Course Title:

Clinical III

Course Prefix & Number:

VNSG2460

Section Number:

100-102

Semester/Year:

171S

Semester Credit Hours:

4

Lecture Hours:

0

Clinical Hours:

336

Course Description (NCTC Catalog):

The Vocational Nursing program is fully approved by the Texas Board of Nursing (BON) and is a certificate program. This program is designed to prepare entry-level practitioners to provide direct care to patients of all age groups under the supervision of a registered nurse or licensed physician. Emphasis is placed upon the ability to make sound judgements based on the knowledge of scientific principles and the ability to utilize technical skills in a variety of setting.     

     Nursing in Health and Illness III: This course assists the student in the continued

      development of their knowledge and skill in the role and function of the vocational nurse.

     It provides learning experiences in the clinical setting focusing on further refinement of the

      nursing process in caring for clients exhibiting health-illness continuum through the life

      span.         

Course Prerequisite(s):  All courses contained in semesters one and two must be successfully

completed prior to entry in semester three

Required or Recommended Course Materials:

Linton, A. D. Introduction to Medical Surgical Nursing. 6^th ed. (2016) 

EAQ compatible with text

SimChart

Drug Reference

Name of Instructor:

Alice Hupp, BSN, RN

Campus/Office Location:

Gainesville 2411-J

Telephone Number:

(940) 668-4291

E-mail Address:

ahupp@nctc.edu

Name of Instructor:

Elizabeth Childers, LVN

Campus/Office Location:

Gainesville 2411 /Clinical Site

Telephone Number:

(940) 668-4291

E-mail Address:

echilders@nctc.edu

Name of Instructor:

Jana Arant, RN

Campus/Office Location:

Gainesville 2411/Clinical Site

Telephone Number:

(940) 668-4291

E-mail Address:

jarant@nctc.edu

OFFICE HOURS (Hupp)

At the successful completion of this course the student will be able to:

Member of the Profession (DEC I, 1)

-Function within nurse’s scope of practice and in accordance with the policies and procedures.

Provider of Patient-Centered Care (DEC II, 5, 6, 7)

-Use clinical reasoning/established evidence-based policies as the basis for decision making.

-Assist in determining physical and mental health status/needs/preferences of culturally/ethnically/socially diverse patients/families.

-Report data to assist identification of problems/formulation of goals/outcomes and plans of care patients/families/health care team.

Patient Safety Advocate (DEC III, 14, 15)

-Implement measures to promote quality/safe environment for patients/self/others.

-Assist in formulation of goals/outcomes to reduce patient risks.

Member of the Health Care Team (DEC IV, 19, 20, 21)

-Communicate/collaborate with patients/families/team.

-Advocate activities that improve the health care of patients/families.

-Identify patient needs for resources of continuity of care, and ensure confidentiality.

# of Graded Course Elements

Graded Course Elements

Percentage or Point Values

7

Unit Exams

70%

Multiple

Daily Grades (including, but not limited to: Quizzes, Assignments, Participation)

5%

1

Final Exam

25%

Topic

General Description of Subject Matter

Unit 1

Healthcare Systems, Pt care settings, Legal/Ethical, Nurse-Pt relationship, Therapeutic Communication. Family Structure, Trans-Cultural Nursing

Unit 2

Health and Illness, Nutrition, Devel. Process ( Maslow, Erikson), Inflammation, Infection, Immunity

Unit 3

Geriatrics, Pain Management, Death, End of life care.

Unit 4

Nursing Process, Care Planning, Concept Mapping

Unit 5

Muscular- Skeletal Pathophysiology

Unit 6

Diabetes, Cancer

Unit 7

Mental Health and Illness & Disorders, Substance Abuse

Student:

POINT

Points

Infraction

LOSS

-30

Pt. abuse (physical/ emotional/ verbal)

-30

Substance abuse / theft

-30

HIPPA violation

-30

Smoking in uniform

-30

Deliberate false documentation

-11

Inadequate clinical preparation

-11

Pt. neglect, abandonment, or unsafe pt. care

-11

Inadequate notification of instructor/staff R/T

critical change in pt. condition

-11

Performing skills not yet mastered in skills lab

-11

Medication error (any of the 7 Rights) or

(disregard for pt. allergies)

-5

Failure to report a medication error

-10

Failure to perform previously mastered skills

-5

Dishonesty

-7

Failure to use isolation / universal precautions

-5

Failure to utilize gentle, compassionate touch

-5

Failure to check MD order before initiating a

procedure / therapy / treatment

-11

Failure to identify pt using name band/photo

-5

Failure to safeguard pt's physical privacy

-5

Failure to comply with MD written orders

(diet, fluids, treatments, etc…)

-11

Disrespect to others / rudeness / disregard

for dignity / use of profanity

-5

Cultural insensitivity

-5

Absence

-3

Tardiness (1 to 30 minutes late)

-3

Unprofessional appearance / uniform violation

-3

Cell phone usage / text messaging

-9

Failure to follow directions

-9

Failure to document accurately, completely &

concisely using proper grammar and spelling

-3

Failure to provide competent pt. teaching

-2

Resentment of constructive criticism

-5

Failure to take initiative in learning opportunity

-2

Poor time management

-2

Excessive break-time / meal time

-2

Lack of nursing tools (stethoscope, scissors,

penlight, hemostat, pen, reference texts)

-4

Failure to utilize therapeutic communication

Clinical Warning issued on: (include ALL semesters)

North Central Texas College Vocational Nursing Program

____________________

____________________

Grade Point Balance

Score

Letter

Grade

90-100

A

80-89

B

77-79

C

60-76

D

59 and Below

F

Name of Chair/Coordinator:

Theressa Borden, BSN, RN

Office Location:

Gainesville 2411-B

Telephone Number:

940 668 4291

E-mail Address:

tjborden@nctc.edu

Name of Instructional Dean:

TBD

Office Location:

Telephone Number:

E-mail Address:

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

1.        Take patient history using structured assessment tool.

2.        Perform basic assessment to assist identifying health status. Monitor for changes in health status.

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

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

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

Acceptable

    Not Acceptable

2. Assist in the formulation of goals and/or outcomes and a plan of care in collaboration with the patient, 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.        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 patient in meeting health care needs.

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

2.        Implement plan of care to assist patient 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 patient’s psychosocial well-being.

6.        Foster patient 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.

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 patients.

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

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

13.     Report unsafe practices.

14.     Use current technology to enhance direct patient care.

15.     Maintain patient confidentiality.

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

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

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

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

2.        Report and document patient’s responses to nursing interventions.

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

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

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

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

1.        Organize care based upon problem solving and identified priorities. Complete care on 1-2patients, including acutely ill.

2.        Identify and communicate patient care problems encountered in practice.

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

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

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

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

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

3. Participate in the identification of

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

1.        Identify support systems of the patient.

2.        Communicate patient 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 patient care environment and equipment.

2.     Implement established cost containment measures in direct patient 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, as needed, pertaining to nursing practice.

5.        Follow established policies and procedures. Revise techniques and 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 patients.

1.        Respect the privacy and dignity of the patient.

2.        Act as an advocate for patient’s basic needs.

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

1.        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.

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

3.        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.

4.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.