaluate evidence-based safe care that reflects the value and ethics of the nursing profession. |
||||||||
| Textbooks |
Ackley, B., Ladwig, G., & Makic, M. (2017). Nursing diagnosis handbook: An evidence-based guide to planning care. (11th ed). St. Louis, MO: Mosby-Elsevier. Deglin, J.; Vallereand, A. & Sanoski, C. (2017). Davis’s drug guide for nurses. (15th ed). Philadelphia, PA: Davis Company. Giddens, J (2017). Concepts for nursing practice (2nd ed.). St. Louis, MO: Elsevier Lewis, S., Dirksen, S., Heitkemper, M. & Bucher, L. (2017). Medical-Surgical nursing, assessment and management of clinical problems. (10th ed.). St. Louis, MO. Elsevier. Myers, E. (2014). RNotes®: Nurse's clinical pocket guide (4th Ed.). Philadelphia: F.A. Davis. Potter, P., Perry, A., Ostendorf, W. (2014). Clinical nursing skills & techniques (8th ed.). St. Louis, MO: Elsevier. Rischer, K. (2015). Think like a nurse: practical preparation for professional practice (2nd ed). Swift River Online Simulation Subscription Taber's Cyclopedic Medical Dictionary. (22nd ed). (2013). Philadelphia: F.A. Davis. Van Leeuwen, A. & Bladh, M. (2017). Comprehensive handbook of laboratory & diagnostic tests with nursing implication (7th ed.). Philadelphia: F.A. Davis. Videbeck, S. (2017). Psychiatric mental health nursing. (7th ed), Philadelphia, PA: Lippincott. |
||||||||
| Lecture Topics Outline |
Week 1 (January 22, 2019): Orientation Week 2 (January 28, 2019): Math/Medication Review, Community Setting Request Week 3 (February 4, 2019): Math/Medication Exam #1 Week 4 (February 11, 2019): Medication Administration Skill Week 5 (February 18, 2019): Clinical Orientation; Nursing Journal Summary Math/Medication Exam #2 Week 6 (February 25, 2019): Summary and Care Plan; Swift River assignment Week 7 (March 4, 2019): Clinical Case Study – begin; Swift River assignment Week 8 (March 11, 2019): Spring Break Week 9 (March 18, 2019): Teaching Plan; Swift River assignment Week 10 (March 25, 2019): Pediatric Clinical Reasoning assignment Week 11 (April 1, 2019): Clinical Case Study due Week 12 (April 8, 2019): Mental Health Assessment; Swift River assignment Week 13 (April 15, 2019): Summary/Care Plan Week 14 (April 22, 2019): Clinical Reflection Assignment; Swift River assignment Week 15 (April 29, 2019): Clinical Reflection paper (due on Wednesday end of day), Community Attendance Record due Week 16 (May 6, 2019): Final Clinical Evaluations |
||||||||
| Major Assignments Schedule |
Clinical Case study Nursing Journal Summary Clinical Reflection Summary and Care Plan Teaching Plan Mental Health Assessment Med Administration Exam Simulation Activities Swift River Assignments Community Nurse Interview(s) |
||||||||
| Final Exam Date | May 6, 2019 - 8:00 AM Through May 6, 2019 - 8:00 AM | ||||||||
| 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 and (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 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 who score less than 75% on a Clinical Case Study must meet with assigned clinical faculty to review areas of weakness. Failure to meet with clinical faculty will result in a grade of zero being assigned. 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. Failure to have completed written objectives for specialty areas by date of rotation will result in a grade of “0” and denial of specialty rotation. THIS CAN RESULT IN FAILURE OF CLINICAL. The following method will be used to determine each student’s grade in the course: Clinical Case study weighted 25% Nursing Journal, Teaching Plan, Community Nurse Interviews & Final Clinical Reflection (avg) weighted 25% Summary and Care Plan (avg) weighted 20% Swift River Assignments (avg) weighted 10% Mental Health Assessment weighted 10% Med Administration Exam (avg) weighted 10% |
||||||||
| Course Policies | |||||||||
| Instructor Policies |
• Cell phones must be silenced during clinical time, including post-conference. Students may not have personal conversations on cell phones or with ear buds in clinical except during approved breaks (including community clinical). Students may not take any photos during clinical with the exception of classmates during post-conference only. No lap-tops may be brought to post-conference. • Students must comply with all Health Insurance Portability and Accountability Act (HIPAA) regulations regarding patient confidentiality and must also keep confidential information related to the clinical facility. Students must make sure that no information about patients, clinical facilities, or clinical experiences are posted on the internet in any public domain such as blogging or Facebook. Blackboard is not considered in the public domain but no personal patient information should be placed on Blackboard. Students may not Xerox any part of a patient’s chart, even if the patient’s identifier is left off. • Students must follow the Texas Board of Nursing Position Statement 15.29 Use of Social Media by Nurses and always maintain professional standards, boundaries, and compliance with state and federal laws. All nurses have an obligation to protect their patient’s privacy and confidentiality which extends to all environments, including the social media environment. • No personal communications are to be received in the clinical unit. If an emergency call is necessary, the family and/or other persons needing to contact the student, should be provided information on how to contact the assigned clinical instructor or the main nursing program office. The clinical instructor will notify the student of the emergency situation. Cellular telephone use is not permitted in the clinical area. • If a visit to a hospitalized friend or family member is desired, it must be made at another time outside of the clinical course period. • Smoking is not permitted during clinical hours or while on the clinical property. The student’s uniform, breath and clinical papers must be smoke free. • No gum chewing, eating or drinking is permitted in the direct patient care area. • Students are NOT ALLOWED AT ANY TIME TO PRACTICE AN INVASIVE PROCEDURE ON ANOTHER STUDENT such as IV start, NG tube insertion, or injections of any kind. |
||||||||
| 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. • Late arrival to class is disruptive. Students who consistently arrive after the scheduled starting time of class (2 or more times) will be counseled and a plan of action determined. Class will begin promptly at the scheduled time. Students who arrive ten (10) minutes after the beginning of class should not enter the classroom and should wait until break to enter. • A student who is absent from course activities for three (3) days or more, without notification to faculty, may be withdrawn from the program by the program director. • Students on campus but not in class are considered absent. • It is the student’s responsibility to submit a completed ‘student excuse form’ upon return to class following an absence, tardy, or leaving class early. Failure to do so will result in a declaration of ‘no call, no show’ and may result in the student being dismissed from the program. • Since clinical is such an important component of the Upward Mobility Nursing Program, students are required to attend 100 percent of the scheduled clinical days in any given semester. • Students must be present the entire clinical day, including pre/post-conference to get credit for their attendance. • Additional activities and written work will be required if a student is absent from clinical. The assigned clinical instructor will determine appropriate clinical make-up work dependent upon the clinical experienced missed. If the absence is in a specialty area such as (Maternal Child, Pediatrics and Psychiatric Nursing) a make-up clinical experience is required as directed by the level faculty. • A student who misses any clinical days in a semester may receive a failing course grade (F) in the clinical course and be required to repeat both the didactic and clinical courses. • Two or more absences from clinical will necessitate the Standards Committee to review the student’s performance in the Upward Mobility Nursing Program. Students will be evaluated according to the following criteria: • Have a 75% weighted exam average in the didactic course • Have satisfactory written work in the clinical course • Are up-to-date on skills check-offs in clinical Students who meet the above criteria prior to the most recent absence may be allowed continue in clinical until the review committee meets and makes a decision. Students who do not meet the above criteria may be dismissed for the semester. • Any student who is “no call, no show” for clinical demonstrates a lack of accountability and unprofessional conduct. Therefore, the student may fail clinical that semester and must repeat both the clinical and didactic courses to progress in the program. A student is “No call no show” if the student is absent from clinical and fails to contact the instructor during the 24-hour period in which the clinical is scheduled. • Students may be required to attend seminars or workshops to meet clinical objectives. Students will be informed in advance of the requirements. They are expected to attend the entire workshop as scheduled even if it extends past the regularly scheduled clinical time. • It is the student’s responsibility to notify the instructor prior to any absence. If the student is missing a clinical day, s/he must notify the faculty that s/he is unable to attend clinical. Each clinical instructor will provide assigned students a cell phone number; the student can call and leave a message if the instructor does not answer. In addition to the assigned clinical instructor, the charge nurse on the assigned clinical unit is to be notified before pre-conference so that arrangements for the care of a given patient, if one has been saved for a particular student's educational experience, can be made. It is expected that the student will appreciate the responsibility both the student and LSCPA has assumed in having a client assigned for educational purposes. The student should also email the faculty for a written record. • Students who arrive up to fifteen minutes after assigned clinical time will be counseled on the first occurrence and allowed to stay. Students who arrive, up to fifteen minutes, after assigned clinical time on two (2) or more occasions will be counseled and not allowed to remain. This will count as a clinical absence. • Students who fail to submit completed written objectives prior to assigned rotation to designated areas will be sent home. This is a clinical absence. • Simulation clinical days will have assigned activities to complete prior to arriving at simulation. Failure to submit the assignments upon arriving to the simulation lab will result in the student being sent home for the day. This will count as a clinical absence. • Community clinical days will have an assignment due following each community clinical experience. Students must report on time, dependent upon the community site hours and must stay for six hours. • The clinical instructor keeps an attendance record. A student who is unsure about his/her status should meet with the instructor by appointment. Failure to comply with the clinical absence policy may result in a clinical failure or dismissal from the program. • The program coordinator has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for registered nursing makes it inadvisable for that student to continue in the program. |
||||||||
| Academic Honesty | Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty. | ||||||||
| Facility Policies |
|
||||||||
| Important Information | |||||||||
| 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. | ||||||||
| MyLamarPA | Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA. | ||||||||
| Other | |||||||||
| HB 2504 | This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504. | ||||||||