INSTRUCTOR INFORMATION

Clinical Coordinator:	Emily Lewis, MSN RN
Campus/Office Location:	HSC Gainesville Campus 2428B
Telephone Number:	940-668-7731 Ext. 4361
E-mail Address:	elewis@nctc.edu

 

Clinical Instructor:	Cathy Carney, MSN, RN
Campus/Office Location:	HSC Gainesville Campus 2428F
Telephone Number:	940-668-7731 Ext. 4371
E-mail Address:	ccarney@nctc.edu

 

 OFFICE HOURS

Monday	Tuesday	Wednesday	Thursday	Friday
12pm-5pm	Online 8am-10am	1pm-4pm
All individual meetings made by appointment only

 

 

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

At the successful completion of this course the student will be able to:

·         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. ·         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.

 

 

Texas Board of Nursing Differentiated Essential Competencies

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

 

1. Member of the Profession:

1. 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.
2. Assume responsibility and accountability for the quality of nursing care provided to patients and their families.
3. Participate in activities that promote the development and practice of professional nursing.
4. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning.

1. Provider of Patient-Centered Care:

1. 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.
2. 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.
3. 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.
4. 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.
5. Evaluate and report patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice, and plan follow-up nursing care.
6. Develop, implement, and evaluate teaching plans for patients and their families to address health promotion, maintenance, and restoration.
7. 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

 

1. Member of the Health Care Team:
2. Coordinate, collaborate, and communicate with patients, their families, and the interdisciplinary health care team to plan, deliver, and evaluate patient-centered care.
3. Serve as a health care advocate in monitoring and promoting quality and access to health care for patients and their families.
4. 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.
5. Communicate and manage information using technology to support decision-making to improve patient care.
6. Assign and/or delegate nursing care to other members of the health care team based upon an analysis of patient or unit need.

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

 

GRADING CRITERIA

 

Clinical Performance: is based on evaluation of student performance.  See tools under Rubrics in Canvas.  Performance Evaluation is an assessment of both cognitive and psychomotor skills.  A portion of this will be a computer-based evaluation of the student’s ability to assess, plan and document patient care. This portion will be done in the computer lab.  Each student will be required to check-off on a randomly chosen nursing skill as part of the performance evaluation.  Failure to successfully pass that skills check off will result in the required remediation with the clinical instructor 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. 

 

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 modules are available on your ATI account.  Clinical Nursing II students are required to take one dosage and calculation test.   The student will have three opportunities to pass the test with a minimum score of 100%.  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 third math test with a minimum score of 100% will result in a clinical failure and dismissal from concurrent courses and the nursing program.

 

Care plans and other assignments will be either submitted through canvas or sim chart.  No paper assignments will be accepted. 

 

Portfolios:  The student must have a portfolio consisting of all of the evaluation forms and clinical points tool that they will need to bring to clinical each day.  The contents of this portfolio will be submitted with the final evaluation and will be part of the student file. 

 

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

 

 

 

***Clinical Points tool: Any infraction as listed on the clinical points tool will result in the assigned points taken from the mid-term or final evaluation grade. 

 

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

letter grade. 

 

 

# of Graded Course Elements	Graded Course Elements	Percentage or Point Values
	Clinical Performance	60%
		Point value per evaluation
1	Mid-term Evaluation	25
1	Final Evaluation	25
1	Competency Evaluation	25
1	Performance Evaluation	25
	Assignments	40%
Total # of Assignments		Point value per assignment
1	ATI Fundamentals 1 Practice Quiz	10
1	ATI Fundamentals 2 Practice Quiz	10
1	ATI Musculoskeletal Practice Quiz	10
1	ATI Fundamentals Final Quiz	10
4	ATI Math Modules	5
8	Sim Chart Assignments	5

 

 

Scheduled Assignments and Important Dates

Week 1	ATI Plan Student Orientation. Clinical Orientation-Course expectations, grading and schedules August 29th 2-5pm.
Week 2	ATI Fundamentals Practice Quiz 1 & 2.  ATI Oral Medications Module Hospital Orientation NTMC & MMH September 7th Sim Chart: Rebecca Ruiz: IV Placement
Week 3	ATI Critical Thinking Assessment ATI Injectable Medications Sim Chart: Kelly Price: Apgar Score
Week 4	ATI Powdered Medications
Week 5	ATI Musculoskeletal Quiz Sim Chart: Pedro Gomez: Compound Fracture Pedro Gomez: Open Reduction Internal Fixation
Week 6	ATI – Parenteral Medications
Week 7	Mid-term evaluations
Week 8	Practice math exam available on canvas
Week 9	Math Exam October 24th 8am in the computer labs. Sim Chart: Richard Royer: Insulin Administration
Week 10	ATI Fundamentals Final
Week 11	Last day to drop with a “W” November 14th
Week 12	Sim Chart: Rebecca Ruiz: medication administration Rebecca Ruiz: oxygenation Rebecca Ruiz: patient teaching
Week 13	Performance Evaluations November 29th & 30th
Week 14	Repeat Performance Evaluations TBA
Week 15	Final Evaluations and Competency Evaluations
Week 16	Finals Week

**Please note these dates may be subject to change at the discretion of the clinical instructor.

 

ATTENDANCE POLICY

NCTC Attendance Policy

http://nctc.smartcatalogiq.com/en/2016-2017/Catalog/Academic-Policies/Attendance-Regulations

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

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, 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 department chair 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 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.

 

Last day to withdraw from a course with a “W” is November 9^th. 

 

DISABILITY SERVICES (Office for Students with Disabilities)

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

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

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

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

 

COURSE TYPE: WECM Course

COUNSELING AND TESTING CENTER

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

 

SUPPORT SERVICES

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

 

 

 

STUDENT HANDBOOK

 

Students are expected to follow all rules and regulations found in the student handbook and published online.

http://nctc.smartcatalogiq.com/en/2016-2017/Catalog/North-Central-Texas-College-Student-Handbook

 

ACADEMIC DISHONESTY

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

http://nctc.smartcatalogiq.com/en/2016-2017/Catalog/North-Central-Texas-College-Student-Handbook/Section-II/Student-Rights-and-Responsibilities-Student-Conduct/Specific-Conduct-RegulationsRestrictions

 

See the ADN Student Handbook regarding specific policies regarding academic dishonesty. 

 

 

 

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

 

 

 

 

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

1. The staff nurse has the final responsibility for patient's care.
2. The clinical instructor or RN preceptor (instructor) has the final responsibility for student medication administration (supervision and delegation of experiences)
3. 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:

 

1. 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 flush with heparin.
2. Oral medications may be given with direct supervision of a staff nurse with approval of the Clinical Instructor.
3. Intramuscular, subcutaneous, or intradermal medications may be given with supervision of a staff nurse with approval of the Clinical Instructor.
4. 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.

 

 

1. 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.

 

 

1. IV's may be started with direct supervision of a staff nurse or the Clinical Instructor.

 

 

1.         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.

 

 

1. 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. All medications given by the student must be checked and co-signed by the primary nurse or instructor.

 

 

1. 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).

 

 

1.        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.

 

 

1.        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 in accordance with assigned facility's policies.        

 

                          

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

 

 

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

 

 

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.

 

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

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

 

• 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, e.g. (i) select technology, (ii) apply technology, and (iii) maintain and troubleshoot equipment.

 

QUESTIONS, CONCERNS, or COMPLAINTS

Name of Chair/Coordinator:	Dr. Jane Leach, PhD RN
Office Location:	2428-L
Telephone Number:	940-668-7731 Ext: 4371
E-mail Address:	jleach@nctc.edu
Name of Instructional Dean:	Dr. O. John Maduko, MD
Office Location:	2420-A
Telephone Number:	940-668-7731 Ext. 4322
E-mail Address:	omaduko@nctc.edu