NORTH CENTRAL TEXAS COLLEGE COURSE SYLLABUS
Course Title:	Clinical Nursing I
Course Prefix & Number:		RNSG 1261	Section Number:	101	Semester/Year:	Fall 2020
Semester Credit Hours:		2	Lecture Hours:		Lab Hours:	96
Course Description (NCTC Catalog): A health-related work-based learning experience that enables the student to apply specialize occupational theory, skills and concepts. Direct supervision is provided by the clinical professional.
Course Prerequisite(s): Admission to the Associate Degree Nursing Program: BIOL2401 Human Anatomy & Physiology I: Human Anatomy & Physiology II; MATH 1342 Elementary Statistical Methods; RNSG 1423 is usually taken concurrently with BIOL 2420, RNSG 1261, RNSG 1300 and RNSG 1219.
Required or Recommended Course Materials:   Required ATI Resources Potter, P., & Perry, A. (2017). Fundamentals of Nursing (9th ed). St. Louis, MO: Elsevier Texas Nurse Practice Act (2019). Austin, TX: Texas Board of Nursing, https://www.bon.texas.gov/laws_and_rules_nursing_practice_act.asp  EHR Tutor   Recommended Any Laboratory Diagnostic Book, Medical Dictionary, Nursing Diagnosis Book and Drug Book.

 

INSTRUCTOR INFORMATION

Name of Instructor:	Cindy Andrews, MSN, RN
Campus/Office Location:	2428-B
Telephone Number:	940-668-7731 ext. 4374
E-mail Address:	candrews@nctc.edu

 

OFFICE HOURS

Monday	Tuesday	Wednesday	Thursday	Friday
By appointment	By appointment	By appointment	0800-1200	By appointment
			1230-1630
Individual assistance is always available by virtual appointment in Webex.  I look forward to seeing you during student hours.

 

 

Addendum to Syllabus:

Due to the COVID-19 pandemic, changes may occur at any time that would restrict or limit access to campus which would result in changes in the grading system or any use of the Health Science Building for testing. The NCTC nursing faculty reserves the right to make any changes necessary to the syllabus to ensure the clinical student receives the highest quality clinical experience. It is a mandatory requirement that any time a student must come to the campus or enter a clinical site, that the student shall do the required health check in canvas and submit to having a temperature check before entering the facility(s). 

Due to the COVID-19 pandemic, changes may occur at any time that would restrict or limit access to campus which would result in changes in the grading system related to the in-lab practice and check offs. The NCTC nursing faculty reserves the right to make any changes necessary to the syllabus to ensure the students receives the highest quality lab experience. It is a mandatory requirement that any time a student must come to the campus, hospital sites or other approved facilities, that the student shall do the required health check in canvas and submit to having a temperature check before entering the facility, along with following the appropriate safety measures (social distancing, smaller numbers of students allowed in the classroom or lab space, masks, sanitized work space, etc.) set forth by NCTC.

STUDENT LEARNING OUTCOMES (From Academic Course Guide Manual/Workforce Education Course Manual/NCTC Catalog

At the successful completion of this course the student will be able to:
	Apply theory, concepts, and skills involving nursing tools, equipment, regulations, laws and interactions within and among political, economic, environmental, social and legal systems associated with nursing.
	Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills of nursing.
	Demonstrate appropriate written and verbal communication skills using nursing terminology.

 

Grading Criteria

 Numeric course grades will be converted to letter grades as follows:

 

            90-100                         A

            81-89                           B

            75-80                           C

            66-74                           D

            65 and below              F

 

In order to pass this course, the student:

Must pass the unit exams, final exams, and the written assignments with an average of 75 or higher.

Must pass the math exam with 100% within three tries.

 

 

GRADING CRITERIA

# of Graded Course Elements	Graded Course Elements	Percentage or Point Values
	CLINICAL PERFORMANCE	60%
		Point value per evaluation
1	Midterm Evaluation	50
1	Final Evaluation	50
	ASSIGNMENTS	40%
1	EHR Tutor Assignment	25
5	ATI Math Modules	25
1	Communication Assignment	25
1	Geriatric Depression Scale	25
1	Reflection Assignment	25

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

RNSG1261 Tentative Clinical Schedule – Fall 2020

 

Please know this class schedule can be subject to change due to unforeseen circumstances.  This will be done at the discretion of the instructor.

 

Week	WEEK OF
1	Aug. 24	Webex Clinical Orientation Wednesday Aug. 26 at 10:00 AM
2	Aug. 31	Chapter 39 and 40 Hygiene/Activity and Exercise ATI Safe Dosage Due Sept. 5 by 11:59 PM
3	Sept. 7	Chapter 46 read until page 1128 ATI Medication Administration Due on Sept. 9 by 11:59 PM
4	Sept. 14	Clinical Week ATI Oral Medication Due on Sept. 16 by 11:59 PM
5	Sept. 21	Clinical Week Communication Assignment Due Sept 23 by 2359 ATI Injectable Medication Due on Sept. 23 by 11:59 PM
6	Sept. 28	Clinical Week ATI Powdered Medication Due on Sept. 30 by 11:59 PM
7	Oct. 5	Clinical Day ATI Practice Math Exam Monday Oct. 5 at 9 AM
8	Oct. 12	Clinical Day ATI Math Exam Thursday Oct. 15 at 9 AM, 1st Attempt
9	Oct. 19	Clinical Day Mid-Term Evaluation Wednesday, Oct. 21 ATI Math Exam Friday Oct. 23 at 11 AM, 2nd Attempt
10	Oct. 26	Clinical Day
11	Nov. 2	Clinical Day ATI Math Exam Thursday Oct. 29 at 9 AM, 3rd Attempt
12	Nov. 9	Clinical Day Morning RNSG 1261-100 Simulation Nov. 11 0800-1130
12	Nov. 9	Clinical Day Afternoon RNSG 1261-101 Simulation Nov. 11 1300-1630
13	Nov. 16	Online Clinical Reflection Assignment Due Nov 20 by 2359
14	Nov. 23	NO CLINICAL - Thanksgiving
15	Nov. 30	Final Evaluations Wednesday, Dec. 2 ATI Self-Assessment Inventory Friday, Dec. 4
16	Dec. 7	Final Exams

 

 

 

 

 

 

 

NORTH CENTRAL TEXAS COLLEGE

Clinical Site Medication Policy and Procedures

Level - CLINICAL I

 

In order to maintain safety of the patient when students administer medications in contracted hospitals, the faculty at North Central Texas College ADN program has developed the following policies and procedures.

 

1.         Policy I

a.     The staff nurse has the final responsibility for patient's care.

b.     The Clinical Instructor or RN Preceptor (instructor) has the final responsibility for student medication administration (supervision and delegation of experiences)

c.     This medication policy will be subject to the policy of the clinical facility.

 

Procedure:

 

The Clinical Instructor will evaluate the student's assignment for the shift and assess patient, time factor, instructor availability and possible collaboration of a staff nurse. The instructor's decision to delegate the responsibility of medication supervision will be communicated directly to the staff and/or Charge Nurse.

 

The instructor's discretion will be used as to the student's readiness to do a skill involving medications. While North Central Texas College ADN program appreciates and values the collaboration of hospital staff nurses in this venture, it does not assume that staff nurses will comply. Collaboration will be sought when the instructor cannot be present and only by prior arrangement.  The nursing instructor will request communication concerning agency medication administration policy during student orientation.

 

2.         Policy II

When a staff nurse has agreed to supervise a student with the Clinical Instructor's discretionary permission, it is requested that the staff nurse check the poured medications for accuracy (the five rights) before the student can administer the medication to the patient. The student is to state the classification, purpose, common side effects, contraindications, and nursing implications of the medications(s) before administering to the patient. The student will document on the medication records and nursing notes ONLY medications they have administered; never prior to actually administering the medication to the patient.

 

General procedures to be followed:

 

I.          The students are permitted to administer the following routes of medication as noted in this policy. All medication administration by Clinical I students will be supervised. Clinical I students DO NOT administer IV push medications or flushes to saline locks.

1.         Oral medications may be given with direct supervision of the Clinical Instructor or a staff nurse ONLY with approval of the Clinical Instructor.

2.         Intramuscular, subcutaneous, or intradermal medications may be given with direct supervision of the Clinical Instructor or a staff nurse ONLY with approval of the Clinical Instructor.

3.         Medications by any other route including rectal, vaginal, sublingual, buccal, and topical may be given with direct supervision of the Clinical Instructor or a staff nurse ONLY with approval of the Clinical Instructor.

II          The student is to report patient response to prn or stat. dosages of medication to the charge nurse or primary care nurse. The student will document the patient's response to prn or stat dosages of medication within 30 to 60 minutes after administration.

 

            III         The student will assess and document patient response to all administered medications during the clinical shift.

 

              IV.     Narcotic administration is at the discretion of the Clinical Instructor.  If the student is administering narcotics, narcotics must be co-signed by the instructor or a licensed staff nurse. Narcotics wasted must be observed and co-signed by the instructor or a licensed staff nurse in accordance with the facility policy.

 

             V.        Standing and sliding-scale insulin dosages must be checked and co-signed by the primary nurse or the Clinical Instructor. Heparin doses (any route) must be checked and co-signed by the primary nurse or instructor. Aminophylline (any route) must be checked and co-signed by the primary nurse or instructor.

 

         VI.        The student may observe when chemotherapeutic agents used in the treatment of cancer are administered by the nursing staff (students are not allowed to administer these agents).

 

            VII.       The student may NOT initiate blood and blood product administration. Students may observe only when blood or blood products are administered.

 

      VIII.      Prior to administering any drug, the student will verify that the appropriate dose for the age, weight and condition of the patient is being administered. If there are any questions, the student is to consult with the primary nurse or instructor.

 

                 IX.     It is the responsibility of the student to clarify, prior to administration of drugs, any questions in regards to this policy with the Clinical Instructor

 

       

                  X.     The student will maintain oxygen administration as ordered by the physician.

 

            XI.     The student will follow standard precautions in the administration of all medications.

 

 

 

 

 

 

 

 

 

Regular and punctual attendance is expected of all students in all classes for which they have registered.  All absences are considered to be unauthorized unless the student is absent due to illness or emergencies as determined by the instructor.  It is the student responsibility to provide documentation as to the emergency for approval and judgement by the faculty member.  Approved college sponsored activities are the only absences for which a student should not be held liable and only when provided by a college official ahead of the absence.  Valid reasons for absence, however, do not relieve the student of the responsibility for making up required work.  Students will not be allowed to make up an examination missed due to absence unless they have reasons acceptable to the instructor.  A student who is compelled to be absent when a test is given should petition the instructor, in advance if possible, for permission to postpone the exam.  Student will be dropped from a class by the Registrar upon recommendation of the instructor who feels the student has been justifiably absent or tardy a sufficient number of times to preclude meeting the course’s objectives.    Persistent, unjustified absences from classes or laboratories will be considered sufficient cause for College officials to drop a student from the rolls of the College. From Board Policy FC (LOCAL)

NCTC Attendance Policy  https://www.nctc.edu/catalog/academic-policies/index.html   See the ADN Student Handbook regarding specific attendance policies for class and clinical.

 

The last day to withdraw from a course with a “W” is November 2, 2020.

 

Specifically to RNSG 1261 the attendance requirements are

a. Students are expected to attend clinical on each assigned clinical day.  Each clinical course has a required number of hours that must be completed. There are no allowed or excused clinical absences.

b. If an untoward circumstance arises and the student must miss a clinical day, points will be deducted from the Clinical Points Tool for each clinical day missed.   Any student missing more than two (2) clinical days or clinical labs will have to schedule an appointment with the Program Director and the Clinical Instructor prior to the next clinical day.   The circumstances for the absences will be reviewed and the student may be dismissed from the nursing program or placed on a probationary contract.  The contract will state that any further absences will result in dismissal from the ADN program.  Two (2) days of tardiness of less than 30 minutes will be counted as one (1) absence.  Tardiness of more than 30 minutes is considered an absence. In the event of extreme circumstances, allowing the student to remain at clinical or being sent home will be at the discretion of the clinical instructor.

c. Students must notify the clinical instructor BEFORE the scheduled start time of clinical if he or she is going to be absent or tardy. This includes being late due to weather or traffic conditions.

 

The Office for Students with Disabilities (OSD) provides support services for students with disabilities, students enrolled in technical areas of study, and students who are classified as special populations (i.e. single parents).

Support services for students with disabilities might include appropriate and reasonable accommodations, or they may be in the form of personal counseling, academic counseling, career counseling, etc.  Furthermore, OSD Counselors work with students to encourage self-advocacy and promote empowerment. The Counselors also provides resource information, disability-related information, and adaptive technology for students who qualify.

If you feel you have needs for services that the institution provides, please reach out to either Wayne Smith (940) 498-6207 or Yvonne Sandman (940) 668-4321.  Alternative students may stop by Room 170 in Corinth or Room 110 in Gainesville.

The North Central Texas College (NCTC) Office for Students with Disabilities (OSD) is committed to assisting students with accommodations related to all disabilities, including COVID-19. Any student that feels they require accommodations related to COVID-19 are encouraged to contact the OSD office by email at kwsmith@nctc.edu and/or ysandmann@nctc.edu for a virtual intake session. As with all disability related accommodations, documentation is required and reasonable accommodations are considered on a case-by-case basis.  North Central Texas College also has a CARES Team and a student can also request advising assistance by contacting cares.nctc.edu or counseling@nctc.edu for information and/or assistance related to special advising and/or counseling referrals.

 

CORE CURRICULUM FOUNDATIONAL COMPONENT AREA (For classes in the Core) ________       

o        Communication

o        Mathematics             

o        Life and Physical Science

o        Language, Philosophy & Culture

o        Creative Arts

o        American History

 

o        Government/Political Science

o        Social and Behavioral Sciences

o        Component Area Option

 

o           Critical Thinking

o           Communication

o           Empirical and Quantitative

 

o           Teamwork

o           Personal Responsibility

o           Social Responsibility

o           Academic General Education Course (from ACGM but not in NCTC Core)

o        Academic NCTC Core Curriculum Course

x        WECM Course

 

The Secretary’s Commission on Achieving Necessary Skills (SCANS) conducted extensive research and interviews and determined that “workplace know-how” consists of two elements: foundations skills and workplace competencies.

These SCANS Skills are referenced with each course objective and are as follows:

(1) Foundation Skills

1. Basic Skills: A worker must (i) read, (ii) write, (iii) perform arithmetic and mathematical operations, (iv) listen, and (v) speak effectively.

 

2. Thinking Skills: A worker must (i) think creatively, (ii) make decisions, (iii) solve problems, (iv) visualize, (v) know how to learn, and (vi) reason effectively. 

 

3. Personal Qualities: A worker must display (i) responsibility, (ii) self-esteem, (iii) sociability, (iv) self-management, (v) integrity, and (vi) honesty.

 

2. Workplace Competencies

 

1. Resources:  A worker must identify, organize, plan, and allocate resources effectively.  This includes (i) time, (ii) money, (iii) material and facilities, and (iv) human resources.

 

2. Interpersonal Skills: A worker must work with others effectively to (i) participate as a member of a team, (ii) teach others new skills, (iii) serve patients/customers, (iv) exercise leadership, (v) negotiate, and (vi) work with diversity.

 

 (c)   Information:  A worker must be able to (i) acquire and use information, (ii) organize and

 maintain  

        Information: (iii) interpret and communicate information and (iv) use computers to process information.

 

4. Systems:  A worker must understand complex interrelationships as in (i) understanding systems, (ii) monitor and correct performance, and (iii) improve and design systems.

 

5. Technology:  A worker must be able to work with a variety of technologies, e.g. (i) select technology, (ii) apply technology, and (iii) maintain and troubleshoot equipment.

 

"For students in this course who may have a criminal background, please be advised that the background could keep you from being licensed by the State of Texas.  If you have a question about your background and licensure, please speak with your faculty member or the department chair. You also have the right to request a criminal history evaluation letter from the applicable licensing agency.”

 

 

Students are expected to follow all rules and regulations found in the student handbook and published online.  http://www.nctc.edu/catalog/index.html

 

Scholastic dishonesty shall include, but is not limited to cheating, plagiarism, academic falsification, intellectual property dishonesty, academic dishonesty facilitation and collusion.  Faculty members may document and bring charges against a student who is engaged in or is suspected to be engaged in academic dishonesty.  See Student Handbook, “Student Rights & Responsibilities: Student Conduct ([FLB(LOCAL)

http://www.nctc.edu/catalog/index.html

Consequences for academic dishonesty may include:

1. A zero (0) for the assignment.
2. Failure of the course.

 

QUESTIONS, CONCERNS, or COMPLAINTS

 

Name of Department Chair:	Diane Neu, MSN, RN
Office Location:	2428-
Telephone Number:	940-668-7731 ext. 4381
E-mail Address:	dneu@nctc.edu
Name of Instructional Dean:	Dr. Brandon Hernandez
Office Location:	2420-A
Telephone Number:	940-668-7731 Ext. 4963
E-mail Address:	bhernandez@nctc.edu

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Clinical Points Tool

RNSG 1261

 

Infraction	Date	Point Deduction or Consequence	Student/Faculty Initials
HIPAA Violations		CLINICAL FAILURE
Unsafe Patient Care: Anything that places the patient at risk of harm/injury		Clinical Warning**
Medication Error (Any of the 6 Rights)		-10
Any additional medication errors (Any of the 6 rights)		Clinical Warning**
Failure to complete sim-chart assignment.		-10
Failure to complete sim-chart documentation for simulation.		-10
Failure to complete and correct daily physical assessment record		-10
Failure to use isolation / Universal precautions		-10
Violating tobacco policy		Clinical Warning**
Unprofessional appearance / behavior		-10
Failure to properly perform previously checked off skills		-10
Clinical Absence		-15
Tardy (up to 30 mins late) >30 min is absent		-5
Failure to follow instructions of Clinical Instructor or primary nurse (including ATI remediations)		-5

These points will be deducted from the mid-term and final evaluations.

**If a Clinical Warning is issued, the final clinical grade will be reduced by one letter grade. 

 

Student Signature__________________________________________________________

Date________________________

Discuss Rationale

Identifies Impact on client

Explains Procedure to Client

Selects Equipment

Completes Procedure

Uses Appropriate Aseptic Technique

Interprets Client Response

Reports and Documents Results

Provides Appropriate Follow-up

DATE

Initials

Respiratory: Oxygen Therapy, Nasal Cannula, Oxygen Mask, Incentive Spirometry

Medications: Oral/Topical/Buccal, Injections SQ/IM, Injections, Z-track/Intradermal

Wounds: Dressing Change, Hot/Cold Therapy, Remove Staples, Sutures

Elimination: Enemas, Douches, Foley Catheter

Vital Signs: Temperature, Pulse, Respiratory, Blood Pressure

Physical Assessment: Adult and Geriatric Patient

Lab: Intake and Output, Specimen Collection, Finger stick Blood Sugar

Mobility: Motion, Transfer, Positioning, Ambulation, TED Hose, Compression Pump

Basic Care: Bathing, Oral Care, Hair Care, Shave, Bed Making, Feeding, Weight

Student Signature

Instructor Signature/Date