Fundamentals of Clinical Practice
Syllabus
Organization / KCTCS - MadisonvilleCommunity College
Course Prefix, Number, Section, PS Class # / NIP 115
Section #: 81W1, 8101, 8102, 81W2, 8103, 8104, 81W3, 8105, 8106, 81W4, 8107, 8108, 81W5, 8109, 8110, 81W6, 81L6, 8111, 8112, 81W7, 8113,8114, 81W8
Class #: 37635, 37642, 37644, 37649, 37655, 37658, 37665, 37671, 37677, 37681, 37686, 37692, 37731, 37754, 37826, 37891, 37894, 37896, 37901, 37903, 37905, 37907
Credits / 8
Credit Hours / 8
Instructors:
Each instructor will have office hours posted on their doors at the beginning of the semester. / Shannon Allen / 147 / 824-1785 /
Beth Almes / 146 / 824-1786 /
Leah Atcher / 136
Part-time faculty TBA
Michele Quisenberry
Kay Vespie / 133 / 824-1799 /
Robyn Whitehair / 125 / 824-1800 /
Marsha Woodall / 148 / 824-1802 /
Campus / Health Campus
Address / 750 North Laffoon Drive
City/State/Zip / MadisonvilleCommunity College
Beginning Date / 08/13/2007
Meeting Times/Location / Monday: Lecture (8:00 - 11:00)
Tuesday: Lecture (8:00 - 11:00) Lab for groups 1, 2, 3 & 4 (1:00 - 3:00)
Thursday: Lecture (8:00 - 11:00) Lab for groups 5,6,7 & 8 (1:00 - 3:00)
Friday: Clinical (8:00 – 3:00 according to assigned lab groups and instructors.
Official Course Description
Examines client's needs, health promotion, prevention of complication, and pain management associated with surgical intervention; Introduces skills related to mental health care, such as areas of adaptive/maladaptive behaviors and specific mental health disorders in a variety of healthcare settings.
Admission to the Integrated Nursing program. Successful completion of a Medicaid Nurse Aide equivalent course or proof of active status on the Medicaid Nurse Aide Registry. Completion, with a grade of “C” or better, of BIO135, PY110, COM181/COM252, ENG 101, and CIS 100 or equivalent. Students must have Basic Life Support certification, current liability insurance coverage and current immunizations for the duration of the course.
Corequisites: NIP 110, AHS 100, FHM 100
Required Text
Videbeck.Psychiatric Mental Health Nursing.Lippincott.2006.Edition: 3rd.ISBN: 0-7817-6033-X
All previous Texts and Scyscape PDA required for NIP 110
Learner Supplies:
First semester nursing lab pack, PDA, Bandage Scissors, Stethoscope, Wrist Watch with a Second Hand, Black Ink Pen and Uniform as required for NIP 110 & NIP 115.
General Education Competencies
A. / Communicate Effectively.
Read and listen with comprehension.
Speak and write clearly using standard English.
Interact cooperatively with others using both verbal and non-verbal means.
Demonstrate information processing through basic computer skills.
B. / Think Critically.
Make connections in learning across the disciplines and draw logical conclusions.
Demonstrate problem solving through interpreting, analyzing, summarizing, and/or integrating a variety of materials.
Use mathematics to organize, analyze, and synthesize data to solve a problem.
C. / Learn Independently.
Use appropriate search strategies and resources to find, evaluate, and use information.
Make choices based upon awareness of ethics and differing perspectives/ideas.
Apply learning in academic, personal, and public situations.
Think creatively to develop new ideas, processes, or products.
Program Outcomes
A. / Utilize the nursing process incorporating Neuman's System's Model and Maslow's hierarchy of needs as a basis for clinical decision-making in providing client, family and community care;
B. / Utilize individual plans of care focusing on services and activities that promote independence, maintain, or restore health and/or support a peaceful death;
C. / Demonstrate competency in the performance of all essential nursing skills as identified by the Associate Degree Nursing Faculty;
D. / Provide evidence-based clinically competent care with evidence of caring behaviors;
E. / Collaborate through effective therapeutic communication with the client, family, significant others and members of the health care team in the management of care;
F. / Establish priorities and organize nursing care in a timely, efficient and cost effective manner with the utilization of delegation to all members of the health care team;
G. / Serve as a client advocate and demonstrate respect for individual diversity;
H. / Assume responsibility for professional development;
I. / Practice within the ethical, legal, and regulatory frameworks of nursing, and;
J. / Use teaching/learning processes to facilitate clients informed decision-making to achieve positive outcomes and support functional patterns.
K. / Uses the human caring phenomena and the nursing process in providing nursing care.
L. / Assumes the role of a competent, caring practical nurse in a variety of health care settings under the direction or supervision or a registered nurse, licensed physician, or dentist.
M. / Demonstrates accountability of practice with adherence to ethical and legal standards of the profession.
N. / Communicates effectively with all members of the health care team.
O. / Demonstrates self-direction and responsibility for maintaining nursing competence by pursuing personal and professional development.
External Standards
PROFESSIONAL BEHAVIORS
1. Practice within the ethical, legal, and regulatory frameworks of nursing and standards of professional nursing practice.
2. Report unsafe practices of healthcare providers using appropriate channels of communication.
3. Demonstrate accountability for nursing care given by self and/or delegated to others.
4. Use standards of nursing practice to perform and evaluate client care.
5. Advocate for client rights.
6. Maintain organizational and client confidentiality.
7. Practice within the parameters of individual knowledge and experience.
8. Describe political processes as they affect agency specific healthcare.
9. Participate as a member of professional organizations.
10. Serve as a positive role model within healthcare settings and the community at large.
11. Recognize the impact of economic, political, social, and demographic forces on the delivery of healthcare.
12. Participate in lifelong learning.
13. Develop and implement a plan to meet self learning needs.
14. Delineate and maintain appropriate professional boundaries in the nursing relationship.
COMMUNICATION
1. Utilize therapeutic communication skills when interacting with clients and significant support person(s).
2. Communicate relevant, accurate, and complete information in a concise and clear manner.
3. Report and document assessments, interventions, and progress toward client outcomes.
4. Protect confidential information.
5. Utilize information technology to support and communicate the planning and provision of client care.
ASSESSMENT
1. Assess the interaction patterns of the individual client or significant support person(s).
2. Assess the impact of development, emotional, cultural, religious, and spiritual influences on the client's health status.
3. Assess the client's health status by completing health history and performing a physical, cognitive, psychosocial, and functional assessment.
4. Assess client and significant support person(s) for learning, strengths, capabilities, barriers, and educational needs.
5. Assess the client's response to actual or potential health problems.
6. Assess the client's response to interventions.
7. Assess the client for changes in health status and identified needs.
8. Assess the client's ability to access available community resources.
9. Assess the environment for facts that may impact the client's health status.
10. Assess the strengths, resources, and needs of clients within the context of their community.
CLINICAL DECISION MAKING
1. Make clinical judgments and management decision to ensure accurate and safe care.
2. Analyze and utilize assessment and reassessment data to plan care.
3. Evaluate the effectiveness of care provided in meeting client outcomes.
4. Modify client care as indicated by the evaluation of outcomes.
5. Participate in problem identification and data collection for research, quality continuous improvement processes to meet client outcomes.
6. Use evidence-based information, collected electronically or through other means to support clinical decision making.
CARING INTERVENTIONS
1. Protect and promote the client's dignity.
2. Identify and honor the emotional, cultural, religious, and spiritual influences on a client's health.
3. Demonstrate caring behavior towards the client, significant support person(s), and other members of the healthcare team.
4. Provide accurate and safe nursing care in diverse settings.
5. Implement the prescribed care regimen within the legal, ethical, and regulatory framework of nursing practice.
6. Perform nursing skills competently.
7. Provide a safe physical and psychosocial environment for the client.
8. Assist the client and significant support person(s) to cope with and adapt to stressful events and changes in health status.
9. Assist the client to achieve optimum comfort and functioning.
10. Prepare the client and significant support person(s) for intervention, treatment modalities, and self-care.
11. Support the client and significant support person(s) when making healthcare and end-of-life decisions.
12. Adapt care in consideration of the client's values, customs, culture, and/or habits.
TEACHING AND LEARNING
1. Develop an individualized teaching plan based on assessed needs.
2. Provide the client and significant support person(s) with the information to make choices regarding health.
3. Teach the client and significant support person(s) the information and skills needed to achieve desired learning outcomes
4. Evaluate the progress of the client and significant support person(s) toward achievement of identified learning outcomes
5. Modify the teaching plan based on evaluation of progress toward meeting identified learning outcomes.
6. Provide assistive personnel with relevant instruction to support achievement of client outcomes.
COLLABORATION
1. Coordinate the decision making process with the client, significant support person(s), and other members of the healthcare team.
2. Work cooperatively with others to achieve client and organizational outcomes.
3. Collaborate with the client, significant support person(s), and other members of the healthcare team to evaluate progress toward achievement of outcomes.
4. Interact creatively and openly with others to solve problems to achieve client goals and outcomes.
5. Collaborate to bring about fair solutions that balance differing needs, values, and motivations for the purpose of achieving positive client outcomes.
MANAGING CARE
1. Prioritize client care.
2. Coordinate the implementation of an individualized plan of care for clients and significant support person(s).
3. Facilitate the continuity of care within and across healthcare settings.
4. Delegate aspects of client care to qualified assistive personnel.
5. Supervise and evaluate the activities of assistive personnel.
6. Adapt the provision of client care to changing healthcare settings and management systems.
7. Assist the client and significant support person(s) to access available resources and services.
8. Implement nursing strategies to provide cost efficient care.
9. Demonstrate competence with current technologies.
Course Competencies
1. / Utilize the Neuman Systems Model and the Maslow Hierarchy, at a beginning level, in applying the nursing process/critical thinking as a basis for decision making in providing care for the client experiencing psychosocial stressors and threats to body defenses.
Linked General Education Competencies
Think Critically.
Linked Program Outcomes
Utilize the nursing process incorporating Neuman's System's Model and Maslow's hierarchy of needs as a basis for clinical decision-making in providing client, family and community care;
Utilize individual plans of care focusing on services and activities that promote independence, maintain, or restore health and/or support a peaceful death;
Linked External Standards
Report and document assessments, interventions, and progress toward client outcomes.
Assess the interaction patterns of the individual client or significant support person(s).
Assess the impact of development, emotional, cultural, religious, and spiritual influences on the client's health status.
Assess the client's health status by completing health history and performing a physical, cognitive, psychosocial, and functional assessment.
Evaluate the effectiveness of care provided in meeting client outcomes.
Modify client care as indicated by the evaluation of outcomes.
Participate in problem identification and data collection for research, quality continuous improvement processes to meet client outcomes.
Use evidence-based information, collected electronically or through other means to support clinical decision making.
Course Objectives
a.Apply the Neuman Systems Model and Maslow Hierarchy in the nursing process/critical thinking as a basis for decision making in providing care for the client experiencing psychosocial stressors and threats to body defenses.
b.Describe characteristics of a critical thinker.
c.Discuss the nurse's responsibility in making clinical decisions.
d.Discuss critical thinking skills used in nursing practice.
e.Describe the components of a critical thinking model for clinical decision making.
f.Explain the relationship between clinical experience and critical thinking.
g.Discuss the relationship of the nursing process to critical thinking.
h.Describe how to use the Neuman Systems Model and Maslow Hierarchy in planning care for the psychiatric/mental health patient
i.Describe how to use the Neuman Systems Model and Maslow Hierarchy in planning care for the surgical patient in periop, intraop, and postop.
j.Apply critical thinking and the nursing process in providing care to the psychiatric/mental health patient.
k.Apply critical thinking and the nursing process in providing care to the surgical patient (preop, intraop, and postop).
2. / Utilize the nursing process in the multi-disciplinary development of a primary, secondary, and tertiary plan of care as a basis for health promotion.
Linked General Education Competencies
Communicate Effectively.
Think Critically.
Linked Program Outcomes
Utilize the nursing process incorporating Neuman's System's Model and Maslow's hierarchy of needs as a basis for clinical decision-making in providing client, family and community care;
Utilize individual plans of care focusing on services and activities that promote independence, maintain, or restore health and/or support a peaceful death;
Establish priorities and organize nursing care in a timely, efficient and cost effective manner with the utilization of delegation to all members of the health care team;
Communicates effectively with all members of the health care team.
Linked External Standards
Utilize therapeutic communication skills when interacting with clients and significant support person(s).
Assess the interaction patterns of the individual client or significant support person(s).
Assess the impact of development, emotional, cultural, religious, and spiritual influences on the client's health status.
Assess the client's health status by completing health history and performing a physical, cognitive, psychosocial, and functional assessment.
Assess client and significant support person(s) for learning, strengths, capabilities, barriers, and educational needs.
Assess the client's response to actual or potential health problems.
Assess the client's response to interventions.
Assess the client for changes in health status and identified needs.
Assess the client's ability to access available community resources.
Assess the environment for facts that may impact the client's health status.
Assess the strengths, resources, and needs of clients within the context of their community.
Collaborate with the client, significant support person(s), and other members of the healthcare team to evaluate progress toward achievement of outcomes.
Course Objectives
a.Discuss the health belief, health promotion, and holistic health models of health and illness to understand the relationship between patients' attitudes toward health and health practices.
b.Describe health promotion and illness prevention activities.
c.Discuss and identify three levels of prevention.
d.Describe the impact of illness on the patient and family.
e.Discuss the nurse's role in health and illness.
f.Discuss the use of health promotion and illness prevention in the psychiatric/mental health patient.
g.Discuss the use of health promotion and illness prevention in the surgical patient (preop, intraop, and postop)
3. / Utilize therapeutic communication techniques in providing client care.
Linked General Education Competencies
Communicate Effectively.
Linked Program Outcomes
Collaborate through effective therapeutic communication with the client, family, significant others and members of the health care team in the management of care;
Communicates effectively with all members of the health care team.
Linked External Standards
Utilize therapeutic communication skills when interacting with clients and significant support person(s).
Communicate relevant, accurate, and complete information in a concise and clear manner.
Protect confidential information.
Utilize information technology to support and communicate the planning and provision of client care.
Assess the interaction patterns of the individual client or significant support person(s).
Demonstrate caring behavior towards the client, significant support person(s), and other members of the healthcare team.
Course Objectives
a.Identify situations that require careful communication.
b.Describe elements of therapeutic and non-therapeutic communication.
c.Differentiate between the aspects of verbal and nonverbal communication.
d.Identify features and expected outcomes of the nurse-patient helping relationship.
e.Describe behaviors and techniques that affect communication.
4. / Demonstrate knowledge of legal and ethical issues related to client's experience of physiological and psychosocial stressors.
Linked General Education Competencies
Think Critically.
Linked Program Outcomes
Practice within the ethical, legal, and regulatory frameworks of nursing, and standards of professional nursing practice.
Linked External Standards
Practice within the ethical, legal, and regulatory frameworks of nursing and standards of professional nursing practice.
Report unsafe practices of healthcare providers using appropriate channels of communication.
Demonstrate accountability for nursing care given by self and/or delegated to others.
Use standards of nursing practice to perform and evaluate client care.
Advocate for client rights.
Maintain organizational and client confidentiality.
Protect confidential information.
Protect and promote the client's dignity.
Demonstrate caring behavior towards the client, significant support person(s), and other members of the healthcare team.
Provide a safe physical and psychosocial environment for the client.
Assist the client and significant support person(s) to cope with and adapt to stressful events and changes in health status.
Assist the client to achieve optimum comfort and functioning.
Prepare the client and significant support person(s) for intervention, treatment modalities, and self-care.
Support the client and significant support person(s) when making healthcare and end-of-life decisions.
Course Objectives
a.Describe the legal obligations and role of nurses regarding federal and state laws that affect health care.
b.List sources for standards of care for nurses.
c.Explain the importance of accountability and responsibility in nursing practice.
d.Describe the role of ethics in nursing practice
e.Explain a process used to analyze an ethical dilemma.
f.Describe ethical conflicts nurses experience in different clinical settings.