Download Course / Prefix Number Nursing Transition Clinical CRN: 30341 3

Lake-Sumter State College Course Syllabus
Course / Prefix
Number
CRN:
Course Catalog
Description:
NUR2003L
30341
Nursing Transition Clinical
Course Title:
Credit:
3
(135 clock hrs)
Term:
Summer
This is the first in a series of clinical courses for the Licensed Practical Nurse
(LPN)/Paramedic transition student. This course introduces the experienced LPN/Paramedic
to the functional and professional roles of the Registered Nurse, nursing process and
assessment of client’s basic needs in an acute care setting. Students will review basic
interventions and learn more complex interventions to assist clients to promote maintain or
restore homeostasis within the context of medical-surgical nursing and maternal child health.
Clinical decision making will focus on health promotion and maintenance as well as complex
and acute conditions affecting the medical surgical client, childbearing women, and children
from infancy through adolescence. Physiological and psychosocial integrity of each client is
assured through critical thinking and appropriate clinical decision making as guided by the
clinical instructor.
This is a hybrid course. This means that more than 30%, but less than 79% of coursework is
completed through the college's Blackboard online learning system. The course
syllabus/schedule will detail the required meetings on campus or in a proctored setting. Please
see the instructor’s faculty website at http://www.lssc.edu/faculty/Pages/default.aspx for the
course syllabus/schedule and further information regarding online assignments, discussions,
and journaling. This hybrid class will meet the first week of class on campus.
[email protected]
Deborah Pate, MSN, ARNP
Instructor:
Christine Ramos, MSN,
ARNP
Office
Location:
Nurse
faculty
suite
Contact Information:
[email protected]
Office Hours:
Posted on faculty offices
All students are required to use Lakehawk Mail for official college e-mail communications.
See the college webpage for instructions on activating Lakehawk Mail.
Prerequisites:
Co-requisites
Admission into the Nursing Program.
NUR 2003 Nursing Transition
REQUIRED: (Program Duration)
F.A. DAVIS
 Hogstel & Curry (2005) Health Assessment Through the Lifespan 4th ed.
 Townsend. (2014) Essentials of Psychiatric Mental Health Nursing 6th ed.
Textbook and Other
Course Materials:
NU: Summer 2016- 05/02/16
ELSEVIER (LSSC CUSTOM PACKAGE)
 Yoost & Crawford (2016) Fundamentals of Nursing: Active Learning for
Collaborative Practice
 Yoost & Crawford (2016) Fundamentals of Nursing: Active Learning for
Collaborative Practice [eBook]
 Elsevier Adaptive Quizzing [Access for Fundamentals Text]
 Clinical Skills: Essentials Collection (2016) [Access Card]
1







Ignatavicius & Workman (2016) Medical Surgical Nursing; Patient Centered
Collaborative Care 8th ed.
Ignatavicius & Workman (2016) Medical Surgical Nursing; Patient Centered
Collaborative Care 8th ed. [eBook]
Elsevier Adaptive Quizzing (2016) [Access for Med Surg Text]
James, Nelson & Ashwill (2013) Nursing Care of Children: Principles and Practice 4th
ed.
James, Nelson & Ashwill (2013) Nursing Care of Children: Principles and Practice
4th ed. [eBook]
Ackley & Ladwig (2017) Nursing Diagnosis Handbook: An Evidenced Based Guide
to Planning Care 11th ed.
Claywell (2014) LPN to RN Transitions 3rd ed.
LIPPINCOTT, WILLIAMS & WILKINS
 Ricci (2013) Essentials of Maternity, Newborn & Women’s Health Nursing w/Study
Guide CD and Access Code 3rd ed.
CENGAGE
 Pickar (2013) Dosage Calculations 9th ed. Cengage.
(May use currently owned, older edition)
NCLEX REVIEW GUIDES- SELECT ONE w/COPYRIGHT NO OLDER THAN 2014
(Suggested Titles)
 Silvestri (2014) Saunders Comp Rev for NCLEX-RN 6th ed. Elsevier
 Rinehart, Sloan & Hurd (2014) NCLEX-RN Exam Prep 3rd ed. Pearson
CHOOSE YOUR OWN RESOURCE FROM EACH OF THESE CATEGORIES:
 Drug Guide
(Suggested Title)
Vallerand & Sanoski (2014) Davis's Drug Guide for Nurses 14th ed.
 Medical Dictionary
(Suggested Title)
Taber’s (2013) Cyclopedic Medical Dictionary 22nd ed. F.A. Davis
 Lab & Diagnostics Handbook
(Suggested Title)
Van Leeuwen (2015) Davis’s Comprehensive Handbook of Laboratory and Diagnostics Tests
w/Nursing Implications 6th ed. F.A. Davis
EVOLVE WEB TOOLS AND RESOURCES:
Browsers: Internet Explorer 9 (with Windows Vista SP2 only) and 11; or Firefox latest
version; or Chrome latest version; or Safari 6.0, 7.0
Technology and
Online Computer
Access Requirements:
Computer operating system: Windows Vista SP2, Windows 7 SP1, Windows 8.1 Update; or
MAC 10.7, 10.8, 10.9
Adobe Acrobat Reader: Acrobat Reader 11.0
Specific Elsevier products may work better in one environment than another. For specific
product functioning, please see Elsevier's Computer Requirements Page
http://help.elsevier.com/app/answers/detail/a_id/2604/p/8639#hesiaccess
NU: Summer 2016- 05/02/16
2
BLACKBOARD:
Firefox is the only acceptable browser for accessing Blackboard. Download at
http://Firefox.com
Reliable internet access required. This Hybrid designated course utilizes multiple areas of
asynchronous online environments including LSSC Website providing access to Blackboard
Distance Learning Environment, Faculty Webpages, and LSSC Libraries.
Prior to Class Start: students must be proficient in use of Blackboard Distance Learning
Environment:
 navigating
 attaching documents
 creating discussion postings
 submitting assignments formatted and saved in “rtf” rich text format
or “compatible” word application.
End of First Week: Students must resolve technical issues with use of Blackboard. Contact
LSSC Help Desk at (352) 435-6500 or [email protected] for assistance.
USB/Flash Drive REQUIRED: Backup coursework on USB Drive prior to Blackboard
submission. “Lost” work is not a valid reason for late or non-submission of Blackboard
required content.
Student Learning
Outcomes (SLOs)
Assessed in this
Course:
(what the students take
with them beyond this
course)
Academic Integrity:
NU: Summer 2016- 05/02/16
Upon completion of this course the student will be able to:
1.
Identify best practices for the management of safe and effective nursing care of
medical-surgical clients, childbearing women and pediatric clients and their families.
2.
Demonstrate the appropriate communication techniques in caring for medical-surgical
clients, childbearing women, children and their families.
3.
Incorporate cultural concepts in the care of diverse clients.
4.
Utilize the nursing process when adapting client teaching based on the educational
and developmental level of clients.
5.
Discuss the psychosocial well-being of hospitalized adults, childbearing women,
children and their families in adapting to change.
6.
Identify roles and functions of the interdisciplinary health care team in the acute care
setting.
7.
Utilize research and other references for quality improvement and evidence based
practice in the care of medical-surgical clients, childbearing women, children and their
families.
8.
Formulate preventative and wellness strategies for clients across the life span that
reflects current trends in health promotion and illness prevention.
9.
Recognize role model behaviors characteristic of the professional nurse when caring
for clients across the lifespan.
The successful functioning of the academic community demands honesty, which is the basis
of respect for both ideas and persons. In the academic community, there is an ongoing
assumption of academic integrity at all levels. There is the expectation that work will be
independently thoughtful and responsible as to its sources of information and inspiration.
Honesty is an appropriate consideration in other ways as well, including but not limited to the
responsible use of library resources, responsible conduct in examinations, and the responsible
use of the Internet. (See college catalog for complete statement.)
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Important Information
for Students with
Disabilities:
Privacy Policy
(FERPA):
Social Media:
Any student with a documented disability who requires assistance or academic
accommodations should contact the Office for Students with Disabilities immediately to
discuss eligibility. The Office for Students with Disabilities (OSD) is located on the Leesburg
Campus, but arrangements can be made to meet with a student on any campus. An
appointment can be made by calling 352-365-3589 and specific information about the OSD
and potential services can be found at www.lssc.edu, then go to “Quick Links” and click on
Disability Services.
The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C. § 1232g; 34 CFR
Part99) is a Federal law that protects the privacy of a student’s education records. In order for
your information to be released, a form must be signed and in your records located in the
Admissions/Registrar’s Office.
Be aware of your student responsibilities as you engage in social media. Refer to your student
handbook’s code of conduct under campus policies. Administrative Procedures 2-20.
• Students must abide by the student code of conduct at all times.
• Students are liable for all interactions with social media.
• Students may be held accountable for the content posted on behalf of LSSC.
1. Students must notify his/her instructor by phone prior to an absence from any clinical
session. Do not leave a message. Report from a fellow student is not considered
professional notice. If the student is scheduled for an outside experience a phone call
to the clinical site by the student is required; do not leave a message. Failure to
adhere to this policy will result in counseling and possible termination from the
program.
2. Tardy is defined as any time after the scheduled start time of clinical/clinical lab.
a. First offense: Verbal warning with anecdotal documentation.
b. Second offense: Written concern form; at the instructor’s discretion the
student may be sent home with a clinical absence and be required to make up
clinical hours.
3. Math Quiz: Once the math quiz distribution has started the student that arrives late
will not be able to take the math quiz for a grade. The instructor may distribute the
math quiz for practice purposes to the tardy student.
Attendance /
Withdrawal Policies:
4. Clinical Lab absence of less than 2 hours; in the event the student is absent for less
than 2 hours there is a one-time allowance to make up lab time. Lab time for this
absence will be scheduled with the lab coordinator. All other clinical lab absences
will result in a clinical make up day in the hospital.
5. At any time the clinical absences exceed 10% of the required clinical hours per
semester the student will be required to have administrative approval to continue in
the nursing program. Clinical make up will be required by the end of the semester for
all missed clinical time (clinical, clinical outside experience, clinical lab). Make up
days will be scheduled by the clinical instructor.
6. Students are expected to keep informed about all online assignments by carefully
following the Tentative Assignment schedule at the end of this syllabus and by
routinely checking Blackboard. Failure to hand in any of the assignments on time will
result in a failing grade for that assignment. Submission of late, incomplete or tardy
work is required.
Withdrawal Deadline:
NU: Summer 2016- 05/02/16
Withdrawal Deadline: July 14, 2016
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Methods of TeachingLearning:
Methods of
Evaluation:
Students deciding to discontinue class attendance and/or online participation have the
responsibility for formal withdrawal from class prior to the date published in the catalog.
Withdrawal forms are available from the counseling center. Failure to withdraw properly from
class will result in a grade of “F” in the course.
Reflective Journaling
Clinical practice opportunities
Laboratory experiences
Role playing
Clinical focus assignment sheets
Group participation & individual presentations
Demonstration & return demonstration
Reading & written assignments
Multi-media assignments
Guest speakers
Case Studies
Online assignments and discussions
1. Satisfactory demonstration of clinical skills
2. Satisfactory performance in clinical setting. A final summative clinical evaluation of
competent (3) in the criteria is necessary for advancement.
3. Satisfactory written clinical assignments to include:
Sim Chart
Reflective Journaling
Concept Map
Observational Experience Objectives
Online assignments and discussions
4. 10 Dosage Calculation Quizzes cumulative average of 90%.
An average of 90% must be obtained at end of semester in calculation quizzes in order to
continue in the program.
GRADING SCALE:
S = Satisfactory
U = Unsatisfactory
Course must be completed with a satisfactory (S) in order to advance in the Nursing
Program. On the Nursing Transition Clinical Evaluation, students must achieve a
Summative score of 3 or above.
GRADING POLICY
A grade of Satisfactory/Unsatisfactory will be given for the clinical course based on the
following categories of evaluation:
Grading Scale:
Instructor Clinical Evaluation
Each student will have an individual counseling and evaluation session with each of their
clinical instructors at midterm and upon the completion of the clinical experience. Evaluation
must be signed by both the instructor and the student.
Includes absences, attitude and organization of work, clinical competence, post conference
presentation, as well as participation and performance in Campus Labs.
Clinical Care Maps and Clinical Database
Progress is examined as well as the depth and knowledge displayed on the final forms. A
successful completion of a weekly clinical database and concept map in direct patient care
areas is required. Refer to clinical objectives of other experiences for required paperwork.
NU: Summer 2016- 05/02/16
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Blackboard Discussions and Assignments
Each discussion/assignment has maximum value of 3 points and earns “S” or “U” grade:
o “S” (Satisfactory) for scores of 1.6 to 3.0
o “U” (Unsatisfactory for scores of 0 to 1.5
Incomplete submissions or failures to submit by due dates earn “U” grade. All items with “U”
Course Calendar:
Classroom Rules and
Policies (Clinical
Setting):
Violence Statement:
Syllabus Disclaimer:
Course Content:
NU: Summer 2016- 05/02/16
grades must be re-written and submitted to satisfactory standard prior to end of semester (“U”
grade does not change). Receipt of “U” on >10% of items in this section requires
administrative approval to advance in the program.
See Course calendar on Blackboard under course policies
Refer to ADN Student Policy Handbook for policies regarding conduct and dress for program
participation in general and in the clinical setting.
Written Clinical Assignments:
Successful completion of weekly clinical forms is required. All assignments are due within 1
week from clinical experience. Refer to clinical unit objectives/online weekly assignments and
discussions for specific required paperwork. Late papers will result in unsatisfactory grade and
evaluation.
Clinical Preparation:
Completion of any preparatory assignment for each week of clinical is required. This will
include reading, audio-visuals and other exercises. Failure to demonstrate clinical
preparation will result in dismissal from clinical site.
Lake-Sumter State College has a policy of zero tolerance for violence as stated in College
Board Rule 2.17. Appropriate disciplinary action will be taken in accordance with Board Rule
2.17.
Information contained in this syllabus is, to the best knowledge of this instructor, considered
correct and complete when distributed to the student. The instructor reserves the right, acting
within policies and procedures of Lake-Sumter State College, to make necessary changes in
course content or instructional techniques without prior notice or obligation to the student.
Following are specific unit outcomes and content outlines for this course. Please refer to
www.lssc.edu/academics/nursing for course schedule and reading assignments.
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Schedule & Content
Dosage Calculation Quizzes
NUR 2003 Bridge Program – Summer 2016
Quiz 1
Oral dosage calculations
Quiz 2
Parental dosage calculations
Quiz 3
Basic IV dosage calculations (pumps, ml/hr)
Quiz 4
Basic IV dosage (manually regulated, qtt/min)
Quiz 5
IV calculations (ml/h & gtt/min)
Quiz 6
IV calculations (ml/h & gtt/min)
Quiz 7
Basic IV word problems
Quiz 8
Reconstitution of solutions
Quiz 9
All prior math problems
Quiz 10
All prior math problems
Quiz 11
All prior math problems
Quiz 12
All prior math problems
***Note this schedule allows for 12 quizzes. The syllabus and program policy calls for a 90% on ten (10)
quizzes. This will allow you to delete the 2 lowest grades.
NU: Summer 2016- 05/02/16
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NUR 2003 LAB SCHEDULE
CLINICAL LAB SCHEDULE (REQUIRED ATTENDANCE/MANDATORY HOURS)
(Any missed campus lab hours will be made up according to clinical absence policy)
Wednesday
May 11th
3-5 PM
Management of Care Lab
Wednesday
May 18th
3-5 PM
Management of Care Lab
Wednesday
June 1st
3-5 PM
Management of Care Lab
Teaching and Learning Lab
Wednesday
June 15th
3-5 PM
Pain Management Lab
Wednesday
June 29th
3-5 PM
Nursing Process Lab
Wednesday
July 6th
4-6 PM
OB Lab
Monday
July 11th
4-6 PM
OB Lab
Tuesday
July 19th
4-6 PM
OB Lab
Monday
July 25th
4-6 PM
Pediatrics Lab
NU: Summer 2016- 05/02/16
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CLINICAL SKILLS FAIR OUTCOMES
Students will:
1. Demonstrate proficiency with previously experienced clinical nursing skills.
2. Demonstrate accurate patient identification.*
3. Measure, assess and be able to discuss timely, effective communication regarding patient status.*
4. Use appropriate abbreviations, acronyms, symbols and dose designations as prescribed by the
Joint Commission.*
5. Demonstrate the ability to give medications safely.*
6. Explain interventions for the professional nurse to reduce the likelihood of patient harm with the
use of anticoagulants.*
7. Demonstrate infection control methods.* List what leads to catheter associated urinary tract
infections and list what infection control methods the RN can use for prevention.*
8. Demonstrate hand hygiene as prescribed by the Centers for Disease Control.*
9. List ways to identify patients with safety risks, especially to find out which patients are most
likely to try to commit suicide.*
10. List how to prevent mistakes in surgery.
Implementation:
The above mentioned skills will be evaluated by the Applied Nursing Instructors (Skills Lab
instructors) and other assigned nursing instructors. In the event the instructor is not satisfied with
the student’s performance, there will be a referral to the skills lab for remediation.
* These outcomes are adapted from the 2016 National Patient Safety Goals Hospital Program.
The Joint Commission. (2015). 2016 Hospital National Patient Safety Goals for Hospitals retrieved
11/20/15 from http://www.jointcommission.org/standards_information/npsgs.aspx
NU: Summer 2016- 05/02/16
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Vital Signs
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1. Apply knowledge needed to perform related nursing procedures and psychomotor skills, when assessing
vital signs.
2. Accurately and correctly obtain, interpret, and record vital signs.
3. Compare the client’s current vital signs and baseline vital signs.
•
Skill 19-1: Measuring Body Temperature
•
Skill 19-2: Assessing Pulses
•
Skill 19-3: Assessing Respirations
•
Skill 19-4: Assessing Pulse Oximetry
•
Skill 19-5 Measuring Blood Pressure: Manual and Electronic
•
Nursing Care Guideline: Using a Doppler Ultrasound Unit to Obtain a Pulse
•
Nursing Care Guideline: Assessing Orthostatic Hypotension
Infection Control
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1) Use correct hand washing techniques.
2) Control the spread of infectious agents by breaking the chain of infection.
3) Assess client care area for sources of infection.
4) Identify and employ methods to control or eliminate infectious agents.
5) Apply infection control principles.
6) Demonstrate precautions to prevent transmission of infection
•
Skill 26-1: Hand Hygiene
•
Skill 26-2: Sterile Gloving
•
Skill 26-3: Personal Protective Equipment
•
Skill 26-4: Preparing a Sterile Field
•
Nursing Care Guideline: Standard Precautions
•
Nursing Care Guideline: Transmission-Based Precaution Guidelines: Contact, Airborne, and Droplet
Precautions and Protective Isolation
NU: Summer 2016- 05/02/16
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Safety & Accident Prevention
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1. Evaluate what factors related to mental status may contribute to the client’s potential for accident or injury.
2. Protect the client from injury.
3. Identify interventions to prevent falls.
4. Appropriately utilize restraints.
5. Implement fire safety and rescue plan.
 Skill 25-1: Applying Physical Restraints
 Nursing Care Guideline: Side Rail Safety
Hygiene
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
2. Demonstrate nursing skills to promote patient hygiene
•
Skill 27-1: Bathing a Patient in Bed
•
Skill 27-2: Perineal Care
•
Skill 27-3: Foot and Hand Care
•
Skill 27-4: Giving a Backrub/Therapeutic Massage
•
Skill 27-5: Hair Care
•
Skill 27-6: Oral Hygiene
•
Skill 27-7: Shaving a Male Patient
•
Skill 27-8: Making an Occupied or Unoccupied Bed
•
Nursing Care Guideline: Care of Contact Lenses and Glasses
•
Nursing Care Guideline: Care of Hearing Aids•
Skin Integrity / Wound Care
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1. Implement measures to protect and maintain the client’s skin (e.g., skin care, turn client, alternating
pressure mattress).
2. Provide measures to prevent complications of immobility (e.g., range of motion, ambulation).
3. Apply knowledge needed to perform related nursing procedures and psychomotor skills.
4. Manage wound care (e.g., irrigation, application of dressings, wound suction devices).
5. Perform a skin risk assessment and implement appropriate plan of care for client.
6. Set up a sterile field.
NU: Summer 2016- 05/02/16
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7. Identify factors that result in delayed wound healing for the Implement measures to protect and
maintain the client’s skin
 Skill 29-1: Irrigating a Wound
 Skill 29-2: Changing a Sterile Dressing: Dry, Wet/Damp-to-Dry
 Skill 29-3: Obtaining a Wound Culture
 Skill 29-4: Negative-Pressure Wound Therapy, or Vacuum-Assisted Closure
 Skill 29-5: Applying Wraps and Bandages
 Nursing Care Guideline: Closed-wound Drainage System, Hemovac and Jackson-Pratt
 Nursing Care Guideline: Open-wound Drainage System, T-tubes and Penrose Drains
 Nursing Care Guideline: Suture Care
 Nursing Care Guideline: Application of Heat and Cold Therapies
Elimination Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1. Evaluate the client’s mental status and determine the client’s ability to perform self care.
2. Identify factors that interfere with elimination (e.g., fluid restriction, medication).
3. Intervene with a client who has altered bowel elimination (e.g., give enema).
4. Provide ostomy care (ileostomy, colostomy).
5. Insert and provide care for a urethral catheter
•
Skill 41-1: Urinary Catheterization: Insertion and Care
•
Skill 41-2: Closed Bladder Irrigation
•
Nursing Care Guideline: Assisting a Patient With a Urinal
•
Nursing Care Guideline: Kegel Exercise Techniques
•
Nursing Care Guideline: Discontinuing an Indwelling Catheter
•
Nursing Care Guideline: Applying a Condom Catheter
•
Nursing Care Guideline: Urinary Diversion Care
• Skill 40-1: Administering an Enema
• Nursing Care Guideline: Assisting the Patient Using a Bedpan
Mobility & Exercise
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1. Assist the client to ambulate/move using an assistive device (e.g., gait belt, lift, transfer board,
crutches, walker, and cane).
2. Provide measures to prevent complications of immobility (e.g., range of motion, ambulation).
3. Use correct body mechanics to lift, transfer, and position and assist clients to ambulate.
4. Perform appropriate Range of Motion exercises on client.
NU: Summer 2016- 05/02/16
12
•
•
•
•
•
•
•
•
•
•
5. Position client appropriately in bed to avoid complications of immobility.
6. Apply knowledge needed to perform related nursing procedures and psychomotor skills.
Skill 28-1: Manual Logrolling
Skill 28-2: Ambulation with Assistive Devices
Skill 28-3: Walking with Crutches
Skill 28-4: Antiembolism Hose
Skill 28-5: Sequential Compression Devices
Nursing Care Guideline: Fall Precautions
Nursing Care Guideline: Mechanical Lift Devices
Nursing Care Guideline: Specialized Transfer and Positioning Equipment
Nursing Care Guideline: Active, Active-Assistive, and Passive Range of
Motion
Nursing Care Guideline: Positioning in a Bed
Health History & Physical Assessment
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the outcomes listed below upon
completion of weekly activities.
1. Perform health history/health and risk assessments (e.g., lifestyle, family and genetic history, etc.).
2. Use documents to record client information (e.g., medical record, referral/transfer form).
3. Apply knowledge of nursing procedures and psychomotor skills to techniques of physical assessment.
4. Accurately calculate dosages for administration of medications.
5. Assess expected physiological changes associated with the aging process.
6. Use beginning clinical decision making/critical thinking when evaluating the client’s laboratory and
diagnostic values.
7. Perform appropriate assessments for admitting the client.
•
Head to Toe Assessment
•
Measuring Height and Weight
Nutrition
Unit Outcomes:
The student will be able to demonstrate practical application and transfer
theoretical concepts learned in co-requisite nursing classes and perform the
outcomes listed below upon completion of weekly activities.
1. Evaluate the client’s mental status and determine the client’s ability to perform self care.
2. Implement therapeutic diet appropriately.
3. Use clinical decision making/critical thinking when caring for a client with nutrition and oral hydration
needs, including food/drug interactions.
•
Assisting with Meals
•
Taking Aspiration Precautions
•
Inserting a Nasogastric Tube
•
Providing Enteral Feedings
NU: Summer 2016- 05/02/16
13
The Pediatric Client
Unit Outcomes: Upon completion of this unit students will be able to
demonstrate practical application and transfer of concepts
learned in nursing theory courses and will be able to:
Safe, Effective Care
1. Identify common pediatric communicable diseases and the modes of organism transmission. (eg.
airborne, droplet, contact)
2. Discuss the supportive role of the pediatric nurse.
3. Recognize the unique safety needs of the pediatric client in the delivery of safe effective Nursing care.
4. Provide anticipatory guidance/teaching to parents regarding injury prevention
based on child's developmental level.
Health Promotion and Maintenance
5. Provide nursing care and health promotion activities that meet expected needs of the pediatric client
from infancy through adolescence.
6. Provide physical nursing care appropriate to the developmental level of the client.
7. Evaluate immunization status of the client/family.
Psychosocial Integrity
8.
Assess parental techniques related to discipline.
9.
Assess psychosocial adaptation of the client and family to health alterations, at various
developmental levels.
10. Discuss communication techniques that are effective with children at each developmental level.
11. Provide nursing care that minimizes the common stressors affecting the hospitalized child
12. Describe the importance of and techniques for the psychological preparation of the child for
procedures.
Physiological Integrity
13 Assess physiological adaptation of the client and family to health alterations.
14 Evaluate the pediatric client response to nursing interventions.
15. Develop and implement a plan of care for the pediatric client with diverse cultural backgrounds and
various health alterations.
The Childbearing Client
Unit Outcomes: Upon completion of this unit students will be able to
demonstrate practical application and transfer of concepts
learned in nursing theory courses and will be able to:
Safe, Effective Care
1. Assess the client for symptoms of postpartum complications (e.g. hemorrhage,
infection).
2. Assess the physiological status of the pregnant client.
3. Monitor results of maternal and fetal diagnostic tests. (e.g. nonstress test,
amniocentesis, ultrasound).
NU: Summer 2016- 05/02/16
14
Health Promotion and Maintenance
4. Perform post-partum assessment and care to prevent complications.
5. Provide discharge instructions. (eg. post-partum and newborn care)
Psychosocial Integrity
6. Assess the client/family/significant others psychosocial response to pregnancy e.g. support systems,
perception of pregnancy, coping mechanisms)
7. Recognize cultural differences in childbearing and childrearing practices.
Physiological Integrity
8. Provide care for the client experiencing complications of pregnancy/labor
and /or delivery. (eg. eclampsia, precipitous labor, hemorrhage)
9. Identify signs of potential prenatal complications.
10. Assist with monitoring contractions and fetal heart rate.
11. Assist with total care of mom/family throughout admission, labor, birth, and
recovery,recording data appropriately.
12. Use clinical decision making/critical thinking when providing ante/intra/
postpartum and newborn care.
13. Use knowledge of nursing procedures and psychomotor skills when providing
ante/intra/postpartum or newborn care.
14. Safely administer medications to a client in labor.
The Newborn Client
Unit Outcomes: Upon completion of this unit students will be able to
demonstrate practical application and transfer of concepts learned in nursing theory courses and will be able
to:
Safe, Effective Care
1. Perform newborn assessments to include APGAR, nursery admission, and
gestational assessment.
2. Record and report assessment findings.
Health Promotion and Maintenance
3. Assess parental/caregiver teaching needs (SIDS, bathing, breast/bottle feeding) and implement a
teaching plan.
4. Prepare the newborn and family for discharge utilizing evidence based practices in recommending safe
home care.
Psychosocial Integrity
5. Interpret the parental-infant bonding process and intervene appropriately.
6. Demonstrate cultural sensitivity in the delivery of nursing care to the newborn and family.
Physiological Integrity
7. Assist with identification and stabilization of the high risk newborn.
8. Utilize the nursing process to assist with meeting the basic needs of the newborn
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Clinical Evaluation
Nursing Transition Clinical
NUR 2003L
Student Name _________________________________ Semester ___________ Year ________
Clinical Instructor(s) ____________________________________________________________
Requirements:



Students receive a formative (mid-term) and summative (final) evaluation score.
Students must earn minimum score of competent (3) for criteria indicated by asterisks (*) on formative
and summative evaluations.
Students must earn minimum score of competent (3) for ALL criteria on summative evaluation to
advance in the program.
Rating Guide:
1-Inadequate: The student does not meet expected standards. Is unable to clinically demonstrate knowledge, comprehension,
applications, or evaluation in the provision of safe.
2-Fair: The student inconsistently meets expected standards. Is inconsistent with the clinical demonstration of knowledge,
comprehension, application, and evaluation in the provision of safe patient care.
3-Competent: The student meets expected standards, is able to clinically demonstrate the ability to apply knowledge,
comprehension, application, and evaluation in the provision of safe patient care.
4-Exemplary: The student meets and exceeds expected standards. Is consistent in the clinical ability to demonstrate
knowledge, comprehension, application, analysis, synthesis and evaluation in the provision of safe patient care.
Scoring Instructions:




Score criteria listed in each section according to rating guide above. Use whole numbers as indicated.
Calculate the average of criteria scores in a section.
Enter result in Course Outcome for formative or summative evaluation.
o use whole numbers only
o if necessary round up or down (X.5 or higher rounds up; X.4 or lower rounds down)
Complete last page for formative or summative evaluation
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COURSE OUTCOMES

Course Outcome 1
Identify best practices for the management of safe and effective nursing care of medical-surgical
clients, childbearing women and pediatric clients and their families.
Course Outcome 2
Demonstrate the appropriate communication techniques in caring for medical-surgical clients,
childbearing women, children and their families.

Course Outcome 3
Incorporate cultural concepts in the care of diverse clients.

Course Outcome 4
Utilize the nursing process when adapting client teaching based on educational and developmental
level of clients.

Course Outcome 5
Discuss the psychosocial well-being of hospitalized adults, childbearing women, children and their
families in adapting to change.
Course Outcome 6
Identify roles and functions of the interdisciplinary heath care team in the acute care setting.


Course Outcome 7
Utilize research and other references for quality improvement and evidence based practice in the
care of medical-surgical clients, childbearing women, children and their families.

Course Outcome 8
Formulate preventative and wellness strategies for clients across the life span that reflects current
trends in health promotion and illness prevention.

Course Outcome 9
Recognizes role model behaviors characteristic of the professional nurse when caring for clients
across the lifespan.
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Professional Behaviors
Formative Score
Summative
Score
(avg 1.1 -1.14, whole #)
(avg 1.1 -1.14, whole #)
Course Outcome 9
Recognizes role model behaviors characteristic of the professional
nurse when caring for clients across the lifespan.
Program Outcome 4
Provide compassionate and culturally sensitive care to a diverse
population that personifies the core values and ethics of the
nursing profession.
1Professional Behavior Follows the policies and guidelines of LSSC and affiliating agencies by assuming
responsibility of own behavior.
1.1 Follows the policies and guidelines of LSCC and affiliating
agencies.
1.2 Accepts responsibility for own assignments
1.3 Treats other with respect.
1.4 Demonstrates nonjudgmental behaviors and attitudes.
1.5 Maintain confidentiality
1.6 Assumes responsibility for own behavior
1.7 Reports to pre-conference on time
1.8 Attends all clinical
1.9 Notifies the instructor regarding absence or tardiness prior to the
start of clinical sessions.
1.10 Reports to the instructor and assigned staff member when
entering and leaving clinical area.
1.11 Practices nursing in the clinical setting using legal/ethical
principles.
1.12 Submits completed assignments by the due date
1.13 Seeks instructors’ guidance before performing new or invasive
procedures or administering medications.
1.14 Actively pursues self-development
X
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X
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Safe and Effective Care Environment
Course Outcome 1
Identify best practices for the management of safe and effective
nursing care of medical-surgical clients, childbearing women and
pediatric clients and their families.
Course Outcome 3
Incorporate cultural concepts in the care of diverse clients.
Program Outcome 3
Demonstrate competent and safe implementation of clinical
nursing skills in meeting clients’ psychosocial and physiological
needs.
Program Outcome 4
Provide compassionate and culturally sensitive care to a diverse
population that personifies the core values and ethics of the
nursing profession.
Managing Care
2.1 Sets priorities in giving nursing care.
2.2 Organizes patient care assignments utilizing time management
skills.
2.3 Perform procedures necessary for admitting, transferring or
discharging a client.
2.4 Act as a client advocate.
2.5 Recognize cultural differences in childbearing and child rearing
practices.
2.6 Provide intra-partum care.
2.7 Provide newborn care.
2.8 Implements nursing actions for the child that are age appropriate.
2.9 Report all pertinent information and abnormal findings to the
instructor and or assigned staff member.
2.10 Receive and provide report on assigned clients.
NU: Summer 2016- 05/02/16
Formative Score
Summative
Score
(avg 2.1-2.10, whole #)
(avg 2.1-2.10, whole #)
(avg 2.1-2.10, whole #)
(avg 2.1-2.10, whole #)
X
X
X
X
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Nursing Process
Course Outcome 4
Utilize the nursing process when adapting client teaching based
on educational and developmental level of clients.
Course Outcome 5
Discuss the psychosocial well-being of hospitalized adults,
childbearing women, children and their families in adapting to
change.
Course Outcome 6
Identify roles and functions of the interdisciplinary heath care
team in the acute care setting.
Program Outcome 2
Coordinate and collaborate with the interdisciplinary healthcare
team to assess patients and provide and direct nursing care that
promotes optimal wellness of client throughout the lifespan.
Program Outcome 5
Demonstrate effective clinical judgment and decision
making utilizing critical thinking supported by scientific
knowledge and evidence based practice.
Assessment
3.1 Assesses cognitive, psychosocial, cultural and spiritual status of
assigned patients.
3.2 Complete a health history on one patient.
3.3 Performs a head to toe assessment on each patient assigned.
3.4 Assess the need to refer clients for assistance with actual or
potential problems.
3.5 Perform a risk assessment (e.g. sensory impairment, potential for
falls, level of mobility, skin integrity).
3.6 Assess client/family significant others’ psychosocial response to
pregnancy.
3.7 Assess client for symptoms of postpartum complications.
3.8 Monitor client in labor.
3.9 Performs a comprehensive assessment on each assigned child.
3.10 Differentiates and prioritizes the cognitive, psychosocial,
cultural and spiritual needs of the child and family based on
growth and development norms.
3.11 Uses principles of growth and development to differentiate
normal from abnormal responses.
Nursing Diagnosis
Formative Score
Summative
Score
(avg 3.1-7.5, whole #)
(avg 3.1-7.5, whole #)
(avg 3.1-7.5, whole #)
(avg 3.1-7.5, whole #)
(avg 3.1-7.0, whole #)
(avg 3.1-7.5, whole #)
X
X
X
X
4.1 Identifies patient problems
4.2 Develops a list of nursing diagnoses
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4.3 Prioritizes nursing diagnosis
Planning Care
5.1 Verbalizes a plan of care
5.2 States appropriate interventions
5.3 Individualizes patient care
5.4 Verify appropriateness and or accuracy of a treatment or
medication order.
5.5 Completes one care plan on an assigned patient.
Intervention
6.1 Implements planned nursing care
6.2 Performs basic hygiene
6.3 Assess vital signs
6.4 Maintains a safe environment for patient and self
6.5 Review pertinent data prior to medication administration (e.g.
vital signs, lab results, allergies, potential interactions.)
6.6 Administer medications utilizing the three checks and the six
rights.
6.7 Performs other nursing skills introduced in Nursing 2003L
Evaluation
7.1 Identifies clinical judgments to support safe nursing care.
7.2 Evaluates the effectiveness of nursing care towards meeting
patient outcomes.
7.3 Performs basic skills in transition clinical competently.
7.4 Consistently adheres to all overriding critical elements regarding
asepsis, communication, safety, professional behaviors and
universal/standard precautions.
7.5 Evaluate the results of diagnostic testing and intervene as needed.
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Communication
Course Outcome 2
Demonstrate the appropriate communication techniques in
caring for medical-surgical clients, childbearing women, children
and their families.
Program Outcome 1
Interact appropriately through verbal, nonverbal and written
communication with patients, families, and members of the health
care team.
Formative Score
Summative
Score
(avg 8.1-8.6, whole #)
(avg 8.1-8.6, whole #)
X
X
8.1 Uses verbal and nonverbal communication that demonstrates
respect, understanding and caring. Avoids abusive, threatening,
patronizing or familiar communication patterns.
8.2 Identifies components of a shift report between nurses.
8.3 Uses therapeutic communication techniques in patient
interactions.
8.4 Documents according to agency protocol, assessment findings,
interventions, skills, medication administration and progress
towards patient outcomes.
8.5 Adapts age specific growth and development principles when
communicating and providing care to assigned patients.
8.6 Promotes child’s dignity and privacy.
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Health Promotion and Maintenance
Formative
Score
Summative
Score
Course Outcome 8
Design and formulate preventative and wellness strategies for
clients across the life span that reflects current trends in health
promotion and illness prevention.
Program Outcome 6
Implement client/family centered teaching plans that promote
self-care and optimal health.
Client/Family Teaching
9.1 Assess readiness to learn, learning preferences and barriers to
learning.
9.2 Develops at least one teaching intervention for assigned patient
based on assess strengths, capabilities, barriers and educational
needs.
9.3 Validates teaching interventions with instructor.
9.4 Implements at least one teaching intervention for assigned patient
based on assesses strengths, capabilities, barriers, educational
needs and growth and development.
9.5 Provide peri-natal education.
9.6 Assist client with performing/learning newborn care.
9.7 Evaluate client/family/significant others’ ability to care for the
newborn.
9.8 Provide discharge instructions to the postpartum patient and
family.
(avg 9.1-9.8, whole #)
(avg 9.1-9.8, whole #)
X
X
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Integration of Theory, Concepts, and Principles
Course Outcome 7
Utilize research and other references for quality improvement
and evidence based practice in the care of medical-surgical
clients, childbearing women, children and their families.
Program Outcome 3
Demonstrate competent and safe implementation of clinical
nursing skills in meeting clients’ psychosocial and physiological
needs.
Program Outcome 5
Demonstrate effective clinical judgment and decision
making utilizing critical thinking supported by scientific
knowledge and evidence based practice.
Integration of Theory, Concepts, and Principles
10.1 Verbalizes knowledge of pathophysiology
10.2 States principles, concepts, and theories
10.3 Integrates principles, concepts, and theories
10.4 Utilizes evidenced based resources.
NU: Summer 2016- 05/02/16
Formative Score
(avg 10.1-10.4, whole #)
Summative
Score
(avg 10.1-10.4, whole
#)
X
X
X
X
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FORMATIVE EVALUATION
Consistent Positive Behaviors:
_____________________________________________________________________________
Recommendations for improvement:
______________________________________________________________________________
Student comments:
Student Signature ________________________________ Date____________
Instructor Signature_______________________________ Date____________
SUMMATIVE EVALUATION
Consistent Positive Behaviors:
_____________________________________________________________________________
Recommendations for improvement:
______________________________________________________________________________
Student comments:
Student Signature ________________________________ Date____________
Instructor Signature_______________________________ Date____________
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NU: Summer 2016- 05/02/16
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SYLLABUS RECEIPT ACKNOWLEDGEMENT
COURSE NUMBER:
COURSE NAME:
NUR2003L
TERM - YEAR:
Summer 2016
Nursing Transition Clinical
STUDENT: Complete and return to instructor on day of syllabus review.
My instructor reviewed the content, assignments, and policies of this syllabus in its entirety. I read, understand,
and have no further questions regarding the aforementioned content.
PRINT NAME: ___________________________________ XID#: ____________________
SIGNATURE: _____________________________________ DATE: ____________________
INSTRUCTOR: Collect and forward to administrative staff assistant on your campus.
ADMINISTRATIVE STAFF ASSISTANT:
Verify collection of form for every student enrolled in above course on your campus.
Scan as single document under corresponding campus and course—
on V Drive/Nursing Staff/Aggregate Doc’n/Syllabi Acknowledgements
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