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NORTH CENTRAL TEXAS COLLEGE
COURSE SYLLABUS
RNSG 2462 Online Clinical Nursing IV
Fall 2020
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Course Title:
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Clinical Nursing IV Fall 2020
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Course Prefix & Number:
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RNSG2462
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Section Number:
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Semester Credit Hours:
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4
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Clinical Hours:
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192
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Lab Hours:
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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.
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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
ENG1301
RNSG1423
RNSG1261
RNSG1300
RNSG1219
RNSG2404
RNSG1462 (for Generic students)
RNSG1262 (for Transition students)
RNSG2414
RNSG2461
Concurrent with: RNSG2435 Integrated Patient Care Management
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Required or Recommended Course Materials:
Hockenberry & Wilson (2015). Wong’s Nursing Care of Infants and Children. (10th Ed.) St. Louis, MO: Elsevier
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.
Lowdermilk, Perry, Cashion, & Alden, (2016). Maternity and Women’s Health Care 11th ed. St. Louis, MO: Elsevier
Sim-Chart Subscription
Textbooks used in previous semester.
Access: Texas Nursing Practice Act www.bon.state.tx.us
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INSTRUCTOR INFORMATION
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Name of Instructor:
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Dr. Tammy Franklin DNP, RN
Clinical Faculty
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Campus/Office Location:
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HSC Gainesville Campus
2428G
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Telephone Number:
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940-668-7731 Ext. 4960
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E-mail Address:
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tfranklin@nctc.edu
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Name of Instructor:
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Kimmie Johnson MSN, RN
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Campus/Office Location:
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HSC Gainesville Campus
2428H
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Telephone Number:
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940-668-7731 ext 4969
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E-mail Address:
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kjohnson@nctc.edu
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Name of Instructor:
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Gabby Udabor
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Campus/Office Location:
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Telephone Number:
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972-938-6915
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E-mail Address:
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gudabor@nctc.edu
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Name of Instructor:
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Robin Williams MSN, RN
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Campus/Office Location:
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Telephone Number:
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940-368-6309
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E-mail Address:
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rswilliams@nctc.edu
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STUDENT LEARNING OUTCOMES (From Academic Course Guide Manual/Workforce Education Course Manual/NCTC Catalog
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At the successful completion of this course the student will be able to:
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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 and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology or the occupation and the business/industry.
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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.
WECM COURSE DESCRIPTION: Application of independent nursing interventions to care for diverse patients and families throughout the lifespan whose health care needs may be difficult to predict. Emphasis on collaborative clinical reasoning, nursing leadership skills, and patient management. Content includes the significance of professional development, trends in nursing and health care, and applicable knowledge, judgement, skills, and professional values within a legal/ethical framework. This course lends itself to an integrated approach.
Placement in Sequence:
This is a fourth semester clinical course.
Co-Requisites: Concurrent, RNSG 2435 Integrated Patient Care Management; both courses must be repeated if a student fails either course.
Prerequisites:
All third semester Associated Degree Nursing courses are required to have been completed with a grade of “C” or above before a student may enroll in this course. This is a concurrent course with RNSG 2435 and in both classes the student is required to make a grade of 75% or above to graduate from the ADN program. There will be NO ROUNDING of grades in RNSG 2462.
Progression towards Graduation:
Students are reminded that it is their responsibility to verify that they are completing courses in a timely manner, so they may graduate with all required courses completed.
Addendum to Syllabus:
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 performance evaluations and/or IV medication check off requirement. 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.
Grading System
Grading for the course will follow the nursing policy for grading and evaluation. To pass this course, the student must achieve an average of 75% or higher. There will be NO ROUNDING of grades.
Letter grades will be assigned based on the following numerical grades:
A Excellent 90-100%
B Good 81-89%
C Satisfactory 75-80%
D Failing 66-74%
F Failing 65% and below
GRADING CRITERIA
The clinical course grade is derived from the performance evaluations, online clinical assignments, mid-term and final clinical evaluations, documentation assignments in sim-chart, and the professional resume. All assignments must be successfully completed to pass the course. Failure to pass the clinical course with a minimum grade of 75 will result in dismissal from the concurrent courses and the nursing program. No course grades will be rounded.
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Graded Course Elements
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Percentage or Point Values
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Professional Resume
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10%
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Clinical Performance (Mid-Term and Final Evaluation)
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20%
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IV Medication Administration Proficiency
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Pass/Fail
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Sim Charting
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25%
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Online Clinical Assignments
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20%
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Performance Evaluations
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25%
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Grading Criteria for Course Elements:
The Professional Resume: is an important element of the level IV course as students begin to apply for positions as professional nurses. There are many templates available on the internet however the resume must meet the elements of the rubric (considered part of the syllabus and posted as a separate document in canvas under tools/rubrics for greater availability) and is a graded assignment worth 10% of the final clinical course grade. The professional resume is due on the date listed on the clinical assignment calendar and in canvas under ‘assignments’.
Clinical Performance (mid-term and final evaluations): is evaluated using the clinical evaluation tool and the student will receive a grade based on hospital bedside performance. The average of these 2 grades will be worth 20% of the RNSG 2462 final clinical grade.
In addition to the clinical evaluation tool, the clinical point’s tool will be used for point deduction from the clinical evaluation grade based on critical items listed.
The RNSG 2462 student will NOT have access to the electronic medical record at the assigned facilities due to the limited number of visits and the time it would take away from actual patient care to onboard each student. An assessment tool will be used to write a narrative assessment each hospital day, discussed in post conference, and used for the information entered into the Evolve Sim Charting assignments.
Two days of being tardy up to 20 minutes will be counted as a clinical absence. Tardiness of more than 20 minutes is at the discretion of the clinical instructor for allowing the student to remain in clinical conference or be dismissed as an absence. In addition to the above attendance policy for clinical, the Level IV Nursing Clinical students are expected to attend clinical conferences held virtually on each scheduled clinical day, arrive on time, and remain for the entire session. Clinical grades are affected by attendance.
The tools/rubrics listed above are considered a part of the RNSG 2462 syllabus and are posted in canvas under tools/rubrics for easier access.
Pass/Fail Assignments: IV medication administration proficiency in a simulated environment is a requirement. The student will have the first attempt at proficiency during the final performance evaluation (scheduled for the week of Oct 26-30, 2020). In the event proficiency is not successful, the student will have 2 other attempts to complete the skill on Monday 11/9/2020. The student is required meet all criteria to pass check off requirement. Failure of proficiency on the second attempt results in failure of the clinical course. The IV medication check off tool is considered part of the clinical syllabus and can be viewed and printed in canvas under the tools/rubrics section for easy access. The student is required to print and bring an IV medication check off tool with their name on it to the lab on the scheduled appointment day. Failure to bring the tool will result in a 2 point deduction from the final clinical course grade. This is based on the clinical point’s tool under ‘failure to follow instructions’
In the event COVID-19 requires we not access to our building the student will be given a medication assignment in the swift river software and given 3 attempts for a successful completion score of 100. Failure of proficiency on the third attempt results in failure of the clinical course.
Sim Charting Assignments:
During the clinical experience the level IV student will be required to perform 2 documentation assignments in Sim-Chart and submit at 1159 one week after the first and last hospital experience. The sim-chart rubric is considered part of the clinical syllabus and is listed separately in canvas under tools/rubrics for greater accessibility, and also in the assignments area of canvas. The sim chart assignments shall be completed by using the information gathered during the first and last hospital rotation experience. These 2 assignments are worth 25% of the RNSG 2462 course grade. There will be NO Rounding of Grades. The student is expected to produce a chart on the hospital patients in ‘Sim-Chart’ by evolve using the sim chart rubric. Charting is expected to reflect level 4 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.
Online Clinical Assignments:
The student is required to complete 8-9 (depending on hospital rotation experiences) online clinical assignments, submit them in canvas on the due date listed, and present them using the ‘rubric for presentations’ as a guide during required virtual scheduled post conferences. These assignments are described in detail with due dates and presentation dates for each section listed in the assignment in canvas. The rubric is considered part of the RNSG 2462 syllabus and listed separately in canvas under ‘tools/rubrics’ for greater accessibility. Each of the assignments will be graded individually using a new tool with each presentation. The average grade of all online presentations is worth 20% of the total RNSG 2462 course grade. There will be NO Rounding of Grades. The assignment and presentation is expected to reflect level 4 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.
Performance Evaluations:
During the semester the student will complete 2 evaluations in the sim-lab on campus. The first will be the week of 9/21/2020 to 9/25/2020. The second is the week of 10/26/2020 to 10/30/2020. The average of these 2 grades is worth 25% of the RNSG 2462 syllabus The link for sign up is in a google document:
https://docs.google.com/document/d/1c3arA0b2mN6R_lAsbDEdG4UDT4TUSowMs3VJmke8uMA/edit?usp=sharing (copy and paste this link to a new browser window to sign up).
The student will be evaluated using the Creighton Tool (considered part of the RNSG 2462 syllabus and listed under tools/rubrics for greater accessibility). Items 6, 13, 14, 15, 16, and 17 of the tool are NOT used for the performance evaluation. The student must be compliance (proficient) in 13 of the 17 remaining items on the tool to receive a passing grade. In addition, the student shall bring a copy of the Creighton Tool to each performance evaluation with their name on it. Failure to bring the tool will result in a 2 point deduction from the final RNSG 2462 clinical grade. This is based on the clinical points tool under ‘failure to follow instructions’. The on campus experiences are considered a clinical day.
The student is required to read and understand the Creighton Tool and the syllabus requirements related to the tool. While it is difficult to image a simulator as a real person, this is exactly the requirement and you should act and react as if you were dealing with a real patient. This is the time where your clinical instructors can actually see how you relate to people, communicate, and use the nursing process. A detailed description of the performance evaluations is listed in canvas under ‘assignments’
The student evaluation shall reflect level 4 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.
Clinical Hour Requirements:
The student is required to perform 192 hours (16-12hour days) of clinical time. Due to the COVID 19 pandemic, the Texas Board of Nursing has waived the 50/50 rule, which allows for level 4 (graduating students) to exceed 50% of the 192 hours either in virtual or simulated experiences.
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RNSG 2462-100, 102, 103
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RNSG 2462-101
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Hospital Days
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2
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2
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NCLEX Review and Comprehensive Predictor
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4
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4
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Performance Evaluations x 2
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1
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1
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Online Clinical Assignments
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9
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9
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Total 12 hour days
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16
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16
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Faculty in the Associate Degree Nursing Program have 14 days from time of submission to grade assignments as prescribed in the faculty handbook.
This is a hybrid class (partly online and partly in the classroom) and attendance is required as prescribed in the student handbook.
Criteria for Safe Clinical Performance
Patient safety is of paramount importance in the delivery of patient care. Therefore, it is necessary for the student and the nursing faculty to conscientiously assure safe nursing care behaviors. With supervision, the student will demonstrate the three roles of the nurse (Provider of Care, Manager of Care, and Member of the Profession) using the nursing process in meeting human needs.
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SAFE CLINICAL BEHAVIORS INCLUDE BUT ARE NOT LIMITED TO:
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UNSAFE CLINICAL BEHAVIORS INCLUDE BUT ARE NOT LIMITED TO:
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Provides for the physical care and safety of the patient.
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Violates or threatens the physical safety of the patient (e.g., neglects use of side rails; restraints; comes unprepared to clinical).
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Maintains and monitors for the microbiological safety of the patient.
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Violates or threatens the microbiological safety of the patient (e.g., violates aseptic technique, reports to clinical with personal illness).
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Maintains and monitors for the chemical safety of the patient.
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Violates or threatens the chemical safety of the patient (e.g., violates the “5 Rights of Medication Administration”; fails to monitor IV infusions and/or patients’ responses to medications).
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Maintains and monitors for the thermal safety of the patient.
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Violates or threatens the thermal safety of the patient (e.g., burns patient with hot packs, heating lamp, etc.; fails to observe safety precautions during O2 therapy).
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Assures the psychological safety of the patient by using therapeutic communication.
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Violates or threatens the psychological safety of the patient (e.g., uses non-therapeutic techniques repeatedly; attacks; derogates individual’s beliefs or values, provides inaccurate or incomplete information repeatedly in patient teaching).
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Accurately and/or adequately uses the nursing process.
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Inadequately and/or inaccurately uses the nursing process (e.g., fails to observe and/or report critical data in reference to patients; repeatedly makes faulty judgments/decisions in nursing situations).
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7.
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Demonstrates the principles/learning/objectives in carrying out nursing care skills.
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Violates previously mastered principles/learning/objectives in carrying out nursing care skills (e.g., unable to give injections; fails to obtain accurate vital signs).
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Assumes appropriate independence in action. Manages required patient care load at each course level.
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Assumes inappropriate independence in actions or decisions (e.g., performs competencies not yet tested). Repeatedly unable to manage the required patient care load (e.g., fails to seek help in emergency situations).
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Seizes opportunities for growth in practice and recognizes personal strengths and limitations.
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Fails to recognize personal limitations or in competencies (e.g., refuses to admit errors noted by instructor/nursing staff; places patient in the threatening or personal injury position, provides patient care while instructor not in clinical facility).
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Recognizes and accepts moral and legal responsibility for action.
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Fails to recognize and/or accept moral and legal responsibility for actions thereby violating professional integrity as expressed in the ANA Code for Nurses (e.g., cannot identify legal responsibility in specific nursing situations; covers own/other’s errors or fails to report them; shares confidential information inappropriately; chemical impairment).
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COVID-19 Specific Syllabi Statements Fall 2020
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, 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 30, 2020 and are subject to 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 must wear face coverings, such as masks or face shields. Students without coverings, or those who do not comply with the rules relating to face coverings, will not be able to participate in on-campus classroom activities. To request an exception to this requirement, students should contact the NCTC HR Office of Enrollment Management (ccove@nctc.edu). Failure to comply with the face coverings requirement may result in the Instructor directing the student to leave the classroom. Any student asked to leave the classroom may be referred to the student conduct officer. These policies and procedures were updated on July 30, 2020 and are subject to change.
Temporary COVID-19 Attendance Policy for Face-to-Face Meetings: We are facing an unprecedented situation in which all of us must 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 (via NCTC Daily Health Check protocol through Canvas) 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 this period, 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
Syllabus Addendum – Fall 2020 – Student Services
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.
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 offers academic coaching, tutoring, including a Writing Center, a Math Lab, free 24/7 online tutoring through Grade Results and assist new students acclimate to college by providing computer lab services for prospective students. First generation students can also participate in TRIO which offers specialized support services.
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.
See the ADN Student Handbook regarding specific policies regarding academic dishonesty.
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.