VNSG 1360 100 - CLINICAL I

Introduction

Syllabus

NORTH CENTRAL TEXAS COLLEGE

COURSE SYLLABUS
 

The North Central Texas College (NCTC) Course Syllabus provides the following as required by the Texas Higher Education Coordinating Board (THECB): (1) a brief description of the course including each major course requirement, assignment and examination; (2) the learning objectives for the course; (3) a general description of the subject matter of each lecture or discussion; and (4) any required or recommended readings. Contact information for the instructor is also provided. The Course Syllabus also provides institutional information to indicate how this course supports NCTC’s purpose and mission. Information specific to a particular section of the course will be included in the Class Syllabus and distributed to enrolled students.

Course Title: Clinical Level I

Course Prefix & Number: VNSG 1360

Section Number: 100, 101, 102

Term Code: 16S2

Semester Credit Hours: 3

Lecture Hours:

Clinical Hours: 240

Course Description (NCTC Catalog):

This course provides clinical experience in fundamental nursing skills. The nursing process is applied to provide individualized care designed to meet a client's particular needs. The geriatric client is the focus of care.

Course Prerequisite(s): Concurrent enrollment in all Level 1 Vocational Nursing courses

Course Type:

 - Academic General Education Course (from Academic Course Guide Manual but not in NCTC Core)

 - Academic NCTC Core Curriculum Course

x - WECM Course

 

 

 

Name of Instructor:

Alice Hupp, BSN,RN

Also: Elizabeth Childers, LVN, and Amanda Steinhauser, LVN

Campus/Office Location:

Gainesville  2411-J

Telephone Number:

940 668-7731  ext 4236

E-mail Address:

ahupp@nctc.edu,echilders@nctc.edu, asteinhauser@nctc.edu

 

Name of Chair/Coordinator:

Theressa Borden

Office Location:

Gainesville – 2411-B

Telephone Number:

940-668-4291, ext 4330

E-mail Address:

tjborden@nctc.edu

 

REQUIRED OR RECOMMENDED COURSE MATERIALS

Dewit, Susan C. Fundamental Concepts and Skills 4th ed. (2013) St Louis, Missouri: Mosby.

Ladwig, GB. and Ackley, BJ. Guide to Nursing Diagnosis 4th ed. (2014) St.Louis: Mosby.ISBN # 978-0-323-08920-3

Linton, A.D. Introduction to Medical Surgical Nursing. 6th ed. (2015) St Louis, Elsevier ISBN# 978-1-4557-7641-2

Vocational Nursing Student Handbook of North Central Texas College, revised January 2017

SimChart by Elsevier/Evolve access

*Nettina, S. Lippincott Manual of Nursing Practice  10th ed. (2013) Philadelphia: LWW. ISBN # 13: 978-1-4511-7354-3

Skidmore. Linda-Roth. Mosby’s 2017 Nursing Drug Reference 30th ed.(2016) St Louis; Elsevier. ISBN# 978-0-3234-4826-0

*Venes, Donald.  Taber’s Cyclopedic Medical Dictionary 22nd ed. (2013), Philadelphia, F.A. Davis 

ISBN # 13: 978-0-8036-2977-6

* optional

COURSE REQUIREMENTS, EVALUATION METHODS AND GRADING CRITERIA

# of Graded Course Elements

Graded Course Elements

Percentage or Points Values

  1

DOSAGE CALCULATIONS TEST-

A pass/fail component of the clinical grade includes a dosage calculations test given at the beginning of the semester.  The student must achieve a minimum score of 100% before being allowed to administer medication in the clinical setting.  If the student does not achieve a score of 100% on the first attempt, two more testing opportunities will be given.  Failure to achieve a score of 100% by the third attempt is a clinical failure and the student will be dropped from the program.  A grade of “F” will be recorded

Pass or Fail

  1

A skills competency demonstration will be performed to assess proficiency and knowledge of basic nursing skills.  Three (3) attempts to demonstrate competency will be allowed.  A quiz or other written assignment associated with the skills check off may be required. Students who fail to pass the skill demonstration and/or written competency in three (3) attempts will be unable to successfully complete the clinical rotation and will be dropped from the program. A grade of “F” will be recorded.

  Pass or Fail

 1

Clinical grade Sheet

Student evaluations of clinical competency will be based on meeting the clinical outcomes derived from the Differentiate Entry Level Competencies (DELC) as stated in the course syllabus, and shall include all actual, as well as laboratory simulated, patient care situations. Grades will be determined by utilizing the point sheet and the following grading criteria:

 

90-100                   A                         Students begin the semester with

80-89                                B                         100 points. Points may be deducted            

77-79                   C                          daily according to behaviors described in

65-76                   D                          the VN Student Handbook that are     

Below65              F                           listed on the grade point sheet. Student                

                                                         must maintain a minimum score of 77 to  

                                                         continue in the Vocational Nursing            

                                                         Program and proceed to the next

                                                         semester.

 

    100 points

 

INSTITUTIONAL LEARNING GOALS

 

o           A quality general education curriculum in all associate degree programs.

o           Quality freshman and sophomore level courses in arts and sciences which parallel the lower division offerings of four-year colleges and universities.

x          Quality technical programs leading directly to careers in semi-skilled and skilled occupations, and quality technical education programs up to two years in length leading to certificates and associate degrees.

o           Quality programs and services in support of adult literacy and basic skills development as a mean of workforce enhancement and expanding access to higher education.

 

PROGRAM PURPOSE STATEMENT

 

NCTC seeks to implement its goal of providing quality technical programs leading directly to careers in semi-skilled and skilled occupations, and quality technical education programs up to two years in length leading to certificates and associate degrees by offering a coherent sequence of courses with appropriate breadth and depth to prepare students for success in the workforce.

 

DEPARTMENTAL PURPOSE STATEMENT

 

To prepare Vocational Nursing students for licensure and advanced degrees in health sciences is the purpose of the department.

 

STUDENT LEARNING OUTCOMES: 

Upon completion of Clinical I, the student will be able to perform the following duties:

 

  1. Member of the Profession: (DEC 1-4) (SCANS 1-7) (QSEN 2,3,4)
  2. Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting.
  3. Assume responsibility and accountability for the quality of nursing care provided to patients and their families.
  4. Contribute to activities that promote the development and practice of vocational nursing.
  5. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning.
  6. Provider of Patient-Centered Care: (DEC 5-12) (SCANS 1-7) (QSEN 1, 2, 3, 4, 5)
  7. Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice.
  8. Assist in determining the physical and mental health status and health needs and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data.
  9. Report data to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care team.
  10. Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised directed scope of practice.
  11. Implement aspects of the plan of care within legal, ethical and regulatory parameters and in consideration of patient factors.
  12. Identify and report alterations in patient responses to therapeutic interventions in comparison to expected outcomes.
  13. Implement teaching plans for patients and their families with common health problems and well-defined health learning needs.
  14. Assist in the coordination of human and materiel resources for the provision of care for assigned patients and their families.
  • Patient Safety Advocate: (DEC 13-18) (SCANS 1-7) (QSEN 3,4,5)
  1. Demonstrate knowledge of the Texas Nursing Practice Act and Texas Board of Nursing rules that emphasize safety as well as all federal, state, and local government and accreditation organization safety requirements and standards.
  2. Implement measures to promote quality and a safe environment for patients and others.
  3. Assist in the formulation of goals and outcomes to reduce patient risk.
  4. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.
  5. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.
  6. Accept and make assignments that take into consideration patient safety and organizational policy.
  7. Member of the Health Care Team:  (DEC 19-25) (SCANS 1-7) (QSEN 2,3,4,5,6)
  1.  Communicate and collaborate with patients, their families, and the interdisciplinary health care team to assist in the planning, delivery, and coordination of patient-centered care to assigned patients.
  2. Participate as an advocate in activities that focus on improving the health care of patients and their families.
  3. Participate in the identification of patient needs for referral to resources that facilitate continuity of care and ensure confidentiality.
  4. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families.
  5. Communicate patient data using technology to support decision making to improve patient care.
  1. Assign nursing care to LVNs or unlicensed personnel based upon an analysis of patient or unit need
  2. Supervise nursing care provided by others for whom the nurse is responsible.

 

Last day to Withdraw

 

 

For the Spring 2017 semester, the last day to withdraw from a course with a “W” is April 6, 2017.

Student Rights & Responsibilities

NCTC Board policy FLB (Local) Student Rights and Responsibilities states that each student shall be charged with notice and knowledge of the contents and provisions of the rules and regulations concerning student conduct. These rules and regulations are published in the Student Handbook published in conjunction with the College Catalog. All students shall obey the law, show respect for properly constituted authority, and observe correct standards of conduct.

Scholastic Integrity

Scholastic dishonesty shall constitute a violation of college rules and regulations and is punishable as prescribed by Board policies.

Scholastic dishonesty shall include, but not be limited to cheating on a test, plagiarism, and collusion.

 

STUDENT SUPPORT SERVICES

Disability Accommodations

The Office for Students with Disabilities (OSD) provides accommodations for students who have a documented disability. A disability is anything that can interfere with learning, such as a learning disability, psychological challenge, physical illness or injury. Accommodations may include extra time on tests, tests in a distraction reduced environment, volunteer note taker in class, etc.

On the Corinth Campus, go to room 170 or call 940-498-6207. On the Gainesville Campus, go to room 110 in the Administration (100) Building or call 940-668-4209. Students on the Bowie, Graham, Flower Mound, and online campuses should call 940-668-4209 to arrange for an intake appointment with OSD.

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).

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 in the evening. The program helps students acclimate to college by providing students free interactive workshops about Time Management, Study Skills, Test Anxiety, and much more. For more information, please visit your nearest Student Success Center.

Financial Aid, Scholarships, and Veterans Services

The Financial Aid Office is responsible for administering a variety of programs for students who need assistance in financing their education. The first step for financial aid is to complete a FAFSA. For more information, please visit your nearest Financial Aid Office.

 

 

Office & Class Hours for A. Hupp:

 

 

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

5am

 

 

 

 

 

 

 

6am

 

 

 

 

 

 

 

7am

 

 

 

 

 

 

 

8am

 

 

Assist in Skills*

Assist in Skills*

Health & Illness

Allied Health A&P

 

9am

 

 

VNSG 1323

VNSG 1323

VNSG 1400

VNSG 1420

 

10am

 

 

 

 

 

 

 

11am

 

 

 

 

 

 

 

12noon

 

 

 

 

 

 

 

1pm

 

 

Office Hours

 

 

 

 

2pm

 

 

 

Office Hours

Office Hours

Office Hours

 

3pm

 

 

 

 

 

 

 

4pm

 

 

 

 

 

 

 

5pm

 

 

 

 

 

 

 

6pm

 

 

 

 

 

 

 

7pm

 

 

 

 

 

 

 

8pm

 

 

 

 

 

 

 

9pm

 

 

 

 

 

 

 

10pm

 

 

 

 

 

 

 

* When clinical starts, I will be in clinical at clinical site on Tuesday and Wednesday.

** Also Online A&P VNSG1420

 

 

 

 

 

 

 

NORTH CENTRAL TEXAS COLLEGE 

VOCATIONAL NURSING  

Student Evaluation

                                   

 

Student Name:________________________________________________                        Date:___________________

 

 

Provider of Care                      Clinical Behaviors/Judgments                                                                    Acceptable     Unacceptable

1.  Assist in determining the health status and health needs of clients based on interpretation of health-related data and preventive health practices, in collaboration with clients, their families, and other members of the immediate health care team.

1.       Take client history using structured assessment tool.

2.       Perform basic assessment to assist identifying health status and monitor change.

3.       Report and document assessment data. Utilizes correct grammar, spelling, and penmanship.

4.       Identify common actual and potential health care needs of the client.

5.       Make observations that assist the RN in formulating nursing diagnoses

6.       Assist with health screening.

 

 

2.  Assist in the formulation of goals and/or outcomes and a plan of care in collaboration with the client, their families, and interdisciplinary health care team members.

1.       Identify short-term goals/outcomes, select basic interventions.

2.       Contribute to the development of nursing plan of care. Utilizes correct NANDA nomenclature.

3.       Identify obvious conflicts between the nursing plan of care and the plan of interdisciplinary health care team members.

4.       Assist in the discharge planning of selected clients.

5.     Recognize cost of care for nursing interventions.

 

 

3.  Implement plan of care within legal and ethical parameters, including scope of education, in collaboration with the health care team to assist client in meeting health care needs.

1.       Assist in promoting a safe, effective care environment conducive to the optimal health and dignity of the client.

2.       Implement plan of care to assist client to meet basic physiologic needs including: circulation, nutrition, oxygenation, activity, elimination, comfort, pain management, rest, & sleep.

3.       Implement nursing interventions to promote rehabilitation.

4.       Initiate basic interventions in emergency situations.

5.       Initiate basic nursing interventions to foster client’s psychosocial well-being.

6.       Foster client coping mechanisms during alterations in health status.

7.       Administer medications and treatments and perform procedures safely.  Follow RIGHTS of medication administration.  Have knowledge of action, usual dose, desired effect, side effect, dosage calculation, reconstitution, injection site selection, documentation, and reassessment.  Demonstrates responsibility for the following aspects of IV therapy: calculate IV drip rates, reconstitute and hang IVPB meds under direct supervision, monitor primary and secondary infusions, perform site selection and venipuncture under direct supervision, discontinue IV therapy.

8.       Monitor, document, and report responses to medications, treatments, and procedures and communicate same to other health care professionals clearly and accurately.

9.       Assist interdisciplinary health care team members with examinations and routinely performed procedures.

10.    Observe and communicate Patient’s Bill of Rights to clients.

11.    Recognize and communicate ethical and legal concerns through established channels of communication.

12.    Utilize basic therapeutic communication skills when interacting with clients.

13.    Report unsafe practices.

14.    Use current technology to enhance direct client care.

15.    Maintain client confidentiality.

 

 

4.  Implement teaching plan for client with common health problems and well-defined learning needs.

1.       Identify basic health-related learning needs of clients.

2.       Contribute to the development of a teaching plan.

3.       Implement aspects of an established teaching plan.

4.       Assist in evaluation of learning outcomes using structured evaluation.

5.       Teach basic health promotion/maintenance and self-care to       individuals from a designated teaching plan.

6.       Provide the client with information needed to make health choices.

 

 

5.  Assist in the evaluation of the client’s responses and outcomes to therapeutic interventions.

1. Using standard references, compare expected and achieved outcomes of   nursing care.

2. Identify and communicate reasons for deviations from plan of care.

3. Assist in modifying plan of care and/or expected outcomes.

4. Report and document client’s responses to nursing interventions.

 

 

6. Provide direct basic care to assigned clients in structured settings.

1.  Identify priorities concerning basic needs of multiple clients in order to organize care.

2.  Implement plans of basic care for multiple clients, including charting.

 

 

 

 

7.  Use the problem-solving approach as the basis for decision making in practice.

1.       Use problem-solving approach to make decisions regarding care of assigned clients.

2.       Organize care based upon problem solving and identified priorities. Complete care on 2-3 clients, including acutely ill.

3.       Identify and communicate client care problems encountered in practice.

4.     Use resources within the work setting to assist in decision making.

 

 

 

 

 

 

 

 

 

Comments:

 

 

 

Member of Health

Care team                                 Clinical Behaviors/Judgments                                                                  Acceptable Unacceptable

1. Assist in the coordination of human and material resources for the provision of care for assigned individual clients.

1.    Participate in discussion relating to the evaluation of client care                   members of interdisciplinary health care team.

2.  Identify providers and others who can assist in client care.

 

 

2. Collaborate with clients and the interdisciplinary health care team to provide direct care to assigned individual clients.

1.       Work with interdisciplinary health care team members to provide client care across the life span.

2.       Participate in client care planning with clients and their families.

 

 

3. Participate in the identification of

individual client needs for referral to resources that facilitate continuity of care.

1.       Identify support systems of the client.

2.       Identify major community resources that can assist in meeting client needs.

3.       Communicate client needs to family or significant others and

appropriate members of the health care team.

 

 

4. Participate in activities which support the organizational framework of structured health care settings.

1.    Report unsafe client care environment and equipment.

2.    Implement established cost containment measures in direct client care.

 

 

Comments:

 

 

Member of a Profession           Clinical Behaviors/Judgments                                                              Acceptable   Unacceptable

1.  Demonstrate accountability for own nursing practice.

1. Provide nursing care within limits of vocational nursing knowledge, education, experience and ethical/legal standards of care. Adhere to all policies stated in the Vocational Nursing Student Handbook.

2. Provide nursing care in a caring, nonjudgmental, nondiscriminatory manner.

3. Use self-evaluation process to improve own nursing practice.

4. Assume accountability for own nursing practice. Ask questions for clarity pertaining to nursing practice.

5. Follow established policies and procedures. Revise management techniques and organizational skills according to instructor suggestions.

6.     Maintain professional boundaries in the nurse-patient relationship.

 

 

2.   Participate as an advocate in activities that focus on improving the health care of clients.

1.       Respect the privacy and dignity of the client.

2.       Identify client’s unmet health needs.

3.       Act as an advocate for client’s basic needs, including following

established procedures for reporting/solving institutional client care

problems.

 

 

3.  Demonstrate behaviors that promote the development and practice of vocational nursing.

1.       Work collegially with members of the interdisciplinary health care team.

2.       Demonstrate behaviors which promote a positive image of vocational nursing, as  in accountability, dress, attitude, honesty,  punctuality,  attendance, and accepting  constructive criticism of skills and performance of care procedures.

3.       Participate in activities individually or in groups through organizations that promote vocational nursing.

4.       Practice within the LVN role and   Scope of Education.

5.    Serve as a positive role model for students and peers.

 

 

Comments:

 

 

Patient Safety Advocate              Knowledge/Clinical Behaviors/Judgments:                            Acceptable      Unacceptable

1. Demonstrate knowledge of the Texas Nursing Practice Act and Texas Board of Nursing rules that emphasize safety as well as all federal, state, and local government and accreditation, organizational safety requirements and standards.

1. Adhere to safety requirements; follow policies & procedures to ensure safety.

2. Seek assistance if practice requires behaviors or judgments outside of

individual knowledge and expertise.

3. Use accepted standards to provide & evaluate patient care.

4. Recognize & report unsafe practices & contribute to quality improvement.

 

 

2.Implement measures to promote quality and a safe environment for patients, self, and others. Comply with mandatory reporting requirements of the Texas Nursing Practice Act, and assist in care that reduces risks of injury and/or illness.

1.    Utilize principles of patient safety including safe patient handling.            Follow Standard Precautions and Transmission Based Precautions for infection control.

2.    Promote a safe environment using current standards & guidelines. Include measures to prevent risk of harm resulting from errors & preventable occurrences.

3.    Promote culture of safety including safe disposal of medications and          wastes.

4.    Accurately identify patients.

5.    Provide safe patient care, safe medication administration, & safe  treatments.

6.    Identify inaccurate, non-efficacious, contraindicated, or unsafe environments or  interventions, and report such so that harm does not occur.

7.    Document, report reactions, side effects to medications, treatments, procedures, and inform all health care team members.

8.    Educate patients & encourage participation in their care to ensure accuracy in individual care plans and interventions.

 

 

3.Obtain instruction, supervision, and/or training as required when implementing nursing procedures or practices, including utilization of new equipment & technology.

1.    Basic understanding of disaster plans and disease prevention.

2.    Evaluate individual scope of practice & competency related to assigned tasks.

3.    Report safety concerns, incidents & issues immediately to faculty, preceptors, and facility personnel.  Follow protocol for incident reporting.

 

 

Comments:

 

 

Student Signature:________________________________________________

 

 

Instructor Signature:______________________________________________

                                                                      

 

NORTH CENTRAL TEXAS COLLEGE

                                                                        VNSG 1360 - CLINICAL PRACTICE I

                                                                           STUDENT COURSE EVALUATION

                                                                          Semester ________________________

 

The faculty of this course is seeking feedback from you through course evaluation about your experience in VNSG 1360.   This evaluation will serve to assist the faculty in assessing the teaching/learning process within the course.  Student input is an important, integral part of the evaluation process.  Your perceptions are valuable in determining the strengths and weaknesses of VNSG 1360.  The information that you impart will have no effect on your grade whatsoever.  Therefore, please be candid, yet thoughtful and honest, as you consider each item on the evaluation.

Directions:      On this sheet, circle the letter that best describes your evaluation according to the following scale.

A- Strongly Agree              B-Agree         C-No Opinion                      D- Disagree           E- Strongly Disagree

In any area you disagree or strongly disagree, please cite how we might improve this area at the end of the survey.  Bring the completed evaluation and the written suggestions to your final clinical evaluation and place in envelope or box provided.

Clinical Facility:

  1. I feel having clinical at (Hospital name)__________________________________ A B C D E

provided an opportunity to aid me in meeting the objectives of VNSG 1463.

  1. I feel having clinical at _______________________________________________ A B C D E

provided an opportunity to aid me in meeting the objectives of VNSG 1463.

  1. I had the opportunity to participate in a variety of learning experiences. A B C D E
  2. Various methods of instruction were utilized which helped me fulfill course objectives. A B C D E
  3. I have become more aware of other cultures/value systems through my nursing course. A B C D E
  4. Sufficient materials and/or supplies were available for student use. A B C D E
  5. Space for conferences between students and staff or instructor(s) was provided. A B C D E
  6. There were enough patients available so that students could meet course objectives. A B C D E
  7. There was sufficient variety in patient conditions so that students could experience more A B C D E

than one care situation.

  1. Supplementary experiences to amplify course objectives were available on the units(s). A B C D E
  2. The learning environment on the unit(s) was positive. A B C D E
  3. The staff appeared to be interested in students. A B C D E
  4. The staff were receptive and helpful to students. A B C D E
  5. Safe nursing practices were maintained. A B C D E
  6. The staff consistently performed their duties in a professional manner. A B C D E
  7. This facility can be recommended to other students as a worthwhile clinical learning A B C D E

experience.

Syllabus:

  1. The course syllabus clearly stated course requirements and or expectations. A B C D E
  2. The objectives built on previous course content. A B C D E
  3. The objectives were stated clearly and understandably. A B C D E
  4. Clinical evaluation tool related to course objectives. A B C D E
  5. I received a copy of the clinical evaluation tool in my syllabus prior to being evaluated. A B C D E

 

Other:

  1. Clinical preparation assignments were clear. A B C D E
  2. I was provided with appropriate supervision in the clinical area. A B C D E

 

I feel the best part of the course was:

 

 

Given the opportunity, I would change what?    How?

 

 

 

I disagree or strongly disagree on the following items and would suggest the following change.

Area (number)-                                                    Why-                                                      How  to Change-

 

Syllabus File(s)

There are no Handouts for this set.