NORTH CENTRAL TEXAS COLLEGE RNSG2461 COURSE SYLLABUS

 

Course Title:	RNSG2461 Clinical Nursing III
Course Prefix & Number:		RNSG2461	Section Number:		Semester/Year:	Fall 2020
Semester Credit Hours:		4	Lecture Hours:		Lab Hours:	192
Course Description (NCTC Catalog): 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 Prerequisite(s): ENGL1302 Composition II (or may be taken concurrently.)  All second semester Associate Degree Nursing courses are required to have been completed with a grade of "C" or better before a student may enroll in this course. Concurrent with: RNSG2461     Corequisites: RNSG 2414; RNSG1163
Required or Recommended Course Materials: Lewis, S., Dirksen, S., Heitkemper, M., Bucher, L., &Camera, I. (2013). Medical-surgical Nursing: Assessment and management of clinical problems, (9thed.). St. Louis, Missouri: Elsevier. Harding, M., Snyder, J. (2016). Critical Thinking Cases in Nursing. (6th Ed). St. Louis, Missouri: Elsevier. Lowdermilk, Perry, Cashion, & Alden, (2016). Maternity and Women’s Health Care 11th ed. St. Louis, MO: Elsevier  Sim Chart All ATI Resources Textbooks used in previous semester.   Access: Texas Nursing Practice Act  www.bon.state.tx.us   Drug handbook or app of choice, Lab & Diagnostics handbook or app of choice

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

INSTRUCTOR INFORMATION

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

 

Name of Instructor:	Gabriella Udabor
Campus/Office Location:	HSC Gainesville Campus 2428-
Telephone Number:	940-668-7731 Ext.
E-mail Address:	gudabor@nctc.edu

 

Name of Instructor:	Kristina Scurlock
Campus/Office Location:	HSC Gainesville Campus 2428-
Telephone Number:	940-668-7731 Ext.
E-mail Address:	kscurlock@nctc.edu

 

Name of Instructor:	Mira Brown
Campus/Office Location:	HSC Gainesville Campus 2428-
Telephone Number:	940-668-7731 Ext.
E-mail Address:	mjbrown@nctc.edu

 

Name of Instructor:	Cynthia Andrews
Campus/Office Location:	HSC Gainesville Campus 2428-
Telephone Number:	940-668-7731 Ext.
E-mail Address:	candrews@nctc.edu

 

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.

 

 

 

 

 

 

 

GRADING CRITERIA

 

Clinical Performance: is based on evaluation of student performance.  See mid-term and final evaluation tools under Rubrics in Canvas.

***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. 

 

Patient Documentation

Each student will fill out an EHR Tutor Clinical Patient and turn in complete with narrative documentation in the hospital setting.  Level III students will provide total patient care for three patients per day on the med-surg unit. When assigned to a specialty area each student will fill out a EHR Tutor Clinical Patient on one patient.  The assessment and patient care data will be documented in EHR Tutor and submitted on four of the patients cared for. This may be subject to change at the discretion of your clinical instructor.  Failure to complete EHR Tutor documentation as assigned will result in a 10 point deduction as per the clinical points tool. 

 

Virtual Clinical via Swift River

Students may be asked to complete clinical assignments via Swift River for completion of their clinical hours on clinical days specified by the clinical instructor. Swift River clinical modules will be set according to clinical instructors, and students are expected to complete the assigned weekly module as per the clinical instructor. Failure to complete the assigned Swift River modules with the assigned time and assessment scores will result in an absence for that clinical day and a 10 point deduction as per the clinical points tool

 

Performance Evaluation is an assessment of both cognitive and psychomotor skills. Students will report to the simulation lab at their scheduled time.  At that time, they will be assigned a role in the simulation (charge nurse, primary nurse or unsilenced assistive personnel).  Each student must know their role and ability to act within that role.  Delegation and prioritization will be evaluated as well as ability to communicate and perform skills. See performance evaluation tool under rubrics on canvas.

 

Assignments: All assignments listed in the syllabus as well as any additional 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. LATE ASSIGNMENT = 0

All assignments must be completed and submitted in order to pass the course.

 

Math Competency:  Dosage calculation modules are assigned and can be accessed through your ATI account.  Clinical Nursing III 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 math test with a minimum score of 100% on the third attempt will result in a clinical failure and dismissal from concurrent courses and the nursing program.

 

Student Portfolios:  The student must have a portfolio consisting of all remediation, documentation, 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.  Failure to have this portfolio at the clinical site will result in deduction from clinical points tool. 

 

 

 

	Graded Course Elements	Percentage or Point Values
	Clinical Performance	70%
		Point value per evaluation
1	Mid-term Evaluation	50
1	Final Evaluation	50
	Performance Evaluation	30%
1	Performance Evaluation	100

 

 

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.

 

COURSE SUBJECT OUTLINE (Major Assignments, Due Dates, and Grading Criteria)

Week 1: Aug. 24-28	Clinical Orientation- Course expectations, grading and schedules Hospital Orientation TBA:   ATI Math – Pediatric Medications ATI Math – Critical Care Medications ATI Math – Dosages by Weight Practice Math Exam Available in ATI Test Tab
Week 2: Aug. 31-Sept. 4
Week 3: Sept. 7-11	Clinical Math Exam: Friday, Sept. 11
Week 4: Sept. 14-18
Week 5: Sept. 21-25
Week 6: Sept. 28- Oct. 2
Week 7: Oct. 5-9	Simulation
Week 8: Oct. 12-16	MidTerm Evaluations
Week 9: Oct. 19-23
Week 10: Oct. 26-30
Week 11: Nov. 2-6	Last day to withdraw with a “W”
Week 12: Nov. 9-13
Week 13: Nov. 16-20	Performance Evaluations
Week 14: Nov. 23-27	Thanksgiving Week
Week 15: Nov. 30-Dec. 4	Final Evaluations
Week 16: Dec. 7-11	Finals Week

 

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

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)

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

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 . 

 

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

 

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

 

 

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.  The program helps students acclimate to college by providing free interactive online workshops. For more information, please visit your nearest Student Success Center.

 

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. http://www.nctc.edu/student-services/student-success/tutoring/index.html

First generation students can also participate in TRIO which offers specialized services.

http://www.nctc.edu/student-services/trio-student-support-services.html

 

Completion Center

The NCTC Completion Center is a comprehensive student engagement program that increases retention and completion rates of first-time, low income students. Services include:

Success coaching to address students’ academic and non-academic challenges and issues; Success Seminars, and a centralized career readiness and job placement program.

http://www.nctc.edu/student-services/completion-center/index.html

 

Career Services Center

The NCTC Career Services Center is the place you can go for educational and career planning. Services include: Career/Degree Exploration, Job Search Tools and Resources, Resume and Professional Portfolio Development, Interview Skills and Preparation. Our Career Advisors partner with you in making your educational journey an efficient process towards a rewarding career. http://www.nctc.edu/career-services/index.html

 

Counseling and Advising

Support Services, Counseling and Advising 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/counseling-advising/index.html 

 

Testing Service Center

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. http://www.nctc.edu/testing-center/index.html

 

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 (Campus Assessment Response Evaluation Services) Team is concerned not only about our students' academic success, but also their emotional and physical well-being. The CARES Team promotes a safe learning environment for students, faculty, and staff and is committed to taking a proactive approach in helping our students succeed by addressing the mental, emotional or psychological health and safety of the NCTC community. 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 to get in touch with a member of the CARES Team directly.  As always, if you feel there is an immediate threat to your own safety or welfare (or to another student), please call 911 immediately.

 

 

Financial Aid

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

 

Student Success

At NCTC, student success​ is progress towards collegiate goals, reached in an affordable and timely manner, under professional guidance, empowering students to serve skillfully in their chosen role within their community

 

Equity

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.

 

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.

 

 

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

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.

 

 

Please note: 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.

 

COVID-19 Addendum  

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

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

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Appendices

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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
Competency   Basic Care	Bathing/Oral Care/Hair care/Shave Bed making/Feeding/Weight

 

Mastery

Theory

 

DAILY PHYSICAL ASSESSMENT RECORD

Date (s) of Care _______________Room #_____________

Pt. Info:  Age__________ Gender____________ Ethnicity____________Allergies: ______________________

Medical Diagnoses: _____________________________________________________________________________

Pertinent Medical History________________________________________________________________________

Height: _______Weight: ______________ Code Status:_______Fall Risk:______

Time	Temp	Pulse	Resp.	BP	Pain Rating (0-10)	IV Location & Intact?	IV Fluid & Rate	O2 Device & √Setting	O2 Sat

 

Time	Intake				Output
	Oral	IV	IVPB	Blood	Urine	BM	Emesis	Drains
Totals

 

Labs/DX tests	Pt’s Value	Medication	Category	Nsg Considerations
Hgb Hct RBC HbA1C WBC Platelets Na++ K+ Phos. Glucose BUN Creatinine BNP TROPONIN Liver enzymes PT/INR PTT Albumin UA   Doppler CXR XRay CT EF% Other__________

Instructions: Complete the following assessment of your pt. using your observation, interviewing and physical assessment skills.

#1 Neuro/Level of Consciousness:  Oriented to person, place, time). Agitated, PERRLA, General observations (speech, eye contact, responds to commands).		#2 Respiratory: Character of respirations, regular, irregular, labored or unlabored. Chest symmetry. Breath sounds – describe anterior, posterior, lateral. Equal bilat? Any adventitious sounds? Type? Location – lobe. Cough present? Productive? Describe sputum. Reported/observed? O2 in use? Delivery device, Flow rate, humidified, suction, secretions – describe.
#3 Cardiovascular: Describe heart sounds (S1, S2). Regular or irregular? Murmur or additional sounds present?  Describe. Telemetry? Peripheral Vascular: Character of pulses? Name & evaluate all pulses assessed. Circulation – feet warm/cold? Numbness/tingling. Edema? Location? Grade? Color of nail beds? (finger/toe) Capillary refill?		#4 GI/Elimination: Describe abdomen: Contour round, flat, distended, soft, tender/ nontender?  Describe bowel sounds. Last BM? Describe characteristics if observed-color, consistency, amt.) Flatus? Nausea or vomiting?
#5 GU/Elimination: How is pt. voiding? (BRP, bedpan, urinal, BSC). Voids independently? Catheter to gravity drainage? Color, clear or cloudy? Odor? ml/hr output? Difficulty or pain? Incontinent?
#6 Musculoskeletal: Moves all extremities well? Equal grasp? Strength – grade? Describe muscle tone. Full ROM, limited ROM. Gait – steady, weak. Requires assistance to transfer? Swelling, heat, tenderness in joints?		#7 Integumentary/Skin: Warm, dry, intact? Color? turgor? elastic or good? Slow or poor? Tenting? If incisions or lesions present describe including location, length, appearance. Drainage? serous, sero-sanguineous, clear, purulent? Describe dressing if appropriate. Braden Scale Score: Pressure Ulcer Stage:
#8 IV Site & Condition: Site, describe – without redness, edema, infiltration, warmth?

 

 

 

Nursing Diagnosis: ______________________________________________________________________________

 

_____________________________________________________________________________________________________

 

_____________________________________________________________________________________________________

 

Nursing Documentation - Narrative

Suggested focus for documentation- Focused assessment (based on the patient’s problem(s);  Nutrition; Safety issues; Education given to patient; etc. 

 

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	Mid-term Rating	Comments	Final Rating
Member of the Profession Use nursing judgment to anticipate and prevent patient harm.
Patient-Centered Care Use knowledge of societal and health care trends and evidence-based outcomes to identify and communicate patient physical and mental health care problems.
Patient Safety Advocate Document and report reactions and untoward effects to medications, treatments, and procedures and clearly and accurately communicate the same to other health care professionals.
Health Care Team Advocate on behalf of patients and their families with other members of the interdisciplinary health care team
Clinical Points Tool Deduction		Clinical Points Tool Deduction
Mid-Term Grade		Final Grade

(Rating Code: 15=marginal, 18=fair, 20=satisfactory, 22=good, 25=excellent)

                   

 

 

 

RNSG2461 Clinical Skills/Competencies
Outcomes	Date:	Discuss Rationale	Identifies Impact on the Client	Explains Procedure to Client	Selects Equipment	Completes Procedure	Uses Appropriate Aseptic Technique	Interprets Client Response	Reports and Documents Results	Provides Appropriate Follow-up	Instructors/RN Initials
Suctioning Artificial airway Tracheotomy care Airway Clearance Techniques Chest Physiotherapy Chest Tubes
IV Bolus Titrate dosage IVP
TPN Pumps/PCA Venous Access Devices
Hemodialysis/peritoneal dialysis
Neuro Exam
ABG’s Interpretation Fluids and Electrolytes

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Student Signature/Date_______________________________                                          Instructor Signature/Date_________________________________

 

 

**Skills completed must be initialed by RN or clinical instructor the day they are performed.

 

Performance Evaluation: Creighton Competency Evaluation Instrument (CCEI) 

 

Student Name:           Staff Nurse Instructor Name:	0= Does not demonstrate competency 1= Demonstrates competency NA= Not applicable				Date:          /                   /                   MM / DD / YYYY
ASSESSMENT	Circle Appropriate Score for all Applicable Criteria - If not applicable, circle NA			COMMENTS:
1. Obtains Pertinent Data	0	1	NA
2. Performs Follow-Up Assessments as Needed	0	1	NA
3. Assesses the Environment in an Orderly Manner	0	1	NA
COMMUNICATION 4. Communicates Effectively with Intra/Interprofessional Team (TeamSTEPPS, SBAR, Written Read Back Order)	0	1	NA
5. Communicates Effectively with Patient and Significant Other (verbal, nonverbal, teaching)	0	1	NA
6. Documents Clearly, Concisely, & Accurately	0	1	NA
7. Responds to Abnormal Findings Appropriately	0	1	NA
8. Promotes Professionalism	0	1	NA
CLINICAL JUDGMENT
9. Interprets Vital Signs (T, P, R, BP, Pain)	0	1	NA
10. Interprets Lab Results	0	1	NA
11. Interprets Subjective/Objective Data (recognizes relevant from irrelevant data)	0	1	NA
12. Prioritizes Appropriately	0	1	NA
13. Performs Evidence Based Interventions	0	1	NA
14. Provides Evidence Based Rationale for Interventions	0	1	NA
15. Evaluates Evidence Based Interventions and Outcomes	0	1	NA
16. Reflects on Clinical Experience	0	1	NA
17. Delegates Appropriately	0	1	NA
PATIENT SAFETY 18. Uses Patient Identifiers	0	1	NA
19. Utilizes Standardized Practices and Precautions Including Hand Washing	0	1	NA
20. Administers Medications Safely	0	1	NA
21. Manages Technology and Equipment	0	1	NA
22. Performs Procedures Correctly	0	1	NA
23. Reflects on Potential Hazards and Errors	0	1	NA