1
HazardCommunity & TechnicalCollege
Associate Degree Nursing Program
Spring Semester, 2005
March 28-May 13
I.Course NumberNursing 205
II.Course TitleTransition to Professional Practice
3 Credit Hours
III.Nursing Faculty
Faculty/
Clinical InstructorOffice PhoneHome No.E-Mail Address
Gwen Collins 436-5721, Ext.
Patricia Herald 666-7521, Ext.
Jean Deaton 666-7521, Ext.
Debbie Hogg 436-5721, Ext.
Ludrenia Shepherd 436-5721, Ext.
Joann Sizemore 436-5721, Ext.
Flo Stephens 666-7521, Ext.
TBA
IV.Schedule
A.Campus Lab:Monday and Wednesday
9:10 a.m. – 11:00 a.m.
LibraryScienceBuilding (Lees) Room 102
UKCRHBailey-StumboBuilding (Hazard) Room 218
B.Clinical:Clinical is 20-24 hours per week
TBA
C.Clinical Sites may include:
Whitesburg ARH, (Whitesburg) 633-3500
Kentucky RiverMedicalCenter, (Jackson) 666-4971
Hazard Appalachian RegionalMedicalCenter, (Hazard) 439-1331
Morgan CountyARH (West Liberty) 743-3186
ClarkRegionalMedicalCenter (Winchester) 859-745-3500
CentralBaptistHospital (Lexington) 859-260-6100
PaulB.HallRegionalMedicalCenter (Paintsville) 606-789-3511
Other clinical sites as assigned
V.Textbooks Required
Abrams, A.C. (2004). Clinical Drug Therapy: Rationales for Practice
(7th ed.). Philadelphia: J.B. Lippincott.
Diagnostic NLN
Lewis, S., Hietkemper, M., and Dirksen, S., (2003). Medical Surgical Nursing (6th ed.). St. Louis: Mosby.
Olds, S., London, M., Ladewig, P., and Davidson, M. (2004). Maternal- Newborn Nursing &Women’s Health Care (7th ed.).
New Jersey: PearsonEducation, Inc.
Potter, P. A., and Perry, A. G., (2001). Fundamentals of Nursing (5th ed.). St. Louis: Mosby.
Saxton, D., Nugent, P. and Pelikan, P., (2003). Mosby’s Comprehensive Review of Nursing, (17th ed.). St. Louis: Mosby
Tappen, R., Weiss, S., and Whitehead, D., (2004). Essentials of Nursing Leadership and Management, (3rd ed.). Philadelphia: F.A. Davis.
Varcarolis, E.M. (2002). Foundations of Psychiatric Mental Health Nursing. A Clinical Approach, (4th ed.). Philadelphia: Saunders.
Williams, S. R. (2003), Essentials of Nutrition and Diet Therapy, (8th ed.). St. Louis: Mosby.
Wong, D., Hockenberry-Eaton, M., et.al.(2001). Wong’s Essentials of Pediatric Nursing (6th ed.). St. Louis: Mosby.
NLN Exam: Diagnostic Readiness Test – RN; OTACHI963603
NLN Exam: Alternate Item – RN Practice Exam On-Line; DRTSUP002003
VI.Course Description
Focuses on the synthesis and application of the core components of nursing in the transition from student to graduate nurse. Emphasis is on the leadership, management of care, skill development and professionalism.
Prerequisites: Completion of NSG 203 and BSL 212 with a grade of “C” or better and ENG102. Heritage/Humanities course. Co-requisite: NSG 204.
The Associate Degree Nursing program prepares graduates to provide and manage client care and to become members within the discipline of nursing. Intrinsic to the three roles of the nurse—provider of care, manager of care, and member of the discipline—are the eight core components of nursing practice. The eight core components are: professional behaviors, nursing process, communication, clinical decision making, caring interventions, teaching/learning, collaboration, and managing care. These core components are introduced, developed, and built upon throughout the curriculum. Graduates are eligible to take the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The Associate Degree Nursing curriculum is organized around a clearly defined conceptual framework and combines general education and nursing courses. The nursing courses correlate classroom and clinical instruction in a variety of community facilities.*
Progression in the Associate Degree Nursing Program is contingent upon achievement of a grade of “C” or better in each biological science, nursing and mathematics course and maintenance of a 2.0 cumulative grade point average or better (on a 4.0 scale).
CPR requirement must be successfully completed and must be kept current throughout the program.
*Transportation to the community facilities is the responsibility of each student.
Students may be required by the health care facilities to have criminal background checks and/or drug screenings done in order to enter the health care facilities for clinical. Students are responsible for the cost. Based on the results the facility has the right to deny students admission to the site for clinical. This may jeopardize your academic success because you may not be able to complete the required clinical experience of the program.
Note:The Kentucky Board of Nursing may deny a nursing graduate admission to the NCLEX-RN Exam if an individual has been convicted of a misdemeanor or felony which involves acts that bear directly on the qualification of the graduate to practice nursing.
VII.General Education Competencies
Reading and writing skills are necessary to communicate effectively in the field of
nursing. Students are expected to learn the content and skills in this course and be able to apply these in the clinical setting. Ethical behavior and honesty by the student nurse are critical to providing safe nursing care. Learning experiences will provide students the opportunity to acquire and develop skills pertinent to nursing.
Writing
To effectively communicate ideas by focusing on written assignments. Students will demonstrate writing competencies by doing individualized nursing care plans, and documenting pertinent client information.
Reading
To examine and interpret multiple reading materials as related to nursing. Students will demonstrate this competency by reading required materials including textbooks and journal articles related to nursing.
Integrated Learning
To think critically and make connections in learning across disciplines. Students will utilize their knowledge from nursing and the other required courses listed in the nursing curriculum to develop nursing care plans.
Creative Thinking
To elaborate upon knowledge to create thoughts and originate new ways of thinking. Students will demonstrate this competency by utilizing the nursing process to develop individualized nursing interventions and nursing care plans.
Ethics/Values
To demonstrate an awareness of ethical considerations in making value choices. Students will demonstrate this competency by becoming aware of ethical issues and identifying professional values such as altruism, equality and human dignity. Students will demonstrate professional attitudes, motives and values.
VIII.Course Competencies
Upon completion of the course, the student can:
1.use Gordon’s functional health patterns as a basis for assessment in the management of care for a group of clients;
2.demonstrate competency of all essential skills that adhere to critical criteria;
3.apply the nursing process to clinical decision-making and the management of care for a group of clients;
4.employ and adapt therapeutic communication techniques with a group of clients, significant others, and members of the health care team;
5.integrate caring behaviors into the management of care for a group of clients;
6.incorporate professional behaviors into nursing practice when making decisions and taking actions that are consistent with the standards of nursing practice, self-development, and a commitment to professional nursing;
7.evaluate and modify teaching - learning processes to assure achievement of positive client outcomes; and
8.participate in a collaborative team approach to provide holistic client-centered care while managing a group of clients.
IX.COURSE FORMAT
The course is designed to provide the student with 135 hours of clinical and laboratory experience. Refer to the course unit outlines for descriptions of content covered in NSG 205.
It is anticipated that the following instructional methods may be used during the semester: computer and written assignments, group discussion, laboratory, audio-visuals, demonstration and return demonstration, role playing, oral reports/presentations, pre- and, post-conferences, self directed student activities, and other teaching methods as appropriate.
X.Course Requirements
Attendance
Absences from scheduled campus laboratory and clinical sessions are considered detrimental to the academic performance of the student. Therefore, attendance is required at all scheduled campus laboratory and clinical sessions of this course. If you find it necessary to be absent from a campus laboratory session you must notify a NSG 205 nursing instructor prior to the beginning of the session.
Campus Laboratory Absences
1.Students who miss campus laboratory are responsible for making an appointment with the instructor on the next day to contract make-up for campus laboratory. The student will make-up missed sessions within 1 week of the date missed.
2.Failure to comply with the contract will result in unsatisfactory for that day.
(Note: Absences may not be made up after May 4, 2005. In the event that the last day of classes is extended due to inclement weather, rescheduling of this date will take place). Absenteeism and make-up work will be reviewed upon an individual basis.
3.Campus Laboratory make-up will consist of three parts. The first is a six page formal paper using APA format (5th edition). The topic will be based upon campus laboratory material covered during the week. The second part will consist of completion of computer assisted instruction for 6 hours. The third will consist of a make-up day at a site of the instructor’s discretion. Make-up days will be scheduled on Fridays.
4.Requirements for campus laboratory make-up paper:
-APA format (5th edition)
-No more than six pages
-Topic must be relevant to campus laboratory material discussed during the week of the absence
5.If work is not completed by the due date and/or is not completed at a satisfactory
level, as evaluated by the instructor, the student will receive an unsatisfactory for
the assignment.
6.A student must do a makeup for missed campus laboratory day (paper, computer time & laboratory makeup). If the student does not do a paper, computer assignment and clinical makeup an unsatisfactory will be assigned for each (total 3 “U’s”) and the student will receive a grade of “E” for Nursing 205.
7.Students with more than 4 hours of excused/unexcused campus laboratory absences will be advised to withdraw from the program and the student will receive a grade of “W” for the course. If the student chooses not to withdraw from the course, the student will receive an “E” for the course and will not be
permitted to participate in the course experiences.
NOTE: ALL REPORTED ABSENCES ARE NOT NECESSARILY EXCUSED
Excused absences from campus laboratory may be granted for the following reasons:
1.Professional Leave: An excused absence may be granted for students to represent the program in a recognized activity, for example, KANS or KNA Annual Convention. This permission must be secured prior to the intended absence.
2.Emergency: If a student must be absent from the campus laboratory
due to personal illness or death in the family, the instructor involved may give an excused absence for the missed session. If absence is excused because of illness the student is required to notify the instructor prior to the absence and bring an excuse signed by his/her physician to the classroom or laboratory session. Make up sessions will be discussed individually with the instructor.
3.Required Appearance in Court: The student must notify the instructors in
advance.
Campus Laboratory Tardiness:
Each unexcused tardiness in excess of 10 minutes will result in 1 point being
deducted from the final course average. Extenuating circumstances may be considered on an individual basis. Persistent tardiness (more than two times per term) will result in a conference with the nursing 205 faculty.
If a student is tardy, the instructor is not required to admit the student to the campus laboratory.
Clinical Absences
Students must complete the135 hours of clinical and campus laboratory time in order to pass the course. Failure to do this will result in a grade of “E” if the student does not withdraw. Therefore students must schedule the appropriate numberof hours with their preceptor to get a minimum of 120 clinical hours within the course term. These must be completed on a satisfactory basis in order to pass NSG 205.
All written materials should be:
1.Be completed in black ink and/or typed.
2.Have correct spelling, punctuation and grammar.
3.Have documentation of references.
4.Be legible and on standard-sized paper, one side only.
5.Be completed by the due date, those incomplete or late will not be
accepted unless permission has been previously granted by the instructor.
Current Literature
Reading current nursing literature is an important aspect of the nursing student’s
education. Students should read articles in nursing periodicals that are pertinent to the subject matter of each unit and be prepared to discuss the articles in teaching/learning situations.
Accommodation Policy
Students needing accommodations should contact the local disabilities service representative as follows: Hazard Campus – Doug Fraley; Lees Campus – Cluster Howard.
XI.Computation of Grades
A.Unit Examination/Evaluation
This course is evaluated on a pass/fail basis. In order to successfully complete the course the student must earn satisfactory completion of clinical time with preceptor and have a course final grade of at least 78% in order to pass NSG 205.
The course grade will be determined as follows:
Exam I 17.5% of final grade
Exam II 17.5% of final grade
Exam III 20% of final grade
Leadership and
Management Exam15% of final grade
Classroom Participation5 % of final grade
NLN-Diagnostic Readiness Exam-RN15 % of final grade
NCLEX 3500
(complete two Comprehensive 10% of final grade
Exams at 75 items/exam).(NOTE: must score at least 85%)
Exam I and Exam II: students are responsible for submitting a correct response and rationale with references forall incorrectresponses to exam items missed within one week of receiving the results of these exams to get the percentage points.
Exam III will be administered at the end of the course. The number grade will be used to calculate the percentage points.
Classroom participation is as follows: students will be responsible for conducting a seminar covering the management concepts from Tappen. Students will work in groups and serve as the facilitator for the discussion for the seminar. Content to be discussed includes:
1)objectives and textbook content (should be brief)
2)examples of application of concepts in clinical is to be the major focus
3)in addition develop and submit ten NCLEX exam type items from the content presented
The NLN Diagnostic Readiness RN Exam will be utilized as an assessment of weaknesses and strengths. Students are responsible for submitting a correct response and rationale with references for all incorrect items by April22, 2005 in order to receive the percentage points. The rationales must include which one is the correct answer and explanation for the other choices that are incorrect.
NO QUESTIONS ARE TO BE ASKED DURING EXAMS
B.Grading Scale
This course is a pass/fail. A minimum grade of 78% must be obtained in order to pass this course.
Corrections in computed grades on exams, papers, or other assignments must be brought to the instructor’s attention within 24 hours following the return of the material. The student must make an appointment with the instructors to discuss the question. After that time, changes will not be made.
C.Examination Review
Exam scores will be given to students after instructors have calculated the scores.
- Inappropriate and unprofessional behavior (i.e. Arguing with the instructor over test items) during the review will result in students involved in this behavior being required to meet with the coordinator and nursing instructors to discuss the situation.
- Students will not be permitted to write down any test items from Exam III. Students identified copying test items will be required to attend a session with the nursing instructors.
- After the exams have been graded, students will receive a copy of the NLN Diagnostic Readiness Exam, and Exams I & II with the missed items identified in order to write rationales for the missed items. The students must return the exams along with the rationales in order to receive points.
D.Clinical Evaluation
Clinical performance is evaluated on a satisfactory/unsatisfactory basis. In order to pass the course the student must earn at least 78% as discussed under computation of grade and satisfactorily complete the clinical preceptor component. The following criteria will be used:
1.The nursing process must be used.
2.The client must not be placed in physical jeopardy.
3.The client must not be placed in emotional jeopardy.
4.Principles of medical/surgical asepsis must be maintained.
5.Client instruction must be provided.
6.Client findings must be reported and/or recorded using accepted
terminology.
7.Nursing skills must be performed at a satisfactory level.
8.Maintain patient and facility confidentiality.
9.The specified completed forms, documentation, and paperwork from the Preceptor-Student Packet must be submitted to the specified faculty by the designated due date.
Clinical paper work must be completed and submitted on the date required by the instructor or an unsatisfactory will be earned for the clinical assignment.
Students who receive two unsatisfactories relating to the direct patient care and/or required clinical paper work will receive a grade of “E” for NSG 205. Should the student choose to withdraw within a week after receiving the second unsatisfactory, he/she will receive a grade of “W”.
E.A student earning a total of two unsatisfactories related to client care activities, assignments, or campus lab activities will be advised to withdraw from the nursing program immediately and receive a grade of “W”. If the student chooses not to withdraw within a week of the advisement session he or she will receive a grade of “E” for NSG 205 and will not be permitted to do clinical.
F.Student-Instructor and/or Preceptor Conferences
Student/instructor conferences will be scheduled as needed.
- Preceptorship
Review materials distributed in the campus laboratory for a description of the preceptorship program and requirements. These will be explained by the faculty.
H.Required Written Assignment related to Maternity and Child Health Nursing NLN Exam results
Upon receipt of the Maternity and Child Health NLN exam results the student is to complete correctives for each item missed. These correctives are to be submitted to the instructor within two weeks of receipt of the items missed.
XII.Withdrawal Policy:
May 4, 2005 is the last day for students to officially withdraw and receive a grade of "W". This includes: instructors advising student to withdraw for unforeseen emergencies (i.e. deaths, illness, catastrophes, etc.)
XIII.Academic Offenses:
See the KCTCS Code of Student Conduct for policies on plagiarism and cheating. A copy of the Code of Student Conduct can be obtained in the Office of Student Affairs or online. A student can find information about academic rights, academic offenses and the student’s right to appeal in the KCTCS Code of Student Conduct. Website:
Carrying on private conversations during class, or any other behaviors which do not facilitate learning are unacceptable. Students who participate in unprofessional behaviors such as these will be asked to leave the class on that day.