INSTRUCTOR INFORMATION

STUDENT LEARNING OUTCOMES

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, 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.

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

When at the hospital setting each student will fill out an ASSESSMENT AND PATIENT CARE RECORD and turn in complete with narrative documentation for 3 patients they have cared for during their clinical rotation.  These patients MUST be Medical, Surgical, ICU, HVU or PCU patients (NO ED, Women’s Services or patients in the OR or Outpatient Services).  Level III students will provide total patient care for three patients per day on the med-surg unit. The assessment and patient care data will be documented in EHR Tutor and submitted on three 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 ASSESSMENT AND PATIENT CARE RECORD and ATI: EHR Tutor documentation by the due date as per the clinical instructor will result a zero on that assignment.

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.

• Pediatric Clinical via Swift River – Students will complete a pediatric clinical rotation virtually via Swift River Virtual Hospital. The assignment is comprised of 3 modules (Pediatric Unit, Dosage Calculation, and Med Pass). As well as the completion of a reflection journal to be submitted into Canvas as supplementation for a clinical post-conference. The compilation of these assignments complete a clinical day, and therefore noncompletion of the entirety of the assignment will result in a clinical absence and will be documented 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 ( Primary nurse or Float Nurse).  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.

Discharge Teaching Assignment: Students will work together in instructor-assigned groups of 2 to develop discharge instructions for a hypothetical patient with a predetermined assigned clinical diagnosis. Diagnoses will follow according to current material and content in didactic Complex Care Needs course. Follow the rubric to prepare your project. Present discharge teaching according to assigned diagnosis to your clinical instructor. Presentation of discharge plan will be done in post-conference at clinical to peers. Students may utilize any teaching-learning modality as appropriate, to include, but not limited to: role play, poster-board presentation, powerpoint, or other audio/visual modality. Discharge planning and presentation should reflect level 3 knowledge as described in the RNSG 2461 syllabus.

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%.  The math exam will consist of 10 questions and the student will be allowed one 50 minutes to complete the exam. If the student is not successful on the first or second attempt, he/she will be required to seek remedial math instruction with their clinical instructor or 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.

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. 

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. As per the NCTC ADN Program and Student Handbook, there will be NO rounding of grades. Ex. 89.9 is still a B.

Course Dates and Scheduled Assignments:

**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 Nov. 1st

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

• 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.

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 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

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.

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:______

Instructions: Complete the following assessment of your pt. using your observation, interviewing and physical assessment skills. Include documentation of each criteria item.

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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(Rating Code: 15=marginal, 18=fair, 20=satisfactory, 22=good, 25=excellent) **See scoring guide on following page.

Clinical Evaluation Tool scoring. 

Students will be given a rate of 15=marginal, 18=fair, 20=satisfactory, 22=good or 25=excellent in each category.  No in-between scores will be given.  (Example: Students will not be given 24 or 19 points in a given category, only points as listed in the rating code).  Definitions for each rating are as follows:

Marginal-Performance is inadequate and shows little or no improvement.  Knowledge, skills, and abilities have not been demonstrated at appropriate levels.  Consistently needs prompting in order to provide safe and effective care.

Fair-Working toward gaining proficiency.  Demonstrates satisfactory performance inconsistently.  Achieves some but not all goals.  Provides appropriate care most of the time with minimal prompting.

Satisfactory-Consistently demonstrates effective performance.  This student is someone who provides appropriate care and effectively prioritizes actions.

Good-Consistently demonstrates high level of performance.  Consistently works toward overall objectives.  Viewed as a role model for other students.  Demonstrates good clinical judgement.  Provides good patient care.

Excellent-Contributions consistently have positive impact on patient care.  Easily recognized as a top performer compared to peers.  Viewed as an excellent resource for other students.  Demonstrates high levels of proficiency and clinical judgement.  Demonstrates excellent skills and proactively takes on tasks as needed to provide high quality patient care. 

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)