RANGER COLLEGE
Syllabus
COURSE NUMBER AND TITLE:RNSG 1461 – Clinical Nursing- Registered Nurse Training
CREDIT HOURS: _4_
HRS/WK LEC: _0_
HRS/WKLAB:_12_
LEC/LAB/HRS/WK COMBINATION: _12_
Name of Instructor:______Office Location:______Office Hours:______Office Phone:______College E-Mail______
I. CATALOG DESCRIPTION
II.
A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. Utilizes the nursing process to deliver care to individuals and families in varied structured health care settings. Focus in on health promotion/health maintenance, nutrition, pharmacological management, communication, ethical/legal aspects, and course-related psychomotor skills. Emphasis is on physical and psychosocial assessment of newborns, children, and adults in the collaborative management of individuals and families during childbearing and child rearing ages and in caring for individuals undergoing selected surgical interventions. Content includes applicable competencies in basic workplace skills.
II. REQUIRED BACKGROUND/PREREQUISITES
Program Prerequisites:
PSYC / 2301 / Introduction to PsychologyENGL / 1301 / Composition I
BIOL / 2302 / Anatomy and Physiology I
BIOL / 2420 / Microbiology and Clinical Pathology
COSC / 1401 / Computer Applications
Semester I Courses:
RNSG / 1423 / Introduction to Professional NursingRNSG / 1460 / Clinical-Nursing (RN training)
RNSG / 1119 / Nursing Skills I
BIOL / 2402 / Anatomy and Physiology II
PSYC / 2314 / Lifespan Growth and Development
III. TEXTBOOK (S); READINGS; MATERIALS
(See information under required texts in RNSG 2504)
Uniform - see Clinical Attire in Undergraduate Nursing Handbook.
Bandage scissors, watch, stethoscope, and penlight.
IV. METHODS OF INSTRUCTION
Lecture, skills demonstration, discussion, audio-visual materials, clinical, post-conference
V. COURSE OBJECTIVES
As a provider of care, the student will:
1. Critically evaluate situations from different perspectives to develop an in-depth comprehensive assessment for multiple clients with predictable or unpredictable health care needs.
2. Function as a member of the interdisciplinary team by demonstrating clinical skills, with minimal supervision, in caring for multiple clients with predictable or unpredictable health care needs.
3. Design a client specific appropriate plan of care, based on scientific rationales for clients with predictable or unpredictable health care needs.
4. Demonstrate principles of nursing leadership.
5. Perform health screenings to identify areas where health promotion can be stressed.
6. Utilize the nursing process in relation to the assessment, development, implementation and evaluation of patient teaching/learning.
7. Describe how the nurse can serve as model & resource for health education & information.
8. Correctly perform given skills using skills checkoff lists provided in course syllabus.
9. Safely care for up to three patients in the medical-surgical setting.
10. Accurately document care on all assigned patients.
11. Appropriately document, report and review patient responses to medications, treatments and procedures in the clinical settings.
Coordinator of Care:
1. Evaluate effectiveness of interdisciplinary team’s communication skills that promote continuity of care for multiple clients with predictable or unpredictable health care needs.
2. Initiate discharge planning in collaboration with interdisciplinary health care team.
Member of the Profession:
1. Apply professional behaviors to nursing practice (BNE NPA & ANA Code).
2. Evaluate behaviors that support advocacy for clients.
3. Collaborate with members of nursing and other health care organizations to promote the profession of nursing.
VI. COURSE CALENDAR
Content Outline / Readings/Class Preparation / Objectives / Learning ActivitiesWeek 1
Urinary Catheter Management
August 27 and 28 / View Mosby’s Nursing Skills DVD’s
Intermediate:
Urinary catheter management
Reading assignments:
Perry and Potter Ch. 45 / Course Objective # 8 Provider of Care
Unit Objectives:
1. Perform insertion of urinary catheter for male and female patients.
2. Maintain urinary catheter.
3. Obtain a residual urine.
4. Irrigate catheters.
5. Remove a retention catheter.
6. Care of a suprapubic catheter. / Skills lab practice
Week 2
Airway Management
September 4 and 10 / View Mosby’s Nursing Skills DVD’s:
Intermediate:
Respiratory care and suctioning
Reading assignments:
Perry and Potter Ch. 25 / Course Objective # 8 Provider of Care
Unit objectives:
1. Provide oropharyngeal and airway suctioning.
2. Provide endotracheal care. / Checkoff the following skills in the lab:
· Inserting straight or indwelling urinary catheter
· Care and removal of indwelling catheter
· Perform catheter irrigation.
Week 3
Orientation to acute care setting
September 11 / Unit Objectives:
1. Obtain familiarity to processes and procedures in the acute care setting. / Checkoff on the following in the lab:
· Oropharyngeal suctioning
· Airway suctioning
· Endotracheal tube care
· Tracheostomy care
Week 4
Clinical experience in acute care setting – medical/surgical
September 17 & 18 / Course objectives: 1,2,3,4,5,6,7,9, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 5
Clinical experience in acute care setting
– medical/surgical
September 24 & 25 / Course objectives: 1,2,3,4,5,6,7,9, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 6
Clinical experience in acute care setting
– medical/surgical
October 1 & 2 / Course objectives: 1,2,3,4,5,6,7,9, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 7
Clinical experience in acute care setting
– medical/surgical
October 8 & 9 / Course objectives: 1,2,3,4,5,6,7,9, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 8
Clinical experience in acute care setting
-medical surgical
October 15 & 16 / Course objectives: 1,2,3,4,5,6,7,9, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 9
Clinical experience in acute care setting
-obstetrics
October 22 & 23 / Course objectives: 1,2,3,4,5,6,7, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 10
Clinical experience in acute care setting
-obstetrics
October 29 & 30 / Course objectives: 1,2,3,4,5,6,7, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 11
Clinical experience in acute care setting
-obstetrics
November 5 & 6 / Course objectives: 1,2,3,4,5,6,7, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 12
Clinical experience in acute care setting
-pediatrics
November 12 & 13 / Course objectives: 1,2,3,4,5,6,7, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 13
Clinical experience in acute care setting
-pediatrics
November 26 & 27 / Course objectives: 1,2,3,4,5,6,7, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 14
Clinical experience in acute care setting
-pediatrics
December 3 & 4
EVALUATION / Course objectives: 1,2,3,4,5,6,7, 10, 11 – Provider of care; #1,2 – Coordinator of Care; #1,2, 3 – Member of Profession
Week 15
Week 16
VII. COURSE/CLASSROOM POLICIES
1. Attendance/Lateness
It is imperative that students attend lecture, clinical, and laboratory experiences as scheduled. A week’s worth of cumulative absences in any one course will result in faculty evaluation of the student’s ability to meet course objectives and may result in failure of the course. Three tardies (over 5 minutes late for lecture, campus laboratory, or clinical) will equal 1 hour of absence.
2. Class Participation
Students are expected to take an active role in the learning experience.
3. Missed Exams/Assignments/Make-Up Policy
A student not present to take an assigned nursing examination may receive a grade of zero for that examination. A student may be allowed to make-up an examination under the following circumstance:
a. Absence is due to serious illness/hospitalization of the student or an *immediate
family member. Documentation by a health care provider will be required at the
time the student requests a make-up exam for the day they were ill.
b. Absence is due to a death in the *immediate family. Documentation will be
required.
c. An absence the faculty and/or Department Head deems as unavoidable.
*Immediate – family member living in the same household or outside household
totally dependent on the student for care such as a spouse, parent, child, sibling,
grandparent or grandchild.
To be eligible for a make-up exam in the above circumstances, the student must
notify their instructor prior to the absence, and must make arrangements within
48 hours after the absence for the retake. Faculty have the right to offer an
alternative form of the exam and/or to deduct up to 10 points from the exam
grade.
Clinical/Skills Lab Absences During Exam Week: A student who is absent from clinical or
skills lab up to 48 hours preceding an assigned nursing examination must present documentation from a health care provider at the time of the exam in order to be eligible to take the test. Students without this documentation will not be allowed to take the exam and thus will receive a grade of “0”. The student must see a health care provider on the day of the absence with the excuse dated accordingly. Documentation (excuses) dated after the date of the clinical absence will not be accepted. Faculty has the right to offer an alternate form of the exam and/or to deduct up to 10 points from the exam grade.
Online Testing: Exams in online courses are always considered an independent student activity – NOT a group activity (unless otherwise indicated by your course instructor.) Students are expected to take exams alone and not in a study group. This means that you cannot refer to your textbook or any other materials while you are taking the exam. It is inappropriate to share answers with other students. It is inappropriate to talk to other students while you are taking the test. Students who do not follow the honor code will be subject to disciplinary action.
4. Lab and clinical safety/health
Learning Lab Center
The primary objective of the Ranger College Learning Lab Center is to promote excellence in clinical learning through low to medium fidelity lab experiences learning/teaching for students and faculty by providing an environment to evaluate basic and advanced skills/behaviors.
CLINICAL LAB POLICIES
• Students are never to discuss events or scenarios occurring during lab clinical simulation experiences except during debriefing sessions. “What happens in clinical simulation during lab stays in clinical simulation during lab…” There is zero tolerance for academic dishonesty.
• Students are to dress for lab as if attending clinical. Scrubs, name badges and uniform policies are enforced.
• Faculty are responsible for supervising all students brought to the lab for training.
• Universal Precautions are to be followed at all times as are all safety guidelines used in the clinical setting. Sharps and syringes are to be disposed of in appropriate containers. Anyone sustaining an injury must report it immediately to their instructor.
• Equipment may not be removed from the lab for practice nor are the labs to be used for practicing clinical skills unless supervised by faculty or staff.
• Students may be recorded during scenarios. Viewing of videos recorded during training are only permitted with faculty members. The videos are the property of the nursing program and students may not possess lab videos or recordings.
• Coats, backpacks and other personal belongings are not to be in the lab during clinical
simulation and should be secured as directed by the instructor.
• All electronic devices are forbidden during clinical experiences during lab. (Cell phones, pagers, any type of recording device, etc.).
• After a simulation take your personal belongings with you (i.e. papers, pens, stethoscopes, pen lights etc.).
• Food and drink are not permitted in the labs.
• If you have a latex allergy, inform your instructor before beginning simulation.
• Makeup days may not be available for students absent the day of simulation.
Standard Precautions
The Center for Disease Control and Prevention (CDC) Recommended Standard Precautions are outlined below. It is the student’s responsibility to maintain compliance with these recommendations in all clinical settings.
Standard Precautions
Because the potential diseases in a patient’s blood and body fluids cannot be known, blood and body fluid and substance precautions recommended by the CDC should be adhered to for all patients and for all specimens submitted to the laboratory. These precautions, called “standard precautions,” should be followed regardless of any lack of evidence of the patient’s infection status. Routinely use barrier protection to prevent skin and mucous membrane contamination with:
a. secretions and excretions, except sweat, regardless of whether or not they contain
visible blood
b. body fluids of all patients and specimens
c. non-intact skin
d. mucous membranes
Hand Hygiene
a. Wash hands after touching blood, body fluids, secretions, excretions, and
contaminated items, whether or not gloves are worn and/or immediately prior to any
client interaction or nursing intervention. Perform hand hygiene immediately after
gloves are removed, between patient contacts and when otherwise indicated to avoid
transfer of microorganisms to other patients or environments. It may be necessary to
wash hands between tasks and procedures on the same patient to prevent cross
contamination of different body sites.
b. Use a plain (non-antimicrobial) soap for routine hand washing.
c. Use an antimicrobial agent or waterless antiseptic agent for specific circumstances
(e.g., control of outbreaks or hyperendemic infections) as defined by the infection
control program.
Gloves
Wear gloves (clean non-sterile gloves are adequate) when touching blood, body fluids,
secretions, excretions and contaminated items. Put on clean gloves just before touching
mucous membranes and non-intact skin. Change gloves between tasks and procedures
on the same patient after contact with material that may contain a high concentration of
microorganisms. Remove gloves promptly after use, before touching non-contaminated
items and environmental surfaces and before going to another patient. Perform hand
hygiene immediately to avoid transfer of microorganisms to other patients or
environments.
Mask, Eye Protection, Face Shield
Wear a mask and eye protection or a face shield to protect mucous membranes of the