NORTH CENTRAL TEXAS COLLEGE COURSE SYLLABUS Course Title: Integrated Care of the Patient with Complex Health Care Needs Course Prefix & Number:  RNSG 2414 Section Number: 100 Semester/Year: Fall 2021 Semester Credit Hours: 4 Lecture Hours: 64 Lab Hours: 0 Course Description (NCTC Catalog): Application of a systematic problem-solving process, critical thinking skills and concepts to provide comprehensive nursing care to patients and families across the lifespan with complex health care needs including, but not limited to, complex childhood/adolescent diseases, complicated perinatal care, acute mental illness, complex perioperative care, serious adult health problems and health issues related to aging. Emphasis on tertiary disease prevention, health maintenance/restoration and collaboration with members of the interdisciplinary health care team. Content includes the roles of the professional nurse and applicable competencies in knowledge, judgment, skills, and professional values within a legal/ethical framework. This course lends itself to an integrated approach.      This course builds on previously taught content; thus, the student is expected to have knowledge of skills and content presented in previous courses. Each instructor has established office hours that are posted in the syllabus to assist the student in learning. For students in this course who may have a criminal background, please be advised that the background could keep you from being licensed by the State of Texas.  If you have a question about your background and licensure, please speak with your faculty member or the department chair. You also have the right to request a criminal history evaluation letter from the applicable licensing agency. The Texas Board of Nursing no longer has continuous access to your criminal background information. For this reason, if any criminal behavior occurs after entry into the nursing program, you must file a declaratory order (DO) petition immediately with the Board of Nursing and not wait until prior to graduation. Failure to immediately disclose any new criminal behavior could jeopardize your eligibility to take the NCLEX-RN Exam. The Declatory Order (considered part of the syllabus and listed under tool/rubrics in canvas) is a document that you are to read and verify that you understand your responsibility about its contents. A canvas quiz question will legally verify the above statement. Course Prerequisite(s): 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 RNSG2404 Concurrent with Clinical Nursing III Required or Recommended Course Materials: All ATI Resources & EHR Tutor Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., &Camera, I. (2017). Medical-surgical Nursing: Assessment and Management of Clinical Problems, (10th Ed.). St. Louis, Missouri: Elsevier. Textbooks used in previous semester. Access: Texas Nursing Practice Act  www.bon.state.tx.us

 

 

 

 

 

 

 

INSTRUCTOR INFORMATION

Name of Instructor:	Taryn Ogle, MSN, RN
Campus/Office Location:	HSC Gainesville Campus: 2428-N
Telephone Number:	940-668-7731 Ext. 4919
E-mail Address:	tlogle@nctc.edu

 

OFFICE HOURS:

Monday	Tuesday	Wednesday	Thursday	Friday
Level III Clinical Wise Health System 0630-1830	Office Hours 0800-1600	0900-1300 RNSG 2414 Lecture   Office Hours 1400-1530	Office Hours 0800-1530	Office Hours 0800-1200

 

Note: E-mails or other communication efforts sent to the course instructor after 5 p.m. Monday-Thursday may not be answered until the following day during the instructor’s posted office hours. E-mails sent after 12 p.m. on Friday-Sunday may not be answered until Monday morning, as indicated by the instructors posted office hours and according to NCTC hours of operation. 

 

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:

Formulate a teaching plan for a patient and family to promote health maintenance/health restoration Utilize critical thinking skills to make safe and ethical clinical decisions; Use a systematic problem-solving process Implement a plan of care for patients and families with complex health care needs across the lifespan Apply the Nursing Practice Act in relation to patients experiencing complex health care needs Apply therapeutic communication skills with patients and families Recognize situations requiring advocacy for patients and families Articulate the requirements for professional development Collaborate in interdisciplinary planning.

 

GRADING CRITERIA

 

# of Graded Course Elements	Graded Course Elements	Percentage or Point Values
6	Unit Exams (6 total unit exams)	60%
6	Unit Discussion Board Assignments	5%
6	Pharmacology Made Easy Quizzes	10%
2	ATI Proctored Assessments: ATI Nursing Care of Children Proctored Exam & Remediation ATI RN Adult-Med-Surg Proctored Exam & Remediation	10% (5% for each)
1	Comprehensive Final Exam	15%

 

Grading for the course will follow the nursing policy for grading and evaluation. In order to pass this course the student must achieve an average of 75 or higher. There will be NO rounding up of grades.

 

Numerical Grade	Letter Grade
90-100	A
81-89	B
75-80	C
66-74	D
65 and below	F

COURSE SUBJECT OUTLINE and TENTATIVE CALENDAR

DATE	READING	TOPIC	ASSIGNMENTS & ACTIVITIES
	UNIT 1	Gas Exchange/Oxygenation
Week 1 Aug. 25	Ch. 26 p. 485-490   Ch. 28 p. 557-576   Ch. 27   Ch. 65 p. 1569-1573	Tracheostomy Care & Sterile Suctioning   Obstructive Pulmonary Diseases: COPD (Chronic Bronchitis & Emphysema)     Tuberculosis     Artificial Airways	ATI Pharmacology Made Easy:  The Respiratory System Drug Therapy for Airflow Disorders   The Hematologic System Drug Therapy to Treat and Prevent Thrombi
Week 2 Sept. 1	Ch. 27 p. 506-512; 519-533	Chest Trauma: Pneumothorax, Hemothorax, Tension Pneumothorax, Flail Chest, Rib Fractures Chest Tubes & Pleural Drainage Pleural Effusion, Pulmonary Fibrosis, Pulmonary Edema, Pulmonary Embolism	Pharmacology Made Easy Quiz 1   Due Sept. 5th at 11:59 p.m. Unit 1 Discussion Board ATI Quiz: Targeted Medical-Surgical 2019: Respiratory   ATI Nursing Care of Children Practice A Remediation Due: Sept. 1 at 11:59 p.m.
	Sept. 8	Unit 1 Exam
	UNIT 2	Perfusion
Week 3 Sept. 8	Ch. 35 p. 757-779	Dysrhythmias Atrial Fibrillation, Atrial Fibrillation with Rapid Ventricular Rate, Ventricular Fibrillation, Ventricular Tachycardia, Junctional Rhythm, Supraventricular Tachycardia, Premature Ventricular Contractions, Premature Atrial Contractions. Asystole, Pulseless Electrical Activity, Heart Blocks Defibrillation, Synchronized Cardioversion, Pacemakers	ATI Pharmacology Made Easy: The Cardiovascular System Drug Therapy for Heart Failure Drug Therapy for Coronary Heart Disease Drug Therapy for Dysrhythmias   The Hematologic System Drug Therapy to Treat and Prevent Thrombi
Week 4 Sept. 15	Ch. 32 p.698-700 Ch. 33 p. 702-736	Hypertensive Crisis   Coronary Artery Disease and Acute Coronary Syndrome: Chronic Stable Angina, Acute Coronary Syndrome, Unstable Angina, Myocardial Infarction: STEMI/Non-STEMI Cardiac revascularization & Fibrinolytic therapy	ATI Nursing Care of Children Practice B Remediation Due: Sept. 15 at 11:59 p.m.
Week 5 Sept 22           ******	Ch. 34 p. 737-756   Ch. 36 p. 780-801     ATI	Heart Failure   Inflammatory and Structural Heart Disorders: Endocarditis, Pericarditis, Myocarditis, Rheumatic Heart Disease     NURSING CARE OF CHILDREN PROCTORED	Pharmacology Made Easy Quiz 2   Due  Sept. 27 at 11:59 p.m. Unit 2 Discussion Board ATI Quiz: Targeted Med-Surg 2019: Cardiovascular   EXAM TODAY – at 12 p.m
	Sept. 29	Unit 2 Exam
	UNIT 3	Metabolism: GI
Week 6 Sept 29	Ch. 41 p. 893-928   Ch. 42 p. 929-973	Upper GI Problems: Achalasia & Upper GI Bleed   Lower GI Problems:  Inflammatory Bowel Disease (IBD): Ulcerative Colitis & Crohn’s Disease Periotonitis, Intestinal Obstruction, Colectomy & Colostomy Care, Diverticulitis, Stomatitis Hernias: Inguinal, Umbilical, Incisional, Femoral	Pharmacology Made Easy: The GI System Drug therapy for Irritable Bowel Syndrome: Drug Therapy for Inflammatory Bowel Disease:
Week 7 Oct. 6	Ch. 43 p. 974-1013	Liver, Pancreas, and Biliary Tract Problems: Hepatitis & Jaundice, Pancreatitis, Cholecystitis, Cholelithiasis, Cholecystectomy, Cholangitis	Pharmacology Made Easy Quiz 3 TODAY   ATI Nursing Care of Children Proctored Exam Remediation Due Oct. 6 at 11:59 p.m.   Due Oct 11 at 11:59 p.m. Unit 3 Discussion ATI Quiz: Targeted Medical-Surgical 2019: Gastrointestinal
	Oct 13	Unit 3 Exam –
	UNIT 4	Cognitive, Perceptual, Intracranial Regulation
Week 8 Oct. 13	Ch. 56 p. 1314-1344	Acute Intracranial Problems Emergency/critical care assessment for neurologic trauma, pharmocotherapeutics and/or complications   Head trauma/closed head injury, Increased intracranial pressure & Cushing’s Triad, Craniotomy, Cerebral aneurysms, Encephalitis	Pharmacology Made Easy: The Hematologic System Drug Therapy to Treat and Prevent Thrombi
Week 9 Oct. 20	Ch. 57 p. 1345-1367   Ch. 58 Pg. 1393 - 1394   Ch.60 p.1419-1445   Ch. 63 Pg. 1501-1502	Stroke: Ischemia and Hemorrhagic     Chronic Neurologic Problems: Myasthenia Gravis   Spinal Cord and Peripheral Nerve Problems: Spinal Cord Injury, Guillian-Barre Syndrome, Botulism, Tetanus   Musculoskeletal Problems:   Muscular Dystrophy Laminectomy	Pharmacology Made Easy Quiz 4 TODAY     Due Oct. 25th at 11:59 p.m. Unit 4 Discussion ATI Quiz: Targeted Medical-Surgical 2019: Neurosensory and Musculoskeletal   ATI: RN Adult Med-Surg Practice A Remediation Due Oct. 20 at 11:59 p.m.
	Oct. 27	Unit 4 Exam
	UNIT 5	Immunity & Cellular Regulation
Week 10 Oct. 27	Lewis Ch. 13 p.191-212     Ch. 64 p.1538-1542   Ch. 14 p. 213-233	Altered Immune Responses and Transplantation Type 3 Hypersensitivities: Auto-immune & Type 4 Hypersensitivities: Cell-mediated   Systemic Lupus Erythematosus     Infection and Human Immunodeficiency Virus Infection (HIV)	Pharmacology Made Easy: The Immune System Drug therapy for HIV Drug therapy for Cancer The Hematologic System:  Drug therapy that supports hematopoiesis
Week 11 Nov. 3   Last day to withdrawal with “W” Nov. 1st	Ch. 30 p. 620-647         Ch. 15 p.235-269	Hematologic Problems: Thrombocytopenia, Polycythemia, Hemophilia, Leukemia, Lymphoma: Hodgkins and Non-Hodgkins, Multiple Myeloma   Cancer Staging and Grading, Chemotherapy, Radiation Therapy, Bone Marrow Transplantation/Aspiration	Pharmacology Made Easy Quiz 5 TODAY   ATI: RN Adult Med-Surg Practice B Remediation Due Nov. 3 at 11:59 p.m.   Due Nov 8 at 11:59 p.m. Unit 5 Discussion Board ATI Quiz: Targeted Medical-Surgical 2019: Immune
	Nov. 10	Unit 5 Exam
	Unit 6	Metabolism: Endocrine & Renal
Week 12 Nov. 10	Ch. 45 Pg. 1050-1051     Ch 45 Pg. 1051-1052   Ch. 46 Pg. 1069 – 109	Renal Vascular Diseases Nephrosclerosis, Renal Artery Stenosis, Renal Vein Thrombosis   Hereditary Kidney Diseases: Polycystic Kidney Disease   Acute Kidney Injury and Chronic Kidney Failure	Pharmacology Made Easy: The cardiovascular system Loop Diuretics   The Endocrine System Drug therapy for Thyroid Disorders Drug therapy for hypothalamic disorders Drug therapy for adrenal disorders
Week 13 Nov. 17                         ********	Ch. 49 Pg. 1162-1183         Ch. 49 Pg. 1162-1183         ATI	Endocrine Problems Thyroid Disorders: Hypo/Hyperthyroidism, Myxedema Coma/Thyroid storm, Thyroiditis, Thyroid Nodules, Thyroidectomy   Parathyroid Disorders:   Hypo/Hyperparathyroidism, Parathyroidectomy, Hypo/Hypercalcemia, Transsphenoidal Hypophysectomy, Hypopituitarism, Addison’s Disease, Cushing’s Disease, Pheochromocytoma, Adrenal Crisis   RN: ADULT MED-SURG PROCTORED	Pharmacology Made Easy Quiz 6 TODAY   Due Nov. 29th at 11:59 p.m. Unit 6 Discussion ATI Quiz: Targeted Medical-Surgical 2019: Endocrine ATI Quiz: Targeted Medical-Surgical 2019: Renal and Urinary         EXAM TODAY at 12 p.m.
Week 14		Thanksgiving Break Nov. 24-26
Week 15	Dec. 1	Unit 6 Exam	MAKE UP EXAMS: 1 p.m   ATI RN: Adult Med-Surg Proctored Exam Remediation due Today
Week 16	Dec 8	**COMPREHENSIVE FINAL EXAM**	9 a.m.

 

 

 

 

 

Testing Policy – All Unit Exams taken ON CAMPUS have a time limit of 1.5 minutes/question.

1. All students are expected to test on the assigned date and time. To prevent disruption of student testing, any student who is tardy will not be admitted to the computer lab after testing has begun. No cell phones will be allowed.  All cell phones must be placed in a designated place prior to testing. Students may not have cell phones between individual and cooperative exams.
2. Any student who is absent or misses any exam due to tardiness may be given an essay/short answer examination at the faculty’s discretion.
3. All missed examinations must be made up on the prescheduled make up exam date in the computer lab. Missed make-up exams will not be rescheduled.
4. The student is responsible to notify the faculty of any absence on exam days. It is the student’s responsibility to initiate a discussion with the faculty the reason for missing an exam and to schedule a make-up examination.  A student may only miss one exam due to an emergency or serious illness.  If more than one exam is missed the student has to make an appointment to meet with the program coordinator.
5. All personal belongings are to be stowed while testing is conducted.
6. Cell phones and all electronic devices are to be turned off during testing. All electronics should be stowed with personal belongings. This includes, but is not limited to, cell phones, tablets, and smart watches.
7. Examination scores will not be released until the cooperative review is complete.
8. After taking an examination, students wishing to review the exam or the exam grade may do so by making an appointment with the instructor within two weeks after the exam is taken. After two weeks, no further review of exam grades or questions will be conducted.

Testing Policy for Online Testing: (All unit exams have a time limit of one minute per question)

 

1. All students are required to test on the assigned date and time.
2. The student is responsible for initiating communication with the instructor regarding extenuating circumstances affecting participation in the course or testing. All absences must be approved by the instructor prior to the exam, and documentation from appropriate entity emailed to instructor. Example: forgetting to set the alarm and be on time for online testing is not an approved absence and failure to appear for testing in this case would result in a zero on the exam.
3. Final exam grades will be placed in the gradebook after review is complete.
4. After taking an exam, students wishing to review the exam or exam grade may do so by making an appointment between 48 hours and 2 weeks after exam. After 2 weeks no further review of exams or grades will be conducted. The exam review is in the form of a strengths/opportunities report that coincides with the test blueprint posted with each unit in canvas. There is NO review of missed exam questions immediately following the exam.
5. While technology difficulties may develop requiring a call to technical support, students SHALL BE RESPONSIBLE for having the username and password for their ATI and/or Exemplify accounts.  Should the instructor have to attain this information, the students will have an automatic 2-point deduction from the test grade.
6. Students testing in EXAMPLIFY shall use calculators provided by the EXAMPLIFY program.
7. The online tests given in EXAMPLIFY will be set to download between 6pm the night before the exam and close for download 5 minutes past the exam start time on the day of the exam. Students are responsible for ensuring they avoid unnecessary technical difficulties and download the exam during this time. The password will be emailed to the class 5 minutes before exam start time, and students shall be ready by pulling up EXAMPLIFY and logging in to be ready to start the exam on time.
8. Consideration for adjustment of test questions is at the discretion of the instructor after item analysis has been completed.
9. Students may miss only ONE unit exam per semester due to an emergency or serious illness. Students must present documentation from appropriate entity regarding the reason for absence from an exam. Make up examinations will be given at a date and time selected by the instructor, missed make up exams result in the student receiving a zero for the exam Make up examinations may be a combination of multiple choice, fill in the blank, true-false, essay, short answer, or matching.
10. The final examination is comprehensive and must be taken on the designated date and time. There is no make-up exam for the final examination. 
11. The student IS NOT ALLOWED to use their books or notes to complete the unit exams.

 

This disclaimer will appear prior to each examination:

 

 As a student nurse and a member of the professional nursing community, I understand that it is my responsibility to demonstrate honesty, integrity, high ethical standards, and to behave in a manner consistent with that of a professional nurse. I acknowledge that as a student in a program of preparation for professional nursing practice, I am expected that I take full responsibility for my actions. I will support the highest academic standards and I will not intentionally or knowingly engage in any activities that support academic dishonesty.  I will neither give nor receive unauthorized help on any examination.  I will not seek assistance when answering questions on an online exam, when such action has been strictly prohibited.

 

I will not store, receive, and or access course materials (lecture note, textbooks, or learning aids) on a cellular device, computer or other electronic device without instructor authorization. During online testing, I will not provide/accept online test code when not in class. I will not use the Internet to search for answers during an exam. I understand that test question are confidential and I will not take pictures of any test question and I will not record test questions or answers during the exam.

 

I also understand it is my responsibility to report any knowledge or observation of others giving or receiving help.  I am aware that any violation of academic honesty may lead to lead to actions up to and including dismissal from the nursing program. Continuing with the exam indicates that I acknowledge the above and agree to abide by the statements contained within.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Discussion Board Assignments

During this course, the students will have discussion board assignments as according to the content being presented. Discussion board participation is crucial to your learning an success in this course. These assignments are worth 5% of the didactic grade, and are designed to help the student think critically, and professionally and learn to communicate professionally in written format.  

 

NCTC Discussion Board Rubric: Complex Care Fall 2021

Criteria	Rating	Points Possible	Points Earned
Patient Centered Care Discuss and apply relevant, current nursing practice utilizing journal articles and evidence based outcomes from research findings to practice and clinical decisions. At least 1 reference is required in the initial post, and at least one reference is required in one of your peer responses.	Excellent = 25 points Good = 22 points Satisfactory = 20 points Fair = 18 points Marginal = 15 points	25
Member of the Profession Apply skills and concepts to actual situations in collaboration with the interdisciplinary health care team to implement quality patient care. Build on ideas of others or ideas found in reading by adding details, a different viewpoint, or other relevant information.	Excellent = 25 points Good = 22 points Satisfactory = 20 points Fair = 18 points Marginal = 15 points	25
Patient Safety Advocate Apply principles or concepts to actual situations and discuss the implications of theory or practice. Assess potential risk for patient harm related to accidents and implement measures to prevent risk of patient harm resulting from errors and preventable occurrences. Evaluate the accuracy, reasonableness, or quality of ideas or care administered by the interdisciplinary health care team.	Excellent = 25 points Good = 22 points Satisfactory = 20 points Fair = 18 points Marginal = 15 points	25
Member of the Health Care Team Reflect on the insights of what something means or new insights it provides, or raise a question as a seed for clarification or further discussion. Integrate multiple views to provide a summary, or new perspective on ideas or aspects of care.	Excellent = 25 points Good = 22 points Satisfactory = 20 points Fair = 18 points Marginal = 15 points	25

 

In order to receive full credit for each module/unit discussion, you must contribute one initial substantiative post and a minimum of 2 substantive replies to classmates. In addition, at least one reference must be included in your initial post and at least one reference in one of the peer replies is required.

 

The assignments and presentations are expected to reflect level 3 knowledge of the nursing process and development of plan of care. In addition, the student is expected to synthesize knowledge learned from other levels in the program and add new content to reflect their readiness to care for patients in the work place.

A substantive post is thoughtful, and includes reflection, elaboration, analysis, application, synthesis and/or evaluation. In your initial post you must also provide personal insights which includes:

• How this information impacts your role as a nurse and
• How it can be applied to your nursing practice

Refer to the Discussion Board grading rubric. Late or missing discussion board posts will result in a zero.  

 

 

 

 

ATI Pharmacology Made Easy Quizzes

1. Individual ATI Pharmacology Made Easy Quizzes quizzes will be given as scheduled.
2. Quizzes will be administered via ATI
3. Prior to the quiz, the student is expected to review the instructor-provided list of medications according to the current unit content, and review those selected medications on ATI Pharmacology Made Easy
4. Quizzes will consist of 10 questions with 1 minute per question.
5. After taking a quiz, students wishing to review the quiz or the quiz grade may do so by making an appointment with the instructor within 1 week after the quiz is taken. After one week, no further review of exam grades or questions will be conducted.

ATI Targeted Med/Surg Practice Quizzes:

You are assigned targeted med-surg practice quizzes located under the test tab on your ATI Dashboard.  You may take these quizzes as many times as you would like in order to achieve 100%.  If you did not make 100% on your first attempt you will go to your results tab and look at the topics for review for the quiz.  You can look up those concepts in order to remediate prior to taking the quiz a second time.  The quiz will not open until 2 hours has elapsed in order for you to have time to remediate.

When/if the student completes the assigned quizzes before/on the preselected due date, the student will receive 2 bonus points per quiz on the same-topic Unit Exam Grade. Bonus points will only be awarded if the student passes the exam with a grade of 75 or above and with the Targeted Medical-Surgical Quiz grade of 100%.

 

ATI Proctored Assessments

 

ADULT MED/SURG

This 100-item exam offers an assessment of basic comprehension and mastery of adult medical-surgical nursing principles that relate to the care of clients who have respiratory, cardiovascular, hematologic, fluid and electrolyte, renal and urinary, endocrine, gastrointestinal, integumentary, neurosensory, musculoskeletal, lymph, immune, infectious, and integumentary disorders.

This test also assesses:

• Use of the nursing process
• Communication skills
• Client education principles
• Cultural competence
• Knowledge that relates pharmacology and nutrition
• Principles of holistic health care, health promotion, and disease prevention

You have 100 minutes to complete the assessment.

 

NURSING CARE OF CHILDREN

This 70-item exam offers an assessment of basic comprehension and mastery of nursing care of children nursing principles including: Perspectives and special considerations (family-centered nursing care, cultural awareness, physical assessment, expected growth and development, nutritional needs, implications for safe administration of medications, hospitalization, pain management, death and dying)

• Care of children who have body system disorders
• Pediatric emergencies
• Psychosocial issues

You have 70 minutes to complete the assessment.

 

ATI Proctored Assessment Rubric
Practice Assessment 4 points
Complete Practice Assessment A Minimum 1-hour Focused Review on initial attempt. For each topic missed, complete an active learning template and/or identify three critical points to remember**.		Complete Practice Assessment B Minimum 1-hour Focused Review on initial attempt. For each topic missed, complete an active learning template and/or identify three critical points to remember.
Proctored Assessments
Nursing Care of Children (60 items) 53.3% – 63.3.7%- Level 1 65% – 76.7% - Level 2 78.3% – 100.0% - Level 3		Adult Medical Surgical (90 items) 56.7% – 67.8% Level 1 68.9% – 80.0% Level 2 81.1% – 100.0% Level 3
Level 3 Remediation = 2 points Minimum 1-hour focused review For each topic missed, complete an active learning template and/or identify three critical points to remember.	Level 2 Remediation = 2 points Minimum 2-hour focused review For each topic missed, complete an active learning template and/or identify three critical points to remember.	Level 1 Remediation = 2 points Minimum 3-hour focused review For each topic missed, complete an active learning template and/or identify three critical points to remember.	Below level 1 Remediation = 2 points Minimum 4-hour focused review For each topic missed, complete an active learning template and/or identify three critical points to remember.
10/10 points	9/10 points	7/10 points	6/10 points

 

LEVEL 1

Scores meeting the Proficiency Level 1 standard can be considered to meet the absolute minimum expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as likely to just meet NCLEX-RN® standards in this content area. ATI advises these students to develop and complete a rigorous plan of focused review in order to achieve a firmer grasp of this content.

 

LEVEL 2

Scores meeting the Proficiency Level 2 standard can be considered to exceed minimum expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as fairly certain to meet NCLEX-RN standards in this content area. ATI advises these students to engage in continuous focused review in order to improve their knowledge of this content.

 

LEVEL 3

Scores meeting the Proficiency Level 3 standard can be considered to exceed most expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as likely to exceed NCLEX-RN standards in this content area. ATI advises these students to engage in continuous focused review to maintain and improve their knowledge of this content

 

 

 

 

 

 

 

 

 

ATI Practice/Proctored Remediation

** How to complete three critical points for remediation:

Take the Practice Assessment.  After completion print your Assessment Report.  Find “Topics to Review” on your report.

Review each missed item, following the links given to your ATI Review Modules (books). You can also access the ATI books online by creating a Focused Review. This will open the book to the chapter where you’ll review the missed content. It’s a quick way to speed things up. View the short videos on the Focused Review to learn how this topic fits into the NCLEX test plan, nursing process, or QSEN competencies for expanded knowledge.

Reflect on what you’ve read about the missed topic. Use your textbook and class notes to look up missed items to gain more in-depth information about the topic. Decide upon the three most important things to know about that topic. Legibly HAND-WRITE these three important points to remember in a bulleted form, just like you’ll see in the ATI books. Keep it short, simple, and focused on just that missed item. Legibly HAND-WRITE your bullet points for each missed item in a composition notebook, noting the NCLEX Category of Client Need for each item missed. This is how you will be tested for NCLEX—according to the Test Blueprint detailing content in each Category. Start learning in that framework, as well—connecting the content to its NCLEX Category.

METHODS OF INSTRUCTION

This course may be taught utilizing various teaching methods, including but not limited to power points, videos, in-class lectures, case studies, group discussion, role-playing, simulations, and demonstration with return demonstration. The learning environment is structured and planned by the instructor using interactive/cooperative learning methods to help the student learn by collaborating with the instructor and the peer group.  Methods that may be utilized include lecture, case studies, group discussion, and the use of swift river software. 

This course will use Canvas (a program accessed over the Internet) as part of the teaching methodology.  Class announcements, assignments, class discussion threads, supplemental materials, and some audiovisuals may be available to the student only by using Canvas. Students who do not have home access to a computer with the minimum system requirements to run this program or do not have Internet access at home should contact the college testing center or division chair of the ADN program for assistance. Chrome Book computers are not compatible with ExamSoft (the software used for testing in the ADN program) and students should contact the individuals listed above for assistance if they are unable to borrow or obtain a personal computer. The student, as an adult learner, is expected to utilize the various instructional resources available to clarify areas in which the student lacks understanding of required nursing content.

Additionally, audiovisual aids, articles, and videos may be presented in class or assigned for review outside of the structured class time.  The content from these resources may be included on tests.

The student, as an adult learner, is expected to utilize the various instructional resources available to clarify areas in which the student lacks understanding of required nursing content. 

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)

Last day to withdraw from a course with a “W” is November 1^st.

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.

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

NCTC STUDENT SERVICES AND RESOURCES

• Frequently Asked Questions-all you need to know as a new or continuing student
• Student Services page-all the offices and contact information you need!

• Advising FAQ's-all majors and programs!

• Meet Your Advisor/Coach
• Degree Plans and Online Registration
• Career Services and Completion Center
• Course Combination/Credit Hour Maximization Matrix
• Lion365 Year-Round Registration!
• Post-Registration Checklist
• Navigating Your First Year at NCTC

• Affinity Groups and Student Life & Organizations 
• Awareness, Community Resources, and Wellness
• CARES Team and Counseling Services

• Financial Aid and Scholarships 
• Equity, Diversity, and Inclusion
• Student Success/Tutoring, TRIO, and OSD (Disability Services)
• Testing Services
• QLess and Signing into Virtual Lines  
• Keep track of NCTC campus and COVID-related updates 

 

Affinity Groups

Staff and faculty representing the Employee Resource Groups (ERG’s), along with academic advisors, counselors and success coaches, serve as mentors for NCTC’s student-centered ​Affinity Groups​.

An ​Affinity Group​ is a population of students who have specific needs, barriers or systems they are needing to navigate not only within college, but within life. Providing mentorship, support and resources for identified Affinity Groups such as Black/African American students, veterans and active military, single parents, students with disabilities, adult learners, Latinx, LGBTQ+ and students who have experienced foster care and/or homelessness, enables us to make more impactful, meaningful connections with students who are in dire need of equity and understanding.

 

Career Services Center

In need of employment? NCTC Career Coaches meet one-on-one to provide training in writing resumes, job searches, interviewing, and more. The Skills to Succeed Academy is also a free interactive, online employability training program focused on building the skills and confidence you need to find the best career.

 

Completion Center

The Completion Center provides a variety of services for first-time in college students. These include academic success coaching, goal setting, course planning, student resources, career development, and job placement services for all new college students. Free online Success Seminars are also available through Student Lingo and new students will also enroll in a First Year Experience (NCTC 1001) course to get started on the right track!

 

Counseling and Advising

Academic Advisors and Counselors help students explore majors and programs offered, how to take the best combination of classes to meet your goals, assist with questions related to university transfer, and guide students towards academic and personal success, and more. At NCTC, you are assigned to a specific advisor or success coach based on your major or career interests. You can locate our advisors and their majors, along with contact information on the Meet Your Advisor page-and even schedule an appointment with them through their online calendar!

 

Early Alert and CARES

The NCTC Early Alert program assists students who are at risk of failing or withdrawing from a course. Faculty and staff may refer students through the Early Alert process at any point in the semester in an effort to provide appropriate intervention and access to support services. Examples of behaviors that could prompt an Early Alert referral could be missing assignments, failing tests, excessive absences, or personal circumstances impacting academic performance. A student submitted as an Early Alert will be contacted by an academic advisor or success coach through text, phone, and/or via their NCTC e-mail address to discuss any current challenges as well as helpful resources and success strategies-we want our students to finish strong and know that education is a partnership!

 

The NCTC CARES Team is concerned not only about our students' academic success, but also their emotional and physical well-being. As a student, you have the ability to report concerning behavior which could impact your own safety or the safety of another NCTC student, such as stalking, harassment, physical or emotional abuse, violent or threatening behavior, or self-harm. Visit the NCTC CARES site to also locate campus and community resources, or email counseling@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.

 

Equity, Diversity and Inclusion (EDI)

EDI partners with the entire campus community to create, maintain and demonstrate NCTC’s commitment to an equitable, diverse and inclusive learning environment where NCTC students succeed. NCTC defines equity as encompassing the practice of acknowledging individual differences and systemic disparities when developing new programs and resources for our campus community, which may sometimes challenge our own beliefs and assumptions, in order to ensure balanced educational opportunities toward completion. Everyone Included. Everyone Belongs. Everyone Valued. Everyone Inspired. 

 

Financial Aid

The Office of Financial Aid provides students with information and guidance with applying for eligible types of financial assistance, such as the FAFSA (Free Application for Federal Student Aid). Students who have any types of exemptions or tuition waivers will also work with the Financial Aid Office to have these funds applied to their accounts. Additionally, the Scholarship Office provides local scholarship opportunities through an online application process, and tips on how to secure other types of scholarship awards which can help finance educational goals.

 

Student Success Center

The Student Success Center is designed to help all students at NCTC develop tools to achieve their academic goals. The center links students to FREE tutoring, including a Writing Center, a Math Lab, and free online tutoring.  Student Success offers academic coaching, tutoring, including a Writing Center, and a Math Lab to 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 services.

 

 

Testing Services

The mission of NCTC Testing Services is to provide high-quality testing services that adhere to the professional standards and guidelines to meet the needs of students, faculty, and community members.

 

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

 

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

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

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

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

(b)     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. 

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

(2)     Workplace Competencies

(a)     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.

(b)     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 

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

(e)     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

 

 

 

COVID-19 SPECIFIC SYLLABI STATEMENTS FALL 2021

 

Syllabi statement regarding potential Conversion of Onsite Classes to Online/Remote Format: North Central Texas College students should be aware that in the event of a college closure due to COVID-19 or other health related crisis, onsite classes will be converted to an online/remote format. Students should plan ahead to ensure they have access to the computer equipment (either PC, MAC, or tablet), webcam, and internet connectivity to continue their classes in an online/remote format. Please read all your official North Central Texas College student emails as the transition from onsite to online/remote might require a reorganization in your personal situation. Students will be granted a 72-hour transition and grace period. Online classes will continue as scheduled without disruption. Wear a mask, stay safe, and contact your Instructor as the situation arises. These policies and procedures were updated on July 27, 2021 and are subject to change as conditions change.

 

Syllabi Statement Regarding Face Coverings: Per the North Central Texas College guidance on face coverings on campus, in the instructional setting, faculty and students are not required to wear face coverings, such as masks or face shields. In May, Texas Governor Gregg Abbott released an Executive Order prohibiting Government entities from mandating the use of masks. As a political subdivision of the State of Texas, NCTC will follow the Governor’s Executive Order for Government entities and effective immediately NCTC is no longer mandating the use of masks while on campus. This order does not mean that you cannot choose to wear a mask, rather it is no longer allowed to be mandated. These policies and procedures were updated on May 19, 2021 and are subject to change.

 

Return to Standard Attendance Protocol for Face-to-Face Meetings: In spring 2020, we faced an unprecedented situation in which all of us had to be flexible and make prudent decisions in the best interest of our families, our campus, and our community. In light of this, North Central Texas College is temporarily establishing the requirement that faculty keep records of student attendance for face-to-face course meetings as well as a documented seating chart. In addition, students who are sick or need to quarantine should not attend classes. Students will not be required to provide formal documentation from a health care provider and will not be penalized for COVID-19 related absences when proper notification to campus health officials is made in accordance with the guidelines stated below.

 

Faculty will:

 

• Notify students about important course information and delivery changes through Canvas and campus email.

 

Students should:

• Provide notification to campus officials if they have tested positive for COVID-19 or have to quarantine so we can confirm reported absence with instructors, monitor, and assist the campus community.
• Notify instructors in advance of the absence.
• Connect with that class through Webex if the class session is being transmitted in a hybrid fashion.
• Keep up with and/or make up missed classwork or assignments.
• Submit assignments digitally through Canvas or other means as announced by your instructor.
• Work with their instructors to reschedule exams, labs, and other critical academic activities described in the course syllabus.
• Check Canvas and campus email daily to receive important announcements pertaining to the course.

During the fall 2021 semester, faculty with face-to-face meetings will establish assigned seating/work stations to facilitate roll-taking, and, if necessary, contact tracing. Additionally, we ask all members of the College community to be attentive to their health, and safeguard others, by following the CDC’s guideline to “stay home when you are sick.” You should stay home if you have symptoms. More information on what to do if you are sick is available at the CDC’s website.

Additional NCTC information is available at http://www.nctc.edu/coronavirus/index.html

 

 

“Covid -19 statement: please be advised that NCTC may have to go fully online should the COVID situation worsen.”

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

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

 

QUESTIONS, CONCERNS, or COMPLAINTS

Name of Chair/Coordinator:	Diane Neu
Office Location:	2820-A
Telephone Number:	940-668-7731
E-mail Address:	dneu@nctc.edu
Name of Instructional Dean:	Brandon Hernandez, PhD
Office Location:	2420-A
Telephone Number:	940-668-7731 Ext. 4322
E-mail Address:	bhernandez@nctc.edu