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Degree Applicable Glendale Community College April 2013 COURSE OUTLINE Nursing Science 216 Intermediate Clinical Experience I. Catalog Statement Nursing 216 provides the more advanced nursing student with additional supervised clinical experience in the acute care hospital setting. Clinical assignments are intended to provide the opportunity for the student to augment previously learned basic nursing skills through repetition. The rotation is further designed to encourage the development of new nursing competencies and sets of skills by exposure to new assignments and experiences. Total Course Units: 2.0 Total Laboratory Hours – 96.0 Total Hours Total Faculty Contact Hours : 96.0 Prerequisite: Completion NS 212, or previous completion of equivalent coursework II. Course Entry Expectations Skills Level Ranges: Reading 7; Writing 7; Listening/Speaking 7; Math 5. Upon successful completion of the required coursework, the student will be able to demonstrate the ability to: 1. identify specific skills that require remediation and independently seek assistance in the Nursing Skills Laboratory and the clinical setting; 2. integrate proficiently the knowledge and skills derived from previous coursework; 3. calculate and administer medications and intravenous rates accurately; 4. document and communicate information regarding clinical activities and responsibilities; 5. complete previously learned nursing skills and procedures safely, applying principles to practice; 6. provide individualized care for groups of patients, with emphasis on the complex, unmet needs of elderly adults; 7. identify guidelines that provide the nurse with basic direction to address ethical issues for patients with complicated health problems. III. Course Exit Standards 1 Nursing Science 216 Page 2 At the completion of clinical experiences, the student will have demonstrated the ability to: 1. use the Hierarchy of Human Needs and the nursing process as frameworks for assessing, prioritizing, and providing safe and effective nursing care in a variety of acute care settings and nursing roles; 2. communicate effectively with patients, family members, peers, and other members of the health care team; 3. compare and contrast the nursing skills and concepts of general patient care previously experienced, to the care of patients in areas of higher acuity; 4. realistically evaluate individual areas of strength and weakness which impact the emerging level of individual nursing practice; 5. demonstrate a satisfactory level of growth and proficiency in clinical competencies as measured on the clinical evaluation tool. IV. Course ContentTotal Faculty Contact Hours = 96.0 hours A. Overview: Critical Care and other High Acuity Settings B. Orientation to Clinical Facility and Units C. Clinical Conferences V. 76.5 hours 7.5 hours 12.0 hours Methods of Instruction The following methods of instruction may be used in the course: 1. supervised clinical assignments paired with trained High Acuity Registered Nurse; 2. group presentations in post-conference meetings; 3. lecture in the format of post-conference discussions; VI. Out of Class Assignments The following out of class assignments may be used in the course: 1. participation in shift and post conferences addressing problem solving scenarios; 2. additional assignments may include internet projects and computer-aided instructional modules available in the Nursing Resource Laboratory. VII. Methods of Evaluation The following methods of evaluation may be used in the course: 1. ongoing clinical interactions and application of concepts with assigned Registered Nurse and Instructor; 2 Nursing Science 216 Page 3 2. in order to be granted “Credit” the student must receive a “Satisfactory” clinical evaluation using the standard format clinical evaluation tool for the course. VIII. Textbook(s) Cherry, B., Jacob, S., Contemporary Nursing – Issues, Trends & Management. 5th Edition Publisher: Mosby; 4 edition (2011) 13th Grade Textbook Reading Level. ISBN: 9780323069533 Kidd, P., & Wagner, K., High Acuity Nursing. 5th Edition Publisher: Prentice Hall; 5 edition (2010) 13th Grade Textbook Reading Level. ISBN-10: 0135049261 Lewis, S., Collier, I., and Heitkemper, M.Medical-Surgical Nursing: Assessment and Management of Clinical Problems. 8th Edition Publisher: Mosby; 8 edition (2011) 13th Grade Textbook Reading Level. ISBN: 978-0-323-06580-1 Fischbach, R. Manual of Laboratory & Diagnostic Tests. Current Edition. Chicago: Lippincott, Williams & Wilkins. 13th Grade Textbook Reading Level. ISBN: 978-0-7817-7194-8. Winningham, S. Critical Thinking Cases Medical-Surgical Nursing. Current Edition. New York, Mosby. 13th Grade Textbook Reading Level. ISBN: 978-0-323-05359-4. IX. Student Learning Outcomes 1. The student will be ableto use the Hierarchy of Human Needs and the nursing process as frameworks for assessing, prioritizing, and providing safe and effective nursing care in a variety of acute care settings and nursing roles. 2. The student will be able to compare and contrast the nursing skills and concepts of general patient care previously experienced to the care of patients in areas of higher acuity. 3. The student will be able to demonstrate a satisfactory level of growth and a proficiency in clinical competencies and realistically evaluate individual areas of strength and weakness which impact the emerging level of individual nursing practice. 3