Shepherd University

Associate Degree in Nursing

NR 104 – Role Transition

Instruction/Lecture/Skills – Assignment

Week as stated in the syllabus / Theory / Clinical / Procedures to Review (Demonstrate) and Observe (Return Demonstrate) / Instructor
Portion to Lecture/Discuss / Skills to Demonstrate and for Student to Return Demonstrate
Week 1- Day 1 (Thursday) / Module 1 - Critical Thinking and Information Competency /
  1. Critical Thinking
Activity
  1. Do critical thinking assessment
  2. Do critical thinking inventory
  3. Review of Basic Med-Math.
Other activities:
  1. Video showing
HIPPA, Confidentiality, and Sexual abuse followed by test.
Help Gilda with the following skills:
Skills Practice on: Vital Signs, Oxygenation, and physical Assessment / Handwashing
Assessing Oral temperature
Assessing an apical pulse
Assessing a radial pulse
Assessing respiratory rate
Assessing Blood pressure
Assessing Temperature – Oral, axillary, tympanic, rectal. / Sasha Rarang
Week 1- Day 2
(Friday) / Module 2 – The Nursing Process /
  1. Physical Assessment – Head to toe assessment – Return Demonstration
  2. Develop a care map or care plan
  3. Develop nursing diagnosis
  4. Review and return demonstration of medication administration – oral, IM.SC, topical, eye drops, and patches.
  5. Evaluate client progress using “focused reassessment.
  6. Ambulating, turning, and bathing clients.
/ Bathing an adult client
Providing perineal care
Changing an occupied bed
Inserting an indwelling catheter
Removing an indwelling catheter
Clean catch urine specimens
Applying a condom catheter / Gilda Ilano-Teal
Week 2 – Day 1
(Thursday) / Module 3 –Medical Surgical Asepsis /
  1. Hand hygiene – Handwashing medical/surgical
  2. Gloving- medical/surgical
  3. Gowning
  4. Application of sterile dressing
  5. Staging of pressure ulcer and appropriate dressings
  6. Isolation Techniques
Other Activities:
  1. Sterile techniques – dressing changes tracheostomy, Foley Catheter insertion, specimen collection, NGT placement.
/ Donning/removing sterile gloves
Applying wound dressings
Irrigating a wound
Performing a wet-to dry dressing
Measuring glucose by Glucometer
Inserting/removing nasogastric tube
Administering tube feeding
Administering GT/JT feeding / Sasha Rarang
Week 2 – Day 2
(Friday) / Module 4 – Adult Health Promotion and Assessment /
  1. Conduct a health fair in skills lab
  2. Case study – disease process e.g. HTN, nutrition for children, osteoporosis.
  3. Case study pertaining to lifestyle modification for health promotion and disease prevention.
  4. Discussion about compensatory mechanism
Additional activity:
  1. Nursing intervention mapping
  2. Interviewing techniques to obtain health history – Role play.
  3. Demonstration of Physical Examination Head to Toe.
/ Moving a client up in bed
Turning a client (Lateral Position)
Log Rolling a client
Transferring a client
Ambulating a client
Applying restraint / Gilda Ilano-Teal
Note: May continue some skills that are not finished from previous class.
Week 3 – Day 1
(Thursday) / Module 5 – Communication Techniques and Therapeutic Use of Self /
  1. Role Play – calling a physician to report change of client condition using SBAR.
  2. Role Play - about communication with client and determine factors to consider –utilize therapeutic communication technique, communication techniques on non-English speaking client, handicapped or aged client, include also cultural barriers during communication and techniques how to overcome these barriers.
  3. Critical Thinking Scenario.
  4. Identify Communication Impairments and style.
/ Performing a stool guiac
Obtaining a specimen from a catheter
Administering an enema / Sasha Rarang
Note: May continue some skills that are not finished from previous class.
Week 3 – Day 2
(Friday) / Module 6 – MID TERM /
  1. Develop Nanda Diagnosis
  2. Utilize techniques to facilitate effective communication.
  3. Continue Practice Skills.
/ Obtaining
Pulse Oximeter Reading
Applying Nasal cannula/facemask
Chest Tube management
Tracheostomy Care Suctioning Oral pharyngeal secretions
Suctioning: tracheal / Gilda Ilano-Teal
Note: May continue some skills that are not finished from previous class.
Week 4 – Day 1
(Thursday) / Module 6 – Role Transition/Role Performance/Role Conflict /
  1. Group Discussion – various roles held by member of class, compare expectations, reason returning to school and identify barriers, competency in making independent judgment.
  2. Skills Competency Check –Off
B1 – Sterile technique – Foley catheterization insertion, complex dressing change, NG Tube insertion, use of feeding pumps, Chest tube care, Suctioning Care of a tracheostomy, colostomy care. / Cont: Demonstration/Return Demonstration of Unfinished Skills / Sasha Rarang
Week 4 – Day 2
(Friday) / Module 7 – Professional Roles, Nursing Theories, legal and ethical Aspects. /
  1. Continue to practice Basic Nursing Skills
  2. Identify areas of practice that are different for the LVN, LPT, and the RN.
  3. Interview LVN and RN in the workplace to investigate the method by which they prepared for licensure.
  4. Integrate the program’s theory/model/conceptual or theoretical framework and the nursing process to patient assessment, development of a plan.
  5. Discuss the different responsibilities of student nurse.
/ Administering Oral Medications
Administering Ophthalmic medications
Administering rectal medications
Administering meds via inhaler (MDI)
Preparing meds from ampule
Preparing meds from vial
Mixing Insulin / Gilda Ilano- Teal
Week 5 – Day 1
(Thursday) / Module 8 Part 1 – Dosage Calculation and Medication Administration /
  1. Practice conversion from one system to another.
  2. Practice reading physician order and medication administration.
  3. Practice dosage calculations
  4. Med-Math Quiz
  5. RN scope of practice review.
  6. Scope of practice of RN in medication administration.
  7. IV therapy – protocol related to IV therapy, IVPB, IVP.
  8. IV complications observation/assessment
  9. Practice sample problems Module 8
  10. Identify the type and rationales for IV solution.
/ Administering Subcutatneous injections
Administering IM injection
Adminsitering Meds via NG/GT/and JT / Sasha Rarang
Week 5 – Day 2
(Friday) / Module 8 – Part 2
Dosage Calculation and medication Administration
(continued) /
  1. Review protocol related to IV access and administration.
  2. Utilize surgical asepsis with IV access and administration.
  3. Identification of reaction to observe with adverse reaction to medications and solutions. S/s of infiltration, phlebitis, etc.
  4. Practice sample practice for Module 8
/ Initiating IV Therapy
Regulating Intravenous flow
Changing peripheral Intravenous dressing / Gilda Ilano-Teal
Week 6 – Day 1
(Thursday) / Module 9 – Fluid Electrolyte and Acid Base Balance /
  1. Practice IV Therapy and IV medication administration
  2. Insulin injection.
  3. Correctly calculate IV drug administration dosages with 90 % accuracy.
  4. Practice calculation with and without a pump.
  5. Hydration status assessment
  6. I and O procedure
  7. Fluid overload assessment
  8. Fluid deficit assessment
  9. Compare normal vs. abnormal fluid status findings.
  10. Teaching a client on variables for health promotion – adherence to prescribed medication, daily monitoring of fluid and acid base balance status, adherence to prescribed medication regimen with vigilance monitoring of s/e.
  11. Monitoring of medication S/E’s.
  12. Acid-base balance assessment to assigned client.
  13. Contrast Lab values
  14. Role – Play/Return Demonstration:
Nursing history taking, Physical assessment, V/S to identify balance vs. imbalance, assist clients/pts. Set goals for health promotion, implement MD orders, to correct alteration in fluid, electrolyte, and acid –base balance status.
  1. Documentation of nursing care.
/ Review of IV Therapy
Administering IV Meds
Introduce Blood Infusion Therapy / Sasha Rarang
Week 6 – Day 2
Friday / Continue with skills not finish and clarification of skills. / Review of Medications Administration and IV Therapy Skills
Check –Off all skills Performed / Gilda Ilano-Teal
Week 7 – Day 1
(Monday) / Final Examination / All Clinical skills should be checked off until the final week.
Remind student to bring their check-off skills booklet at al times. / Check –Off all skills Performed / Sasha Rarang