House Bill 2504 Summer Sessions 2020 RNSG-2361-13 - Clinical Registered Nursing-Registered Nurse Syllabus


Summer Sessions 2020 Course Syllabus Course: RNSG-2361- 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:	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 occupational theory, skills and concepts. Direct supervision is provided by a clinical professional.

Prerequisites

RNSG 1118 Professional Nursing Competencies
RNSG 1228 Introduction to Health Care Concepts
RNSG 1260 Transition Clinical

Learning Outcomes

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.

Core Objectives

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 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.

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.

Required:
Ackley, B. & Ladwig, G. (2017). Nursing diagnosis handbook: An evidence-based guide to planning care (11th ed). St. Louis, MO: Mosby-Elsevier.
Giddens, J (2017). Concepts for nursing practice. (2nd ed.). St. Louis, MO: Elsevier.
HESI Case Studies: Complete RN Collection. (2019). Elsevier.
HESI (2017). HESI comprehensive review for the NCLEX-RN examination (5th Ed.). St. Louis: Elsevier.
Hockenberry, M., Wilson, D., & Rodgers, C. (2016). Wongs essentials of pediatric nursing (10th ed.). St. Louis, MO. Elsevier.
Lewis, S., Bucher, L., Heitkemper, M. & Hardin, M. (2020). Medical-Surgical nursing, assessment and management of clinical problems. (11th ed.). St. Louis, MO. Elsevier.
Lilley, L., Collins, S. & Snyder, J. (2020). Pharmacology and the nursing process (9th ed.). St. Louis, Mo. Elsevier
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN
Murray, S., McKinney, E., Houb, K., & Jones, R. (2019). Foundations of maternal-newborn health nursing (7th ed.). St. Louis, MO. Elsevier.
Silvestri, L. A. (2017). Saunders comprehensive review for the NCLEX-RN examination (7th Ed.). St. Louis: Elsevier.
Swift River Online.
Taber's Cyclopedic Medical Dictionary (23rd ed). (2017). Philadelphia: F.A. Davis.
Townsend, M & Morgan, K. (2020). Essentials of psychiatric mental health nursing (8th ed.). Philadelphia, PA. F.A. Davis Company.
Zerwehk, J. & Garneau, A. (2018). Nursing today: Transitions and Trends (9th ed). St. Louis, MO: Saunders

Recommended:
Nugent, P. & Vitale, B. (2016). Test success: Test-taking techniques (7th ed.). Philadelphia: F. A. Davis.
Weber, J., and Kelly, J. (2018). Health assessment in nursing (6th ed). Philadelphia: Lippincott Williams & Williams.

Lecture Topics
Outline

Week 1 (June 3, 2020): Orientation; Math/Medication Review; Math/Medication Exam; Maternal/Newborn Objectives; Community Service Request

Week 2 (June 10, 2020): Discussion; Swift River assignments

Week 3 (June 17, 2020): Begin Clinical Case Study; Swift River assignments

Week 4 (June 24, 2020): Teaching Project Planning items due; Swift River assignments

Week 5 (July 1, 2020): Nursing Journal; Swift River assignments; Teaching Projects begin

Week 6 (July 8, 2020): Swift River assignments; Teaching Projects continue

Week 7 (July 15, 2020): Clinical Case Study due; Swift River assignments; Teaching Projects continue

Week 8 (July 22, 2020): Maternal/Newborn Specialty Case Study; Swift River assignments; Teaching Projects continue

Week 9 (July 29, 2020): Clinical Reflection, Swift River assignments; Submit Community Attendance Record; Teaching Projects end

Week 10 (August 5, 2020): Final Clinical Evaluations

Major Assignments
Schedule

1)    Clinical Case Study
2)    OB Specialty Case Study
3)    Maternal/Newborn Objectives
4)    Community Case Study
5)    Nursing Journal/ Reflections/Discussions/Community Experiences Summary (avg)
6)    Swift River assignments
7)    Teaching Project
8)    Med Administration Exam (avg)
9)    Simulation Pass/Fail assignments

Final Exam Date

July 5, 2020 - 8:00 AM Through June 5, 2020 - 9:00 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 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.

Failure to satisfactorily complete written objectives for specialty areas, including Simulation assignments by due date will result in a grade of 0 and denial of specialty rotation. THIS WILL RESULT IN FAILURE OF CLINICAL.

All Pass/Fail Assignments must be completed in a satisfactory manner or it will result in a course failure.

The following method will be used to determine each students grade in the course:
1.    Clinical Case study     weighted 20%
2.    Specialty (OB) Case Study weighted 15%
3.    Maternal/Newborn Objectives weighted 10%
4.    Nursing Journal, Reflections, Discussions
and Community Summary (avg) weighted 10%
5.    Swift River assignments (avg) weighted 10%
6.    Teaching Project weighted 10%
7.    Med Administration Exam (avg) weighted 10%
8.    Community Case Study     weighted 15%

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 2361 with a minimum score of 95. The student will have three opportunities to achieve a minimum score of 95. Students who do not achieve a minimum score of 95 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.

A specified amount of time will be set for testing. No questions may be asked during the exams. No hats/caps/hoodies/smart watches/personal possessions other than keys, earbuds, and a pencil may be brought into the exam. Students who arrive after the exam starts, but before it ends, may take the exam without penalty. No additional time is provided for late arrivals and student should come in quietly taking the first available seat. Once the exam period ends from the scheduled start time the student who arrived late must exit the exam. Questions unanswered will be counted wrong.

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.

*Failure to keep an appointment for a repeat skill demonstration or competency exam is the same as an unsuccessful demonstration.

Course Policies

Instructor Policies

Attendance Policy

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

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 Son 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.

Failure to satisfactorily complete written objectives for specialty areas, including Simulation assignments by due date will result in a grade of 0 and denial of specialty rotation. THIS WILL RESULT IN FAILURE OF CLINICAL.

All Pass/Fail Assignments must be completed in a satisfactory manner or it will result in a course failure.

The following method will be used to determine each students grade in the course:
1.    Clinical Case study     weighted 20%
2.    Specialty (OB) Case Study weighted 15%
3.    Maternal/Newborn Objectives weighted 10%
4.    Nursing Journal, Reflections, Discussions
and Community Summary (avg) weighted 10%
5.    Swift River assignments (avg) weighted 10%
6.    Teaching Project weighted 10%
7.    Med Administration Exam (avg) weighted 10%
8.    Community Case Study     weighted 15%

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 2361 with a minimum score of 95. The student will have three opportunities to achieve a minimum score of 95. Students who do not achieve a minimum score of 95 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.

A specified amount of time will be set for testing. No questions may be asked during the exams. No hats/caps/hoodies/smart watches/personal possessions other than keys, earbuds, and a pencil may be brought into the exam. Students who arrive after the exam starts, but before it ends, may take the exam without penalty. No additional time is provided for late arrivals and student should come in quietly taking the first available seat. Once the exam period ends from the scheduled start time the student who arrived late must exit the exam. Questions unanswered will be counted wrong.

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.

*Failure to keep an appointment for a repeat skill demonstration or competency exam is the same as an unsuccessful demonstration.

HB 2504

This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.