Fall 2016
Angelina College Health Careers Division
RNSG 2360: Clinical
General Syllabus
I. BASIC COURSE INFORMATION
A. Course Description:
Three hours credit. 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. Placement in second year nursing curriculum during the fall semester is required. 288 clinical hours. Prerequisites: RNSG 1341, 1363, and 1301 and a current CPR card. Co-requisites: RNSG 1343, and 1412.
B. Intended Audience:
Sophomore working toward educational requirements for Associate of Applied Science in Nursing.
C. Instructor:
Name / Office Location / Phone Number / Email AddressMelissa Abbott / Livingston
Alysa Cummins / HC 212 / 936-633-5273 /
Susan McKee / HC 217 / 936-633-3241 /
Carol Havis / HC 113 / 936-633-5272 /
Doris Weatherford / Woodland Heights / 936-633-5265 /
Nancy McClurg / HC 214 / 936-633-5277 /
Martha Keel / HC 211 / 936-633- 5878 /
Office Hours: See office posting
Phone: Instructors may also be reached through the main Health Careers I telephone number at 936-633-5265. If the instructor is not available, please leave a message with the Program Secretary and she will relay the message to the instructor.
II. INTENDED STUDENT OUTCOMES:
A. Basic Intellectual Competencies–
1. Critical Thinking Skills (CT) – to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information.
2. Communication Skills (COM) – to include effective development, interpretation and expression of ideas through written, oral and visual communication.
3. Empirical and Quantitative Skills (EQS) – to include the manipulation and analysis of numerical data or observe facts resulting in informed conclusions.\
4. Teamwork (TW) – to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal.
5. Personal Responsibility (PR) – to include the ability to connect choices, actions and consequences to ethical decision-making.
6. Social Responsibility (SR) – to include intercultural competence, knowledge of civic responsibility, and the ability to engage in regional, national, and global communities
B. Course Objectives for all sections – Upon completion of this course, the student will have the knowledge
and skills to:
1. Apply clinical reasoning, the nursing process, and evidence based practice outcomes as the basis for decision making in the care of patients and families in pediatric, intra-partum and postpartum and adult medical –surgical inpatient and outpatient settings (PLO #1) (DEC 1 & 2).
2. Exhibits behaviors that reflect commitment to the growth and development of the role and function of nursing consistent with the state and national regulations and with ethical and professional standards; aspires to improve the discipline of nursing and its contribution to society; and values self-assessment and the need for life- long learning (PLO #2) (DEC 1 & 4)..
3. Accepts responsibility for the quality of nursing care and provides safe, compassionate nursing care using a systematic process of assessment, analysis, planning, intervention and evaluation that focuses on the needs and preferences of pediatric patients, intra-partum and postpartum patients, and adult medical –surgical patients and their families (PLO #3) (DEC 2 & 3).
4. Promotes safety in the pediatric, intra-partum, postpartum, and adult medical –surgical patient and family environment by: following scope and standards of nursing practice, practicing within the parameters of individual knowledge, skills and abilities; identifying and reporting actual and potential unsafe practices and implementing measures to prevent harm (PLO #4) (DEC 2).
5. Provides patient centered care by collaborating, coordinating and/or facilitating comprehensive care with an interdisciplinary/multidisciplinary healthcare team to determine and implement best practices for multiple patients and their families in the pediatric, intra-partum and postpartum and adult medical –surgical inpatient and outpatient settings (PLO #5) (DEC 1,2,3).
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES:
A. Assessments for Core Competencies –
1. Critical Thinking Skills (CT) – Competency in critical thinking is assessed through student’s ability to discuss patient case studies, identify patient care needs, and complete written assignments.
2. Communication Skills (COM) – Competency in speaking is assessed through oral contribution in small-group activities and interpersonal communication with patients, staff, instructors, and peers.
3. Empirical and Quantitative Skills (EQS) – Competency in empirical and quantitative skills is assessed through administration of a dosage calculation exam prior to clinical.
4. Teamwork (TW) – Competency in teamwork is assessed through student’s ability to participate in various group assignments.
5. Personal Responsibility (PR) – Competency in personal responsibility will be assessed through the student’s preparedness for exams and class assignments.
6. Social Responsibility (SR) – Competency in social responsibility will be assessed through the student’s performance on computerized exam questions relating to cultural and global health issues
B. Assessments for Course Objectives for all sections –
SCANS (Secretary of Labor‘s Commission of Achieving Necessary Skills):
Students are expected to demonstrate basic competency in academic and workforce skills. The following competencies with evaluation are covered in RNSG 2261:
SCANS Skills Evaluation
Foundation Skills Required and suggested readings
Critical Thinking Case Studies
Oral presentation
Dosage Calculations Test
Workplace Competencies Computer assisted Instruction
Completion of Independent Study Projects
Demonstrated Competency in Clinical
C. Assessments for the Course Objectives as determined by the instructor –
Same as stated above.
IV. INSTRUCTIONAL PROCEDURES:
A. Methodologies common to all sections
Audiovisual aids
Conferences
Clinical Experiences
Computer assisted instruction
Group discussion
Role playing
Independent study
Blackboard instruction
B. Methodologies determined by the instructor
Not applicable for this course.
V. COURSE REQUIREMENTS AND POLICIES:
A. Required Textbooks, Materials, and Equipment –Angelina College. ACNP Current Student Handbook
Andersen, C., et al. (2013). Mosby’s dictionary of medicine, nursing, & health professions (9th ed.) Philadelphia: Mosby.
Carpenito, Handbook of Nursing Diagnosis, 14ed.
Lewis, S., Heitkemper, M., & Dirksen, S. (2014). Medical-surgical nursing: assessment and management of clinical problems. (9th ed.). St. Louis: Mosby.
Pagana, K. & Pagana, T. (2013). Diagnostic and laboratory test reference. (11th ed.) St. Louis: Mosby.
Perry, et al. (2014) Maternal Child Nursing Care . (5ed). St. Louis: Mosby.
Potter, P. & Perry, A., (2010). Fundamentals of Nursing. (7th ed.). St. Louis, Missouri: Mosby
Wilson, B. & Shannon, M. Shields, K. (2012). Nurse’s Drug Guide. New Jersey: Prentice Hall.
B. Assignments –
Computer Assisted Instruction (CAI) and Blackboard Resources:
This is a Blackboard enhanced course. Students will be expected to log on to Blackboard to receive assignments, calendars, course information and other materials:
1. Daily Clinical Assignments
2. Weekly Care Plan
3. Patient Care Log
4. Dosage Cal Test
5. CAIs
6. Ages/Stages Questionnaire (updated 1/12/2015)
7. Academic Portfolio
8. OB Project
9. Pedi Project
C. Course Policies – (This course conforms to the policies of Angelina College as stated in the Angelina College Nursing Program Student Handbook and the Angelina College Student Handbook.)
Academic Assistance – Academic Assistance– If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973 or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you should see Sellestine Hunt Associate Dean of Student Services, Student Center, Room 200. At a post-secondary institution, you must self-identify as a person with a disability; Ms. Hunt will assist you with the necessary information to do so. To report any complaints of discrimination related to disability, you should contact Mr. Steve Hudman, Dean of Student Affairs, in Student Center, Room 101,(936) 633-5292or by .
Angelina College (AC) admits students without regard to race, color, religion, natural origin, sex, disability, or age. Inquiries regarding the non-discrimination policies of AC should be directed to the Vice President/Dean of Instruction, 3500 South First Street, Lufkin, TX 75904, at 936-633-5201
Attendance – See ACNP Current Student Handbook.
Additional Policies –
Clinical – Students must call the clinical instructor prior to clinical to report any absence. Instructors will accept telephone calls from only the student. Students who do not call the morning of the clinical absence must see the Nursing Program Coordinator or her designee. A total of two no call/no shows for clinical or clinical lab days while in the Nursing Program will result in dismissal from the Nursing Program. More than two absences per course in the clinical area will result in withdrawal from the clinical course in progress and all co-requisite courses according to Angelina College Policy. Students who arrive later than 30 minutes past the scheduled designated clinical area time, may/will be sent home (instructor’s discretion) and a clinical absence will be recorded. (Rev. 1/12/15)
Tardiness – Tardiness is simply defined as not being in the assigned area at the assigned time. To prevent class disruptions, tardy students will not be allowed to enter the classroom until a break. Students who are tardy a total of three (3) times in the clinical area will receive a clinical absence.
Progression Policy –A student must earn a minimum grade of “C” or “P” in all required courses in order to progress within the nursing program. All nursing courses must be taken in the appropriate sequence.
Withdrawal and Dismissal –Students who wish to withdraw from the nursing program must do so with both the Nursing Program Coordinator and the Office of Admissions. If the student does not officially withdraw in the Office of Admission, an “F” will appear on the transcript for the course in progress at that time.
Examinations –Students must be present and on time for all examinations which will be administered on-line in the computer lab or by paper and pencil. If absent, student must call the nursing office at
936-633-5265 and leave a message, BEFORE the exam begins to make arrangements for a make-up exam or no makeup exam will be scheduled. (Rev. 1/12/15)
See ACNP Current Student Handbook for makeup exam policy.
Attendance at the final examination is required and may be rescheduled ONLY with the approval of the Vice President of Instruction. All exams (and written assignments) become the property of the Nursing Program.
Computer Assisted Instruction (CAI) and Blackboard Resources– This is a Blackboard enhanced course. Students will be expected to log on to Blackboard to receive assignments, calendars, course information and other materials. The Blackboard agreement will be signed and returned to the instructor by the end of the first class week.
Additional Policies Established by the Individual Instructor – None
VI. COURSE CONTENT:
A. Required Content/ Topics –
i. Application of the theory, concepts, and skills through clinical assignments aligned with RNSG
1412 & 1343.
ii. Clinical area based on a general Med-Surg Unit with rotation to:
Nursery
Postpartum
Pediatric
Pediatric Skills Lab
Community: Ages/Stages Questionnaire; Physician’s Office; School Nurse
16 hours of Community Voluntary Assignment (See Appendix for Assignment Directions)
Clinical Experience / ActivitiesCourse & Clinical Orientation / See Appendix
Dosage Cal Exam(s) / Must pass with an 90% on the Medication Exam before attending clinical
Med Surg / 1. Central Line Therapy/TPN/Blood and complete a practice case study in SimChart
2. Respiratory Day
3. EKG Day
OB Skills / 1. Swaddling
2. Infant I & O
3. L & D Process
Pedi Skills
1. Physical assessment of the child
2. IV therapy monitoring documentation
3. Administration of medications to pediatric pt. / Perry et al. Ch. 29, 30, 38 and 39
Community / 1. Ages/Stages Questionnaire
2. Physician’s Office
3. School Nurse
4. Community Voluntary Assignment
OB Project / Groups will design and present an artistic representation of an OB concept. Guidelines & grading rubrics will be provided.
Pedi Project / Groups will develop and present an educational pamphlet that includes anticipatory guidance for the parents/ guardians and caretakers of children at different ages. Guidelines & grading rubrics will be provided.
VII. EVALUATION AND GRADING:
A. Grading Criteria
The course grade is either “Pass” or “Fail,” and is computed on the basis of satisfactory completion of written clinical assignments, critical skills criteria, and clinical evaluation criteria.
*A 90% on a dosage calculation test is required in all clinical courses. Students will have the opportunity to take this test three (3) times as scheduled. There are no make-up dates for the scheduled test times. If unable to achieve a 90% by the third time, the student will fail the course.
Students will be accountable for previous learned objectives (DECS Clinical Evaluation; Appendix). Repeated violations of criteria may be considered unsafe conduct. In the event of unsafe conduct, a student will be dismissed from the course with a grade of “F”. The critical elements listed below must be met to satisfactorily meet the course objectives and pass clinical. (see Blackboard for detailed DELCS criteria)
Clinical Performance Objectives (DECS)
See RNSG 2360 Clinical Evaluation Tool in Appendix.
B. Determination of Grade – 75% or greater on care plans, A/S/Q, and Community Portfolio. Completion of all assignments.
Grading Scale:
Pass = P
Fail = F
*A 90% on a dosage calculation test is required in all clinical courses.
VIII. SYLLABUS MODIFICATION:
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class in advance as to the changes being made.
Appendix
4
8
RNSG 2360
Volunteer opportunities
Objectives:
1. Observe or actively participate in educational or support activities with attention to development stages and abilities, coping with situational changes, or life skill development.
2. Compare women and/or children in different ages and stages for physical, emotional, and intellectual development
Examples of activities:
Read to groups of children in different grades
Observe adult job training sessions and evaluate training materials for age and stage appropriateness
Note: This is not designed to provide health care to these populations. Hours in school nurse's offices are not accepted. You may need to attend 2-3 locations to complete all 16 hours, however, you may complete them all in one place if desired and acceptable to the location.
Student responsibilities:
1. To arrange site hours at least 3 days in advance, obtaining the name of a contact person, and directions on where to report