RNSG 1462 103 - CLINICAL NURSING II

Introduction

NORTH CENTRAL TEXAS COLLEGE

Associate Degree Nursing

COURSE SYLLABUS

RNSG 1462

Clinical Nursing II

Spring - 2017

Developed 10/01 MB, PS

Revised 7/02, 7/03, 11/03, 7/04, 11/04, 8/05, 12/05, 6/06, 11/06 MB,PS

7/07 MB, SF 11/07, SF 07/08, SF12/08, SF07/09, SF12/09, SF06/10, SF12/10,

SF05/11,* SF12/11, 8/12SF, 1/13SF, 7/13,1/14, 8/14EL, 1/15EL, 8/15EL, 1/16EL, 8/16 EL 1/17 EL

TABLE OF CONTENTS

GENERAL COURSE INFORMATION

Instructor Information........................................................................................................... 3

Grading Policies and Procedures........................................................................................... 5

Clinical Assignments and Expectations................................................................................. 6

Course Catalog Description, Placement in Sequence......................................................... 6

Prerequisites and Progression toward Graduation.................................................................. 7

Textbooks and Materials Required........................................................................................ 7

Tobacco Free Policy.............................................................................................................. 8

Differentiated Essential Competencies.................................................................................. 9

Clinical attendance, Other Information................................................................................ 10

Scholastic Dishonesty.......................................................................................................... 12

Disability Accommodations,............................................................................................... 11

Support Services, TRIO Program, EEOC, Web Page...................................................... 12-13

Last Day to Drop................................................................................................................. 14

Course Objectives............................................................................................................... 15

APPENDICIES..................................................................................................................... 16

Workforce Education Program Elements............................................................................. 18

Assignments Required in Clinical Nursing II....................................................................... 20

Clinical Nursing II Evaluation............................................................................................. 21

Criteria for Safe Clinical Performance................................................................................. 22

Clinical Points Tool............................................................................................................. 23

Assignment Due Dates........................................................................................................ 24

Clinical Evaluation Tool...................................................................................................... 25

Clinical Evaluation Summary.............................................................................................. 30

Therapeutic Nursing Interventions....................................................................................... 31

Core Competencies............................................................................................................. 32

Log Sheet............................................................................................................................ 33

Preceptor Feedback Sheet.................................................................................................... 34

Medication Policy and Procedures................................................................................. 35-37

Bad Weather Cancellations.................................................................................................. 38

Computer Instructions......................................................................................................... 39

Math Requirements............................................................................................................. 40

Care Plan Rubric................................................................................................................. 41

Kardex................................................................................................................................ 42

Drug Card............................................................................................................................ 48

Care Plan Paper Rubric........................................................................................................ 50

Clinical Presentations.......................................................................................................... 53

Student Course Evaluation.................................................................................................. 56

Social Networking Policy.................................................................................................... 58

Student Information sheet................................................................................................... 59

Receipt of Syllabus Form.................................................................................................... 60

Course Name & Number

RNSG 1462

Clinical Nursing II

Semester & Year

Spring - 2017

Instructor’s Name

Emily Lewis, MSN,RN Clinical Lead

Office Phone #

(940) 668-4264 Ext 4361

Instructor’s Office #

HSC 2428B

Office Fax #

(940) 668-6049

E-mail Address

elewis@nctc.edu

Office Hours

By Appointment

Instructor’s Name

Cindy Lutkenhaus, MSN, RN

Office Phone #

(940) 668-7731 Ext 4364

Instructor’s Office #

HSC 2428M

Office Fax #

(940) 668-6049

E-mail Address

clutkenhaus@nctc.edu

Office Hours

By appointment

Instructor’s Name

Ashley Wiles, MSN, RN

Office Phone #

(940) 668-7731

Instructor’s Office #

Office Fax #

(940) 668-6049

E-mail Address

awiles@nctc.edu

Office Hours

By appointment

Instructor’s Name

Office Phone #

Instructor’s Office #

Office Fax #

E-mail Address

Instructor’s Name

E-mail Address

Office Hours

Grading Policy & Procedures

Grading System: NO COURSE GRADES WILL BE ROUNDED.

The clinical course grade is derived from clinical performance and written assignments. Students are also required to demonstrate math competency. Clinical performance, written assignment sections, and the math competency exam must be successfully completed in order to pass the course. Failure to pass the clinical course with a minimum grade of 75 will result in dismissal from concurrent courses and the nursing program.

Clinical Performance: is based on completion of all sections of the clinical evaluation tool, the ability to perform skills for the current clinical level as well as all skills from previous clinical levels, and professional behavior in the clinical setting.

(See the Clinical Points Tool form)

Written Assignments: All written assignments listed in the syllabus as well as any additional written assignments given by the clinical instructor must be satisfactorily completed and submitted on or before the assigned due date to the clinical instructor in order to receive a grade on the assignment. Failure to complete and submit assignments by the due dates will result in the student receiving a zero (0) for the assignment. All assignments must be completed and submitted in order to pass the course.

Math Competency: Dosage calculation homework is assigned each week of clinical. Clinical Nursing II students are required to take one dosage and calculation test. The student will have two opportunities to pass the test with a minimum score of 90. The student may use a calculator. If the student is not successful on the first attempt he/she will be required to attend remedial math instruction and retake the math test within two weeks after the first math exam. The student will not be able to administer medications in clinical until he/she has passed the math competency examination. Failure to pass the second math test with a minimum score of 90 will result in a clinical failure and dismissal from concurrent courses and the nursing program.

Performance Evaluation

Each student will be required to check-off on a randomly chosen nursing skill at the end of the semester as part of their end of semester performance evaluation. Failure to successfully pass that skills check off will result in the required remediation with the skills lab coordinator and checking off on ALL previously learned skills. Failure to successfully perform all skills will result in failure of the course. The student has three attempts.

The following selected assignments and the performance evaluation will be graded to determine an overall numerical grade for written assignments in this course:

Percentage of overall numerical grade for Written Assignments and Performance Evaluation

Daily Care Plans 30%

Cultural Quiz 10%

Care Plan Map Paper 20%

Performance Evaluation 20%

Professionalism Presentations 20%

There will be four sim-chart assignments due throughout the semester. These will be a completion grade only. (See Clinical Points Tool).

The numerical course grade, after points are deducted for absences and other infractions (see Clinical Points Tool), will be converted as follows:

Numerical Grade Letter Grade

90 – 100 A

81 - 89 B

75 - 80 C

66 - 74 D

65 and Below F

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

letter grade.

Written Assignments – 40%

Clinical Performance – 60%

100% Total grade

RNSG1462 and RNSG 2404 are concurrent corequisite courses. A failure in RNSG1462 or RNSG2404 will require the repetition of the other concurrent corequisite course. Each course will be graded separately. Students must successfully complete each course with an average grade of 75 or above to progress to the next level or to graduate in the final semester. Unsafe clinical practice will result in a clinical failure. If the grade is below 75 in RNSG 2404, the student will have to repeat RNSG1462 concurrently upon readmission.

Clinical Assignments

The student’s clinical rotation schedule will be distributed by the instructor at the beginning of the semester. The schedule may be changed on an “as needed” basis by the instructor upon notification of the student.

Clinical Expectations

In order to meet the course objectives, the student will provide direct patient care for patients with health care needs, disease processes, illnesses and health education needs relating to nursing interventions specific to medical-surgical, obstetrical and pediatric care problems. Specific clinical expectations will be given to the students during the orientation to the clinical agency. Failure to meet these expectations will result in points taken from clinical performance grade (see Clinical Points Tool).

Clinical Evaluation

Each clinical assignment must be successfully completed and submitted for evaluation on or before the date it is due. See attached Clinical Evaluation Tool, Medication Administration Policy and the NCTC Nursing Student Handbook for additional information related to the clinical evaluation.

Catalog Description

WECM Learning Outcomes

WECM Course Description

A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.

WECM End-of-Course Outcomes:

As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry..

Placement in Sequence

All courses in the first semester must be completed prior to enrolling in this course. This course is to be taken concurrently with RNSG2404.

Time and Credit

This course consists of 192 clinical hours per semester; a combination of direct patient care hours and lab hours. Four semester hours of credit are awarded to the student who has satisfactorily completed the requirements of this course.

Prerequisites:

Successful completion of the following courses with a grade of "C" or better.

Anatomy and Physiology I

Math Statistics

Anatomy & Physiology II

Microbiology

RNSG1423

RNSG1261

RNSG1300

RNSG1219

The student must have completed or be currently enrolled in Lifespan, Growth and Development, Composition 1 and Care of the Patient with Common Health Care Needs

**Please Note: Withdrawal from any of these courses will require withdrawal from RNSG1462 Clinical Nursing II.

Textbooks & Materials

Required

Textbooks & Materials

Required (cont’d)

Tobacco Free Policy

Progression Toward Graduation:

Students are reminded that it is their responsibility to complete courses in a timely manner in order to graduate with all required courses completed. Please be aware that if all required courses are not completed you will not be allowed to take state boards. Required courses must be completed about 30 days before the State Board Exam. (State Board of Nurse Examiners requirements).

SCANS Skills:

SCANS Skills are referenced with each course objective. An explanation of these skills may be found in the appendices under “Workforce Education Program Elements.”

Required Textbooks:

Ackley, Ladwig, (2014). Nursing Diagnosis Handbook. (10^th Ed.). Maryland Heights, MO. Elsevier Mosby

Burchum & Rosenthal., (2016) Lehne’s Pharmacology for Nursing Care (9th Ed,), Missouri: Elsevier/Saunders

Potter Potter, & Perry, A., (2013). Fundamentals of Nursing. (8^th Ed.). St.Louis, MO: Elsevier Mosby.

Lewis, et al., (2014). Medical-Surgical Nursing (9^th Ed.) St.Louis, MO; Elsevier Mosby.

Martinez de Castillo & McCullough (2015). Calculating Dosages Online. www.dosagecalc.com FA Davis.

Lowdermilk, Perry, Cashion, & Alden, (2016). Maternity and Women’s Health Care 11th ed. St. Louis, MO: Elsevier

Texas Nursing Practice Act. Texas Statutes Regulating Practice of Professional Nursing. www.TBON.state.tx.us

Nursing drug book of choice.

Nursing Lab and Diagnostics book of choice

Medical Dictionary of choice.

Beginning January 1, 2012, ALL campuses of North Central Texas College will be tobacco-free.

NCTC is committed to providing a safe, healthy and welcoming learning environment.

Students, faculty, staff and visitors will be breathing easier at NCTC.

NCTC restricts the use of all tobacco products including cigarettes, cigars, pipes and smokeless tobacco on campus property. NCTC is aware that tobacco use influences underage students which cumulates unsightly tobacco litter and interferes with assuring clean air for all who come to NCTC.

NCTC recognizes the health hazards of tobacco use and of exposure to second hand smoke. Information on tobacco cessation program is available for students, faculty, staff who wish to stop using tobacco products. Click on "Tobacco Cessation Programs" for more information.

We would like to "thank you" for your help in making our campuses Tobacco-Free.

For questions or concerns please contact the Office of Vice President of Student Services at 940-668-4240.

DECs

Texas Board of Nursing Differentiated Essential Competencies

Upon successful completion of this course, the student will be able to act as a:

I. Member of the Profession:

Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting.
Assume responsibility and accountability for the quality of nursing care provided to patients and their families.
Participate in activities that promote the development and practice of professional nursing.
Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning.

II. Provider of Patient-Centered Care:

Use clinical reasoning and knowledge based on the diploma or associate degree nursing program of study and evidence-based practice outcomes as a basis for decision-making in nursing practice.
Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based upon interpretation of comprehensive health assessment findings compared with evidence-based health data derived from the diploma or associate degree nursing program of study.
Analyze assessment data to identify problems, formulate goals/ outcomes, and develop plans of care for patients and their families using information from evidence-based practice in collaboration with patients, their families, and the interdisciplinary health care team.
Provide safe, compassionate, comprehensive nursing care to patients and their families through a broad array of health care services. E. Implement the plan of care for patients and their families within legal, ethical, and regulatory parameters and in consideration of disease prevention, wellness, and promotion of healthy lifestyles.
Evaluate and report patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice, and plan follow-up nursing care.
Develop, implement, and evaluate teaching plans for patients and their families to address health promotion, maintenance, and restoration.
Coordinate human, information, and materiel resources in providing care for patients and their families.

III. Patient Safety Advocate:

1. Demonstrate knowledge of the Texas Nursing Practice Act (NPA) and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards.

2. Implement measures to promote quality and a safe environment for patients, self, and others.

3. Formulate goals and outcomes using evidence-based data to reduce patient risks.

4. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.

5. Comply with mandatory reporting requirements of the Texas NPA. Accept and make assignments and delegate tasks that take into consideration patient safety and organizational policy

IV. Member of the Health Care Team:

1. Coordinate, collaborate, and communicate with patients, their families, and the interdisciplinary health care team to plan, deliver, and evaluate patient-centered care.

2. Serve as a health care advocate in monitoring and promoting quality and access to health care for patients and their families.

3. Refer patients and their families to resources that facilitate continuity of care; health promotion, maintenance, and restoration; and ensure confidentiality. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain the optimal health status of patients and their families.

4. Communicate and manage information using technology to support decision-making to improve patient care.

5. Assign and/or delegate nursing care to other members of the health care team based upon an analysis of patient or unit need.

6. Supervise nursing care provided by others for whom the nurse is responsible by using evidence-based nursing practice.

Clinical Attendance Policy

Students are expected to attend clinical on each assigned clinical day. There should be no clinical absences. If an untoward circumstance occurs and the student must miss a clinical day, 10 points will be deducted on the Clinical Points Tool for each clinical day missed. Any student missing more than 2 clinical days or clinical labs will have to schedule an appointment with the program coordinator and 1other faculty prior to the next clinical day. The circumstances for the absences will be reviewed and the student may be dismissed from the program or be placed on a probationary contract stating that any further absences will result in dismissal from the program. Two days of being tardy up to 30 minutes will be counted as 1 absence. Tardiness of more than 30 minutes will be counted as an absence and 10 points will be deducted. It is at the discretion of the clinical instructor for allowing the student to remain in clinical (even though points will be deducted) or be sent home. Students MUST notify the clinical instructor before the scheduled time to arrive at the clinical site.

Other Pertinent Information

Clinical Facilities:

Clinicals will be located at various facilities in the North Texas area. Specific information will be given to students during orientation to course.

Methods of Instruction:

This course will be taught utilizing various teaching methods. Some methods which may be utilized include: lectures, case studies, group discussion, role-playing, simulations, and demonstration - return demonstration.

Additionally, audiovisual aids and computer-assisted instruction may be presented in clinical or assigned for review outside of the structured clinical time.

Students, as adult learners, are expected to utilize the various instructional resources available to them to clarify areas in which they lack understanding of required nursing content.

Other Information:

Students are expected to have knowledge of skills and content presented in previous courses. Should the students identify areas of deficits, it is their responsibility to make arrangements with the skills lab instructor and/or clinical instructor to practice any skill. New skills will be presented during the course and students are expected to practice in the learning lab the identified skills. Students are expected to enhance skills with appropriate supervision.

Additional handouts, literature, articles, etc., will be distributed throughout the semester by individual instructors. Written assignments will be required of the individual student in the various clinical areas. These assignments will be submitted to the instructor on or before the designated due date.

Scholastic Integrity

Disability Services (OSD)

Scholastic Dishonesty: Scholastic dishonesty shall constitute a violation of these rules and regulations and is punishable as prescribed by Board policies. Scholastic dishonesty shall include, but not be limited to, cheating on a test, plagiarism, and collusion.

“Cheating on a test” shall include”

a) Copying from another student’s test paper

b) Using test materials not authorized by the person administering the test.

c) Collaborating with or seeking aid from another student during a test without permission from the test administrator.

d) Knowingly using, buying, selling, stealing, or soliciting, in whole or in part, the contents of an unadministered test.

e) The unauthorized transporting or removal, in whole or in part, of the contents of the unadministered test.

f) Substituting for another student, or permitting another student to substitute for one’s self, to take a test.

g) Bribing another person to obtain an unadministered test or information about an unadministered test.

“Plagiarism” shall be defined as the appropriating, buying, receiving as a gift, or obtaining by any means another’s work and the unacknowledged submission or incorporation of it in one’s own written work.

“Plagiarism” is further defined as any of the following:

· Turning in someone else’s ideas, opinions, theories or work as your own.

· Copying words, ideas or images from someone else without giving credit.

· Failing to put a quotation in quotation marks.

· Giving incorrect information about the source of a quotation or image

· Changing words but copying the sentence structure of a source without giving credit.

· Copying so many words, ideas or images from a source that it makes up the majority of your work, whether you give credit or not.

See Student Handbook “Student Rights & Responsibilities: Student Conduct [FLB-(LOCAL)]” #18.

The Office for Students with Disabilities (OSD) provides accommodations for students who have a documented disability. On the Corinth Campus, go to room 170 or call 940-498-6207. On the Gainesville Campus, go to room 110 or call 940-668-4209. Students on the Bowie, Graham, Flower Mound, and online campuses should call 940-668-4209.

North Central Texas College is on record as being committed to both the spirit and letter of federal equal opportunity legislation, including the Americans with Disabilities Act (ADA) of 1990, ADA Amendments Act of 2009, and Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112). http://www.nctc.edu/StudentServices/SupportServices/Disabilityservices.aspx

Support Services

Childcare Reimbursement

TRIO Program

Counseling and Testing staff offer a variety of services to current and prospective students, such as College 101, placement testing, academic advising and course registration, transfer assistance, and College Success seminars (Time Management, Study Skills, Test Anxiety, Choosing a Major, Learning Style Strategies, Career Exploration), and much more. http://www.nctc.edu/StudentServices/CounselingTesting.aspx

Student Success offers academic coaching, tutoring, including a Writing Center, a Math Lab, free 24/7 online tutoring through Grade Results and assist new students acclimate to college by providing computer lab services for prospective students. First generation students can also participate in TRIO which offers specialized support services.

http://www.nctc.edu/StudentServices/SupportServices.aspx

Financial Aid offers financial resources for students that qualify, visit the financial aid offices for more information. http://www.nctc.edu/FInancialAidHome.aspx

The Childcare Reimbursement Program provides support services for NCTC students pursuing a career in a technical field of study to help them complete their career plans. The program will reimburse technical declared students a percentage of their daycare expenses if the child is attending a licensed or registered daycare facility. This is on a first come first serve basis, and is available to students on all 5 campuses. Please note, we do not have a childcare facility on any of our 5 campuses. This is a reimbursement program only.

Students who wish to become eligible for Childcare Assistance Program need to:

Declare in a technical field of study

Establish financial need

Ex: Pell Grant recipient, Food Stamp recipient, W2, etc.

Complete a Childcare Reimbursement Program Application and provide all necessary documentation. The Application can be found online at http://www.nctc.edu/StudentServices/Childcare.aspx

For more information, please contact Yvonne Sandmann on the Gainesville Campus at 940-668-4209 ext. 4321, or by email at ysandmann@nctc.edu.

TRIO Programs are federally funded programs, which offer services designed to assist students in achieving their academic goals. Services include educational workshops, academic advising, tutoring, personal counseling, career counseling, cultural enrichment, and financial aid information. Students may be eligible for TRIO if they are currently enrolled at North Central Texas College, have academic need, and meet at least ONE of THREE criteria which include: 1) first generation status—neither parent has a degree from a 4 year college, 2) income level is within federal low income guidelines, and/or 3) has a documented disability. TRIO is located in Room 170 on the Corinth Campus and Room 114 on the Gainesville Campus.

Students can also access the Department of Student Success’ website by going to www.nctc.edu and clicking on the Student Services link and Student Success or “Tutoring and Other ACADEMIC SUPPORT SERVICES”, or by going directly to http://www.nctc.edu/Student_Services/Access/AcademicandStudentSupportServices.htm

Early Alert/CARES

The NCTC Early Alert program has been established to assist students who are at risk of failing or withdrawing from a course. Your instructor may refer you to this program if you are missing assignments, failing tests, excessively absent, or have personal circumstances impacting your academic performance. If submitted as an Early Alert you will be notified via your NCTC e-mail address and then contacted by a Counseling and Testing advisor or counselor to discuss possible strategies for completing your course successfully.

The NCTC CARES (Campus Assessment Response Evaluation Services) Team addresses behavior which may be disruptive, harmful or pose a threat to the health and safety of the NCTC community-such as stalking, harassment, physical or emotional abuse, violent or threatening behavior, or self-harm. As a student, you have the ability to report concerning behavior which could impact your own safety or the safety of another NCTC student. Just click the NCTC CARES Team logo posted on MyNCTC, or send an e-mail to CARESTeam@nctc.edu. As always, if you feel there is an immediate threat to your own safety or welfare (or to another student), please call 911 immediately

Web Page

Last Day to drop classes

Visit the North Central Texas College web page for information on registration, financial aid, counseling/advising, and cost of tuition and fees. You will also find information on the catalog and semester schedules as well as courses of study. You can keep up with what is happening on campus by checking the calendar of events and the sports news. The web has information on the library as well as links to other areas of interest. Check out our web page at http://www.nctc.cc.tx.us.

The last day to drop with a “W” is April 6, 2017.

All assignments are to be uploaded in Canvas. No paper assignments will be accepted. All assignments ae due by 1159 the night before your clinical day.

Course Objectives:

At the completion of this course, the student will be able to do the following:

Maintain a safe and effective care environment consistent with the needs of patients with common health care problems
1. Identifies and intervenes with safety and infection control issues.
2. Manages the care of assigned patients with common health problems.

Coordinates the care of multiple patients’ assignment

Identify and intervene to promote health of assigned patients
1. Identifies opportunities to provide health teaching.

Provides health teaching as needed to promote health and reduce complications and risks in assigned patients

Provide for the basic care and comfort of assigned patients: including but not limited to nutrition, elimination, comfort and non-pharmacological pain management.
Safely administer medications by all routes
Provides verbal and written descriptions of all medication administered.
Provides medication education to assigned patients as needed.
Effectively manipulates all equipment involved in medication administration.
Utilize nursing process in developing plan of care for assigned patients
1. Identifies priorities of care for each assigned patient.
2. Performs a focused assessment based on identified priorities.
3. Develops a care plan based on priorities and assessment.
4. Identifies SMART goals with each patient.
5. Intervenes to meet patient goals.

Evaluates the patients’ response to interventions and the progress toward goal achievement

Plan nursing care to identify and intervene to reduce or prevent risks associated with treatment modalities of assigned patients.
Maintain effective lines of communication
1. Reports changes in patient condition promptly to prevent patient jeopardy.
2. Documents completely and accurately according to clinical agency guidelines.
Demonstrate professionalism in nursing role.
Communicates with patients, families, staff, peers, and faculty in a respectful manner.
Maintains confidentiality.

APPENDICES

Workforce Education Program Elements

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

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

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.

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

Workplace Competencies

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.

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.

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.

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

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

Assignments Required in Clinical Nursing II

A Clinical Nursing Assignment Kardex must be filled out for patient cared for each week on the medical-surgical unit as well as ICU. You will get your patient assignment the day of clinical and will be allowed to work on this paperwork throughout the clinical day when you are not providing patient care.

Four pediatric sim chart case studies.

A clinical log describing the students experiences - what was learned and how the student met the clinical objectives – to be completed on all units except the medical and surgical units and ICU.

Preceptor Feedback Sheets any time the student is assigned to a precepted area.

A group professionalism presentation to be assigned by the instructor and presented to the class.

Six care plans to be completed and uploaded in canvas within one week of patient care.

Math Exam – must be passed with a grade of 90 within two attempts or the student will receive a clinical failure, be dropped from the course, and dismissed from the nursing program.

Written mid-term self-evaluation, and written final self-evaluation.

Culture quiz that will be completed on canvas.

One Care Plan Paper to include: nursing kardex, and pathophysiology of medical/surgical condition. Refer to Care Plan Paper grading criteria & instructions for preparing the Care Plan Paper.

Additional written work as assigned by the clinical instructor.

RNSG1462

Clinical Nursing II Evaluation

All clinical course competencies, core competencies, math competency and behaviors that address the clinical course objectives must be completed in a satisfactory manner in order to pass this clinical.

If the student fails to meet criteria for safe performance, it will result in a disciplinary action, for example: clinical contract, clinical warning, clinical failure. Review student handbook for disciplinary procedure. If a clinical warning is issued, the final grade will be reduced by a letter grade.

Grading Criteria

Final Evaluation of student performance:

Criteria for Safe Performance Satisfactory Unsatisfactory

Core Clinical Competencies Satisfactory Unsatisfactory

Clinical Course Behaviors Satisfactory Unsatisfactory

Math Competency Satisfactory Unsatisfactory

Faculty Signature ___________________________________________________________

Date _________________________________________

Student Signature ___________________________________________________________

Date ___________________________________________

Criteria for Safe Clinical Performance

Patient safety is of paramount importance in the delivery of patient care. Therefore, it is necessary for the student and the nursing faculty to conscientiously assure safe nursing care behaviors. With supervision, the student will demonstrate the three roles of the nurse (Provider of Care, Manager of Care, and Member of the Profession) using the nursing process in meeting human needs.

	SAFE CLINICAL BEHAVIORS INCLUDE BUT ARE NOT LIMITED TO:	UNSAFE CLINICAL BEHAVIORS INCLUDE BUT ARE NOT LIMITED TO:
1.	Provides for the physical care and safety of the patient.	Violates or threatens the physical safety of the patient (e.g., neglects use of side rails; restraints; comes unprepared to clinical).
2.	Maintains and monitors for the microbiological safety of the patient.	Violates or threatens the microbiological safety of the patient (e.g., violates aseptic technique, reports to clinical with personal illness).
3.	Maintains and monitors for the chemical safety of the patient.	Violates or threatens the chemical safety of the patient (e.g., violates the “5 Rights of Medication Administration”; fails to monitor IV infusions and/or patients’ responses to medications).
4.	Maintains and monitors for the thermal safety of the patient.	Violates or threatens the thermal safety of the patient (e.g., burns patient with hot packs, heating lamp, etc.; fails to observe safety precautions during O₂therapy).
5.	Assures the psychological safety of the patient by using therapeutic communication.	Violates or threatens the psychological safety of the patient (e.g., uses non-therapeutic techniques repeatedly; attacks; derogates individual’s beliefs or values, provides inaccurate or incomplete information repeatedly in patient teaching).
6.	Accurately and/or adequately uses the nursing process.	Inadequately and/or inaccurately uses the nursing process (e.g., fails to observe and/or report critical data in reference to patients; repeatedly makes faulty judgements/decisions in nursing situations).
7.	Demonstrates the principles/learning/objectives in carrying out nursing care skills.	Violates previously mastered principles/learning/objectives in carrying out nursing care skills (e.g., unable to give injections; fails to obtain accurate vital signs).
8.	Assumes appropriate independence in action. Manages required patient care load at each course level.	Assumes inappropriate independence in actions or decisions (e.g., performs competencies not yet tested). Repeatedly unable to manage the required patient care load (e.g., fails to seek help in emergency situations).
9.	Seizes opportunities for growth in practice and recognizes personal strengths and limitations.	Fails to recognize personal limitations or incompetency (e.g., refuses to admit errors noted by instructor/nursing staff; places patient in the threatening or personal injury position, provides patient care while instructor not in clinical facility).
10.	Recognizes and accepts moral and legal responsibility for action.	Fails to recognize and/or accept moral and legal responsibility for actions thereby violating professional integrity as expressed in the ANA Code for Nurses (e.g., cannot identify legal responsibility in specific nursing situations; covers own/other’s errors or fails to report them; shares confidential information inappropriately; chemical impairment).

Clinical Points Tool
Points 100	Student Name	A student and faculty signature is required for each violation on the Clinical Points Tool. Accompanying documentation detailing each situation must be filled out on student counseling/referral sheet.	Total
Points 100	Student Name	Dates
**	HIPAA Violations Dismissal from Program
CW	Unsafe Patient Care: Anything that places the patient at risk of harm/injury
-25	Medication Error (Any of the 6 Rights)
CW	Any additional medication errors (Any of the 6 rights)
-10	Failure to use isolation / Universal precautions
-10	Inadequate clinical preparation (paperwork must be complete.)
CW	Violating tobacco policy
-5	Unprofessional appearance / behavior
-5	Failure to properly perform previously checked off skills
-10	Clinical Absence
-5	Tardy (up to 30 mins late) >30 min is absent
-10	Failure to follow instructions of Clinical Instructor or primary nurse
-5	Failure to complete sim chart assignment (5 points per assignment).
Totals

CW=Clinical Warning

**HIPAA Violation Examples: Students overheard discussing patients at open nurse’s desk; Discussion of clinical experience in hallway or cafeteria; Discussion of clinical experience on campus outside of classroom/lab

PLEASE NOTE THE FOLLOWING:

REMOVAL FROM THE CLINICAL SITE AND POSSIBLE DISMISSAL FROM THE ADN PROGRAM

WILL OCCUR FOR ANY OF THE FOLLOWING:

Drug Use or Suspected Drug Use [ Send to Occupational Health or whatever the hospital policy dictates for immediate drug screen] If Cognitive impairment is evident, do not let the student drive home; call a family member for transport

ANY Theft - including, but not limited to theft of medications or drugs

Physical abuse or Violence toward anyone

If the hospital personnel (Unit Director, Education Director, Administration) requests a student not be allowed to continue clinical at the facility

Assignment Due Dates:

Cultural Quiz	Week of February 15th
Clinical Math Exam	March 27th
All four Sim Chart Assignments	Week of April 24th
Care Plan Paper	Week of April 24^th
Performance Evaluations	To be scheduled on April 26^th and 27^th. Schedule will be posted on Canvas.
Weekly Care Plans	At the discretion of the clinical instructor
Group Presentations	At the discretion of the clinical instructor

Student _______________________________ Instructor________________________ NCTC Nursing Program

Clinical Evaluation Tool – Clinical II

Student Clinical Behaviors:	Date Completed	Student Initials	Preceptor/Faculty Initials	Comments
1. Orient to clinical course and to clinical facility:
A. Course Expectations (Faculty)
B. Course Expectations (Preceptor)
C. Clinical Facility Philosophy
D. Clinical Facility Tour
E. HIPPA
F. Health Care Ethics
G. Safety
H. Other:________________
I. Other: _______________
2. Provide nursing care for patients with a variety of common health care needs

Student Clinical Behaviors:	Date Completed	Student Initials	Preceptor/Faculty Initials	Comments
A. Patient with Anemia
B. Patient with Diabetes
C. Patient with CAD or PVD
D. Patient with COPD or Pneumonia
E. Patient with Impaired Communication
F. Patient with Hypertension
G. Patient with a Musculoskeletal disorder or injury
H. Patient with a GI disorder
I. Patient with a GB or liver disorder
J. Patient with a GU disorder
K. Patient following surgery
L. Patient following the birth of a child
M. Patient during labor
N. Newborn infant
3. Perform each of the following nursing interventions competently without assistance:
A. Measurement of vital signs
B. Assist a patient with feeding meal intake
C. Assist a patient with hygiene
E. Assist a patient with oral care
F. Measure I and O
G. Measure Blood Glucose
H. Monitor vital signs
I. Weigh patient and record

Student Clinical Behaviors:	Date Completed	Student Initials	Preceptor/Faculty Initials	Comments
J. Administer oxygen per NC or mask
K. Observe or assist with Incentive Spirometry
L. Empty a Foley catheter and measure output
M. Apply sequential compression device
N. Change bed linen as needed
O. Administer medications (after dosage is checked by nurse or instructor):
Oral (pills/capsules)
Oral (liquids)
Eye drops
Topical / Buccal
Sub-q injection
IM injection
Intradermal injection
Z-track injection
P. Measure oxygen saturation
Q. Physical assessment of an adult
R. Physical assessment of a child
S. Provide comfort measures to a woman in labor
T. Measure or observe fetal heart tones using a Doppler
U. Apply or observe an external fetal monitor to a woman in labor
4. Perform each of the following nursing interventions competently with minimal assistance:

Student Clinical Behaviors:	Date Completed	Student Initials	Preceptor/ Faculty Initials	Comments

A. Hang an IV piggyback med and set the flow rate / infusion pump
*B. Start an IV
C. DC IV or Saline Lock
*D. Change IV tubing/solutions
E. Change Dressing on Peripheral IV Site
*F. Central Line dressing change				CAI: or Lab:
G. Assessment of IV patency and site
H. Wound care
I. Tube feeding
J. Check gastric residual & NG tube placement				CAI: or Lab:
K. Neuro/vascular checks
L. Urinary catheter insertion
M. Ostomy care/irrigation				CAI: or Lab:
*N. Saline lock flush
O. Insert an NG tube				CAI: or Lab:
P. Patient teaching re: medications
Q. Patient teaching re: home care
R. Physical assessment of a newborn
S. Gestational age assessment of a newborn
T. Assessment of a woman in labor:
Timing contractions
Assessing stage of labor

Student Clinical Behaviors:	Date Completed	Student Initials	Preceptor/Faculty Initials	Comments
T. Assessment of a postpartum patient:
A. Fundal assessment
B. Lochia assessment
C. Perineal assessment
D. Bladder distention assessment
E. Breastfeeding assessment
Assessment of parent-infant bonding
5. For each patient cared for discuss each of the following with the preceptor or clinical instructor:
A. Analysis of:
H & H
RBC
WBC
Neutrophil count
Lymphocyte count
Platelet count
K level
Na level
PT, INR, PTT
Urinalysis findings
B. Medications:
1.) Actions
2.) Nursing Implications

Student _______________________________ Instructor________________________ NCTC Nursing Program

Clinical Evaluation Tool Summative Evaluations – RNSG1462 Clinical Nursing II

Mid-Term Evaluation - Formative

Student Comments:

Faculty Comments:

Cognitive –

Affective –

Psychomotor –

Faculty _______________________________ Date ___________________ Student ______________________________ Date ___________________

Final Evaluation- Summataive

Student Comments:

Faculty Comments:

Cognitive –

Affective –

Psychomotor –

Faculty _______________________________ Date ___________________ Student ______________________________ Date ___________________

Therapeutic Nursing Interventions

Therapeutic Nursing Interventions are acts carried out by nurses to foster and enhance the well-being of patients based on relevant scientific findings that guide a holistic approach to health care. At the Clinical I and Clinical II Level of clinical performance, students are expected to demonstrate competency of selected psychomotor skills. By the end of Clinical III mastery of these basic skills is expected. Additionally, at the Clinical III and IV Levels of clinical performance, students are expected to demonstrate cognitive knowledge of the theory for skills performance that requires critical decision making even though they may not be able to demonstrate clinical mastery.

	Clinical I		Clinical II and Transition	Clinical III	Clinical IV
Respiratory		Oxygen Therapy Nasal cannula Oxygen Mask Incentive spirometry	Pulse oximeter Oropharyngeal Suctioning Nasopharyngeal Suctioning	Suctioning: Artificial airway Tracheotomy care IPPB Chest Physiotherapy Chest Tubes	Mechanical Ventilation ET/tracheotomy
Medications		Oral/Topical/Buccal Injections SQ/IM Injections Z track/Intradermal	IV Piggyback	IV bolus Titrate dosage IVP	Emergency drugs
IV		Assess IV Site only	Start IV , DC IVs, DC Saline Locks Regulate IV flow rate Change IV & Central Line dressing Change IV tubing/solutions	IVPB TPN Pumps/ PCA Venous access devices	Blood/blood products transfusions
Wounds		Dressing change Hot/cold therapy Remove staples/sutures	Care of acute and chronic wounds		Emergency care/burns/trauma
Elimination		Enemas Douches Foley catheter	Ostomy care/irrigation NG tube (Insertion/Irrigation) Tube feedings/ Gastrostomy tube	Hemodialysis/peritoneal dialysis
V S		Temperature/ Pulse/ Respiration Blood Pressure	Pediatric Neonate	Neuro exam
Physical Assessment		Adult and Geriatric Patient	Pediatric and neonate Patient OB patient	5-lead EKG Interpretation	Emergency Assessment Intro to 12-lead EKG
Lab		I&O Specimen collection Finger stick blood sugar	CBC, Electrolytes, Platelets, BUN, Creatinine, PT, INR, PTT Urinalysis, Oxygen Saturation	ABGs Interpretation F & E
Mobility		ROM Transfer/ Positioning/ Ambulation TED hose/compression pump	Traction/Cast care		Rehabilitation
Basic Care		Bathing/Oral Care/Hair care/Shave Bed making/Feeding/Weight

Theory

Core Clinical Competencies

RNSG1462 CLINICAL NURSING II

The student must be able to successfully demonstrate performance of the following skills (or verbalize understanding of the skill if a demonstration opportunity is not available during the clinical rotation) in order to meet core competency requirements.

Skills/Procedure	Initial Self Assessment	Verbalizes Knowledge	Demonstrates Ability	Final Self Assessment
Oxygen Administration
Pulse Oximeter
Nasopharyngeal/Oropharyngeal Suction
NG Tube Insertion
Tube feeding
IV Piggyback
Injections, Z Track
Monitoring VS during Blood Admin.
IV DC
IV Insertion
Change IV tubing
Change IV solutions
Peripheral IV Site Dressing Change
Flush Peripheral Saline Lock
Central Line Dressing Change
Wound Care
Ostomy Care
Health HX Pedi
Physical Assessment Pedi
Physical Assessment Neonate
Postpartal Assessment
Fetal Monitoring
CBC Interpretation
Coagulation Studies
UA Interpretation
Traction Care
Cast Care
Preoperative Care
Post Operative Care
Discharge Patient
Documentation
Plotting on a Growth Chart
Patient Teaching (diet, dc planning, mobility devices)

Legend for Self-Assessment

I have knowledge and experience to perform independently
I have the knowledge but need further experience
I have minimal or no knowledge base or experience

Student Name _________________________ Faculty Signature ______________________________

North Central Texas College LOG FORMAT Associate Degree Nursing Program

Student Name: ________________________________________ Date: _____________ Unit: ________________

Observations/Activities Comments about what was learned/observed

and how clinical objectives were met

****

Course Objectives

1. Maintain a safe and effective care environment consistent with the needs of patients with common health care problems

2. Identify and intervene to promote health of assigned patients

3. Provide for the basic care and comfort of assigned patients: including but not limited to nutrition, elimination, comfort and non-pharmacological pain management.

4. Safely administer medications by all routes

5. Utilize nursing process in developing plan of care for assigned patients

6. Plan nursing care to identify and intervene to reduce or prevent risks associated with treatment modalities of assigned patients.

7. Maintain effective lines of communication

8. Demonstrate professionalism in nursing role.

North Central Texas College

Associate Degree Nursing

Clinical Nursing II

Student Behaviors and Preceptor Feedback Sheet

Student Behaviors Yes No Comments

1.	Maintains professional demeanor in dress, speech, and actions.
2.	Examines the patient’s assessment records and current plan of care.
3.	Assists in patient assessment.
4.	Provides input regarding assessment observations to the preceptor. (not in the patient’s presence)
5.	When appropriate, identifies ways in which the patient’s plan of care may be modified and discusses those modifications with the preceptor. (not in the patient’s presence)
6.	Assists the preceptor to perform nursing interventions (including dressing changes, blood sugar determinations, measuring vital signs, urinary catheterization, IV starts, medication administration, patient feeding, and patient teaching). The student may not administer medications or do any procedure that the student does not feel prepared to do. All procedures must be directly observed by the preceptor, who has the authority to terminate the student’s performance of, or participation in performing, any procedure. Students administering medications MUST adhere to the Medication Administration Policy for the NCTC Nursing Program.
7.	Evaluates and discusses with the preceptor all care given to the patient. (not in the presence of the patient)

Additional Comments:

Preceptor’s Signature __________________________________ Date

Student’s Signature ___________________________________________________ Date _______________

(Preceptor: Please feel free to call the Clinical Instructor or the ADN Program Director to provide any additional comments you may have. We can be reached at (940) 668-4264.) Thank you.

NORTH CENTRAL TEXAS COLLEGE

Clinical Site Medication Policy and Procedures

LEVEL - Clinical II and Transition Clinical

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.

Policy I
The staff nurse has the final responsibility for patient's care.
The clinical instructor or RN preceptor (instructor) has the final responsibility for student medication administration (supervision and delegation of experiences)
This medication policy will be subject to the policy of the clinical facility.

Procedure:

The 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.

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:

The students are permitted to administer the following routes of medication as noted in this policy. All medication administration by Clinical II students will be supervised. Clinical II students DO NOT administer IV push medications or any IV/ saline lock flush with heparin.
Oral medications may be given with direct supervision of a staff nurse with approval of the Clinical Instructor.
Intramuscular, subcutaneous, or intradermal medications may be given with supervision of a staff nurse with approval of the Clinical Instructor.
Medications by any other route including rectal, vaginal, sublingual, buccal, and topical may be given with supervision of a staff nurse with approval of the Clinical Instructor.

The student is to report patient response to p.r.n. or stat. dosages of medication to the charge nurse or primary care nurse. The student will document the patient's response to p.r.n. 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's may be started with direct supervision of a staff nurse or the Clinical Instructor.

Saline lock flushes (with normal saline only) may be given with direct supervision of a staff nurse or the Clinical Instructor. Clinical II students DO NOT administer Heparin flush.

IV piggyback medications may be hung with direct supervision of a staff nurse or instructor. These must be checked by the primary nurse before administering.

VII. Narcotic administration is at the discretion of the instructor. If the student is administering narcotics, narcotics must be co-signed by the Clinical 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.

VIII. Standing and sliding-scale insulin dosages must be checked and co-signed by the primary nurse or 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.

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).

The student may NOT initiate blood and blood product administration. Students may observe patients receiving blood products and may monitor vital signs under the direct supervision of an RN if allowed by facility policy.

Prior to administering any drug, the student will state the classification, purpose, common side effects and contraindications. 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.

XII. 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

XIII. The student is responsible for verifying that the correct IV solution is being administered to their patient and that it is maintained at the correct ordered rate.

XIV. The student is responsible for documenting the IV administration on the proper forms in accordance with assigned facility's policies.

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

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

PLEASE NOTE:

All instructors are to observe and evaluate the students giving medications especially in "p.r.n. and STAT" situations. Documentation will accurately reflect the reality and legality of patient care.

Revised: 12/09, 7/11

¯ NOTICE

When Classes are CANCELLED

DUE TO BAD WEATHER

Many students commute to the NCTC campus in Gainesville from out of town, so hazardous driving conditions due to weather can be a problem. Whenever the weather gets bad enough (icy roads, etc.) that you think NCTC might cancel classes, tune in to one of the radio or TV stations listed below. These are the ONLY stations that will be notified. By the way, if you don’t hear or see a notice about NCTC classes right away, be patient. Please refrain from calling the station because it ties up the very busy lines, and the college may be trying to get through with a cancellation notice!

LionAlert is the easiest and earliest way to find out about campus closings.

Go to the NCTC home page and click on the LionAlert icon to sign up for free emergency text messaging service. In the event of an emergency or major campus event, a short message will be sent to the mobile number and/or email address provided.

KGAF Radio (1580 AM) Gainesville
KXGM Radio (106.5 FM) Gainesville
TCI Cable TV (Channel 3) Gainesville
KRJT Radio (1410 AM and 100.7 FM) Bowie
KKAJ Radio (95.7 FM) Ardmore
KXII TV (Channel 12) Sherman
KTEN TV (Channel 10) Ada/Ardmore
Sammons Cable (Channel 25) Denton
WFAA TV (Channel 8) Dallas
KXAS TV (Channel 5) Fort Worth/Dallas

If you miss the announcements on the air, you can call the campus switchboard at (940) 668-7731. On bad weather days, there will be a recorded message beginning at 6:45 AM announcing any class cancellations.

IMPORTANT: Class time missed as a result of unanticipated class cancellations due to weather MAY HAVE TO BE MADE UP. If so, you will be notified by the Office of the Dean of Instruction.

If classes are dismissed on the NCTC campus due to bad weather, clinical will also be dismissed.

If classes are not dismissed on the NCTC campus and driving conditions in the clinical areas are hazardous due to weather, the clinical instructor and the student will make the decision about safe driving conditions.

COMPUTER INSTRUCTIONS

TO LOG ON TO THE COMPUTER AT NCTC:

Press CTRL ALT DELETE to begin.

Type the first letter of your last name and the last seven digits of your social security number with no spaces between the digits.

In the second box type your entire social security number with no spaces or dashes between the digits.

Click ENTER

Now you have accessed the system.

If you wish to access the Internet:

Double click on Internet Explorer. You will get the NCTC Homepage. Type the address of your Internet site in the box marked “Location.”

You move up and down the text by placing the cursor on the arrows on the scroll bar along the right side. Buttons and some text may be hyper-linked. When you use the mouse to move the cursor over these areas, the arrow becomes a hand. You may double click the mouse over that area and you will be connected to the location it indicates.

To Exit the Internet: Click the X in the right upper corner.

To access Nursing programs:

Click on Start in the lower left corner of the screen. Move the mouse up the menu that appears to Programs. Click. That will open an expanded menu on which you should click the Nursing folder. This expands the menu to list all available nursing programs. Double click the program that you wish to access.

TO LOG OFF THE COMPUTER:

Click on START at the bottom of the screen.

Click SHUTDOWN. Make sure the blue area has Log off with the first letter of your last name and the last seven digits of your social security number. DO NOT click on the down arrow and press Shut Down or Restart. Click on OK.

Never leave the computer without first logging off. Do not turn the computer off. Do not disconnect cables or adjust the computers in any manner. Do not take food or drink into the computer room. A Lab Instructor or your nursing instructor must be in the nursing computer lab when the lab is in use.

DO NOT DOWNLOAD OR INSTALL ANY PROGRAMS ON NCTC COMPUTERS.

This includes, but is not limited to: AOL & Yahoo instant messengers, Precision Time, Date Manager, Gator, ICU, Yahoo games & chat, System Soap Pro, etc. If you are found to have violated this policy, your account will be disabled.

Top of Form

Bottom of Form

Math Requirements for Clinical II and Transitions – Spring 2017

Required Resource: Calculating Dosages Online FA Davis www.dosagecalc.com

Math Module: You will need to log into the course at www.dosagecalc.com. Find your clinical instructor below and enter your class ID. 911C0B3915

There are 12 modules for Clinical II and Transitions. The online dosage calculations class is a reference for you to sharpen your math skills. It is up to you to work through these modules in order to pass the math exam that is a clinical requirement. If you are having difficulty please contact your clinical instructor.

WEEK 1 – January 17^th – January 20^th:

Module 1 Basic Math Review

Module 2 Methods of Calculation

Module 3 Systems of Measurement

Module 4 Intake and Output

WEEK 2 – January 24^th – January 27^th: Module 5 Reading Medication Labels

WEEK 3 – January 31^st – February 3^rd: Module 6 Administration of Oral Medications

WEEK 4 – February 7^th- February 10^th: Module7 Syringes and Needles

WEEK 5 – February 14^th – February 17^th: Module 8 Administration of Parenteral Medications

WEEK 6 – February 21^st – February 24^th: Module 9 Reconstitution of Powdered Medications

WEEK 7 – February 28^th – March 3^rd: Module 10 IV Calculations

WEEK 8 – March 7^th – March 10th: Module 11 Pediatric Medications

WEEK 9 – Spring Break: Practice Math Exam: Available on Canvas

Week 10 – Clinical Dosage and Calculations will Exam be given on Examsoft™ Exam Monday March 27^th at 8am in the computer lab you may bring a pencil and eraser.

For more assistance with dosage calculations go to your Kaplan dosage and calculation workshop or the math instructional videos located in the Canvas ADN Group Modules.

Clinical Dosage & Calculations Exam: This exam must be passed with a minimum score of 90%. Students will be given 2 opportunities to pass. The inability to pass with a 90% or greater will result in a failing grade in the clinical portion of the semester. You may use a basic calculator on the exam.

NORTH CENTRAL TEXAS COLLEGE

ASSOCIATE DEGREE NURSING PROGRAM

Grading Rubric: Care Plan

RNSG1462 CLINICAL NURSING II

Points Possible	Points Earned	Rubric for Care Plan Assignment
10		Pertinent information on Kardex is complete. Vital signs and assessment and data is complete

15		1. Drug Cards Completed □ Up to ten drugs □ Drug classifications □ Patient specific

20		3. Identification of the Problem □ Problems are stated as nursing diagnoses according to NANDA □ Problems prioritized according to Maslow’s Hierarchy

20		4. The goal statements includes resolution of the problem □ Goals must be times / measureable □ Goals are stated in terms specific to patient/patient behavior □ Long Term Goal (1) □ Expected Outcome(Short Term Goals) (min 3)

15		5. Nursing interventions are directed toward reducing or removing the stated problem, or to achieve goal criteria □ Interventions directed toward achievement of the stated goals □ Includes meds, procedures, monitoring signs, symptoms, lab results, and patient teaching.

10		6. Each nursing intervention is supported by rationale from nursing resources □ Bibliography includes references from professional publications, nursing journals, and/or website, textbook, drug book. (page #s, vol., bibliography)

10		7. Evaluation – States the patient/patient’s progress toward stated goals □ Statement of whether goals were met, not met, need for revision or modification
100		TOTAL POINTS

Student Name: Click here to enter text. Date: Click here to enter text.

RNSG 1462 and 1262 Clinical Nursing II

Assignment Kardex

Initials: Click here to enter text. M☐F☐ Admission Date: Click here to enter text.

Surgery Date: Click here to enter text.

Surgical Procedure: Click here to enter text.

Room #: Click here to enter text.

DOB: Click here to enter text.

Admitting Diagnosis: Click here to enter text. Patient’s Nurse: Click here to enter text.

Safety

Allergies: Click here to enter text. Restraints: Click here to enter text.

Special Needs: Vision Click here to enter text. Hearing Click here to enter text.

Other: Click here to enter text.

Mobility

Bedrest ☐ Bathroom Privileges ☐ Out of Bed to Chair ☐

Reposition: Click here to enter text.

Other: Click here to enter text.

Ambulatory Status: Independent ☐ Assistance ☐ Other Click here to enter text.

Fluid Management

Intake:

PO Click here to enter text.

IVClick here to enter text.

Enteral Feedings Click here to enter text.

Output:

Voided UrineClick here to enter text.

Catheter UrineClick here to enter text.

Weigh DiapersClick here to enter text.

StoolClick here to enter text.

EmesisClick here to enter text.

OtherClick here to enter text.

Vital Signs 1^st set

Temperature: Click here to enter text.

Blood Pressure:Click here to enter text.

Respirations:Click here to enter text.

Apical Pulse:Click here to enter text.

Radial Pulse:Click here to enter text.

Oxygen Saturation:Click here to enter text.

Weight:Click here to enter text.

Level of Pain: Click here to enter text.Choose an item.

Other: Click here to enter text.

Pain Management

Pain Relief Measures: Choose an item.

Parenteral

Solution: Click here to enter text. Rate: Click here to enter text.

Type of IV Access: Choose an item. Location: Click here to enter text.

Designated Flush Solution: Click here to enter text.

Enteral

Diet: Choose an item.Fluids: Choose an item.

Tube Feeding: Choose an item. Name of Formula: Click here to enter text.

Amount of Residual: Click here to enter text.

Irrigation: Choose an item. Irrigation Solution: Click here to enter text.

Lab Values (Abnormal)

CBC:

Chemistry: Click here to enter text.

Microbiology: Click here to enter text.

ABG’s: Click here to enter text.

Abdominal Assessment

Click here to enter text.

Neurological Assessment

Click here to enter text.

Musculoskeletal Assessment

Click here to enter text.

Peripheral Vascular Assessment

Click here to enter text.

Respiratory Assessment

Click here to enter text.

Respiratory Management

Coughing ☐ Deep Breathing ☐ Chest Percussion ☐ Suction ☐

Mechanical DevicesClick here to enter text.

Oxygen Management

Oxygen Rate: Click here to enter text. Type: Choose an item.

Skin Assessment

Click here to enter text.

Wound Management

Irrigation Solution:Click here to enter text.

Wound Protection Choose an item. Topical Preparation: Choose an item.

Medications

Click here to enter text.

Intravenous Medication (Secondary or IV Push)

Click here to enter text.

Patient Teaching:

Click here to enter text.

Vital Signs 2^nd set (mid-shift assessment)

Temperature: Click here to enter text.

Blood Pressure:Click here to enter text.

Respirations:Click here to enter text.

Apical Pulse:Click here to enter text.

Radial Pulse:Click here to enter text.

Oxygen Saturation:Click here to enter text.

Weight:Click here to enter text.

Level of Pain: Click here to enter text.Choose an item.

Other: Click here to enter text

Planning Phase

Patient Nursing Care Plan

Nursing Diagnosis Relevant to Assigned Areas of Care	Long Term Goal & Expected Outcomes Relevant to Assigned Areas of Care	Nursing Interventions – Will move the patient toward achieving the expected outcomes – to be carried out during the clinical shift
1.)	1.) Long Term Goal – The patient will:


	Expected Outcomes (Short Term Goals)
	The patient will:
	1.)	1.1)
		1.2)
	2.)	2.1)
		2.2)
	3.)	3.1)
		3.2)
2.)	2.) Long Term Goal – The patient will:
	Expected Outcomes (Short Term Goals)
	The patient will:
	1.)	1.1)
		1.2)
	2.)	2.1)
		2.2)
	3.)	3.1)
		3.2)

Evaluation Phase

Patient Nursing Care Plan

Select a priority nursing diagnosis for your patient. Complete the evaluation phase of the nursing care plan and

justify the importance of choosing this diagnosis as a priority in the plan of care for your patient.

Nursing Diagnosis 1):

Measurable Expected Patient Outcome

The patient will:

Nursing Intervention # 1

Nursing Intervention # 2

Related Factor (etiology)

Patient’s Progress Toward Meeting the Outcome:

Met Partially Met Unmet

Provide evidence below (describe assessment data that supports the above evaluation)

Patient’s Progress Toward Meeting the Outcome:

Met Partially Met Unmet

Provide evidence below (describe assessment data that supports the above evaluation)

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Signs & Symptoms ( for actual diagnosis)

*** Rationale for choice as priority Nursing Diagnosis:

Evaluation Phase

Patient Nursing Care Plan

Select a priority nursing diagnosis for your patient. Complete the evaluation phase of the nursing care plan and

justify the importance of choosing this diagnosis as a priority in the plan of care for your patient.

Nursing Diagnosis 2):

Measurable Expected Patient Outcome

The patient will:

Nursing Intervention # 1

Nursing Intervention # 2

Related Factor (etiology)

Patient’s Progress Toward Meeting the Outcome:

Met Partially Met Unmet

Provide evidence below (describe assessment data that supports the above evaluation)

Patient’s Progress Toward Meeting the Outcome:

Met Partially Met Unmet

Provide evidence below (describe assessment data that supports the above evaluation)

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Evaluation of effectiveness of nursing intervention in moving patient toward achieving patient outcome.

Effective – describe patient response

Not effective – suggest an alternative intervention

Unable to carry out & why?

Signs & Symptoms ( for actual diagnosis)

*** Rationale for choice as priority Nursing Diagnosis:

DRUG CARD

CLASSIFICATION:

ACTIONS:

USES:

GENERIC NAME	DRUG SPECIFIC INFORMATION	DOSAGE RANGE
1
2
3
4
5

DATA THAT INDICATES DRUG IS EFFECTIVE:

COMMON SIDE EFFECTS:

CONTRAINDICATIONS:

SIGNIFICANT FOOD ,DRUG, HERBAL INTERACTIONS:

DECISION MAKING/ASSESSMENTS REQUIRED PRIOR TO ADMINISTRATION:

PATIENT TEACHING AT TIME OF ADMINISTRATION:

NORTH CENTRAL TEXAS COLLEGE

ASSOCIATE DEGREE NURSING PROGRAM

GRADING RUBRIC: Care Plan Paper

Points

Possible

Points Earned

RUBRIC FOR CARE PLAN PAPER

1. The care plan must be accompanied by documentation of a patient

assessment on nursing kardex. This data must be written in narrative form and included in the paper along with the original nursing kardex and care plan.

2. Pathophysiology of Medical Diagnosis(es) & Co-Morbidities

□ Pathophysiology must be supported by references to nursing resources.

□ Include the impact of comorbidities on the current medical diagnosis(es)

3. Identification of the Nursing Diagnoses

□ Nursing diagnosis must be written according to NANDA

□ Problems prioritized according to Maslow’s Hierarchy

□ State rationale for prioritization of nursing diagnoses (4-5 nursing dx)

4. Complete care plans on your top 2 nursing diagnoses and include the goal statements (Planning) about the resolution of the problem. This should be in narrative form as well as concept map form.

□ Goals must be timed / measureable

□ Goals are stated in terms specific to patient/patient behavior

□ Long Term Goal (1) □ Expected Outcomes – Short Term Goals (min 3)

5. Nursing actions (Implementation) are directed toward reducing or removing

the stated problem, or to achieve goal criteria

□ Minimum of 2 nursing interventions for each outcome

□ Interventions directed toward achievement of the stated goals

□ Includes meds, procedures, monitoring signs, symptoms, lab results

6. Each nursing action (intervention) is supported by rationale from nursing resources. Each rationale must be referenced individually.

□ Bibliography includes references from professional publications

□ 2 journal articles with at least I CINAHL publication.

□ All publications must be within the last 5 years *include a bibliography page (APA)

7. Evaluation – States the patient/patient’s progress toward stated goals

□ Statement of whether goals were met, not met, or partially met (need for revision or modification)

□ Must state exactly how the goal was met or why it wasn’t met

8. Paper must be: neat, typed, with correct spelling, & have correct use of grammar.

100

TOTAL POINTS

Guidelines for Care Plan Paper

The care plan paper must be accompanied by document of a patient assessment on the nursing kardex form. You are not to make-up any data. You are expected to look up any and all data on the patient's chart/record. If the patient has a lot of lab values, you may wish to make a chart to show the trending of the lab values.
1. Form must be complete
2. Labs are analyzed and related to the patient’s condition
3. Medication list is complete with the reason for administering them (all medications).
4. Drug cards are completed for each medication the patient is taking (up to 10)
Medical diagnosis, comorbidities and pathophysiology of current medical problem to include:
1. A thorough explanation of the pathophysiology of the primary diagnosis starting at the cellular level.
2. Clinical manifestations that is associated with the diagnosis and the physiological basis for these manifestations.
3. How this disease process is manifested in your patient.
4. A brief explanation of all the patient’s co-morbidities and how they relate to the current diagnosis.
5. Typed, grammatically correct, and references must be listed using at least three sources: peer reviewed journal articles, textbooks, patho book, etc. You may also use the internet. You must use at least two journal articles with at least one being a full text source from CINAHL. If you do not know how to access the Nursing Collection on CINAHL, you need to visit the NCTC library and learn how.
Your nursing diagnoses must be in NANDA format. You must also indicate how you would prioritize them using Maslow’s Hierarchy. List or number your nursing diagnoses in order to indicate priority. List the 5 most important nursing diagnoses for your patient. One of the nursing diagnoses should be psychosocial. Complete care plans on the two highest priority nursing diagnoses.
1. Nursing diagnoses must be placed in order of priority.
2. An explanation of how the diagnoses were prioritized using Maslow’s Hierarchy of Needs in addition to any other criteria (i.e. ABC’s).
The goal statements (Planning). This is done for the two top nursing diagnoses you are to complete concept maps on AND write about in your paper.
1. There is a general goal statement that includes the resolution of the (nursing diagnosis).
2. There are expected outcomes that will measure the patient’s progress toward or allow the patient to achieve their goal (s) that are
  1. Specific to the patient
  2. Measurable

Have a time limit

Realistic
Written in terms of patient behaviors or findings.

Nursing interventions (Implementation) are directed toward reducing or removing stated problem (nursing diagnosis) or to achieve goal criteria (expected outcomes)
1. The interventions are at a level of caring for the patient with common healthcare needs
2. The interventions incorporate patient or family teaching
3. The interventions include (but are not limited to):
  1. Medication administration and monitoring for side effects
  2. Nursing assessments and interpretations of the findings

Performance of procedures or treatments

Patient advocacy is indicated.
Monitoring and interpreting laboratory results
Psychosocial assessment and intervention.

Nursing actions must also be written in very specific terms. For example, “Administer 50mg Demerol IM every 4 hours as needed for pain.” Or, “Consult with physician to obtain an order for a bulk laxative.” Regardless of which resources you use, you need to consider including actions that have to do with assessment needs, physical nursing interventions (such as wound care, elevation of extremities etc), food and fluid needs, medications, teaching needs, and appropriate referrals. Do not put Administer whatever it is “as ordered”. Always specify how it is ordered.

Each nursing action (Intervention) is supported by a rationale
1. The rationale explains how the intervention will help resolve the problem (nursing Dx) or help the patient achieve their goals.
2. Each rationale is documented by nursing resources that include
  1. The author and the page number or
  2. Web address for the source (must be a credible source such as ANA, CDC.gov, etc.
3. A variety of resources are used to include (at least two journal articles with at least one being a full text source from CINAHL).
  1. Textbooks
  2. Care plan books

Journal articles (current, within the last 5 years)

Internet searches

A bibliography must be included listing all references using APA format. Access the Purdue Online Writing Lab for assistance (no points will be deducted for incorrect format)

https://owl.english.purdue.edu/

Evaluation of the patients’ goals includes statements as to the patient’s progress toward achieving their goals. Each expected outcome is evaluated by:
1. A statement as to the patient’s progress toward achieving that outcome (achieved, not achieved, or partially achieved)
2. What findings made to determine whether the criteria was achieved or not.
3. Any revisions in your plan that might be needed or whether the problem is resolved.
The concept map paper must be turned in on time with correct spelling, legible and citation of sources with the grading criteria formed attached. All work must be neat, in ink (data base only) or typed.

**This is a formal paper. The information required must be written out in a narrative form. Above all, please remember that your paper will be graded according to the grading criteria sheet. (For Example: Even if you do an absolutely outstanding job on everything else, but you fail to provide a thorough pathophysiology explanation, you will not receive the points allocated for the pathophysiology explanation.) You must fully meet the grading criteria to receive full credit

Clinical Presentations

Students will be assigned to groups within your clinical groups and assigned a professional topic to develop a presentation that will be given in post conference on a date to be determined by your instructor.

Provide a list of the objectives, an outline of the content, and a list of the references to the faculty prior to presentation (can be the day of the presentation). Power points presentations are acceptable but not required. Power point slides should be readable with large font and not too many words on one slide. Please do not read the slides

PEER EVALUATIONS:

Each member of the group must participate in the planning and the presentation of the topic (please see and use attached form). Each member will be able to evaluate the contribution of other group members, which will reflect the percentage of the grade received. If group members evaluate your contribution as 100%, you will receive 100% of the grade earned by the group. If group members evaluate your contribution at 90%, you will receive 90% of the grade earned by the group, etc.

Please use the attached form for group member evaluations. These are to be turned in the day of the presentation to calculate grades.

Points Possible	Points Earned	Presentation
40		Content: · Complete · Accurate · Current · Appropriate for audience

10		List objectives SMART · Specific · Measurable · Realistic · Attainable · Time

30		Presentation style · Professional (dress, speech, materials) · Interesting (do not read material) · Easily understood · Every member participates in presentation

10		Evaluation · Method appropriate to content

10		References (at least three- can include one textbook)

		TOTAL POINTS

		TOTAL POINTS X GROUP EVALUATION %

North Central Texas College

Associate Degree Nursing Program

GRADING Rubric: Presentation

RNSG 1462 Clinical Presentation

Names: ______________________________

Topic: _______________________________

Date: ________________________________

PRESENTATION

GROUP MEMBER EVALUATION

NAME OF GROUP MEMBER _________________________________________

Please use the following scale to evaluate EACH group member’s contribution to the project and presentation. Circle the appropriate score for each criteria presented.

5=Performed in this manner all the time

4=Performed in this manner most of the time

3=Performed in this manner some of the time

2=Rarely performed in this manner

1=Never performed in this manner

CRITERIA
1. Completes individual activities as agreed upon by group.	5	4	3	2	1
2. Maintains a positive, professional attitude under all conditions with all group members.	5	4	3	2	1
3. Displays tact when dealing with group members.	5	4	3	2	1
4. Accepts new ideas and criticism without resistance.	5	4	3	2	1
5. Demonstrates a commitment to successful completion of the project.	5	4	3	2	1
6. Assumes a collegial role with group members without taking over group activities.	5	4	3	2	1
7. Attends all group meetings.	5	4	3	2	1

Note: Written justification statements are required for all scores less than 4. Use back.

NAME OF EVALUATOR ______________________________________

NORTH CENTRAL TEXAS COLLEGE

RNSG1462 Clinical Nursing II

Student Course Evaluation

Student Course Evaluation - Semester/Year _______________ Instructor__________________________

The faculty of this course is seeking feedback from you through course evaluation about your experience. This evaluation will serve to assist the faculty in assessing the teaching/ learning process within the course. Student input is an important, integral part of the evaluation process.

Your perceptions are valuable in determining the strengths and weaknesses of the clinical course. The information which you impart will have no effect on your grade whatsoever. Therefore, please, be candid, yet thoughtful, and honest as you consider each item on the evaluation.

A-Strongly Agree B-Agree C-No Opinion D-Disagree E-Strongly Disagree

In any area you disagree or strongly disagree, please cite how we might improve this area at the end of the survey.

Clinical Facility: _______________________________

I feel having clinical at this facility provided an opportunity to assist me in A B C D E

meeting the course objectives.

I had the opportunity to participate in a variety of learning experiences. A B C D E
Various methods of instruction were utilized which helped me fulfill

course learning objectives. A B C D E

I have become more aware of other cultures/value systems through my nursing

course. A B C D E

Syllabus:

The course syllabus clearly stated course requirements and/or expectations. A B C D E
The objectives built on previous course content. A B C D E
The objectives were stated clearly and understandably. A B C D E
The course assignments were clear. A B C D E
The Clinical Evaluation Tool related to course objectives. A B C D E
The syllabus was reviewed at the beginning of the semester A B C D E

Other:

Overall, I feel the content in this course is of benefit to me as a beginning

practitioner of nursing. A B C D E

4^th Level / Precepted Students

I was accepted as a part of the working team on the unit. A B C D E
The environment of the unit contributed to my learning. A B C D E

I feel the best part of the course was:

Given the opportunity, I would change what? How?

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

I disagree or strongly disagree on the following items and would suggest the following change.

Area (number) Why How to change

NORTH CENTRAL TEXAS COLLEGE

ASSOCIATE DEGREE NURSING

POLICY FOR SOCIAL NETWORKING SITES

Students in the Associate Degree Nursing Program at North Central Texas College are expected to adhere to the high standards of the nursing profession with regard to maintaining confidentiality. This not only includes guarding patient confidentiality at a clinical site, but also in the classroom, at home and on-line.

The following are guidelines for behavior involved with cell phone use, FACEBOOK, Twitter, MySpace and any other social networking site. Many of you already have such sites established and are eager to use them to convey what you are learning and experiencing while in this program. You may continue to use those sites, but with these cautions:

It is your responsibility to keep your site appropriate and your profiles clean.
Do not post threats or derogatory remarks about anyone associated with the Associate Degree Nursing Program. This includes fellow students, faculty, staff, college administrators, clinical affiliates and, above all, patients. This is a violation of “good professional character” policies described in Texas Board of Nursing Rule §217.11 and Associate Degree Nursing Education Rule §215.8 (“student dismissal for lack of good professional character”). Any threat of bodily harm may be reported to the police and violation of this policy will result in disciplinary action, such as dismissal. Additionally, those who violate these rules may be reported to the Board of Nursing.
Any photos of yourself must be made out of uniform, make no reference to NC TC, the Associate Degree Nursing Program or our clinical affiliates, and will not include any illegal activity. Posting photos of other students, faculty, staff, etc. without their permission is forbidden.
Cell phone use in the classroom is forbidden and at the clinical site is dependent on clinical facility policies and only with instructor permission. If a phone rings during the classroom lecture or during clinical in a facility that forbids the use of cell phones, the phone will be confiscated until the end of the class or clinical day.
Computers in the classroom: may only be used for taking notes of the lecture or for internet searches pertinent to the current lecture content. If the instructor determines you are emailing, surfing the web for personal issues, or accessing social media sites such as Facebook, you will not be allowed to bring your computer to class.

My signature acknowledges I have been informed of the Social Networking Policy for the Associate Degree Nursing program at North Central Texas College.

_______________________________________________ ____________________________

Student’s Signature Date

_______________________________________________

Student’s Printed Name

Student Information Sheet

Name: ___________________________________________________________________________________

Home Address: ____________________________________________________________________________

_________________________________________________________________________________________

Home Phone: ______________________________________________________________________________

Cell Phone: ________________________________________________________________________________

Work Phone (and place of employment): ________________________________________________________

__________________________________________________________________________________________

The best way to reach you on the evening before clinical is to call: ____________________________________

__________________________________________________________________________________________

Emergency contact name and number___________________________________________________________

Health Conditions/Concerns/Allergies/Routine Medications: _________________________________________

__________________________________________________________________________________________

Special areas of interest in nursing: _____________________________________________________________

__________________________________________________________________________________________

Anything else that you would like for me to know: _________________________________________________

RECEIPT OF SYLLABUS

I have received a copy and understand the syllabus for RNSG1462 Clinical Nursing II. The items in the syllabus have been explained to me.

I understand that the instructor reserves the right to drop students due to excessive absenteeism.

I understand that if I stop attending the course and I fail to drop this course through the registrar's office, I will receive a letter grade of "F" in the course. I understand that NO GRADES ARE ROUNDED IN THIS COURSE.

The requirements of the course have been explained to me.

I understand that I must pass the required Math exams with a grade of 90. I will have two attempts to pass the exams. If I do not pass the exam with a 90 on the 1^st or 2^nd try, I understand I will receive a clinical failure, be dropped from the course, and dismissed from the nursing program.

Students are expected to attend clinical on each assigned clinical day. There will be no clinical absences. If an untoward circumstance arises and the student must miss a clinical day, three (3) points will be deducted from the final grade for each clinical day missed.

Penalties for tardiness will be imposed at the discretion of the instructor. However, repeated tardiness is not acceptable and may result in the loss of a letter grade in the course.

I realize that I may receive a clinical warning for exhibiting unsafe clinical behavior, inadequate clinical preparation, unprofessional conduct, or for not notifying the clinical instructor of a clinical absence or delay in arriving to clinical in a timely manner. (See Clinical Warning in the Student Handbook.) A clinical warning will result in the loss of one letter grade for the course. Unsafe clinical behavior or unprofessional conduct may, at the discretion of the faculty, result in a clinical contract or clinical failure.

I have read the college’s guidelines concerning the disclosure of disabilities. I understand the guidelines and I know that it is my responsibility to tell my instructor if I have special learning needs.

I give permission for photographs and videos to be taken of me in class, lab, or clinical to be used in teaching and/or in college promotional materials.

The instructor has my permission to post my grades on a password protected internal site.

The Nursing Department has my permission to post my name on clinical lists, class rosters, and other lists as deemed necessary for students enrolled in the Associate Degree Nursing program.

I give permission for the Associate Degree Nursing Department to provide my criminal background check and drug screening information to all agencies and facilities used as clinical rotation sites during the semesters I am enrolled in the ADN Program. I understand that clinical agencies and facilities have the right to refuse my attendance based on the information contained in the criminal background check and drug screen. I understand that I may not be able to complete the ADN Program clinical requirements resulting from agencies and facilities refusing my clinical attendance. I understand that the Board of Nursing may refuse my application for licensure based on the information contained in the criminal background check and drug screen.

_______________________________________________ ____________________________

Student’s Signature Date

_______________________________________________

Student’s Printed Name

Syllabus File(s)

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RNSG 1462 103 - CLINICAL NURSING II

Introduction

Spring - 2017

Semester & Year

Spring - 2017

Instructor’s Name

Office Phone #

Instructor’s Office #

Office Fax #

E-mail Address

Office Hours

Instructor’s Name

Office Phone #

Instructor’s Office #

Office Fax #

E-mail Address

Office Hours

Instructor’s Name

Office Phone #

Instructor’s Office #

Office Fax #

E-mail Address

Office Hours

Instructor’s Name

Office Phone #

Instructor’s Office #

Office Fax #

E-mail Address

Office Hours

Catalog Description

Clinical Attendance Policy

Early Alert/CARES

Web Page

Workforce Education Program Elements

(1) Foundation Skills

RNSG1462

Grading Criteria

Respiratory

Preceptor’s Signature ______________________________________________ Date ____________

COMPUTER INSTRUCTIONS

Syllabus File(s)

Preceptor’s Signature __________________________________ Date