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NURS 3821
Nursing Competencies
Course Syllabus: Fall 2015
COURSE DESCRIPTION: This course is a foundation for all
applied nursing courses in the ETBU program. Nursing concepts
are explored and the nursing process is utilized as a critical thinking
and analysis tool. Beginning applications of evidenced-based nursing
interventions therapeutic nursing interventions are examined and demonstrated in the clinical setting.
COURSE PLACEMENT IN CURRICULUM: Level 1 course; requires successful completion of all
nursing program prerequisites and admission to the nursing program.
COURSE FACULTY:
Course Coordinator:
Office:
Office phone:
Cell phone:
Email:
Office Hours:
Julie Leming RN, MSN
Craig Building 107
903-923-2215
903-503-2012
[email protected]
As posted on faculty bulletin board or by appointment
Course Clinical Instructor:
Office room number:
Office phone:
Cell phone:
Email:
Office Hours:
Kristi Burns RN, MSN
Craig Building 105
903-923-221
903-930-4049
[email protected]
As posted on faculty bulletin board or by appointment
Course Clinical Instructor:
Office:
Office phone:
Cell phone:
Email:
Office Hours:
Brittany Murley
Craig Building 106
903-923-2241
903-931-2715
[email protected]
As posted on faculty bulletin board or by appointment
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COURSE OBJECTIVES:
Upon successful completion of this course, the student will be able to:
1. Use critical reasoning to apply the steps of the nursing process to the care of the individual
experiencing changes in functional health patterns;
2. Implement one or more teaching/learning plans developed through the use of evidence base
practice;
3. Utilize concepts of growth and development throughout the life span in the care of the individual;
4. Describe the role of asepsis, safety, and hygiene in providing a safe environment to improve patient
outcomes;
5. Identify and implement appropriate therapeutic interventions for meeting the physiological and
psychosocial health needs of the individual while exhibiting Christ centered care;
6. Discuss methods of adaptation of the nursing care to the ethnicity and culture of the individual.
7. Describe physiological, psychological, developmental, sociocultural, and spiritual variables
affecting patients and families;
8. Apply safe nursing practice in compliance with the Nurse Practice Act and the ANA Standards of
Care.
9. Demonstrate methods of data collection and critical thinking for evidenced based practice methods.
UNIT OBJECTIVES:
Listed at the beginning of each chapter in the text book.
COURSE CLINICAL OBJECTIVES:
See the Clinical Evaluation Tool in the appendix.
COURSE TEXT(S):
Doenges, Moorhouse & Murr, (2011). Nurse’s Pocket Guide: Diagnoses, Prioritized Interventions, and
Rationales (12th ed.). Philadelphia, PA: F.A. Davis Company. ISBN 9780803622340
HESI Comprehensive Review for the NCLEX-RN Examination, 4th ed. (2013). St. Louis: Elsevier.
ISBN: 978-1-4557-2752-0
Mosby's Nursing Video Skills Student DVD Basic Intermediate & Advanced Skills (4th ed.) ISBN: 978-0323-08863-3
Potter & Perry, (2013). Fundamentals of Nursing (8th ed.). St. Louis: Elsevier.
ISBN: 978-0-323-07933-4
Potter & Perry, (2013). Fundamentals of Nursing (8th ed.) Study Guide. St. Louis: Elsevier.
ISBN: 978-0-323-08469-7
Van Leeuwen, A. & Poelhuis-Leth, D. (2011). Davis’s Comprehensive Handbook of Laboratory and
Diagnostic Tests with Nursing Implications (4th ed.). Philadelphia, PA: F.A. Davis Company.
ISBN-9780803623040
Lippincott, Williams, & Wilkins NCLEX-RN 10,000 - Powered by PrepU (2011). 2-Year subscription:
ISBN: 978-1-4511-1601-4
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COURSE EVALUATION METHODS:
Theory Grading Scale:
In the Department of Nursing, letter grades are equated with the following percentages:
A 92-100%
B 82-91%
C 75-81%
D 65-74%
F Below 65%
Evaluation Methods:
Unit Exams (4)
Quizzes/In class assignments
Exam (HESI)
Total
75%
20%
5%
100%
While other classroom assignments may figure into the final course grade, the student must achieve a
weighted average grade (as shown above) of at least 75% on all unit exams (combined) in order to pass this
course. In the event that the required unit exam average is not achieved, the final course grade will reflect
only the unit exam average; grades on other assignments will not be included.
All written work is due at the beginning of class. Five points will be deducted for each day that an
assignment is late past the due date. This applies to class and clinical assignments. Hybrid assignments
(such as online discussion board posts or other assignments to be posted to Blackboard) may be graded
differently based on the rubric found in the course syllabus.
Assignment(s) and grading criteria are located in the appendix.
All lectures are recorded and uploaded to YouTube.com and should be viewed before class. Chapters to be
covered each week are posted and reading should be completed before class. Students are required to
arrive in class prepared to apply the knowledge from the lectures and reading.
Students are responsible for meeting the computer needs of all courses. Assignments and due dates will not
be altered because of personal computer problems. The computer lab in the Craig Nursing Building is
available for student use during standard operating hours.
NATIONAL TESTING STANDARDS:
Students will be required to take a nationally normed exam during level 1, which will count as a major
component of the overall grade in this course. Failure of the exam could result in failure of the course.
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Rubric for HESI Score Conversion to Numerical Grade Recorded in this Course:
HESI Exam
Prediction of
NCLEX Success
Recommended Performance
Acceptable Performance
Below Acceptable Performance
Further Preparation Needed
HESI Exam
Scoring
Intervals
1000 or greater
976-999
950-975
926-949
900-925
876-899
850-875
826-849
800-825
776-799
750-775
726-749
700-725
676-699
650-675
Less than 650
Numerical Grade
Recorded for Exam
Results
100
95
92
90
85
80
75
72
70
65
62
60
55
52
50
45
DISABILITIES:
A student with a disability may request appropriate accommodations for this course by contacting the
Office of Academic Success and Graduate Services, Marshall Hall, Room 301, and providing the required
documentation. If accommodations are approved by the Disability Accommodations Committee, the
Office of Academic Success and Graduate Services will notify the student and his/her professor(s) of the
approved accommodations. The student must then discuss these accommodations with the professor(s).
All proctored exams for students with accommodations will be given in an individual testing room located
inside the library. Exam sessions will be audio and video recorded for optional review by faculty. It is the
student’s responsibility to schedule the test date at least one week prior to the test and time using the ACE
website (www.etbu.edu/ace).
ATTENDANCE POLICY:
Responsibility for attendance at class and clinical/laboratory experiences rests with the student. Students
are expected to arrive early and be prepared for class and clinical. Attendance for the entire class or
clinical times as scheduled, or until dismissed by the instructor, is expected of students as part of the
professional nurse role.
Class attendance will be monitored according to the university attendance policy as outlined in the current
ETBU Academic Catalog. Attendance will be taken at the beginning of class. If a student arrives late, it is
the students responsibility to contact the instructor after class to change the absence to a tardy. Clinical
attendance will be monitored according to the attendance policy as outlined in the current Nursing Student
Handbook.
COURSE LAB / CLINICAL ASSIGNMENTS:
Successful completion of all clinical and laboratory experiences is required in order to pass this course.
Lab/Clinical grades are assigned as PASS or FAIL. Lab and Clinical assignments for this course are as
follows:
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Participate in skills lab and clinical experiences each week. The Skills lab will consist of
demonstration and practice of new skills that will later be utilized in the clinical setting. Students
will be expected to practice during lab time to master the skills taught.
Students are required to successfully complete three required skills for NURS 3821 (Foley Catheter
Insertion, NG Tube Insertion and Sterile Dressing Change). Check off dates will be posted on the
course calendar. Students who receive an unsatisfactory score on one of the required skills for this
course will be allowed one opportunity to repeat that skill after adequate practicing has been
determined by the instructor.
Skills Lab will also include a medication calculation exam prior to starting administering
medications in the clinical setting. Students will prepare for this test by completing assignments
from the current Dimensional Analysis for Meds in Pharmacology. Students are required to achieve
a score of 90% or higher on the medication calculation examination. This exam is required in order
to begin clinical activities. The student is permitted a maximum of two (2) attempts for success on
the exam. Failure to achieve a score of 90% will result in failure of the clinical component(s) of all
clinical courses within the level. Failure of a course clinical component results in failure of the
entire course. A grade of W will be posted on the student’s transcript, but will be recorded as a
nursing course failure in the Department of Nursing. The first opportunity to pass the medication
calculation exam will be September 29, 2015. Second attempt will be October 2, 2015.
On some Skills Lab days, ALL students will meet together for presentations by guest speakers or
field trips for orientation. Do not schedule work time, doctor's appointments, etc, to conflict with
these times. These classes cannot be "made up."
All clinical times will be spent in the Nursing Building at the beginning of the semester until such
time that students have developed basic competencies to provide safe patient care. All students
must be present for these days. These classes cannot be "made up."
When Clinical days begin, the instructor will make assignments and post them on the unit. Students
will follow the instructions in the syllabus on Preparation for Clinical Experience. Students who do
not come prepared for Clinical Experience will be sent home with a failing grade for that day.
There are no opportunities for make-up experiences.
A total of two (2) failing experiences in NURS 3821 will result in clinical failure and consequent
failure of the course. Students who commit any act of omission or commission, which results in
harm or the potential for harm to a patient, will be IMMEDIATELY dismissed from the Nursing
Program. Unsafe and unprofessional behaviors that endanger safety of patients, peers, faculty, staff,
or visitors may result in disciplinary action as stated in the ETBU Department of Nursing
Handbook.
Students are responsible for all lab equipment assigned to them. Failure to bring appropriate items
to lab will count as an absence.
Students will be expected to participate in post-conference to stimulate critical thinking.
Complete the assigned Evolve RN Case Studies online by assigned due dates. The last score
achieved by the due date for each case study will be recorded as the grade. Each case study must be
completed with a grade of 80 or better by the due date. See the appendix for a list of case studies
and due dates.
A minimum of 180 clinical hours must be completed to satisfy the requirements of this course. Agency or
Patient/Client Care hours include activities such as providing direct patient care, observation experiences,
and participating in clinical conferences (pre/post/other). Skills lab hours include activities such as
participating in skills lab sessions, skills competency demonstration/testing, and simulated patient care
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activities. Computer hours include computerized/virtual experiences and online case studies. The
following table shows the types of activities and the number of hours awarded for these activities:
Clinical Activities Required in this Course
Preclinical Lab Days (3-5.5 hour days)
Nursing Home/Hospital Orientation
Nursing Home/Lab Days (2 days/4 hours each site)
Nursing Home (1/2 day)
Nursing Home Days (2-8 hour days)
Hospital Days (5-8 hour days)
Concept Map Preparation for Clinical (8 days@4 hours)
Practice in skills lab/Check-off
HESI Case Studies
Check-off
LeTourneau Health Fair
Clinical Evaluations
Pharmacology Practice
Med Exam
Individual practice in skills lab
Totals
Agency or
Patient/Client
Care Hours
Skills
Lab
Hours
16
3
Computer
Hours
4
16
4
16
40
32
8
22
108
3
6
1
3
2
4
46
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Each student is expected to inform faculty member immediately if ethical or legal problems arise during the
course of clinical activities. Additional details regarding specific clinical assignments will be provided in
class. See the appendix for a portion of the required clinical forms.
Course Clinical Evaluation Methods:
See the Clinical Evaluation Tool in the appendix.
Additional policies, procedures, and guidelines that apply to this course in the classroom and clinical
environments are located in the Nursing Student Handbook.
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Appendix Content
A.
B.
C.
D.
E.
F.
Course Calendar
HESI Case Study
Preparation for Clinical Experience
Clinical Evaluation Tool
Course Clinical Evaluation Guidelines
Course Affirmation Form
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APPENDIX A
Thursday
8/27
NURSING COMPETENCIES COURSE CALENDAR
FALL 2015
Bring syllabus and textbook to class.
Parts of Chapter 1-5 to be covered.
Monday/Tuesday
8/31 9/1
Lab 1
Thursday
9/3 Class
Monday/Tuesday
9/7-8
Lab 2
Thursday
9/10
Chapter 38 Activity & Exercise
Chapter 39 Hygiene
Tuesday
9/14-15
Lab 3
Thursday
9/17
Chapter 45 Urinary Elimination
Chapter 46 Bowel Elimination
Monday/Tuesday
9/21-22
NH/Lab 4
Thursday
9/24
Monday/Tuesday
9/28-29
NH/Lab 5
Thursday
10/1
Monday/Tuesday
10/5-6
NH Day 1
Wednesday
10/7
Thursday
10/8
Monday/Tuesday
10/12-13
NH Day 2
Thursday
10/15
Chapter 47 Mobility & Immobility
Chapter 27 Patient Safety
Chapter 40 Oxygenation
Chapter 44 Nutrition
Exam 1 (Chapters 1-5 {as covered 8/19}, 38, 39, 47, 27, 40, 44)
Chapter 28 Infection Prevention and Control
Chapter 48 Skin Integrity and Wound Care
Chapter 31 Medication Administration
Medication Administration Exam 10:00 9/29
Chapter 41 Fluid, Electrolyte, and Acid-Base Balance
Chapter 23 Legal Implications in Nursing Practice
Chapter 24 Communication
Chapter 26 Documentation and Informatics
LeTourneau Health Fair
Exam 2 (Chapters 45, 46, 28, 48, 31, 41, 23, 24, 26)
Fall Break!!
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Monday/Tuesday
10/19-20
NH ½ Day
Thursday
10/22
Monday/Tuesday
10/26-27
Hospital Day 1
Thursday
10/29
Monday/Tuesday
11/2-3
HD2
Thursday
11/5
Monday/Tuesday
11/9-10
HD3
Thursday
11/12
Monday/Tuesday
11/16-17
HD4
Thursday
11/19
Monday/Tuesday
11/23-24
Monday/Tuesday
11/30-12/1
HD5
Thursday
12/3
Monday/Tuesday
12/7-8
Clinical Evals
Thursday
12/ 10
Wednesday
12/ 16
Chapter 36 The Experience of Loss, Death, and Grief
Chapter 37 Stress and Coping
Chapter 42 Sleep
Chapter 22 Ethics & Values
Chapter 43 Pain Management
Chapter 49 Sensory Alterations
Chapter 50 Care of Surgical Patients
Chapter 9 Culture & Ethnicity
Exam 3 (Chapters 41, 23, 24, 26, 22, 36, 37, 42, 43, 49, 50, 9)
Chapter 33 Self-Concept
Chapter 34 Sexuality
Chapter 35 Spiritual Health
Thanksgiving Break!
Chapter 6 Health & Wellness
Chapter 7 Caring in Nursing Practice
Chapter 10 Caring for Families
Exam 4 (33, 34, 35, 6, 7, 10, all previous material)
Level I HESI EXAM (TBA)
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APPENDIX B
HESI Case Study Assignments Due Dates:
Test Taking Tutorial
Mobility
Breathing Patterns
Constipation
Urinary Patterns
Skin Integrity
Fluid Balance
Sleep Pattern
Pain
Sensory Function
Perioperative Care
8/30/15
8/30/15
9/06/15
9/13/15
9/13/15
9/20/15
9/27/15
10/18/14
11/01/15
11/01/15
11/08/15
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APPENDIX C
Preparation for Clinical Experience
DAY BEFORE CLINICAL EXPERIENCE:
1. Go to the assigned unit and receive your patient assignment with the name and room number of
assigned patient.
2. Follow “Partial Dress Attire” in Nursing Student Handbook when visiting assigned unit. Look and act
professional.
3. Assess the patient and appropriate care by:
a. Visiting the patient:
 Introduce yourself and explain that you are an ETBU nursing student who will be caring for
her/him tomorrow.
 Note subjective observations.
 Note objective observations such as appearance, tubes, IVs, dressings, appliances, presence of
family members, or support persons, environment.
 Obtain data for a nursing history.
b. Looking at the chart and medication record (MAR), to determine:
 Medical diagnosis
 Patient’s level of self-care, nursing care required
 Age
 Diet
 Routine and PRN medications
 Laboratory and other test results which indicate or support diagnoses.
 Nursing focus and other specific problems
c. Asking staff for help if needed, and if they are not busy.
4. Analyze data to determine:
a. Nursing diagnosis
b. Goals
c. Outcome criteria
5. Plan patient care for the clinical day by:
a. Researching medical diagnoses, lab results, and other information needed to understand patient’s
condition.
b. Look up medications the patient is receiving. Complete drug cards on drugs the patient will receive
the morning of care.
c. Formulate a nursing diagnosis, goal, and interventions needed
d. Write the data on the Nursing Concept Map form provided each week.
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DAY OF CLINICAL:
1. Meet the instructor at the appointed place for pre-conference.
 Bring the prepared, written concept map to clinical.
 Discuss the day’s care for the patient with the instructor.
2. Implement the plan of care.
a. Discuss the day’s plan of care with the primary nurse responsible for the patient’s care.
b. Check for new orders or changes in your patient’s care.
c. Take vital signs. Record on the graphic sheet at the nurse’s desk and in the nurse’s notes if so
indicated.
d. Make an initial head-to-toe assessment of the patient.
e. Prepare the patient for breakfast if p.o. feedings are indicated. Check the patient’s food tray with
the patient’s name band. Feed the patient if necessary. Be sure the patient is not NPO for surgery
or tests.
f. Give the patient appropriate mouth care, bath, hair, nail care, linen change, etc.
g. Fill the water pitcher and place where patient can reach it.
h. Place the call light within reach. Raise side rails.
i. Be sure environment is comfortable for the patient.
j. Observe the patient.
k. Report observations and care to instructor and primary care giver.
l. Check all skin surfaces closely. Report any blister, bruises, broken areas, rashes.
m. Report to primary care giver before leaving the unit. Record your day’s observations on paper and
give to the primary care giver along with a verbal report of everything you have done.
n. Look for learning experiences. If you hear of a patient who needs a procedure you have performed
in skills lab, ask if you can perform it. Call your instructor for help. An instructor or a staff R.N.
must be present whenever you perform a skill. If you are unable to perform the procedure, ask if
you may observe the R.N.
3. Medications:
a. When giving medications, check the medication record with the physician’s order on the chart. Be
sure they are identical. If there are any inconsistencies or errors, notify your instructor immediately.
b. Calculate all drug dosages for accuracy.
c. The instructor must be present when all drugs are prepared and administered.
d. Have drug cards on all medications given.
e. Be able to tell the instructor all information on the drug cards.
f. Make sure all medications are charted correctly before leaving the unit.
4. Evaluate your care of the patient and the patient’s response to the care. Be prepared to report on your
patient, experiences, and medications in post-conference.
5. Perform other duties as assigned by the instructor.
6. Ask questions of staff-tactfully and at appropriate times.
7. Use common courtesy and most of all, provide Christ centered care.
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GENERAL INFORMATION
1. Wear appropriate clothing as indicated in ETBU Department of Nursing Student Handbook.
2. Attendance at clinical is essential to learning. However, you must also practice safe health care. If you
are running a fever, have diarrhea, or vomiting, you are to remain at home.
3. If you are ill or have a valid reason for being absent, call the instructor at home before 9:00 P.M. or in the
morning after 6:00 A.M. Also call the health care agency. Failure to notify the instructor prior to an absence
results in a clinical failure for the day.
4. Leave home early enough to be punctual.
5. Eat some protein food before clinical to avoid low blood sugar.
6. Lock your purse in the trunk of your car. Take inside only your billfold or the amount of money you
will need and your car keys.
7. Strict hand washing and adherence to standard precautions is mandatory!
8. Think SAFETY at all times. Side rails must be up. Wheel chair restraints must be used correctly and
brakes locked when the chair is not being pushed. Signal lights must be within reach of the patient.
9. Keep a pair of disposable gloves in your pocket. Wear gloves whenever coming in contact with body
fluids, for baths, dirty linen changes, etc.
10. Bring your clinical folder with side pockets and three brads each clinical day. Include the following in
the folder:
1) In the brads:
Clinical evaluation tool and form for personal goals for each clinical day.
2) In the left hand pocket put all of the materials being utilized that clinical day. This will include your
nursing care plan, medication cards and skills check off booklet.
3) In the right hand pocket keep ALL of your care plans and drug cards that you have received
feedback on.
4) Before the clinical experience list your three personal goals for the day on the notebook paper and
be prepared to share them at the pre-conference.
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CLINICAL NURSING SKILLS
Daily Clinical Objectives and Skill Acquisition:
The student and faculty are jointly responsible for seeking out experiences in the clinical setting that will
allow for the attainment of the listed objectives.
The "*" objectives must be performed under DIRECT SUPERVISION by the instructor or RN. The
student must receive permission from the instructor prior to performing a skill.
All first time and new skills must be reviewed in the Generic Protocol manual prior to performance.
1. Provide total patient care; giving bed bath (total and modified), feed patient, offer bed pan/urinal,
perform skin care.
2. Obtain a nursing history from the patient; perform new admission and/or transfer of patient to and from
another unit.
3. Assess the movement and exercise needs of the patient, perform ROM, turn patient, maintain traction
and assist patient with ambulation.
4. Perform a physical assessment of the patient and chart appropriately and communicate any abnormal
findings to charge nurse. Take and monitor vital signs, weight.
5. Assess environmental hazards affecting the patient, organize room to promote patient safety, maintain
call bell within reach, frequently assess those unable to call for assistance, maintain side rails as
required.
6. Assess the learning needs of the patient and provide teaching as required, perform patient teaching,
address discharge planning.
7. **Administer medication: PO, IM, SC, topical. Apply hot/cold compresses. Must check name band
prior to administration of all medications.
8. Perform pre/post operative care, prepare patient for special procedures, monitor vital signs, perform
assessment, report and document findings. **Preop checklists must be completed and signed by the RN
responsible for the patient.
9. Discharge teaching of the patients must be done by the primary nurse and students are expected to
observe the process.
10. **Inserts and discontinues urinary catheters for male and female patients, maintains drainage systems,
collects specimens.
11. **Apply and change dressing/binders, assess drainage systems (Hemovacs, Constavac, Jackson Pratt,
T-Tubes, Penrose), maintain aseptic/sterile technique.
12. Stoma care and maintenance: change, empty, clean bag, assess skin integrity, teach patient as required.
13. Maintain oxygen delivery system.
14. Apply and maintain TED hose.
15. Collect sputum, stool and/or urine specimens.
16. Assess the fluid and electrolyte status of your patient, monitor blood work, Maintain and record Intake
and Output.
17. The nursing process will be used to implement all patient care. Nursing care plans are to be updated
daily and applicable plan of care will be developed as required.
Narcotic keys must not be carried by students. Students must not remove any narcotics from narcotic carts.
Students may co-sign receipt of narcotic but are not to take responsibility for the count of narcotics. The
student will not be left unattended at the narcotic cart.
Students must adhere to the infection control policies and standard precautions.
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LIMITATIONS:
Students may not carry out the following activities due to their lack of legal licensure status:
A. May not document in patient charts with the exception of vital signs.
B. Students are not allowed to start, change settings or discontinue IVs at this level.
C. May not initiate Code Blue but may begin Basic CPR and immediately notify unit nursing staff of crisis
situation.
D. May not have the narcotic keys in their possession.
E. May not withdraw medications from the narcotic cart or sign them out, unless accompanied by licensed
hospital personnel.
F. May not take verbal orders.
G. May not administer chemotherapy agents.
H. May not adjust epidural pumps.
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APPENDIX D
East Texas Baptist University
Department of Nursing
LEVEL 1: CLINICAL EVALUATION TOOL
Student:_______________________________
NURS 3821 Competencies Semester: Fall 2015
Based on the care of one low acuity patient with nursing care focused on meeting the patient’s basic needs: hygiene, mobility, safety, oral and
parenteral medication administration, pain management, urinary and bowel elimination, & nutrition.
Clinical Objectives
Evidence of Satisfactory Performance
I. Member of the Profession: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)
A. Function within the nurse’s legal scope of practice and in accordance
1. Incorporate ethical principles such as nonmaleficence, justice,
with the policies and procedures of the employing health care institution
veracity, etc, when caring and interacting with patients and families.
or practice setting.
2. Contribute to professional development of peers by sharing
B. Assume responsibility and accountability for the quality of nursing
information in post conference, clinical settings and competency
care provided to patients and families.
lab.
3. Practice nursing in a caring, nonjudgmental, nondiscriminatory
Key elements which the student must independently complete for
manner.
satisfactory performance are:
4. Provide culturally sensitive health care to patients and families.
Demonstrate patient confidentiality.
5. Provide holistic care that addresses the needs for diverse
Notify instructor and agency prior to absence or tardiness.
individuals.
Come to clinical prepared.
6. Assume accountability for individual nursing practice.
Complete skills checklist per school policy.
7. Follow established policies and procedures.
Conform to student dress code.
8. Question orders, policies, and procedures that may not be in the
Seek experiences to enhance learning.
patient’s best interest.
Conform to student clinical behavior as specified in student handbook.
9. Use communication techniques and management skills to
Report relevant patient issues to appropriate members of the healthcare
maintain professional boundaries between patients and individual
team.
health care team members.
Deliver care in a manner that preserves/protects patient autonomy,
dignity, and rights.
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I. Member of the Profession:
A. 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.
B. Assume responsibility and accountability for the quality of nursing care provided to patients and families.
Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a
short description of how this objective was met.
Example 1:
Example 2:
Example 3:
Example 4:
Example 5:
Example 6:
Example 7:
Example 8:
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Clinical Objectives
Evidence of Satisfactory Performance
II. Provider of Patient-Centered Care: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)
A. Use clinical reasoning and established evidence-based
1. Demonstrate caring and respectful behaviors when interacting with
policies as the basis for decision making and comprehensive
patients and their families.
patient care.
2. Discover therapeutic communication techniques that contribute to a
B. Determine the physical and mental health status, needs, and
helping relationship with the patients and their families.
preferences of culturally, ethnically, and socially diverse
3. Focus on patient’s needs, rather than personal needs.
patients, based upon interpretation of assessment findings
4. Complete appropriate physiological, psychological, sociocultural,
compared with evidence-based research findings.
developmental, and spiritual assessments on selected patients.
C. Synthesize assessment data to identify problems, formulate
5. Apply critical thinking to analyze data and select appropriate nursing
goals/ outcomes, and develop plans of care for patients and
diagnoses for one to two patients.
families using information from evidenced- based practice and
6. Examine abnormal assessment with pathophysiology.
published research in collaboration with patients, families, and
7. Mutually determine patient centered goals.
the interdisciplinary health care team.
8. Select appropriate interventions based on assessment data and scientific
D. Provide safe, compassionate, comprehensive nursing care
rationale.
to patients and families through a broad array of health care
9. Apply primary, secondary, & tertiary levels of prevention in patient care.
services.
Key elements which the student must independently complete
for satisfactory performance are:
Collect subjective and objective data needed for care of one
patient of low acuity.
Perform selected nursing procedures safely and accurately.
Seek guidance from appropriate person or faculty.
Maintain safe patient environment.
State rationale and side effects of medication.
Demonstrate awareness of nursing implications for drug
administration.
Assess patient response to drugs and document appropriately.
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II. Provider of Patient-Centered Care:
A. Use clinical reasoning and established evidence-based policies as the basis for decision making and comprehensive patient care.
B. Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients, based upon
interpretation of assessment findings compared with evidence-based research findings.
C. Synthesize assessment data to identify problems, formulate goals/ outcomes, and develop plans of care for patients and families using information
from evidenced- based practice and published research in collaboration with patients, families, and the interdisciplinary health care team.
D. Provide safe, compassionate, comprehensive nursing care to patients and families through a broad array of health care services.
Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a
short description of how this objective was met.
Example 1:
Example 2:
Example 3:
Example 4:
Example 5:
Example 6:
Example 7:
Example 8:
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Clinical Objectives
Evidence of Satisfactory Performance
III. Patient Safety Advocate: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)
A. Demonstrate knowledge of the Texas Nursing Practice Act and
the Texas Board of Nursing Rules that emphasize safety, as well as
all federal, state, and local government and accreditation
organization safety requirements and standards.
B. Implement measures to promote quality and a safe environment
for patients, self, and others.
C. Formulate goals and outcomes using an evidence- based and
theoretical analysis of available data to reduce patient risks.
D. Obtain instruction, supervision, or training as needed when
implementing nursing procedures or practices.
E. Comply with mandatory reporting requirements of the Texas
Nursing Practice Act.
1. Promote and manage a safe, effective environment conducive to
the optimal health and dignity of the patient and family.
2. Accurately identify patient with at least two patient identifiers.
3. Safely perform preventive and therapeutic procedures and nursing
measures including safe patient handling.
4. Safely administer medications and treatments.
5. Use evidence-based findings to initiate accident prevention
measures for patients and implement measures to prevent risk of
patient harm resulting from errors and preventable occurrences.
6. Practice according to the Texas Nursing Practice Act and Texas
Board of Nursing Rules.
Key elements which the student must independently complete for
satisfactory performance are:
Report relevant patient issues to appropriate members of the
healthcare team.
Use Standard Precautions at all times.
Administer medications using legal standards (including the 6
rights).
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III. Patient Safety Advocate:
A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal,
state, and local government and accreditation organization safety requirements and standards.
B. Implement measures to promote quality and a safe environment for patients, self, and others.
C. Formulate goals and outcomes using an evidence- based and theoretical analysis of available data to reduce patient risks.
D. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.
E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.
Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a
short description of how this objective was met.
Example 1:
Example 2:
Example 3:
Example 4:
Example 5:
Example 6:
Example 7:
Example 8:
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Clinical Objectives
Evidence of Satisfactory Performance
IV. Member of the Health Care Team: (QSEN: Patient-centered Care, Evidence Based Practice, Safety, Informatics)
A. Coordinate, collaborate, and communicate with patients, families,
and the interdisciplinary health care team to plan, deliver, and
evaluate care.
B. Participate as an advocate in activities that focus on improving the
health care of patients and their families.
1. Examine community resources available to the patient.
2. Work cooperatively and interact professionally with the patients.
3. Organize time effectively. Document appropriately, accurately, and
timely according to legal parameters and institutional criteria.
4. Collaborate with various members of health care team and
participate in discharge planning.
5. Identify other available resources to enhance patient knowledge.
6. Support the patient’s rights of self-determination and choice even
when these choices conflict with values of the individual professional.
7. Participate in quality improvement activities.
8. Assess the adequacy of the support system of the patient and
family.
9. Facilitate communication among patients, families, and
interdisciplinary team to use institutional or community resources to
meet health care needs.
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IV. Member of the Health Care Team:
A. Coordinate, collaborate, and communicate with patients, families, and the interdisciplinary health care team to plan, deliver, and evaluate care.
B. Participate as an advocate in activities that focus on improving the health care of patients and their families.
Provide examples of how you met this competency in the patient care setting. Please include the date of the entry, the number of the objective, and a
short description of how this objective was met.
Example 1:
Example 2:
Example 3:
Example 4:
Example 5:
Example 6:
Example 7:
Example 8:
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Student Self-Evaluation of Clinical Experience:
Strengths: _______________________________________________________________________________________________________
________________________________________________________________________________________________________________
Weaknesses: ____________________________________________________________________________________________________
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Student signature:__________________________________________________
Date:____________________________________
Faculty Signature:__________________________________________________
Date:_____________________________________
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APPENDIX E
COURSE CLINICAL EVALUATION GUIDELINES:
The clinical component of this course will be evaluated as "P" (pass) or "F" (fail). Students must be
successful in both lecture and clinical components of the class in order to earn credit for the course. The
clinical grade will depend upon written assignments, clinical performance and post conference interactions.
Students must complete the clinical log component of the Clinical Evaluation Tool on an ongoing basis to
assist in documenting completion of clinical objectives. Faculty may review this documentation at times
throughout the course. Additional evaluation by faculty will include direct observation of student
performance, preceptor feedback on student performance, and/or other methods deemed appropriate based
on course design and expectations.
Formal evaluation conferences between the instructor and student will occur at mid-term and at final course
completion; more frequent conferences may occur at the discretion of course faculty.
Students are expected to adhere to the ETBU student handbook and the Nursing Student Handbook,
attendance policies, professional clinical behavior policies, and dress codes. Failure to do so may result in
clinical failure(s). Two clinical failure days will result in failure of the course.
A completed and signed clinical evaluation is necessary for successful completion of this course. Students
must achieve a “pass” on each critical element to be successful in the clinical component of the course.
Critical elements are essential components of clinical behavior necessary for the performance of
professional nursing.
Examples of failing clinical behaviors include, but are not limited to:
1.
2.
3.
4.
5.
6.
7.
8.
Any act of omission or commission that may result in harm to the patient
Violating or threatening the physical, psychological, microbiological, chemical, or thermal
safety of the patient
Violating previously mastered principles or learning objectives when implementing nursing
interventions and/or delegated medical interventions
Assuming inappropriate independence in action or decisions
Not adhering to current CDC guidelines for infection control
Failing to recognize own limitations, incompetence and/or legal responsibilities
Failing to accept moral and legal responsibility for own actions, thereby violating professional
integrity as expressed in the ANA Code for Nurses
Arriving at the clinical setting in an impaired condition or otherwise unprepared to give patient
care as determined by the clinical instructor
Further elaboration on professional behavior is found in the Nursing Student Handbook.
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APPENDIX F
East Texas Baptist University
COURSE AFFIRMATION FORM
NURS 3821 Nursing Competencies
As a student in this course, I agree to protect the privacy of faculty, peers, patients and family members of
patients by not inappropriately disclosing confidential information about faculty, peers, patients or their
family members that is disclosed to me in my capacity as an East Texas Baptist University nursing student.
In addition, I agree not to inappropriately disclose confidential information about any agency or institution
that is disclosed to me in my capacity as an East Texas Baptist University nursing student.
I agree to the release of immunization records and other human resources information to appropriate
agencies, hospitals, and preceptors.
I have read the syllabus for this course, and I understand the criteria established for grading my course
work and the grading scale. If this course has a clinical/lab component, I understand that I must perform
satisfactorily in that component in addition to earning a passing theory grade in order to pass the overall
course.
I understand that all policies and guidelines in the ETBU Nursing Student Handbook apply to this course.
_____
____
Student's Printed Name
NURS 3821 – Nursing Competencies
Course Number and Name
Student's Signature
Date
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