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: 0401	Term Code: varies per campus/year
Semester Credit Hours: 4	Lecture Hours:	Clinical Hours: 336
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. The clinical setting may include acute care facilities, clinics, long-term care facilities, and any other institutions that gainfully employ licensed nurses and/or physicians.  The clinical experience will also include patient scenario simulations in the nursing lab, in order to strengthen the student’s clinical skills and provide exposure to patient care situations that may not be readily available to the student.
Course Type:  - Academic General Education Course (from Academic Course Guide Manual but not in NCTC Core)  - Academic NCTC Core Curriculum Course  - WECM Course

 

 

Name of Chair/Coordinator:	Theressa J Borden, RN
Office Location:	Gainesville HSB
Telephone Number:	940-668-7731 x 4330
E-mail Address:	tjborden@nctc.edu

 

 

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.  Two (2) attempts to demonstrate competency.  A quiz or other written assignment associated with the skills check off may be required. Students who fail the skill demonstration and/or written competency in two (2) attempts will be immediately dropped from the program. A grade of “F” will be recorded.	Pass or Fail

 

INSTITUTIONAL LEARNING GOALS

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

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

 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.

 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 II, 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. Provider of Patient-Centered Care:  (DEC 5-12) (SCANS 1-7) (QSEN 1, 2, 3, 4, 5)
3. Patient Safety Advocate: (DEC 13-18) (SCANS 1-7) (QSEN 3,4,5)
4. Member of the Health Care Team:  (DEC 19-25) (SCANS 1-7) (QSEN 2,3,4,5,6)   

 

Last day to Withdraw	For the Fall 2020 semester, the last day to withdraw from a course with a “W” is October 30, 2020.
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.

 

VNSG 1360 – CLINICAL I

     INSTRUCTORS:          

Fall Cohort:      Bowie: Dial Swofford, RN        

   Corinth:  Ashley Hunsucker, RN

   Gainesville: Toni Perkins, RN

                           Graham:  Nick Bixby, RN

Spring Cohort:

   Gainesville: Alice Hupp, RN

         Online:  Cathy Carney, RN, MSN; Paula Rutherford, RN

 

Hunsucker Office hrs.	Appointment only
W. Walker Office hrs.	Appointment only

 

 

    COURSE DESCRIPTION:

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. The clinical setting may include acute care facilities, clinics, long-term           care facilities, and any other institutions that gainfully employ licensed nurses and/or physicians.  The clinical experience will also

     include patient scenario simulations in the nursing lab, in order to strengthen the student’s clinical skills and provide exposure to patient care situations that may not be readily available to the student.

 

     GRADING:

CLINICAL EVALUATION-

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 100 points. Points may be deducted daily

80. 89. B                             according to behaviors described in the VN Student Handbook that are

77. 79.                      C                             listed on the grade point sheet. Student must maintain a minimum score

65-76                     D                             of 77 to continue in the Vocational Nursing Program and proceed to the

Below 65               F                              next semester.

 

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.

 

SKILLS DEMONSTRATION-

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 and points will be deducted from the Clinical Point Sheet tool for failure to adequately perform the demonstration.  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 have had sufficient numbers of points deducted from the clinical grade sheet to be unable to successfully complete the clinical rotation and will be dropped from the program. A grade of “F” will be recorded.

 

 

TEXTBOOKS-

Linton, A.D.  Medical Surgical Nursing.  7^th ed.  (2016) St. Louis: Elsevier  

 

ATI Nursing Education. PN Adult Medical Surgical Nursing. 10^th ed. (2017)

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

 

Silvestri, Saunder’s Comprehensive Review for NCLEX-PN  6th ed. (2014)  Philadelphia: Saunders  

 

Ladwig, GB. and Ackley, BJ.  Guide to Nursing Diagnosis 4^th ed. (2015) St. Louis: Mosby

 

OUTCOMES: 

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

 

5. Member of the Profession:   (DEC 1-4) (SCANS 1-7) (QSEN 2,3,4)

1. 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.
2. Assume responsibility and accountability for the quality of nursing care provided to patients and their families.
3. Contribute to activities that promote the development and practice of vocational nursing.
4. 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)

1.  Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice.
2. 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.
3. 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.
4. Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised directed scope of practice.
5. Implement aspects of the plan of care within legal, ethical and regulatory parameters and in consideration of patient factors.
6. Identify and report alterations in patient responses to therapeutic interventions in comparison to expected outcomes.
7. Implement teaching plans for patients and their families with common health problems and well-defined health learning needs.
8. Assist in the coordination of human and materiel resources for the provision of care for assigned patients and their families.

7.  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.

 

 

8.  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.

F.   Assign nursing care to LVNs or unlicensed personnel based upon an analysis of patient or unit need

7. Supervise nursing care provided by others for whom the nurse is responsible.