Course Title:

Clinical I

Course Prefix & Number: 

VNSG 1360

Section Number: 

100-102

Semester/Year:

Spring 2021

Semester Credit Hours:

3

Lecture Hours:

0

Lab 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 patient’s particular needs. This is a health-related, work-based learning experience that enables the student to apply specialized occupational theory, skills and concepts.  Clinical experiences include care of the adult patient with focus on cultural nursing aspects, therapeutic communication, nutrition, geriatrics, diabetes, mental health and illness, and muscular-skeletal pathophysiology. 

Course Prerequisite(s):  None

Required or Recommended Course Materials:

Required Course Materials:

• Internet access
• ATI access: ATI (Assessment Technologies Institute) - Web-based learning and assessment program includes standardized exam and EHR Tutor.
• EAQ to Accompany Introduction to Medical Surgical Nursing. 7th ed. (2020) St. Louis: Elsevier

Required Textbooks:

• Linton, A.D. Introduction to Medical Surgical Nursing.  7^th ed.  (2020) St. Louis: Elsevier, ISBN# 978-0-323-55459-6  

Additional Recommended Texts:

• Medical Dictionary of choice
• Lab & Diagnostic Manual of choice
• Mosby’s Drug Guide

Name of Instructor:

Alice Hupp, BS, RN

Campus/Office Location:

HSC 2411-J 

Telephone Number:

940 668-4291

Text: 817 403 9663  6am- 9pm. 

E-mail Address:

ahupp@nctc.edu  Email, Canvas or text are the best ways to contact.

Name of Instructor:

Tiffany McQuien, LVN

Campus/Office Location:

HSC 2411-H 

Telephone Number:

940 668-4291

E-mail Address:

tmcquien@nctc.edu

Name of Instructor:

Kim Cook LVN

Campus/Office Location:

HSC 2411

Telephone Number:

940 668-4291 

E-mail Address:

kdcook@nctc.edu

At the successful completion of this course the student will have knowledge of the following:

1. Discuss the uniqueness of the gerontology patient related to physical, mental, and emotional changes associated with the aging process.

2. Describe the psychosocial, growth and development, and physiological needs of patients across the life span.

2. Identify primary health care needs of the client.

3. Identify the basic interventions to support the patient and family during life stages including death and dying.

DIFFERENTIATED ESSENTIAL COMPETENCIES

Cognitive (C), Affective (A), Psychomotor (P) Skills/Behaviors

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. (C, A, P)
2. Assume responsibility and accountability for the quality of nursing care provided to patients and their families. (C, A)
3. Contribute to activities that promote the development and practice of vocational nursing. (C, A, P)
4. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning. (C, A, P)

Provider of Patient-Centered Care: (DEC 5-12) (SCANS 1-7) (QSEN 1-5)

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

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. (C)
2. Implement measures to promote quality and a safe environment for patients and others. (C, P)
3. Assist in the formulation of goals and outcomes to reduce patient risk. (C, A)
4. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices. (C, A)
5. Comply with mandatory reporting requirements of the Texas Nursing Practice Act. (C, A)
6. Accept and make assignments that take into consideration patient safety and organizational policy. (C, A)

Member of the Health Care Team:  (DEC 19-25) (SCANS 1-7) (QSEN 2-6)

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. (C, A)
2. Participate as an advocate in activities that focus on improving the health care of patients and their families. (C, A, P)
3. Participate in the identification of patient needs for referral to resources that facilitate continuity of care and ensure confidentiality. (C)
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. (C, A)
5. Communicate patient data using technology to support decision making to improve patient care. (C, A, P)
6. Assign nursing care to LVNs or unlicensed personnel based upon an analysis of patient or unit need. (C, A)

7. Supervise nursing care provided by others for whom the nurse is responsible. (C, A)         

# of Graded Course Elements

Graded Course Elements

Percentage or Point Values

1

Skills Checkoff

Pass/Fail

1

Drug Calculation Exam

Pass/Fail

***Student evaluations of clinical competency will be based on meeting the clinical outcomes derived from the Differentiate Essential Competencies (DEC), and shall include all actual, as well as laboratory simulated, patient care situations. Grades will be determined by utilizing a point sheet.

100%

***Students begin the semester with 100 points.  Points may be deducted daily according to behaviors described in the VN Student Handbook that are listed on the grade point sheet.  Students must maintain a minimum score of 77 to continue in the Vocational Nursing Program and successfully proceed to the next semester.

90-100 = A

80-89 = B

77-79 = C

65-76 = D

Below 65 = F