VNSG1323 – BASIC NURSING SKILLS
INSTRUCTORS:
Gainesville: Tiffany McQuien, RN; Brooke Banks, LVN; Kimberly Johnson, RN.
Corinth: Theressa Borden MSN RN; Jill Sommerhauser RN
Bowie: ; Dial Swofford RN; Adrienne DeMoss RN
Graham: Nicholas Bixby, RN (classroom) Krystian Brock, RN, Kayla Ellis, MSN RN and Laverne Jennings, LVN (Lab)
COURSE DESCRIPTION: Mastery of entry level nursing skills and competencies for a variety of health care settings. Utilization of the nursing process as the foundation for all nursing interventions.
TEXTBOOKS:
ATI. Content Mastery Series Review Module. 10th edition.
Elsevier (2022). Fundamental Concepts and Skills for Nursing. Williams, Patricia. 6th ed,
Vocational Nursing Student Handbook. North Central Texas College. August 2021.
OTHER RESOURCES:
Completion of training modules and viewing of training videos from the ATI website (www.atitesting.com) as assigned by your instructor.
GRADING: Average of unit examinations (six written exams/check off exam)…70%
Daily grades…………………………………………………………5%
Final Exam…………………………………………………………..25%
Remediation: Remediation assignments, as assigned by your instructor(s), will be required for a grade below 80% on any unit exam.
Laboratory Practice: Students will be given ample opportunity to practice in the skills laboratory as arranged by the instructors. Some of the time will be supervised, and the student may also be allowed unsupervised time to practice skills. Practice time should be utilized wisely as it will be limited. Each student will be required to spend a minimum of 3 hours in the lab practicing skills each week. The lab will be open 8:00am-4:00pm each Wednesday.
Laboratory Check-Offs: There will be scheduled laboratory check-offs throughout the course in order to evaluate the student’s ability to perform basic skills safely and correctly. These check-offs will consist of twenty-five (25) different skills on several different check-off days. Each skill will be timed based on the complexity of the skill. At the end of the semester, all the points earned from successfully passing the check off will be added together to equal one (1) exam grade. The check-offs will consist of the following skills:
#1 Handwashing/Isolation PPE/Sterile Gloving/Oral Care
#2 Bedmaking/bedbathing/range-of-motion/positioning/transfers
#3 Vital signs
#4 Assessments
#5 NG tube insertion and feeding/Enema/Foley Catheter
#6 Tracheostomy care and Suctioning/Sterile Dressing
#7 Parenteral and enteral medication administration
Each skill will be scored individually. There will be no more than three (3) attempts for a skills check-off. If the student successfully passed the check-off the 1st attempt, the student will receive four (4) points. If the student fails the 1st attempt, no points will be received and the student will be granted a 2nd attempt with an instructor. If the student successfully passes the 2nd attempt, the student will receive 2 points. If the student fails the 2nd attempt, no points will be received and a 3rd attempt will be granted at the check-off with two (2) instructors. If the student successfully passes the third attempt, zero (0) points will be received. If the student fails the 3rd attempt, the student will be immediately dismissed from the VN program and given a failing grade. A copy of the skills point sheet is provided at the end of this syllabus. The grade from these checkoffs will become your Clinical 1 course grade.
Written Examinations: There will be six (6) Unit examinations throughout the semester plus a Final Exam. See the Vocational Nursing Student Handbook for academic honesty, testing, and grading specifics.
****There will be NO late work excepted in this course. One make up exam per course is allowed per semester. The date of the make up exam will depend on the instructor’s schedule and availability. We follow Student Handbook guidelines in the Vocational Nursing program, so please be sure to look those over.
COURSE OBJECTIVES: Upon successful completion of VNSG 1323, the student will: (DEC1,2,5,6,8,10,22,25)
- Function within nurse’s scope of practice and in accordance with the policies and procedures.
- Assume responsibility/accountability for the quality of nursing care provided to patients/families.
- Use clinical reasoning/established evidence-based policies as the basis for decision making.
- Assist in determining physical and mental health status/needs/preferences of culturally/ethically/socially diverse patients/families.
- Provide safe, compassionate, basic nursing care to assigned patients.
- Identify and report alterations in patient responses to therapeutic interventions.
- Communicate/collaborate to promote/maintain optimal health status of patients/families.
- Supervise care provided by others for whom the nurse is responsible.
STUDY SKILLS and TIME MANAGEMENT
The Adult Learner
LEARNING OUTCOMES:
- Identify personal areas of strength that will ensure success in the vocational nursing program
- Identify personal areas that could interfere with success in the vocational nursing program
- Discuss personal responsibility for learning and active participation in the learning process
- Identify techniques that increase the degree of concentration in learning situations
- Identify techniques that improve listening skills in learning situations
- Describe the following resources that help you stay current in vocational nursing
- Discuss the benefits of time management for an adult learner
- Define critical thinking
- Explain what is meant by learning style, the 3 major and 4 secondary learning styles
- Identify your personal learning style
- List five characteristics of the right and left side of the brain
- Describe the policies in the Vocational Nursing Student Handbook pertaining to the following:
Attendance, Violations of the policies that will result in dismissal from the program, Appropriate dress in the clinical agency, and Professional behavior
- Define the following terms: Visual, Motivation, Task, Tactual, Organization, Goal, Auditory, Schedule, Objective, Stress, Strategy, Subjective
CONTENT OUTLINE:
I Vocational Nursing Student Handbook
II Adult Learner
III Time Management
IV Learning Styles
REFERENCES: Material in Syllabus
MEDICAL TERMINOLOGY
LEARNING OUTCOMES:
- Dissect the word from the Latin root to determine the meaning of complex medical terminology
LEARNING ACTIVITIES
Periodic quizzes will be given by the instructor and counted as daily grades.
WEEKS 1 and 2—INTRODUCTION TO NURSING AND THE HEALTH CARE SYSTEM
THE NURSING PROCESS
Learning outcomes:
- Define key terms
- Discuss today’s health care system, it’s components, and changes proposed.
- Identify the four areas of human needs and give an example within each level of need.
- Explain legal requirements for the practice of nursing and how they relate to a student nurse.
- Explain the use of the nursing process
- Differentiate between objective and subjective data.
- Discuss the evaluation process and how it correlates with expected outcomes.
- Use a systematic way of charting to ensure that all pertinent information has been included.
- ATI Achieve Challenges for ESL Students and ATI Classroom Skills Modules
Unit 1 Content outline
Chapter 1-Nursing and the Health Care System
Chapter 2-Concepts of Health, Illness, Stress, and Health Promotion
Chapter 3-Legal and Ethical Aspects of Nursing
Chapter 4-The Nursing Process and Critical Thinking
Chapter 5-Assessment, Nursing Diagnosis, and Planning
Chapter 6-Implementation and Evaluation
Chapter 7-Documentation of Nursing Care
Chapter 8-Communication and the Nurse-Patient Relationship
Chapter 9-Patient Teaching and Health Promotion
Chapter 10-Delegation, Leadership, and Time Management
Student learning activities
- View Power Points and Lecture Notes
- Read the chapters from textbook
- ATI resource as assigned
WEEKS 3 and 4---INFECTION PREVENTION AND CONTROL, TRANSFERRING PATIENTS, SAFETY
BASIC NURSING SKILLS
Skills to master
- Hand washing
- PPE
- Sterile gloving
- Making Occupied Bed
- Bed Bath
- Restraints
- Oral Care
Learning Outcomes:
- Define the key terms
- Compare effective communication techniques with blocks to
- List and differentiate between conditions and factors that can affect learning.
- Discuss techniques of effective time management.
- Demonstrate proper hand hygiene and application of personal protective equipment.
- Demonstrate proper donning of sterile gloves.
- Discuss nursing responsibilities for environmental management.
- ATI Modules: Achieve Study Skills and Test-taking Skills
Unit 2 Content outline
Chapter 16-Infection Prevention and Control: Protective Mechanisms and Asepsis
Chapter 17-Infection Prevention and Control in the Hospital and Home
Chapter 18-Lifting, Moving, and Positioning Patients
Chapter 19-Assisting with Hygeine, Personal Care, Skin Care, and Prevention of Pressure Ulcers
Chapter 20-Patient Environment and Safety
Chapter 39-Promoting Musculoskeletal Function
Student Learning Activities
- View the Power Points and Lecture Notes
- Read chapters from textbook
- Study guide
- Review and practice the skills in the lab
- ATI resources as assigned
WEEKS 5 and 6—BASIC NURSING SKILLS
Skills to master
- Lifting
- Positioning
- ROM
- Transferring
Learning outcomes:
- Define the key terms
- Demonstrate proficiency at checkoffs for bathing, oral care, ROM, positioning, transfers, bedmaking and Hoyer lift.
- Identify common integumentary disorders.
- Identify the characteristics of good posture is standing, sitting, and lying positions.
- Discuss the benefits of physical exercise.
- Discuss the differences in passive and active exercise.
- Explain the different types of traction, casts, and immobilization techniques used in the healthcare setting.
- Name the different ambulatory aides available to clients
- ATI Modules: ATI Skills Modules: Infection Control and Personal Hygiene
Unit 3 Content outline
Chapter 18-Lifting, Moving, and Positioning Patients
Chapter 19-Assisting with Hygiene, Personal Care, Skin Care, and the Prevention of Pressure Ulcers
Chapter 39-Promoting Musculoskeletal Function
Student learning activities
- Review Power Points and Lecture Notes
- Read chapters from textbook
- Review skills and practice in the lab
- Study guide
- ATI resources as assigned
WEEKS 7 and 8—BASIC NURSING SKILLS
ASSESSMENT, VITAL SIGNS, ADDMITTING, TRANSFERRING, AND DISCHARGING PATIENTS
Skills to master
- Vital signs
- Pulse oximetry
- Physical Assessment
Learning outcomes:
- Identify and locate peripheral pulses
- Assess peripheral pulses by palpation
- Assess apical pulse by auscultation
- Demonstrate proper technique in obtaining vital signs—TPR, BP, and Pulse Oximetry—in the lab setting using the proper equipment
- Discuss the factors that may affect the vital signs
- Examine five commonly used complementary and alternative therapies.
- Identify abnormal heart and lung sounds and breathing patterns
- Explain Korotkoff sounds.
- List the purpose of the physical assessment
- Perform a head-to-toe assessment and Measure Vital Signs
- ATI Modules: ATI Skills Ambulating/Transferring/ROM
Unit 4 Content outline
Chapter 21-Measuring Vital Signs
Chapter 22-Assessing Health Status
Chapter 23-Admitting, Transferring, and Discharging Patients
Chapter 31-Pain, Comfort, and Sleep
Chapter 32-Complementary and Alternative Therapies
Student learning activities
- Read the chapter, view Power Points and Lecture Notes
- Review skills and practice in the lab
- Study guide
- ATI resources as assigned
WEEKS 9 and 10—BASIC NURSING SKILLS
BASIC NUTRITION, DIAGNOSTICS, PROMOTING ELIMINATION
Skills to master
- NG Tube Insertion and Suction
- NG Tube Feeding
- Foley Catheters
- Enema
Learning outcomes:
- Define key terms
- Plan and teach a client group a specific diet
- Utilize the Food Pyramid in planning and implementing the diet plan
- Explain the concept of parenteral nutrition
- Identify the four characteristics of urine
- Explain the procedure for maintaining intake and output for the client
- List the common factors that affect bowel elimination· Define pre- and post-op care
- Develop a teaching plan that includes pre and post-op instructions for the client
- Demonstrate proficiency in feeding a patient, inserting an NG tube, administration of an enema, and insertion of a Foley catheter on both male and female mannequins
- Identify proper placement of the NG tube.
- ATI Skills Modules: Vital Signs and Physical Assessment of an Adult
Unit 5 Content Outline
Chapter 24-Diagnostic Tests and Specimen Collection
Chapter 26-Concepts of Basic Nutrition and Cultural Considerations
Chapter 27-Diet Therapy and Assisted Feeding
Chapter 29-Promoting Urinary Elimination
Chapter 30-Promoting Bowel Elimination
Student learning activities
- Read the chapters, view Power Points and Lecture Notes
- Review skills and practice in the lab
- Study guide
- ATI resources as assigned
Week 11—ASSISTING WITH RESPIRATION AND OXYGENATION, SURGICAL PATIENT, WOUND CARE
Skills to master
- Trach Care
- Trach Suctioning
Learning outcomes:
- Define key terms
- Demonstrate proficiency in promoting respiration and oxygenation
- Identify considerations related to the perioperative patient.
- Identify factors contributing to poor respiration and oxygenation of the surgical patient
- Identify signs/symptoms of infection
- ATI Skills Modules: Pain Management
Unit 6 Content outline
Chapter 28-Assisting with Respiration and Oxygen Delivery
Chapter 37-Care of the Surgical Patient
Chapter 38-Providing Wound Care and Treating Pressure Ulcers
Student learning activities
- Read the chapters, view Power Points and Lecture Notes
- Review skills
- Study guide
- ATI resources as assigned
WEEKS 12 and 13: Simulation Lab in Gainesville
DEVELOPMENTAL, PSYCHOSOCIAL, CULTURAL CONSIDERATIONS, CARING FOR THE ELDERLY
Skills to master
- Enteral medications
- Nebulizer
- Parenteral Medications
Learning outcomes:
- Define key terms
- State Developmental aspects of caring for the patient
- State psychosocial aspects of caring for the patient
- State cultural considerations related to patient care
- State considerations in caring for the elderly patient
- ATI Skills Modules: Nasogastric Tube and Enteral Tube Feeding
Unit 7 Content Outline
Chapter 11-Growth and Development: Infancy Through Adolescence
Chapter 12-Adulthood and the Family
Chapter 14-Cultural and Spiritual Aspects of Patient Care
Chapter 15-Loss, Grief, and the Dying Patient
Chapter 40-Common Physical Care Problems of the Elderly
Chapter 41-Common Psychosocial Care Problems of the Elderly
Learning outcomes:
- Define key terms
- Name the eight rights of medication administration
- Name the three checks for preventing medication errors
- Explain the proper technique for administration of eye and ear drops to adults and children
- Explain the following routes-- sublingual, buccal, rectal, vaginal, cutaneous, topical
- Explain the differences in the inhalers and aerosols
- Demonstrate reconstitution of a powder in a vial
- Correctly compute medication dosages using known formulas and techniques learned in Med-Math
- Develop a knowledge of frequently used medications by writing drug cards
- Discuss age-related issues common to medication administration
- Discuss the focus of postoperative care for the vocational nurse on the surgical unit
- Explain first-, second- and third-intention healing of wounds.
- Demonstrate proper technique in the administration of PO, IM, and subcutaneous meds.
- Correctly identify sites for IM and subcutaneous injections.
- Describe Z-tracking
- Demonstrate correct choice of needle and syringe
- Demonstrate correct technique in the mixing of insulins in one syringe
- Explain the reasons for choosing to administer a drug by the IV route
- Demonstrate reconstitution of a powder in a vial
- ATI Skills Modules: Urinary Catheter Care and Enemas
Content outline
Chapter 25-Fluid, Electrolyte, and Acid-Base Balance
Chapter 33-Pharmacology and Preparation for Drug Administration
Chapter 34-Administering Oral, Topical, and Inhalant Medications
Chapter 35-Administering Intradermal, Subcutaneous, and Intramuscular Injections
Chapter 36-Administering Intravenous Solutions and Medications
Student learning activities
- Read the chapters, view Power Points and Lecture Notes
- Review skills in the lab
- Study guide
- ATI resources as assigned
Student Learning Activities
- Read the chapters, view Power Points and Lecture Notes
- Review skills and practice in the lab
- Study guide
- ATI resources as assigned
WEEK 14: HOLIDAY
WEEK 15: Complete Outstanding Checkoffs
WEEK 16: FINAL Exam
The Office for Students with Disabilities (OSD) provides accommodations for students who have a documented disability. On the Corinth Campus, go to room 170 or call 940-498-6207. On the Gainesville Campus, go to room 110 or call 940-668-4209. Students on the Bowie, Graham, Flower Mound, and online campuses should call 940-498-6207.
North Central Texas College is on record as being committed to both the spirit and letter of federal equal opportunity legislation, including the Americans with Disabilities Act (ADA) of 1990, ADA Amendments Act of 2009, and Section 504 of the Rehabilitation Act of 1973 (P.L. 93-112). http://www.nctc.edu/StudentServices/SupportServices/Disabilityservices.aspx
North Central Texas College
VNSG 1323 Basic Nursing Skills - Check-off’s
Student____________________________________________________
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Skill:
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4 points/initials
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2 points/initials
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0 points/initials
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Handwashing
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Sterile gloving
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Isolation PPE
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Bedbath
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Oral care
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Bedmaking
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Range of Motion
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Positioning
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Transfers
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Temperature
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Radial pulse
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Apical pulse
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Respirations
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Blood Pressure
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Physical Assess
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Neuro Assess
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Enema
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Foley Cath
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NG tube insertion
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NG tube feeding
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Trach care
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Trach suctioning
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Sterile Dressing
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Meds – Parenteral
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Meds-Nonparenteral
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Final Grade __________________________
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 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. 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
Instructor Office Hours & Teaching Schedule
Name: Dial Swofford M.Ed. BSN RN
Department: Vocational Nursing
Office: Room 146 Bowie Campus
Email: dswofford@nctc.edu
Phone Number: 940-872- 5204
Teaching Schedule:
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Tuesday
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Friday
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0900 - 1600
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0900 -until lab completed
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0900 - until lab completed
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0900 - 1600
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Office Hours:
Office Hours will be conducted in person, virtually, by phone, or by email/messaging
Please call or email for an appointment
Emails will be answered M-T 0900 until 1800 and Friday 0900 until noon
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Friday
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In Class
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By appt
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By appt
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In Class
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By appt
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