NORTH CENTRAL TEXAS COLLEGE

COURSE SYLLABUS

COURSE AND INSTRUCTOR INFORMATION

Course title: Clinical Nursing II

Course prefix, number, and section number: RNSG 1462

Semester/Year of course: Fall 2022

Semester start and end dates: August 22, 2022 – December 11, 2022

Modality (Face to face/Synchronous or Asynchronous online/Hybrid): Face to Face

Class meeting location: North Texas Medical Center

Lab meeting location, days, and times: 0630 - 1830

Semester credit hours: 4, Contact hours 192

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.

Course prerequisites:

Anatomy and Physiology, I

Math Statistics

Anatomy & Physiology II

Microbiology

RNSG1423

RNSG1261

RNSG1300

RNSG1219

Concurrent with: RNSG 2404

The student must have completed or be currently enrolled in ENG1301

Required course materials:

All ATI Resources                                                                                                   

Workman, D.I.M. L. (2021). Medical-Surgical Nursing (10th Edition). Elsevier Health Sciences (US).

Perry, E., (2018). Maternal Child Nursing Care (6th Edition). Elsevier Health Sciences (US).  

Textbooks used in the previous semester.

Access: Texas Nursing Practice Act www.bon.state.tx.us                   

Name of instructors and email addresses:  USE CANVAS FOR CORRESPONDANCE

Shannon Krueger, BSN RN skrueger@nctc.edu 

Linda Wilson, MSN RN lmwilson@nctc.edu

Jennifer Bumpus, MSN, RN jbumpus@nctc.edu

Cindy Lutkenhaus, MSN, RNC-OB calutkenhaus@nctc.edu

Office hours for students: See Canvas for specific office hours for instructors.

SYLLABUS CHANGE DISCLAIMER

The faculty member reserves the right to make changes to this published syllabus if it is in the best interest of the educational development of this class. Any such changes will be announced as soon as possible in person and/or in writing.

SUMMARY OF COURSE ASSIGNMENTS

List of graded assignments:

Mid-term and Final Evaluation                      50%

Assignments                                                      30%

Performance Evaluation                                  20%

Final grade scale: 

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

Late work policy:  All 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 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. Please note that the EHR tutor is set on Eastern Time.  All assignments must be completed and submitted in order to pass the course.

Assignment Details:

Math Competency:  Dosage calculation modules are available on your ATI account.  Clinical Nursing II students are required to take a dosage and calculation test prior to going to the clinical site.   The student will have three opportunities to pass the test with a minimum score of 100%. The math exam will consist of 10 questions, and the student will be allowed 50 minutes to complete the exam. If the student is unsuccessful on the first or second attempt, he/she will be required to seek remedial math instruction with the NCTC math lab and retake the math test within two weeks after the first math exam. Failure to pass the third math test with a minimum score of 100% will result in a clinical failure. If a student misses the math exam, that missed exam will be considered a failed attempt.

Swift River Assignments Swift River is a virtual hospital designed to help students master their skills of Prioritization, Delegation, and Sequential thinking.  During the course of the semester, each student will be assigned weekly homework that will go towards clinical hours.  Homework will consist of multiple assignments in Swift River.  Each assignment has a designated level of achievement (percentage).  Students will be allowed multiple attempts to achieve the level of achievement.  Completion of the assigned activities at the level of achievement by the due date will earn the student 100%.  Failure to reach the level of achievement by the due date will result in a zero for that clinical assignment.

Patient Documentation: When in the hospital setting, each student will fill out an EHR DOCUMENTATION SHEET for 4 patients they have cared for during their clinical rotation.  These patients MUST be med-surg or ICU patients (Students may not complete these assignments on ED, Women’s Services, or patients in the OR or Outpatient Services).  The assessment and patient care data will be documented in EHR Tutor and submitted on four of the patients cared for this semester.  Your clinical instructor will give you a course ID for your clinical EHR tutor course. EHR tutor assignments will be graded by the clinical instructor (see rubric in appendices). Failure to complete assigned EHR tutor documentation by the due date as per the clinical instructor will result in a zero on that assignment.

Care Plans: Each student will complete five patient care plans in EHR Tutor.  The patient’s information, assessment, labs, medications, etc., will be found in the patient chart in EHR Tutor. Nursing diagnoses are found in the Workman, D.I.M. L. (2021). Medical-Surgical Nursing (10th Edition) or Taber’s Cyclopedic Medical Dictionary, which can be accessed online using this link https://fadavispt.mhmedical.com/content.aspx?bookid=2132§ionid=174001864.

Care plans must be completed by the due date in order to receive credit.  Failure to complete any care plan by the due date listed in the schedule will result in a zero on that assignment. 

Nursing Philosophy Paper: Each student will prepare a written statement of their personal nursing philosophy which will become part of their portfolio created throughout their nursing career at North Central Texas College.  The paper will be between 300 and 500 words.  This nursing philosophy will encompass personal values and beliefs about nursing.  No two nurses are alike, and philosophy is unique and will grow over time and/or possibly change with time.  The philosophy should also include your core belief statement about treating human responses to illness.

Performance Evaluation is a timed 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.  Students will have 30 minutes to complete this portion.  Each student will be required to check-off on a randomly chosen nursing skill as part of the performance evaluation.  Students will have 30 minutes to complete this portion.  The score you receive on the first attempt is the final score.  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. 

Portfolios:  The student must have a portfolio consisting of all the evaluation forms, clinical competency forms, patient care, and documentation 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. 

SEE CANVAS FOR THE COMPLETE COURSE CALENDAR, OUTLINE, DETAILED DESCRIPTION OF GRADED WORK, AND OTHER RELATED MATERIAL.

COURSE POLICIES

Academic Integrity Policy: Academic Integrity Policy: 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.

https://static1.squarespace.com/static/614c902fc51db9497369d823/t/62ec1bb66c5ffd1c88883576/1659640765265/2223+student-handbook-22.07.21.pdf

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

https://nctc.instructure.com/courses/4634/files/6828595?wrap=1

Attendance Policy: Regular and punctual attendance is expected of all students in all classes for which they have registered.  All absences are unauthorized unless the student is absent due to illness or emergencies as determined by the instructor.  It is the student's responsibility to provide documentation as to the emergency for approval and judgment 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.  Students 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)

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

See the ADN Student Handbook regarding specific attendance policies for class and clinical.

Withdrawal Policy

A student may withdraw from a course on or after the official date of record. It is the student’s responsibility to initiate and complete a Withdrawal Request Form.

The last day to withdraw from the course with a “W” is: October 31^st

Rubrics – All grading rubrics and evaluation tools are available on Canvas

Student Learning Outcomes:

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

I. Member of the Profession: Provide nursing care within the parameters of professional nursing knowledge, the scope of practice, education, experience, and ethical/legal standards of care.

II. Provider of Patient-Centered Care: Proactively manage priorities in patient care and follow-up on clinical problems that warrant investigation with consideration of anticipated risks.

III. Patient Safety Advocate: Safely administer medications and treatments. Recognize and report unsafe practices.

IV. Member of the Health Care Team: Assist patients and their families to communicate needs to their support systems and to other health care professionals.

COLLEGE POLICIES

STUDENT HANDBOOK

Students are expected to follow all rules and regulations found in the Student Handbook.

ADA STATEMENT

NCTC will adhere to all applicable federal, state, and local laws, regulations and guidelines with respect to providing reasonable accommodations to afford equal educational opportunity. It is the student’s responsibility to contact the Office for Students with Disabilities to arrange appropriate accommodations.  See the OSD Syllabus Addendum.

STUDENT SERVICES

NCTC provides a multitude of services and resources to support students.  See the Student Services Syllabus Addendum for a listing of those departments and links to their sites.

QUESTIONS, CONCERNS, or COMPLAINTS