BAKERSFIELD COLLEGE
Associate Degree Nursing Program
Nursing B 201c : Learning Lab
Instructional Syllabus
Spring 2010
Nancy Mai MSN, RN Assistant Professor
COURSE DESCRIPTION
An on-campus laboratory designed for self-paced practice and mastery of nursing skills necessary for providing safe client care throughout the program. This level 3 course builds upon content from level 2 curriculum and provides instructional guidance to assist students to refine newly acquired skills and develop the competency level expected of entry-level nurses.
PROFESSOR Nancy Mai MSN, RN Assistant Professor
Office MS 58
661-395-4679
661-619-8248
Program Student LEARNING Outcomes
The Bakersfield College Associate Degree Nursing Program is designed to prepare graduates to competently transition from student to entry level Registered Nurse as defined by these roles: Provider of Care, Manager of Care, and Member of the Profession. Please refer to Associate Degree Nursing Student Handbook.
Upon completion of the program, the graduate shall be able to function as a:
A. Provider of Care --- The graduate will provide safe nursing care through therapeutic nursing interventions to clients with critical and complex disease states. The care is characterized by consistent critical thinking and problem-solving skills, clinical competence, accountability, effective communication skills, respect for diverse cultures, with an emphasis on health education and a commitment to the value of caring.
B. Manager of Care --- The graduate will provide safe nursing care consistently utilizing critical thinking skills for clients who have critical and complex disease states. The care is characterized by the ability to assess and establish priority of care for a group of client’s and delegation of appropriate aspects of nursing care to license and unlicensed personnel and directs their activities. The manager of care collaborates with other members of the health care team, including organizational and community resources, using effective oral and written communication skills. The manager of care recognizes roles and responsibilities within the levels of the career ladder and is competent in using technology to provide evidence-based nursing care.
C. Member of the Profession --- The graduate will consistently demonstrate accountability, advocacy, legal/ethical and caring behavior, and responsibility for one’s own professional growth, behavior, and formal/informal education. The graduate nurse routinely participates in self-evaluation and makes changes to improve the practice of nursing, with the ultimate goal of making positive contributions to the nursing profession.
Level 3 Student Learning outcomes
LEVEL 3: The focus of level three is to analyze and utilize theoretical and technical knowledge to care for the more diverse and complex client.
Upon completion of the course, the student will be able to function as a:
A. Provider of Care --- The student will provide safe nursing care through therapeutic nursing interventions to clients that have increasingly complex outcomes. The care is characterized by the ability to cluster and prioritize increasingly complex nursing interventions, anticipate expected and unexpected outcomes, incorporate comprehensive assessment data into the plan of care, utilize effective communication skills, demonstrate respect for diverse cultures, educate clients regarding health needs, and promote client advocacy with increasing independence.
1. Developer/coordinator/evaluator of care to individuals, families, groups, communities, and populations: able to identify the rationale for care and competently deliver this care to an increasingly complex and diverse population in multiple environments, utilizing the nursing process.
a. Develop, implement, and modify a holistic plan of care for clients with increasingly complex outcomes
b. Function pro-actively and prioritize potential complications to mange client care for increasingly complex clients.
c. Anticipate and prioritize care of multiple clients/families during clinical rotations.
d. Develop, implement, evaluate and modify interventions for clients with increasingly complex outcomes to assist clients to reach goals
e. Integrates pathophysiology into nursing interventions based on client assessment and medical diagnosis.
f. Demonstrates ongoing evaluation and implementation of modified interventions
g. Integrates supportive data (labs / diagnostics) when administering medications. Consistently utilizes 6 rights of medication administration. Requires minimal prompting in the discussion of medications.
h. Role models professionalism, respect and kindness for the client’s uniqueness, developmental level, socio-cultural background, spiritual beliefs, perceptions and values.
i. Performs skills at the expected level with minimal supervision.
j. Proficiently develops a process paper according to specified guidelines with a passing grade of at least 75%
k. Maintains asepsis at all times, role models appropriate behavior and assesses members of healthcare team.
2. Demonstrate effective communication with clients, families, and other health care team members in all health care settings.
a. Assess and consistently utilize effective and therapeutic professional communication techniques and adapt them for individual situations of clients, families, and health care members.
b. Establish therapeutic relationships in all interactions.
c. Communicate effectively with the expanded health care team members (nursing staff and physicians) with increasing independence.
d. Demonstrates appropriate required documentation in an accurate and timely manner for clients with increasing complex outcomes.
3. Advocate for the client, profession and the interdisciplinary health care team in an effort to ensure that clients, families, and communities are well informed and included in care planning.
a. Utilize increasingly assertive techniques to promote client advocacy.
b. Validate and clarify with instructor interventions for client advocacy before initiating plan.
4. Educate clients, families, and health care professionals under their supervision using appropriate teaching principle, strategies and current information.
a. Individualize and adapt teaching strategies by utilizing the principles of teaching/learning.
b. Does appropriate teaching for clients/families with increasingly complex outcomes with instructor’s guidance.
5. Anticipates risks to the client and provides appropriate interventions to achieve optimal client outcomes.
a. Utilizes supportive data to identify potential complications and plans for and implement appropriate interventions.
B. Manager of Care --- The student will provide safe nursing care utilizing critical thinking skills for clients who have increasingly complex outcomes. The care is characterized by the ability to anticipate complications, analyze and utilize the data gained from specialized equipment, plan and evaluate utilization of appropriate resources for cost effective delivery of care and facilitation of communication among the health care team.
1. Demonstrate critical thinking to problem solve, organize, and prioritize care for individuals or a group of clients.
a. Demonstrate and verbalize the ability to anticipate complications based on the pathophysiology associated with complex disease processes and is able to modify care when this results.
b. Demonstrate pro-active thinking by being able to cluster and prioritize increasingly complex nursing interventions and complete the charting as appropriate for the clinical situation.
c. Consistently recognizes self-limitations and begin to utilize appropriate resources with increasing independence. (Textbook; instructor; nursing unit staff)
d. Design effective plan for resolving conflict.
e. Incorporate comprehensive assessment, relevant data and begins to analyze this data into the plan of the care.
f. Demonstrate the ability to problem-solve in the delivery and management of care for clients with increasingly complex disease processes.
g. Is able to integrate the diagnostic data and assessment findings and plans care accordingly.
2. Manage human and fiscal resources in an efficient and cost effective manner.
a. Plan and evaluate utilization of appropriate resources for cost effective delivery of client care. (Refrain from unnecessary use of medical supplies)
3. Integrates current technology to provide competent client care.
a. Retrieve and record pertinent information utilizing multiple technological resources. (Chart; computer; physician/nursing rounds)
b. Analyze and utilize the data gained from specialized equipment in delivery of client care. Accurately work IV pumps, mini-infusers, cardiac monitors
4. Serve as a leader and partner in the interdisciplinary health care team.
a. Participate in nursing and physician rounds to facilitate communication among team members.
b. Make appropriate referrals based on client/family needs. (Soc Svc; APS; CPS
c. Demonstrates team leading independently and is able to be an active participant in interdisciplinary team meetings. (Collaborate with RT; PT; OT; ST)
d. Consistently demonstrates and implements leadership with increasing independence.
C. Member of the Profession --- The student will assume responsibility and accountability, with minimal supervision, for the legal and ethical boundaries of nursing. The student consistently recognizes self-limitations and begins to independently utilize various resources to improve abilities, as well as analyze caring behaviors.
1. Demonstrates accountability for the provision and evaluation of nursing care that conforms to professional standards and incorporates legal and ethical responsibilities of the nurse especially the rights of the clients.
a. Provides care based on the California Nursing Practice Act and integrates components of the Nursing Practice Act in providing care
b. Implement policy regarding State and Federal regulations. (JCAHO – National Patient Safety Goals; DHS -Title 22 Ca Code of Regulations; CMS - HIPPA)
c. Initiates corrective action for variations from standard practice. (Occurrence reporting, Medication Event Report, Report of Injury)
d. Accept responsibility and accountability for individual actions in the clinical setting and the provision of patient care and implement a remediation plan.
e. Is consistently punctual for clinical experience – this is an expectation of all students at each level.
f. Adheres to Bakersfield College ADN Program dress code – this is an expectation of all students at each level.
g. Comes to the clinical setting prepared to care for assigned clients with daily care plan complete and appropriate equipment – this is an expectation of all students at each level.
2. Accountable for lifelong acquisition of knowledge and skills to effect change in health care practice and outcomes.
a. Differentiates and uses credible nursing and medical resources.
b. Participates in at least one community project:
c. Actively seeks out learning experiences, taking responsibility for their own education – this is an expectation of all students at each level.
d. Consistently participates in clinical post conferences – this is an expectation of all students at each level.
COURSE ACTIVITIES
Each student must complete a total of 54 hours to receive a credit for Nursing B201c
Course Assignments
The hours will be achieved through a combination of Computer Assisted Programs, Case Studies, Skills lab hours and Simulated Learning Exercises.
Learning : Simulated patient care activities; Case studies to develop critical thinking skills; Computer
Opportunities: assisted learning such as ATI module review and computer lab programs; participation in tutoring (skills and theory). Participation in group activities with other level 201 participants
Students are expected to provide evidence of activities to meet the course requirements in the form of journal entries, or a log that will be emailed to the instructor by the first day of finals week (May 10th). Evidence turned in past this date will not be accepted and the student will receive a NP in the course; a conference form will be placed in the students file for failure to responsibly manage assigned course content.
Skills practice All level one : Hand washing/ infect. Control; Patient safety; Restraints; Body
Suggestions: Mechanics; Vital Signs; Hygiene/ Bed making/ Pt. bathing; Beginning documentation of care/ assessment; Basic physical assessment; Basic pain assessment; Sterile technique; Medication Administration; Injections (IM/ subcutaneous); Intake and output; Feeding a patient/ diets; Enemas; NG tube placement/ feedings; Catheterization insertion/ removal; Specimen collection- urine, swabs, sputum, stool; Isolation technique; Dressing changes/ drains; Finger sticks; Patient teaching; Suctioning (oral, oropharyngeal, nasopharyngeal)Oxygen administration (NC, mask, rebreather, nonrebreather); Colostomy care;
And level two: IV insertion/ discontinuation- peripheral; Central line/ PICC line dressing changes; PCA; Blood/ blood products; Hang maintenance/ secondary IVs (no chemotherapy agents); IV push (no antiarrythmics); Suctioning- Level 1 plus tracheal (open/ closed)
Oxygen administration- Level 1 plus trach shield and blowby (T-tube)
Plus level three : TPN; Access of ports; Tracheostomy care (expanded focus on suctioning and care); Chest tube care/ Drainage systems; Oxygen administration (define and introduce: BIPAP/ CPAP); Phone doctors; Pediatric specific skills
COURSE POLICIES
General: Students are expected to assume responsibility for assigned activities, be active participants in the learning process, and meet all established level objectives.
Supportive Students at Bakersfield College with disabilities who believe they may need
Services: accommodations in this class are encouraged to contact Disabled Student Programs & Services (661-395-4334), as soon as possible, or at your specific School site, to better ensure such accommodations are implemented in a timely fashion.
Students at Porterville College : Contact the Disability Resource Center in AC 115 or call (559)791-2215.
Students at Cerro Coso College: contact the Learning Assistance Center at (760) 384-6161.
Please note: The Student Handbook also outlines a variety of services available to help meet your academic needs.
Attendance: This course is designed for self-paced practice and mastery of nursing skills necessary for providing safe client care throughout the program. The participant is responsible to complete 54 hours of independent study/practice to refine newly acquired skills and develop the competency level expected of entry-level nurses.
Academic There will be zero tolerance for academic dishonesty, including
Honesty: plagiarism. Plagiarism is the intentional use of another person’s idea, data, information, or work without giving credit. If the student is caught cheating, the student is required to meet with the Director of Allied Health to discuss his / her standing in the program.
Please refer to statements on academic honesty located in your Bakersfield College Catalog, Associate Degree Nursing Student Handbook, and the Bakersfield College Class Schedule.
Course Course evaluation is a requirement of this course. The evaluation will be conducted at the
Evaluations: end of the semester. Students are expected to complete the Theory and Instructor Evaluation. The evaluation will be emailed to the Bakersfield College assigned email address via the college district evaluation.
Student Evaluation
Evaluation is an ongoing, essential process in education. Theory and clinical enrichment is the expected outcome of 201. If the student fails to meet the 54 hours required by journal/log documentation, completion of case studies, simulated patient care practice and computer assisted programs the student will not pass the course.
REQUIRED TEXTS AND MATERIALS
Same as used in Nursing B20, B21, B22, B23, B24, B25 B26, B27 courses
RECOMMENDED
Same as used in Nursing B20, B21, B22, B23, B24, B25 B26, B27courses
Nursing B201B: Learning Laboratory
Please use this log to record independent activities as needed. If you are completing activities in the skills lab or computer lab and have logged in to the PAT system, you do not have to record them on this sheet. However you ma y wish to keep record as a back up verification of hours logged.