House Bill 2504 Spring 2020 RNSG-1260-13 - Clinical Registered Nursing-Registered Nurse Syllabus


Spring 2020 Course Syllabus Course: RNSG-1260- Section: 13 Clinical Registered Nursing-Registered Nurse

Instructor Information

Instructor

Carolyn Brown

E-mail

brownc1@lamarpa.edu

Phone

(409) 984-6368

Office

Location:	Allied Health - Room: 129
Hours:	As posted and by appointment

Department

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.
Allied Health
Chair:	Shirley MacNeill
E-mail:	macneisb@lamarpa.edu
Phone:	(409) 984-6365

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 nurses 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

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

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.

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). Daviss drug guide for nurses. (15th ed). Philadelphia, PA: Davis Company.
Giddens, J (2017). Concepts for nursing practice (2nd ed.). St. Louis, MO: Elsevier
HESI (2017). HESI comprehensive review for the NCLEX-RN examination (5th Ed.). St. Louis: 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.
Lilley, L., Collins, S. & Snyder, J. (2017). Pharmacology and the nursing process (8th ed.). St. Louis, MO: Elsevier
Myers, E. (2014). RNotes: Nurse's clinical pocket guide (4th Ed.). Philadelphia: F.A. Davis.
Perry, S., Hockenberry, M., Lowdermilk, D. & Wilson, D. (2018). Maternal child nursing. (6th ed). St Louis, MO: Elsevier.
Potter, P., Perry, A., Ostendorf, W. (2018). Clinical nursing skills & techniques (9th ed.). St. Louis, MO: Elsevier.
Rischer, K. (2015). Think like a nurse: practical preparation for professional practice (2nd ed).
Silvestri, L. A. (2017). Saunders comprehensive review for the NCLEX-RN examination (7th Ed.). St. Louis: Elsevier.
Swift River Online Simulation Subscription
Taber's Cyclopedic Medical Dictionary. (22nd ed). (2013). Philadelphia: F.A. Davis.
Townsend, M. & Morgan, K. (2017). Essentials of psychiatric mental health nursing (7th ed.). 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.

Lecture Topics
Outline

Week 1 (January 22, 2020): Orientation
Week 2 (January 28, 2020): Math/Medication Review, Community Setting Request
Week 3 (February 4, 2020): Math/Medication Exam #1
Week 4 (February 11, 2020): Medication Administration Skill
Week 5 (February 18, 2020): Clinical Orientation; Nursing Journal Summary Math/Medication Exam #2
Week 6 (February 25, 2020): Summary and Care Plan; Swift River assignment
Week 7 (March 4, 2020): Clinical Case Study begin; Swift River assignment
Week 8 (March 11, 2020): Spring Break
Week 9 (March 18, 2020): Teaching Plan; Swift River assignment
Week 10 (March 25, 2020): Pediatric Clinical Reasoning assignment
Week 11 (April 1, 2020): Clinical Case Study due
Week 12 (April 8, 2020): Mental Health Assessment; Swift River assignment
Week 13 (April 15, 2020): Summary/Care Plan
Week 14 (April 22, 2020): Clinical Reflection Assignment; Swift River assignment
Week 15 (April 29, 2020): End of Clinical Reflection paper (due on Wednesday end of day), Community Attendance Record due
Week 16 (May 6, 2020): 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, 2020 - 8:00 AM Through May 6, 2020 - 11:00 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 students 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

    Only students enrolled in the course are allowed in the clinical/lab setting, except by special instructor permission.
    No food or tobacco products are allowed in the lab or clinical setting.
    Use of tobacco products is prohibited on all LSC-PA properties and assigned clinical facilities at any time.
    Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be visible or used in the clinical setting unless permission is granted by the instructor.
    Use of electronic devices during normal class, lab, or clinical hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.
    Students should turn their phones to vibrate before they enter the lab or clinical setting.    No cell phones should be visible during lab or at clinical.
    Lab jackets, name tag, and picture ID are to be worn at all times while in the skills and simulation lab, when entering the clinical facility, anytime the student leaves the assigned clinical unit, and upon exiting the facility.

Additional classroom/clinical policies include:
Students and faculty of the Lamar State College-Port Arthur Upward Mobility Nursing Program are expected to assist in maintaining a classroom/clinical environment that is conducive to learning. To assure that faculty have the opportunity to teach and students have the opportunity to benefit from time spent in class, unless otherwise approved by the instructor, students are prohibited from engaging in distracting classroom/clinical behavior.

The following behaviors will result in the student being asked to cease the action, lose five (5) points on the next exam, and/or leave the classroom, clinical or labs:
    Inappropriate and/or disruptive use of cell phones or other electronics;
    talking or sleeping while the instructor is giving instructions or during class, clinical or lab discussions/presentations;
    or displaying a rude or negative attitude/behavior to the instructor, clinical staff, or other students.

The following expectations apply to all courses:
    Promptness is expected. Students should be on time for all classes, clinical, or lab and return from breaks promptly.
    Students are expected to come to didactic, lab, and clinical experiences prepared and present as sincere, adult learners. Pre-work assignments may be required for specialty clinical assignments.
    Phone calls and/or text messages will be returned only during scheduled breaks.
    Cell phones must be on vibrate in the classroom and off and out of reach during testing and test reviews. In the event of an emergency, family can contact students through the AH Secretary, Upward Mobility Program Coordinator, or Department Chair.
    On-campus computers will only be used for classroom/clinical work.
    All information shared by other students and instructors will remain confidential and should not be shared with others outside of the classroom or lab environment.
    Students should not engage in ?side-bar? discussions during classroom, clinical, and lab.
    Comments should be directed to the faculty in charge of the classroom, clinical, or lab time.
    All students are expected to actively participate in all discussions, activities, and exercises.
    Students are expected to be open to new ideas and experiences and to step outside of their comfort zone.
    A positive attitude is expected and comments should give supportive feedback.    The classroom, clinical, simulation and lab environment is a judgment-free zone.
    Students are responsible for their actions and are responsible for learning as much as possible from the experiences provided.
    Students are encouraged to seek assistance from peers and faculty when needed to be successful.
    Student support of each other in the learning environment is encouraged and expected. Supportive relationships with each other will allow a more positive learning environment to enable all to work together as a team and develop professionally.
    Homework assignments completed during classroom or clinical sessions will result in a grade of zero.
    Students are also expected to follow the guidelines and policies in the LSCPA Upward Mobility Nursing Student Handbook.

If a student is unable to maintain these expectations or stated program requirements, dismissal from the program may occur.

Attendance Policy

All classes will be conducted online beginning on March 23 until further notice.
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 students 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 students 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 students 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 students 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

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.

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.