Course Title: Clinical Level II

Course Prefix & Number: VNSG 1463

Section Number: varies per campus

Term Code: varies per campus/year

Semester Credit Hours: 3

Lecture Hours:

Lab Hours: 48

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 Prerequisite(s):Successful completion of 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

 - 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

# 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 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.

  Pass or Fail

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 Accomodations

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.

D Swofford Office hrs.

Tues,Wed- 4pm-5pm per Canvas or text

D. Bench Office hrs.

Tues,Wed- 4pm-5pm per Canvas or text

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.

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.

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.

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.