Summer Sessions 2023 Course Syllabus
Course: RNSG-2361 (Section: 11, CRN: 60721)
Clinical Registered Nursing-Registered Nurse 		LSCPA Logo Image
Instructor Information
Instructor Diane Hare
Email haredl@lamarpa.edu
Phone (409) 984-6358
Office Allied Health - Room: 127
Office Hours As posted and by appointment
Additional Contact Information
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.
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:
Halter, M. (2022). Varcarolis’ Foundations of Psychiatric-Mental Health Nursing (9th ed). Elsevier. ISBN: 9780323697071
Harding, M. (2022). Lewis’s Medical-Surgical Nursing – Clinical Companion (12th ed). Elsevier. ISBN: 9780323792431
HESI Next Gen Exams Testing Package
HESI Case Studies: Complete RN Collection. (2021). Elsevier.
HESI (2023). HESI comprehensive review for the NCLEX-RN examination (7th Ed.). Elsevier. ISBN: 9780323831932
Lewis, S., Bucher, L., Heitkemper, M. & Hardin, M. (2023). Medical-Surgical nursing, assessment and management of clinical problems (12th ed.). Elsevier. ISBN: 9780323789615
Lilley, L., Collins, S. & Snyder, J. (2023). Pharmacology and the nursing process (10th ed.). Elsevier. ISBN 9780323827973
Lippincott NCLEX-RN PassPoint Powered by PrepU: Study software for NCLEX-RN® ISBN: 9781469809359
McKinney, E. (2022). Maternal-Child Nursing (6th ed). Elsevier. ISBN 9780323697880
Nugent, P. & Vitale, B. (2020). Test success: Test-taking techniques (9th ed.). F. A. Davis. ISBN: 9781719640022
Perry, A.G., Potter, P.A., Ostendorf, W., & Laplante, N. (2022) Clinical nursing skills & techniques (10th ed.). Mosby-Elsevier. ISBN 9780323758765
Silvestri, L. A. (2023). Saunders 2022-2023 Clinical Judgment and Test-Taking Strategies (7th ed). Elsevier. ISBN: 9780323763882
Silvestri, L. A. (2023). Saunders comprehensive review for the NCLEX-RN examination (9th ed). Elsevier. ISBN: 9780323795302
Taber's Cyclopedic Medical Dictionary (24th ed). (2021). F.A. Davis Company.
ISBN: 9781719642859
Zerwekh, J. (2023). Illustrated Study Guide for the NCLEX-RN (11th ed). Elsevier. ISBN 9780323777797
Swift River Online through ATI
Recommended:
Weber, J., and Kelly, J. (2022). Health assessment in nursing (7th ed). Lippincott Williams & Williams. ISBN: 9781975161156
Additional Materials/Resources None.
Corequisites/Prerequisites
  • BIOL-2102 Anatomy & Physiology II Laboratory
  • BIOL-2102 Anatomy & Physiology Laboratory II
  • BIOL-2302 Anatomy & Physiology II
  • BIOL-2402 Anatomy and Physiology II (lecture + lab)
  • RNSG-1118 Transition to Professional Nursing Competencies
  • RNSG-1228 Introduction to Health Care Concepts
  • RNSG-1260 Clinical Registered Nursing/Registered Nurse
  • RNSG-1424 Concept-Based Transition to Professional Nursing Practice
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. 

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.  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
  • Course Orientation
  • Individual Clinical Facility Orientation
  • Medication/Math Review
Clinical and Post-conference topics to be determined based upon clinical needs
Major Assignments Schedule Week 1 (June 5-7, 2023):  Orientation; Math/Medication Review; Math/Medication Exam#; Maternal/Newborn Objectives; Teaching Project Exemplar Due, Community Service Request Due; Clinical Orientation
 
Week 2 (June 12, 2023): Discussion; Swift River assignments; Begin Clinical; Start Case Studies
 
Week 3 (June 19, 2023): Holiday
 
Week 4 (June 26, 2023):  Maternal/Newborn Specialty Case Study due; Swift River assignment; Teaching Project Planning items due
 
Week 5 (July 3, 2023): Swift River assignment
 
Week 6 (July 10, 2023): Swift River assignments
 
Week 7 (July 17, 2023): Medical-Surgical Clinical Case Study due; Swift River assignments; Teaching Projects Begin
 
Week 8 (July 24, 2023): Swift River assignments; Teaching Projects continue
 
Week 9 (July 31, 2023): Clinical Reflection, Swift River assignments; Submit Community Attendance Record; Teaching Projects End – due 8/2/2023
 
Week 10 (August 7, 2023):Final Clinical Evaluations
Final Exam Date August 7, 2023 - 8:00 AM   Through  August 7, 2023 - 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.
(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. 
 
1.       Clinical Case study                                                        weighted 20%                                   
2.       Specialty (OB) Case Study                                            weighted 15%
3.       Maternal/Newborn Objectives                                       weighted 10%
4.       Reflections, Discussions, Community Summary
          Assignments (avg)                                                         weighted 10%
5.       Swift River assignments (avg)                                       weighted 10%
6.       Teaching Project                                                            weighted 10%
7.       Med Administration Exam                                              weighted 10%
8.       Community Case Study                                                 weighted 15%
 
 
Students who fail to submit completed written objectives prior to assigned rotation to designated areas will be sent home. This is a clinical absence.
 
 
Students must demonstrate accurate calculation of medication dosages 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.
 
A Math/Medication Competency Review will be provided by faculty prior to the examination.
 
Any student scoring less than 80% will need to review the examination with a faculty member for remediation and complete the required remediation worksheets.
 
The student will meet with the assigned clinical instructor and/or other faculty members for an individual remediation within one week after the examination,
 
The student will complete mandatory remediation worksheet(s) and submit to faculty for review and approval prior to administering medications in clinical.
 
Failure to complete the remediation will result in an unsatisfactory (U) which may result in failure of the course.
Course Policies
Instructor Policies Simulation:
As part of the clinical rotation, all students will participate in Simulation. Students will be expected to properly demonstrate skills included in the simulation. Each simulation experience will include a pre and post simulation assignment. Students must have completed the pre-simulation assignment prior to arriving for assigned simulation clinical. If students have not completed the pre-simulation assignment they will be sent home and an absence will be recorded and makeup assignment required. All assignments will be graded.
 
The student is responsible for setting up a time to practice and repeat any failed skill(s) that occur during simulation.
 
Community:
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 assigned clinical time. All assignments will be graded.
 
Additional activities, written work, and/or make-up clinical and simulation time 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.
 
Community Service Requirements:
Students are required to complete two 3-hour community service experiences within the RNSG 2361 course. The community locations must be preapproved by faculty.  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.
 
The following behaviors may result in the student being asked to cease the action, lose five (5) points on the next exam, and/or leave the classroom 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 discussions/presentations;
  • Displaying a rude or negative attitude/behavior to the instructor or other students; disruptive behaviors in the classroom, skills/simulation lab, computer lab, testing environment, or clinical setting;
  • Counseling for repetitive tardiness (tardiness is defined as arriving greater than 10 minutes to class).
The following expectations apply to all courses:

  • Promptness is expected. Students should be on time for all classes and return from breaks promptly.
  • Students are expected to come to didactic, lab, and clinical experiences prepared and present as sincere, adult learners.
  • 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.
  • If students must leave the classroom during content presentations they must wait until the break to return to the classroom.
  • On-campus computers will only be used for classroom 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, 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 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 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.
 
A student who is absent from course activities for one or more days, without notification to faculty, may fail the course(s).

Students on campus but not in class are considered absent.
 
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.
 
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 and a makeup assignment completed.
 
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.
 
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.
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 diagnosed with COVID 19 to report their condition directly to their local health department. Students should also contact their course faculty to report their quarantine status. In addition, this policy requires all students to wear face coverings when directly exposed to COVID 19 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