Walla Walla Community College
Nursing Education
Summer Practicum
NURS 113
Summer Transition Practicum: LPN to ADN
NURS 114
Summer Quarter, 2010
To request accommodations related to a disability, contact Claudia Angus, Ph.D., Coordinator of Disability Support Services, at 527-4262 or email on the Walla Walla Walla Campus. Clarkston students may contact Carol Bennett, at 758-1718 or email .
Every effort is made to ensure accuracy in the syllabus at the time of printing. However, the Walla Walla Community College Nursing Education Program reserves the right to change any provision or requirement, which is necessitated by circumstances arising during the course. All changes shall be provided in writing.
Course Outline
NURS 113
Summer Practicum
Credits: 7
Clock Hours per Quarter: 140
Lab Hours: 140
Description
An application of theory from NURS 103. The focus is on providing care for clients in acute care and community based settings. An additional focus is on transition to the role of Practical Nurse. Prerequisites: NURS 102 and 112. Co-requisite: NURS 103.
Intended Learning Outcomes
· Demonstrate critical thinking in the use of the nursing process.
· Demonstrate use of management/leadership principles in the delivery of client/patient care.
· Perform interventions in a safe and effective manner.
· Use therapeutic communication.
· Demonstrate professional behaviors.
Course Topics
· Interdisciplinary Communication
· Management Concepts
· Review of Course Topics from NURS 110, 111, 112
Evaluation Devices:
· Client Data Sheets
· Nursing Care Plans
· Clinical Evaluation Tool
· Dosage Calculation/Medication Administration Tests
Teaching Format: Clinical Practicum
Locations: Walla Walla Campus – Acute care facilities and community based agencies
Clarkston Campus – Acute care facilities and community based agencies
Course Outline
NURS 114
Summer Transition Practicum: LPN to ADN
Credits: 7
Clock Hours per Quarter: 140
Lab Hours: 140
Description
Focuses on enhancing skills for LPNs entering the second year of the nursing program. Care is provided in acute care facilities and community based settings. Prerequisite: Admission to second year of the Nursing program. Co-requisite: NURS 104.
Intended Learning Outcomes
· Demonstrate critical thinking in the use of the nursing process.
· Demonstrate use of management/leadership principles in the delivery of client/patient care.
· Perform interventions in a safe and effective manner.
· Use therapeutic communication.
· Demonstrate professional behaviors.
Course Topics
· Interdisciplinary Communication
· Management Concepts
· Review of Course Topics from NURS 110, 111, 112
Evaluation Devices:
· Client Data Sheets
· Nursing Care Plans
· Clinical Evaluation Tool
· Dosage Calculation/Medication Administration Tests
Teaching Format: Clinical Practicum
Locations: Walla Walla Campus – Acute care facilities and community based agencies
Clarkston Campus – Acute care facilities and community based agencies
FACULTY CONTACT LIST
NOTE: Students are encouraged to contact the faculty member responsible for the content area or clinical experience about which they have a question. Contact your faculty advisor for academic concerns and advising. Faculty hours are posted on the Level I bulletin board.
Walla Walla Campus: Nursing Office: 509-527-4240
Clarkston Campus: Nursing Office: 509-758-1702
Director of Nursing Education: Marilyn D. Galusha, RN, MSN
Walla Walla-based Instructors / Office Number / Email addressesKathy Adamski, RN, M.N.
(Summer Lead Instructor) / 527-4244 /
Cell: 509-200-0904
Rob Becker, R.N., M.N. / 527-4334 /
Cell: 509-301-9500
Brenda Anderson, R.N., M.S.N / 527-4327 /
Cell: 509-240-4084
Patti Becker, R.N., M.N. / 527-4242 /
Cell: 509-301-9680
Lana Toelke, R.N., B.S.N / 527-4240 /
Clarkston-based Instructors
Sue Rammelsberg, R.N., M.S.N.
(Clarkston Lead Instructor) / 758-1705 /
Cell: 509-595-5731
Stephanie Carpenter, R.N., B.S.N. / 758-1722 /
Debra Scheib, R.N., M.S.N. / 758-1707 /
Course Expectations
ATTENDANCE:
1. Attend all scheduled learning activities (attendance is taken). Absences and tardiness will be tracked. Three episodes of tardiness, in any combination of NURS 113/114 activities, equal one absence. Three absences, in any combination of NURS 113/114 activities, equal a letter grade drop from total points earned. Four absences constitute a clinical failure.
2. Attendance at Pre-Clinical Conference and Hospital Orientations are mandatory. Absence may affect a student’s ability to start a clinical rotation on time.
3. If unable to attend practicum or arrive on time, the student must notify the WWCC Nursing Department and the assigned practicum unit prior to the beginning of the assigned practicum shift. Failure to notify the practicum agency and the WWCC Nursing Department of an absence or tardy (no call/no show) prior to the start of the assigned shift will result in a “contract” or a “special concern.”
4. Note: There is no provision for make-up of missed practicum hours.
ASSIGNMENTS:
1. Students are responsible for all content missed due to absence or tardiness.
2. All assignments must be accounted for in order to complete course work.
3. Required written assignments are to be considered professional documents. Students must use proper, professional terminology, spelling, grammar, punctuation, and sentence structure. Slang is not permitted. Grade reductions should be expected if these instructions are not followed.
4. Late papers will receive a one-point deduction per school day as described in the Nursing Student Handbook. A school day is defined as any day the school is officially open.
5. Academic integrity will be strictly enforced. Duplicate answers presented on separate papers will result in a score of zero for the paper(s). Papers (e.g., competencies, care plans, patient data packets, etc.) with plagiarized answers will also receive a score of zero. Any issues of suspected plagiarism or cheating will be referred to the Level I faculty for consideration of disciplinary action including but not limited to Special Concern with course grade drop.
6. No student shall copy any documents from a client's chart unless otherwise instructed by clinical faculty. Confidentiality rules will be strictly enforced.
PROCEDURES/ SKILLS:
1. Students must maintain competency for all learned skills. This includes previously learned skills.
2. All procedures/skills (medication administration, dressing change, foley catheter placement, injection, etc.) may only be performed under the direct supervision of the clinical instructor or a licensed nurse.
CLINICAL PERFORMANCE:
1. Grades are earned by students, not given by instructor.
2. Grading Scale: See Nursing Student Handbook.
3. Contracts/Special Concerns: Students not performing at expected performance/critical-thinking levels will be placed on a practicum contract or receive notice of special concern. More than one special concern may be earned. A grade reduction should be expected for each "special concern." The amount of grade reduction will be determined on an individual basis by the level faculty.
Critical Elements
1. Follow all policies as outlined in Nursing Student Handbook.
2. Maintain confidentiality for clients and agency personnel at all times.
3. Consistently follow the 6 rights of medication administration.
4. Consistently ask for guidance and assistance when unsure or in doubt regarding any issues of care delivery.
5. Communicate in a timely manner with staff and/or instructor regarding abnormal/unexpected client assessment data.
6. Consistently follow Clinical Expectations provided by clinical instructor.
7. Show readiness to perform procedures.
8. Consistently perform all procedures according to agency/college policies.
9. Consistently demonstrate timeliness in meeting professional/course expectations.
POINT DISTRIBUTION
NURS 113/114
Name ______
Points Earned: ______Percentage: ______Clinical Grade: ______
Assignments / Points Available / Points EarnedMedication Competency Test - Must have 80% to pass (one retake only) / Pass/Fail
Competency Performance Evaluation
· Instructor observation of clinical performance
· Student Written Competencies / 25
30
Comprehensive Nursing Plan Of Care (aka “Major Data Packet” / 26
Journal Entries (five entries @ 6 points each) / 30
Attendance / 16
Late Point Deductions
FINAL TOTAL
/ 127Practicum attendance (3 points per clinical week; 1 point per day for a 3-day, 8-hour per day clinical week or 1.5 points per day for a 2-day, 12 hour per day clinical week)
______(____) / ______( ____) / ______( ____) / ______(____) /______( ____)
Week 1 Week 2 Week 3 Week 4 Week 5
Pediatric Workshop :______
Grading Criteria:
1. Medication Competency Test: If less than 80% is achieved, the student will be allowed to take one remedial exam covering similar content. If 80% is not achieved on the remedial exam, the student will receive a “C-” grade in NURS 113/114 and will not be allowed to progress.
2. Competency Performance Evaluation: A student is evaluated on how well he/she is able to meet the five core competencies in NURS 113/114. Components of this evaluation include instructor observation of clinical performance (which may include evaluative feedback from others) and written examples of competency performance provided by the student.
Name ______
Instructor Observation of Clinical Performance of Competencies:
Competency / Points Available / Points Earned(instructor’s initials) / Total
(average score)
1. Demonstrate critical thinking in the use of the nursing process / 5
2. Demonstrate use of management/leadership principles in the delivery of client/patient care / 5
3. Perform interventions in a safe and effective manner / 5
4. Use therapeutic communication / 5
5. Demonstrate professional behaviors / 5
Total / 25
5 = Independent (100%)
· Excellent, without direction, safe and accurate, proficient, coordinated, confident, expedient use of time
4.5 = Supervised (90%)
· Above average, with occasional physical or verbal direction, safe and accurate, efficient, coordinated, confident, expedient use of time
4 = Assisted (80%)
· Average, frequent verbal and/or physical direction, mostly safe and accurate, partial demonstration of skills, inefficient or uncoordinated, delayed time expenditure
3.5 = Marginal (70%)
· Below average, continuous verbal and/or physical direction, questionable safe and questionable accurate, unskilled and inefficient, considerable and prolonged time expenditure
3 = Dependent (60%)
· Does not meet competency, continuous verbal and/or physical direction, unsafe, inaccurate, unable to demonstrate procedures, lacks confidence, coordination and efficiency
Students will rotate through various clinical sites during PN Summer quarter. Each clinical instructor will have the opportunity to provide a rating of the student’s mastery of each of the five competencies based on their observations of the student and on preceptor feedback. The instructor will write their initials at the top of the column for their rating. If a specific competency cannot be evaluated during a specific rotation, the instructor will write “N/A” (not applicable). An average of the scores for each of the competencies will be calculated and the average total score will be applied towards the student’s NURS 113/114 grade.
Student Written Examples of Competency Performance
Written clinical competencies are one way that your instructor validates your critical thinking and time management skills. All competencies must demonstrate reflective thinking and must be actual examples of your clinical experience. There are five core competencies that have a maximum of 31 elements/criteria that should be addressed thoroughly to receive full credit.
Competencies should be addressed on a daily basis following clinical. Turn in your competency write up with your clinical notebook each week. Competencies met during a specific rotation my only be evaluated (checked off) by that specific rotation instructor. The last opportunity to turn in competencies for grading is on the last due date for the clinical notebook.
Elements/Criteria addressed (39 possible) / Approximate Percentage Earned / Points Allocated / Student’s PointsEarned
30-31 / 94-100% / 30
29 / 90-93% / 25
28 / 87-89% / 20
27 / 84-86% / 15
25-26 / 81-83% / 10
24 / 75-80% / 5
23 / Less than 75% / 0
Individual Conference Session Summary
NURS 113/114
Student Name:______
Student Self Evaluation: (strengths and plans for growth) complete prior to ICS
Final Instructor Evaluation:
Instructor Date Student Date
______
Instructor Concerns/Repeated Reminders
(performance issues/timeliness/attendance)
Student Name: ______
Any entry on any topic will constitute a concern that could be evaluated by Level I faculty for additional action. The action could include issuance of a Clinical Contract or Special Concern.
Date / Concern / IncidentClinical Contract or Special Concern:
Your clinical grade or progression in the program may be affected by serious problems or repeated incidences related to unsafe and unethical practice. Each concern will be documented and discussed. Documented instances will be handled through appropriate channels and may lower the clinical grade.
Weekly Instructor Feedback
Student Name: ______
CRITICAL THINKING
Course Competency 1: Demonstrate critical thinking in the use of the nursing
process
Element / Criteria and Graded Assignments / WrittenCompetencies
1A. Use the nursing process to meet the physiologic, psychosocial, and developmental needs of all age groups experiencing normal life processes or common/chronic illnesses / 1. Gather and identify data (nursing assessment, labs, diagnostic tests, medical history, etc.) about the patient’s condition (Assessment)
2. Analyze data, determine pertinence to patient condition, and prioritize two (2) nursing diagnoses (analysis)
3. Identify a realistic, measureable, expected outcome related to each nursing diagnosis
4. Identify implemented nursing interventions (3) appropriate to the expected outcome (only one may be r/t assessment/monitoring); provide evidence-based rationales for the interventions with guidance
5. Evaluate patient response to care related to achievement of the expected outcome; recommend revisions to the POC (evaluation) / Instructor Validation of Data Packets
1B. Demonstrate critical thinking in the provision of nursing care / 1. For the patient’s primary medical problem, integrate knowledge of physiology and pathophysiology with pertinent patient history, nursing assessment data, medications and diagnostic testing with guidance.
2. For one medication that a patient is taking, evaluate whether the medication has been effective in achieving its intended therapeutic effect specific to this patient’s condition. Give specific assessment data that your patient exhibited that support your evaluation.
3. For one medication that a patient is taking, explain why a specific lab test is pertinent for this medication and explain the significance of the actual lab value observed in your patient.
4. Explain the significance of serial lab values related to the patient’s diagnosis or medical condition (Serial labs are 2 or more values of the same lab test taken at different times; in your explanation include the reason for the change in the serial values and the significance of the changes for your patient)
5. Explain the rationale for a therapeutic diet as it relates to the patient’s medical condition (Give specific information about the diet criteria and how it affects the patient’s condition; NPO is not a diet) / Instructor Validation of Data Packets
1 examples:
______
1 examples:
______
2 examples:
______
______
1 example:
______
1C. Apply teaching-learning principles in addressing patient learning needs / 1. For two (2) selected patients, conduct teaching/learning projects with instructor guidance
· Identify a learning need with rationale (Assess/Analysis)
· Identify an expected learning outcome (Plan)
· Prepare and implement a teaching plan (Implement)
· Evaluate the effectiveness of teaching/learning in relationship to achievement of expected outcome (Evaluation)
(Teaching/learning plan must be approved by instructor or licensed nurse; all bullets must be addressed for credit) / 2 examples:
______
______
1D. Complete documentation that demonstrates organization and application of the nursing process in addressing specifics of patient situation / 1. Develop documentation using PIE format, with instructor guidance that:
Problem:
· Identifies pertinent assessment data
· Identifies appropriate nursing diagnosis, if applicable
Intervention:
· Identifies interventions related to problem
Evaluation:
· Evaluates patient response to interventions
2. Documentation should be clear, complete, concise, and correct; according to agency policy, and using professional/medical terminology
3. Document patient education / Instructor Validation of Data Packets and actual patient charting
Instructor Validation
Instructor Validation
CRITICAL THINKING