NUR 205L
Transition into Nursing
TUCSON Clinical Course Pack
FALL 2010
Clinical Instructors:
Bobbi Forsch (Tucson)
Northern Arizona University
School of Nursing
NUR 205L
TUCSON Clinical Course Pack
Clinical Description: NUR 205L
NUR 205, Transition into Nursing, has a 2-credit/6.5 contact hour Skills Lab/Clinical component, NUR 205L, required as an integral part of the course. This Skills Lab/Clinical consists of both laboratory and clinical experiences at area health care facilities. Students will be assigned to a clinical group, which is scheduled to meet weekly for 6.5 hours throughout the semester:
Tucson Skills Lab Clinical Instructor
Section A: Wednesday 8:30 am – 3:00 pm Bobbi Forsch
Section B: Thursday 8:30 am – 3:00 pm Bobbi Forsch
The time frame for the Skills Lab/Clinical sessions for each Section of the NUR 205 L course will be reconfirmed by your Clinical Instructor at the beginning of the semester.
Students are expected to participate in all Skills Lab and Clinical experiences. Arrangements for make-up assignments for illness or approved personal emergencies are at the discretion of your Clinical Instructor.
Required Textbooks and Materials: See NUR 205 Lecture Syllabus.
Required Tools:
A quality stethoscope. You should expect to spend at least $50.00 on one.
A Kelly clamp (hemostat)
A pair of bandage scissors
A penlight
A pen (black ink)
A blood pressure cuff (manual)
A watch with a second hand
NAU SON Name Badge (first and last name)
NAU SON Uniform
Clinical Strands and Clinical Competencies
Upon completion of NUR 205L, the successful student will be prepared to:
Accountability:
1. Demonstrate the ability to take responsibility for own words and actions.
2. Demonstrate responsibility for own development and maintenance of current nursing knowledge.
3. Adhere to ethical, legal, professional responsibilities within the student role.
4. Preserve the confidentiality of patients.
5. Engage in self-reflection and professional dialogue with faculty about developing professional practice.
Caring:
6. Identify caring behaviors applied to nursing care delivery.
7. Protect patient privacy.
8. Plan and deliver care with sensitivity to individual patient needs.
9. Discuss awareness and respect for the uniqueness of patients and their situation.
10. Demonstrate awareness of own needs, strengths and limitations.
Clinical Competence:
11. Demonstrate beginning basic competence and application of knowledge in the performance of basic nursing skills in laboratory and structured clinical settings.
12. Develop practice skills based on current knowledge, theory, and research.
Communication:
13. Establish and maintain effective working relationships with peers and faculty.
14. Demonstrate appropriate and accurate written and verbal communication.
15. Accurately observe and report the status of patients with extensive guidance.
16. Apply therapeutic communication skills in selected situations with extensive guidance.
17. Demonstrate awareness of self and effect on others when communicating.
Critical Thinking:
18. Demonstrate beginning skills in the organization of patient data, identification of nursing diagnoses, and identification of priorities in the planning and delivery of care, and evaluation of care with extensive guidance.
19. Identify sources of professional information and how to access information to guide beginning practice.
20. Begin to incorporate knowledge from the behavioral, biological and natural sciences to patient assessment and the planning and evaluation of nursing care.
Culture:
21. Verbalize cultural values and biases.
22. Demonstrate sensitivity to personal and cultural definitions of health.
23. Demonstrate flexibility and openness to continued learning about culture and diversity.
24. Begin to integrate concepts from liberal studies foundation in order to understand self and others.
Learning-Teaching:
25. Identify own learning needs and styles.
26. Develop and implement a simple teaching plan, and evaluate learning with peers.
27. Incorporate recent research findings into simple teaching plan.
Management/Leadership:
28. Seek relevant direction from faculty in the implementation of basic nursing skills.
29. Demonstrate beginning skills in management of time, materials, and self.
30. Organize and coordinate self to demonstrate beginning clinical competencies and successful transition into the role of student nurse.
While faculty members are looking for growth throughout the semester, students must demonstrate minimal competency within each experience. Sustained repetitive patterns of greater than two instances of unsafe or unprofessional conduct as defined in the ANA Ethical Code of Conduct and/or the Arizona Nurse Practice Act as interpreted by the faculty may constitute immediate failure of the course (see NUR 205 didactic syllabus). Any breach in confidentiality will also constitute failure of this course.
A student may be removed from a clinical experience for unsafe clinical practice as determined by your Clinical Instructor. The Undergraduate Student Handbook defines “nursing behavior which jeopardizes the rights of others and/or the health and welfare of patients” as unprofessional. Any removal from clinical for unsafe/unprofessional conduct may result in a referral to the Student Affairs Committee for review, and may constitute grounds for dismissal of the student from the program.
Grading:
The Skills Lab/Clinical component of this course is graded on a Pass/Fail basis, and a Pass in the Skills Lab/Clinical component is required to be able to successfully complete the overall course. Evaluation of the student’s competency is based on objectives (clinical competencies) derived from the clinical strands and will be based on several measures of student skill and ability. While the overall Skills Lab/Clinical component is graded as Pass/Fail, individual assignments will be assigned points relative to the completeness and level of mastery demonstrated in particular assignments.
In order to earn a Pass in NUR 205L, a minimum overall average of 75% is required.
In addition:
Students are expected to attend every skills lab and clinical session. Students must be on time for skills lab and clinical sessions. If a student is sick or expects to be late to the skills lab or clinical session, the student is expected to contact his/her Clinical Instructor before the skills lab or clinical session begins.
Students may have one excused absence from a Skills Lab/Clinical session with prior approval of your Clinical Instructor; however there may be a requirement that the time be made up at your Clinical Instructor’s discretion. Please NOTE: Absence from more than one Skills Lab session or Clinical session or clinical session will result in a failing grade in NUR 205L.
A student must earn 75% or higher on the Final Skills Check-Off in order to demonstrate minimal competency, and to earn a passing grade for this course and be able to proceed to the next nursing course. The student will be offered one additional opportunity to demonstrate clinical mastery in the Final Skills Check-Off, and must complete it with a minimum score of 75%.
A student must earn a performance rating of 3 or above in all clinical competencies on the NUR 205 L Student Final Clinical Evaluation to receive a passing grade for the course.
Success in the Skills Lab/Clinical component of NUR 205 will be based on the following:
1. Coming to the Skills Lab/Clinical Facility on time and in full uniform, including name badge. Please NOTE: Full uniform (including NAU name badge) is to be worn by all students during every Skills Lab/Clinical session as early in the semester as possible, and beginning at least by Week 4 of the semester.
2. Clinical Health Requirements and Documentation must be completed and copies submitted to the School of Nursing (SON) to the appropriate department (e.g., Student Services Department). Deadline: The deadline is 5:00 pm Friday of Week 5.
3. Coming to the Skills Lab/Clinical Facility prepared and with required books and course materials: Fundamentals of Nursing, Nursing Diagnoses (NANDA-I), Nursing Care Plans, Skills/Procedures Check-Lists, and other resources located on the NUR 205 Vista Shell, as requested by your Clinical Instructor.
4. Coming to the Skills Lab/Clinical Facility with stethoscope, Kelly clamp (hemostat), bandage scissors, penlight, pen with black ink, manual blood pressure (BP) cuff, watch with second hand, and your NAU Nursing Therapeutics Skills List, as requested by your Clinical Instructor.
5. Completing a weekly journal and submitting it each week within required time frame, as requested by your Clinical Instructor. Journal to be submitted in .doc (WORD) format or other format as directed by your Clinical Instructor.
6. Developing and maintaining a Student Clinical Portfolio.
7. Coming to the Clinical Facility each week and completing the Patient Information Sheet, as requested by your Clinical Instructor, and bringing your NAU Nursing Therapeutics Skills List.
8. Appropriate readings and other assignments completed for Skills Lab/Clinical sessions.
9. Successful return demonstration of therapeutic nursing skills.
10. Safe demonstration of selected skills in Skills Lab/Clinical experience.
11. Satisfactory completion of Final Skills Check-Off (75% or higher).
12. Satisfactory completion of Mid-Term and Final Self-Evaluations and meetings with your Clinical Instructor.
13. Satisfactory completion of other Skills Lab/Clinical assignments.
14. Satisfactory completion of NUR 205 L Student Final Clinical Evaluation (rate of 3 or higher in all competencies).
15. Completion of Evaluation of Clinical Learning Experience (Clinical Facility).
Important Notes:
Each student is expected to review the medical record/chart of his/her assigned patient before providing direct patient care. How this is accomplished will be determined by your Clinical Instructor at the Clinical Facility. This preparation is necessary so that the student will be able to provide safe and appropriate care for his/her patient.
Any student who comes unprepared to Skills Lab or to the Clinical Facility, will be sent home and counted as absent.
Successful Completion of Clinical Portion of NUR 205L:
Successful completion of the clinical portion of NUR 205L will consist of completion of all course requirements, achieving a minimum overall average of 75% in each individual area, and turning in the required evaluations:
Skills Lab/Clinical Facility Assignments Points
Clinical Health Requirements & Documentation completed and copies submitted to the SON to the appropriate department (e.g., Student Services Department). Deadline: 5:00 pm Friday of Week 5 of the semester. / requiredComing to Skills Lab/Clinical Facility on-time, in full uniform, prepared with equipment, paper work, and with required textbooks (10 points/weekly session; 13 sessions = Skills Lab [7 sessions]; Skills Check-Off [1 session]; Orientation to Clinical Facility [1 session]); Direct care at Clinical Facility [4 sessions]. / 130
Weekly Journals (15 points/weekly journal; 12 journals = Skills Lab [7 weekly journals]; Orientation to Clinical Facility [1 weekly journal]; Direct care at Clinical Facility [4 weekly journals]. The due dates and the method of submitting the weekly journals are determined by your Clinical Instructor. / 180
Final Skills Check-Off (earned 75% or higher)
/ 25Items #1 - #15 on page 5—see previous page—(requirements of Skills Lab/Clinical component of NUR 205)
/ requiredStudent Clinical Portfolio
/ requiredMid-Term Self-Evaluation / required
Final Self-Evaluation / required
Mid-Term Evaluation Meeting with Clinical Instructor
/ requiredEnd-of-Semester Evaluation Meeting with Clinical Instructor
/ requiredEvaluation of Clinical Learning Experience (Evaluation of Clinical Facility at the end of the semester) / required
Total
/ 33575% = 252 points
Clinical Experiences
While the majority of this Skills Lab/Clinical Facility experience will take place in the Nursing Skills Lab, additional clinical experiences will be required in area health care facilities and/or simulated activities. Scheduling of these experiences may involve schedule adjustments to meet the needs of the agencies. Necessary changes will be communicated to students in advance. Adherence to NAU Nursing and health care agency policies for these clinical experiences is imperative.
Open Lab (Optional):
It is recommended that each NUR 205/NUR 205L student sign up and attend (participate) in one 1-hour Open Skills Lab session.
Tucson: TBA
Clinical Health Requirements and Documentation:
It is your responsibility to submit all required documentation (immunizations, CPR, liability insurance, fingerprinting, Tb test, etc.) to the SON to the appropriate Department (e.g., Student Services Department) by the deadline (5:00 pm Friday of Week 5). Do NOT give this information to your Clinical Instructor. You will not be asked for this.
Student Clinical Portfolio:
Developing, maintaining, and updating your Student Clinical Portfolio is a clinical requirement in NUR 205, and a clinical requirement that will continue each semester throughout the Nursing Program. Your Student Clinical Portfolio contains, at a minimum, your: (a) NAU Nursing Therapeutics Skills List, (b) a copy of all of your Clinical Health Requirements with Documentation of completion, and (c) other Clinical Documents.
Proposed Skills Lab/Clinical Schedule:
The following schedule of Skills Lab/Clinical Facility experiences is proposed; however, adjustments may be made at the discretion of your Clinical Instructor. Any changes will be announced in advance.
1
Proposed Skills Lab/Clinical Schedule
Week
/Topic
/ Learning Outcomes: The student will be prepared to: / Therapeutic Skills Introduced / Lippincott SkillsTo be viewed
PRIOR to Skills Lab session
(beginning Week 2) / Readings & Activities
Readings to be completed
PRIOR to Skills Lab session
(beginning Week 2) /
Week One
Week of 8/30/10 / Orientation
Infection Prevention and Control,
Patient Safety
Body Mechanics
Bed Making / 1. Describe expectations of NUR 205L
1. Identify actions to ensure patient safety in hospital setting.
2. Perform selected skills correctly.
3. Demonstrate proper body mechanics.
4. Verbalize rationale for procedures.
5. Differentiate between surgical and medical asepsis.
6. Explain rationale for standard precautions.
7. Differentiate types of isolation and indications for use. / § Patient identification
§ Side rails/bed positions
§ Call light
§ Handwashing
§ Universal/standard precautions
§ Airborne precautions
§ Droplet precautions
§ Contact precautions
§ Blood borne precautions
§ Gown/gloves/mask application & removal
§ Aseptic techniques
§ Sterile technique (gloves & sterile field)
§ Disposal of contaminated wastes
§ Body Mechanics
§ Bed Making: unoccupied / Lippincott Skills—directions will be given in lab during Week 1
Lippincott Skills—Module 2 Asepsis will be completed in lab during Week 1
DVD: Infection Control & Standard Precautions (Medcom; CDC) w/post-test (in Skills Lab during Week 1) / Review NUR 205L syllabus