NORTH CENTRAL TEXAS COLLEGE COURSE SYLLABUS

 

 

Course Title:	Clinical II
Course Prefix/Number:		VNSG 1363	Section Number:	103	Semester/Year:	Spring 2021
Semester Credit Hours:		4	Lecture Hours:	0	Lab Hours:	240
Course Description (NCTC Catalog): This course provides a continuation of Clinical I with the emphasis on utilizing the nursing process in providing individualized care of the client in all stages of development. The principles of safety in medication administration and other care are closely monitored. 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):
VNSG1420 Anatomy & Physiology for Allied Health
VNSG1323 Basic Nursing Skills
VNSG1400 Nursing Health & Illness I
VNSG1227 Essentials of Medication Administration
VNSG1360 Clinical I
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.  7th ed.  (2020) St. Louis: Elsevier, ISBN# 978-0-323-55459-6   Additional Recommended Texts: Medical Dictionary of choice Lab & Diagnostic Manual of choice Drug Guide of choice

 

COURSE TYPE

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

 - Academic NCTC Core Curriculum Course

 - WECM Course

 

INSTRUCTOR INFORMATION

Name of Instructor:	Brooke Banks
Campus/Office Location:	Gainesville Campus, LVN Dept., Office 2411-G
Telephone Number:	(940)668-7731, Ext. 4302
E-mail Address:	bbanks@NCTC.edu
Office Hours:	Monday: Available by email or appointment only Tuesday: Available by email or appointment only Wednesday: (On Campus) 8:30 am – 4:30 pm Thursday: Available by email or appointment only Friday: Available by email or appointment only

 

STUDENT LEARNING OUTCOMES / WECM OUTCOMES

At the successful completion of this course the student will have knowledge of the following:
	Apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry
	Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.
	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) 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) Assume responsibility and accountability for the quality of nursing care provided to patients and their families. (C, A) Contribute to activities that promote the development and practice of vocational nursing. (C, A, P) 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) Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice. (C, A) 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) 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) Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised directed scope of practice. (C, A, P) Implement aspects of the plan of care within legal, ethical and regulatory parameters and in consideration of patient factors. (C, A, P) Identify and report alterations in patient responses to therapeutic interventions in comparison to expected outcomes. (C) Implement teaching plans for patients and their families with common health problems and well-defined health learning needs. (C, A) 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) 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) Implement measures to promote quality and a safe environment for patients and others. (C, P) Assist in the formulation of goals and outcomes to reduce patient risk. (C, A) Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices. (C, A) Comply with mandatory reporting requirements of the Texas Nursing Practice Act. (C, A) 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) 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) Participate as an advocate in activities that focus on improving the health care of patients and their families. (C, A, P) Participate in the identification of patient needs for referral to resources that facilitate continuity of care and ensure confidentiality. (C) 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) Communicate patient data using technology to support decision making to improve patient care. (C, A, P) Assign nursing care to LVNs or unlicensed personnel based upon an analysis of patient or unit need. (C, A) Supervise nursing care provided by others for whom the nurse is responsible. (C, A)

 

 

 

 

 

GRADING CRITERIA

# 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

 

DOSAGE CALCULATION 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.

 

CRIMINAL BACKGROUND

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 the department chair. You also have the right to request a criminal history evaluation letter from the applicable licensing agency.

 

ATTENDANCE POLICY

Regular and punctual attendance is expected of all students in all classes for which they have registered. All absences are considered to be unauthorized unless the student is absent due to illness or emergencies as determined by the instructor. It is the student responsibility to provide documentation as to the emergency for approval and judgement by the faculty member. Approved college sponsored activities are the only absences for which a student should not be held liable and only when provided by a college official ahead of the absence. Valid reasons for absence, however, do not relieve the student of the responsibility for making up required work. Students will not be allowed to make up an examination missed due to absence unless they have reasons acceptable to the instructor. A student who is compelled to be absent when a test is given should petition the instructor, in advance if possible, for permission to postpone the exam. Student will be dropped from a class by the Registrar upon recommendation of the instructor who feels the student has been justifiably absent or tardy a sufficient number of times to preclude meeting the course’s objectives. Persistent, unjustified absences from classes or laboratories will be considered sufficient cause for College officials to drop a student from the rolls of the College. From Board Policy FC (LOCAL).

All policies in the Vocational Nursing Student Handbook will be in effect.

• Students must attend class regularly.

• More than two (2) absences in a course per semester will result in dismissal.

• Three (3) tardies equals one absence. No one will be allowed into class if she/he is tardy until the first break. A tardy will be recorded in the gradebook.

• Leaving early is considered an absence for the whole day.

• Last day to withdraw from class with a “W” is April 5, 2021.

 

 

STUDENT HANDBOOK

Students are expected to follow all rules and regulations found in the student handbook, Vocational Nursing Handbook, and published online.

 

ACADEMIC DISHONESTY

Scholastic dishonesty shall include, but is not limited to cheating, plagiarism, academic falsification, intellectual property dishonesty, academic dishonesty facilitation and collusion. Faculty members may document and bring charges against a student who is engaged in or is suspected to be engaged in academic dishonesty. See Student Handbook, “Student Rights & Responsibilities: Student Conduct [(FLB (LOCAL)]”.

 

Consequences for academic dishonesty may include:

1. Implement a VN Program Contract.

2. Dismissal from the VN Program.

 

DISABILITY SERVICES (Office for Students with Disabilities)

The Office for Students with Disabilities (OSD) provides support services for students with disabilities, students enrolled in technical areas of study, and students who are classified as special populations (i.e. single parents).

Support services for students with disabilities might include appropriate and reasonable accommodations, or they may be in the form of personal counseling, academic counseling, career counseling, etc. Furthermore, OSD Counselors work with students to encourage self-advocacy and promote empowerment. The Counselors also provides resource information, disability-related information, and adaptive technology for students who qualify.

If you feel you have needs for services that the institution provides, please reach out to either Wayne Smith (940) 498-6207 or Yvonne Sandman (940) 668-4321. Alternative students may stop by Room 170 in Corinth or Room 110 in Gainesville.

 

 

NCTC Student Services and Resources

 

• Frequently Asked Questions-all you need to know as a new or continuing student!

• Student Services Page-all the offices and contact information you need!

• Advising FAQ's-all majors and programs!

• • Meet Your Advisor/Coach

  • Degree Plans and Online Registration

  • Career Services and Completion Center

  • Course Combination/Credit Hour Maximization Matrix

  • Lion365 Year-Round Registration!

  • Post-Registration Checklist

  • Navigating Your First Year at NCTC

• Affinity Groups and Student Life & Organizations 

• Awareness, Community Resources, and Wellness

• CARES Team and Counseling Services

• Financial Aid and Scholarships 

• Equity, Diversity, and Inclusion

• Student Success/Tutoring, TRIO, and OSD (Disability Services)

• Testing Services

• QLess and Signing into Virtual Lines  

• Keep track of NCTC campus and COVID-related updates 

 

Affinity Groups

Staff and faculty representing the Employee Resource Groups (ERG’s), along with academic advisors, counselors and success coaches, serve as mentors for NCTC’s student-centered Affinity Groups.

An Affinity Group​ is a population of students who have specific needs, barriers or systems they are needing to navigate not only within college, but within life. Providing mentorship, support and resources for identified Affinity Groups such as Black/African American students, veterans and active military, single parents, students with disabilities, adult learners, Latinx, LGBTQ+ and students who have experienced foster care and/or homelessness, enables us to make more impactful, meaningful connections with students who are in dire need of equity and understanding.

 

Career Services Center

In need of employment? NCTC Career Coaches meet one-on-one to provide training in writing resumes, job searches, interviewing, and more. The Skills to Succeed Academy is also a free interactive, online employability training program focused on building the skills and confidence you need to find the best career.

 

Completion Center

The Completion Center provides a variety of services for first-time in college students. These include academic success coaching, goal setting, course planning, student resources, career development, and job placement services for all new college students. Free online Success Seminars are also available through Student Lingo and new students will also enroll in a First Year Experience (NCTC 1001) course to get started on the right track!

Counseling and Advising

Academic Advisors and Counselors help students explore majors and programs offered, how to take the best combination of classes to meet your goals, assist with questions related to university transfer, and guide students towards academic and personal success, and more. At NCTC, you are assigned to a specific advisor or success coach based on your major or career interests. You can locate our advisors and their majors, along with contact information on the Meet Your Advisor page-and even schedule an appointment with them through their online calendar!

 

Early alert and Cares

The NCTC Early Alert program assists students who are at risk of failing or withdrawing from a course. Faculty and staff may refer students through the Early Alert process at any point in the semester in an effort to provide appropriate intervention and access to support services. Examples of behaviors that could prompt an Early Alert referral could be missing assignments, failing tests, excessive absences, or personal circumstances impacting academic performance. A student submitted as an Early Alert will be contacted by an academic advisor or success coach through text, phone, and/or via their NCTC e-mail address to discuss any current challenges as well as helpful resources and success strategies-we want our students to finish strong and know that education is a partnership!

 

The NCTC CARES Team is concerned not only about our students' academic success, but also their emotional and physical well-being. As a student, you have the ability to report concerning behavior which could impact your own safety or the safety of another NCTC student, such as stalking, harassment, physical or emotional abuse, violent or threatening behavior, or self-harm. Visit the NCTC CARES site to also locate campus and community resources, or email counseling@nctc.edu.  As always, if you feel there is an immediate threat to your own safety or welfare (or to another student), please call 911 immediately.

 

Equity, Diversity and Inclusion (EDI)

EDI partners with the entire campus community to create, maintain and demonstrate NCTC’s commitment to an equitable, diverse and inclusive learning environment where NCTC students succeed. NCTC defines equity as encompassing the practice of acknowledging individual differences and systemic disparities when developing new programs and resources for our campus community, which may sometimes challenge our own beliefs and assumptions, in order to ensure balanced educational opportunities toward completion. Everyone Included. Everyone Belongs. Everyone Valued. Everyone Inspired.

 

Financial Aid

The Office of Financial Aid provides students with information and guidance with applying for eligible types of financial assistance, such as the FAFSA (Free Application for Federal Student Aid). Students who have any types of exemptions or tuition waivers will also work with the Financial Aid Office to have these funds applied to their accounts. Additionally, the Scholarship Office provides local scholarship opportunities through an online application process, and tips on how to secure other types of scholarship awards which can help finance educational goals.

 

 

 

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. Student Success offers academic coaching, tutoring, including a Writing Center, and a Math Lab to assist new students acclimate to college by providing computer lab services for prospective students. First generation students can also participate in TRIO which offers specialized services.

 

Testing Services

The mission of NCTC Testing Services is to provide high-quality testing services that adhere to the professional standards and guidelines to meet the needs of students, faculty, and community members.

 

Syllabi Statements Spring 2021 - COVID-19 Specific

 

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, 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. Wear a mask, stay safe, and contact your Instructor as the situation arises. These policies and procedures were updated on July 30, 2020 and are subject to change as conditions change.

 

Face Coverings: Per the North Central Texas College guidance on face coverings on campus, in the instructional setting, faculty and students must wear face coverings, such as masks or face shields. Students without coverings, or those who do not comply with the rules relating to face coverings, will not be able to participate in on-campus classroom activities. To request an exception to this requirement, students should contact the NCTC HR Office of Enrollment Management (ccove@nctc.edu). Failure to comply with the face coverings requirement may result in the Instructor directing the student to leave the classroom. Any student asked to leave the classroom may be referred to the student conduct officer. These policies and procedures were updated on July 30, 2020 and are subject to change.

 

Temporary COVID-19 Attendance Policy for Face-to-Face Meetings: We are facing an unprecedented situation in which all of us must 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 (via NCTC Daily Health Check protocol through Canvas) 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 spring 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

 

QUESTIONS, CONCERNS, or COMPLAINTS

Name of Chair/Coordinator:	Theressa Borden, RN, MSN
Office Location:	Gainesville Campus, LVN Dept., Office 2411-B
Telephone Number:	(940)668-7731, Ext. 4330
E-mail Address:	tjborden@nctc.edu
Name of Instructional Dean:	Brandon Hernandez
Office Location:	Gainesville Campus, HSC building, Office 2420-A
Telephone Number:	(940)668-7731 Ext. 4963
E-mail Address:	bhernandez@nctc.edu