Download Instructional Package - Horry Georgetown Technical College

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Department of Nursing
Practical Nursing Program
PNR 154:
Maternal/Infant/Child Nursing
Instructional Package
EFFECTIVE TERM: Spring 2014
COURSE PREFIX: PNR 154
COURSE TITLE: PNR 154 MATERNAL, INFANT CHILD NURSING
CONTACT HOURS: 5.0CREDIT HOURS: 5.0
CLINICAL HOURS: 84 TOTAL
RATIONALE FOR THE COURSE:
To introduce the student to basic principles of nursing care during: pregnancy, labor and
delivery, postpartum and the child from birth through to adolescence. Emphasis is placed on
the normal phases of each with identification of some selected complications or variations of
each.
COURSE DESCRIPTION:
This course is a study utilizing the nursing process to meet the needs of the child bearing family.
Clinical experiences address the care of the mother, the newborn, and the care of the child with
commonly occurring diseases.
PREREQUISITES:
AHS 126, BIO 210, MAT 155, PNR 110, PNR 120, PNR 130
COREQUISITES:
BIO 211, PNR 112
REQUIRED TEXTS:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning.
Pratt, C., & White, L. (2011). Study guide to accompany Foundations of maternal & pediatric
nursing, third edition, Australia: Delmar/Cengage Learning.
RECOMMENDED TEXTS:
Castaldi, P. & Valdes, M. (2011). Study guide to accompany foundations of nursing sixth edition,
St. Louis, Mosby, Inc.
Deglin, J. H., & Vallerand, A. H. (2009). Davis's drug guide for nurses (11th ed.). Philadelphia,
Penn.: F.A. Davis.
ADDITIONAL REQUIREMENTS:
*HGTC Nursing Uniform (see Nursing Department Handbook for specifications)
*Current CPR for the Health Care Provider Certification (must remain current for the duration
of enrollment in the nursing program)
*Professional liability insurance (included in tuition)
*Current South Carolina State Law Enforcement Division background check
Complete compliance with the current Student Health Report, including all required
documentation in Student Tracker (must remain current throughout enrollment in the
Practical Nursing Program)
Stethoscope of good quality
Wrist watch (with second hand)
HGTC Student picture ID badge
HGTC library registration (student will submit H number for library resources)
TECHNICAL REQUIREMENTS:
Calculator, internet access
STUDENT COURSE LEARNING OUTCOMES:
Upon successful completion of this course, the student will be able to:
1. Safety
a. Apply basic concepts of safety when administering nursing care in health care
environments
2. Clinical decision making
a. Apply basic concepts of clinical decision making when administering nursing care
in health care environments
3. Teamwork and collaboration
a. Apply basic concepts of teamwork and collaboration when administering care in
health care environments
4. Professional behaviors
a. Apply basic concepts of professional behavior when administering nursing care in
health care environments
5. Patient centered care
a. Apply basic concepts of patient centered care when administering nursing care in
health care environments
REQUIRED COURSE MEASURES/ARTIFACTS:
Student portfolio, unit examinations, in class assignments, skill validation checklist, reflective
journal entries, student email, standardized examinations
EVALUATION OF REQUIRED COURSE MEASURES/ARTIFACTS:
Theory:
Quizzes/ assignments
7.5%
Unit tests
70%
Portfolio
2.5%
Final Exam
20%
100%
*Grades earned in courses impact academic progression and financial aid status. Before
withdrawing from a course, be sure to talk with your instructor and financial aid counselor
about the implications of that course of action. “D”s, “F”s, and “I”s also negatively impact
academic progression and financial aid status.
Testing Guidelines:
All tests for PNR 154 are computerized, via D2L. The student must enter Respondus Lockdown
in order to take the test. Testing time will be 1.5 minutes per question. There will be one (1)
question per page, with the inability to view previous questions. The clock/time will be
enforced, and the test will auto-submit, with no grace period.
Laboratory Evaluation:
Satisfactory/Unsatisfactory (must achieve a satisfactory evaluation in order to progress in the
Practical Nursing program). Skill content will be tested in the theory portion of the course.
Students are expected to participate in all assigned activities, and will be evaluated on the
following: preparedness, completion of activities/assignments, punctuality, and professional
behavior. The grade assigned will be satisfactory or unsatisfactory.
Clinical Performance Evaluation:
Students will be evaluated weekly by the assigned clinical/ observation instructor. Students will
be graded as: Satisfactory (S), Unsatisfactory (U), or Needs Improvement (NI). Please see
accompanying Clinical Evaluation Tool at the end of the Instructional Package for specific
grading requirements. In order to progress in the practical nursing program, the student must
receive a satisfactory clinical evaluation. Clinical failure is defined as receiving: 2 unsatisfactory
evaluations in one Learning Outcome, 3 unsatisfactory evaluations under different learning
outcomes, or an incident of a critical event. A critical event is defined as, but not limited to: a
dangerous action that injures or has the potential to injure, illegal or unethical behavior, and
alcohol or drug use in the clinical setting. Students will have the opportunity to make
comments on the clinical evaluation tool.
Portfolio:
Submission of evidence of student portfolio development as assigned. Students who fail
to submit required documentation on the assigned dates will receive a grade of zero for
the assignment.
USE OF ARTIFACTS: Student graded assignments may be used for organization
accreditation.
END OF COURSE SURVEY: Must be completed prior to Final Exam date. Failure to
complete will result in student being unable to sit for Final Exam.
Standardized testing (Kaplan):
1. Students are required to participate in assigned Kaplan examinations.
a. Independently complete the following (3) Kaplan Focused Assessments:
Maternity, version 2………………………………..……….due April 23, 2014
Pediatrics……………..…………………………….……………due April 23, 2014
Pediatrics, version 2………………………………………...due April 23, 2014
• KAPLAN focused assessments (non-proctored assessments) may be taken as
often as the student desires. The review modules are designed to augment lecture
topics and summarize the material relevant to the licensure exam and entry-level
practice.
b. Participate in the following Kaplan Proctored Test:
Developing Families (68 questions)
c. Complete satisfactory remediation accordingly if scores less than the
benchmark level designated on Kaplan Integrated Tests. An incomplete, “I”, will be
given until satisfactory remediation is achieved.
GRADING SYSTEM:
90-100 = A
80-89 = B
77-79 = C
69-76 = D
Less than 69 = F
NOTE:
A grade of “C” or higher is required in all Practical Nursing courses. A student must also
demonstrate satisfactory performance of assigned skills in the laboratory and clinical setting to
receive a grade of “C” or higher. A student who receives an unsatisfactory evaluation in either
the laboratory or clinical setting will receive the grade of “D” if passing the theory portion of the
course or “F” if not passing the theory portion of the course.
CONTACT INFORMATION:
Georgetown Campus: 843-546-8406
Dana Reece, Georgetown, HGTC Nursing Wing, #426, 843-520-1434 Email:
[email protected]
FACULTY OFFICE HOURS:
As posted and by appointment
STUDENT RESPONSIBILITIES:
A student at Horry-Georgetown Technical College is responsible for all course work and all
assignments made in class and clinical. Written assignments are to be turned in as scheduled.
No late papers will be accepted for credit without prior approval of the course/clinical
instructor. In addition, assignments and projects not handed in at the assigned time are subject
to a lower grade.
ATTENDANCE/TARDY/ABSENCE:
Successful completion of any nursing course requires the student to:
1. Attend at least 80% of all nursing classes. Students attending less than 80% of all classes in
any nursing course will be withdrawn from the course. Three events of tardiness, five minutes
or longer, will be counted as one class absence. Leaving early also counts as a tardy.
2. Attend 100% of all clinical/lab hours in any nursing course. A maximum of one (1) clinical
day may be missed.
a. Absence in excess of one (1) clinical day will result in a grade of
“unsatisfactory” for clinical and a failing grade for the course.
TEST MAKE-UP POLICY:
1. Students may miss a maximum of one (1) scheduled exam. The score on the final exam will
be used as the score on the missed exam.
2. Any subsequently missed exams will receive a grade of 0.
3. No exams will be administered prior to the scheduled time.
ACADEMIC DISHONESTY
Refer to the Horry-Georgetown Technical College’s Student Handbook.
PNR 154: Content Outline
Integrated Concepts
PNR 154
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Introduction and history of maternal nursing care.
X
Unit 1: Prenatal Care
Preconception and prenatal education and nursing care.
X
X
X
X
X
Fetal development and related complications.
X
X
X
X
X
X
X
X
X
X
X
X
Signs of Pregnancy and psychological adaptation to
pregnancy.
Maternal physiological changes of pregnancy and childbirth
education.
Unit 2: Complications
of pregnancy
Applying the nursing process to maternal nursing.
X
X
X
X
X
Nursing assessment of fetus.
X
X
X
X
X
X
X
X
X
X
X
X
Common complications of pregnancy and the nurse’s role
prevention and/or recovery.
Pharmacologic considerations when caring for a pregnant
patient.
Unit 3: The Birth
Process
Nursing care during different stages of labor.
X
Common risks and complications during the child birthing
process and related nursing care.
X
X
Pharmacological management of the maternal patient
during labor.
X
Maternal physiologic changes during labor and nursing care
immediately after delivery.
Unit 4: Postpartum Care The nurse’s role in facilitating and assessing family adaptation
to the neonate.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Common postpartum complications.
X
X
Pharmacological management of postpartum complications.
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Nursing care of the newborn.
X
Newborn assessment and nursing care of complications.
X
Newborn disorders and the nursing process.
X
X
Newborn nutritional needs.
Unit 7: Infants With
Special Needs: Birth to
12 Months
X
X
Assessing risks for postpartum complications and the nursing
process.
Unit 6: Basics of
Pediatric Care
X
X
Postpartum maternal physiological and psychological
changes.
Unit 5: Newborn Care
X
Nursing care of the hospitalized child.
X
Nursing role in death and dying pediatric patient.
X
Caring for the pediatric patient prior to, during, and post
procedures.
X
Infant perioperative nursing care.
X
Nursing care of infants with special needs and disorders.
X
X
X
X
X
Nursing care to prevent postoperative complications in
infants.
X
X
X
X
X
X
X
Unit 8: Common
Problems: 1 to 18 Years
Nursing care of pediatric patients with special needs and
disorders.
X
X
X
X
Nursing assessment and management of adolescents.
X
X
X
X
Nursing care of pediatric patient with risk of or exposure to
communicable diseases.
X
X
X
X
Nursing assessment and care of pediatric patients with
psychological disorders.
X
X
X
Pharmacological management of pediatric patients.
X
X
X
X
PNR 154: Course Calendar
Date
March 5, 2014
Wednesday
March 6, 2014
Thursday
March 10, 2014
Unit
Assignments
Lecture
GT 420
0900-1200
First day of class. Review
syllabus & course
requirements.
Lecture Unit 1.
Lab/Clinical
GT campus, Room 420
0900-1500
Peds/OB material.
Wear Uniform
Lecture Unit 2
Unit 2
Med Quiz #1
Lab/Clinical
GT campus, Room 420
0900-1500
Peds/OB material.
Wear Uniform.
Lecture Unit 3
Unit 3
Lab/Clinical
GT campus, Room 420
0900-1500
Peds/OB material.
Wear Uniform
Lecture Unit 3
Unit 3
Med Quiz #2
Monday
March 11, 2014
Tuesday
March 12, 2014
Wednesday
March 13 2014
Thursday
March 17, 2014
Monday
March 18, 2014
Tuesday
Clinical
Clothing as
indicated
March 19, 2014
Wednesday
Test #1
Units 1-3
March 20, 2014
Thursday
Lab/Clinical
Clinical/Observations
March24, 2014
Monday
Lecture Unit 4
Unit 4
Med Quiz #3
March 25, 2014
Tuesday
March Madness
Evaluations
Speir Building
Uniform
March 26, 2014
Wednesday
Lecture Unit 5
Unit 5
March 27, 2014
Thursday
To Be Announced
Lab/Clinical
Clinical/Observations
April 7, 2014
Monday
Lecture Unit 6
Unit 6
Med Quiz #4
April 8, 2014
Tuesday
Lab/Clinical
Clinical/Observations
April 9, 2014
Wednesday
Lecture Unit 6
Unit 6
April10, 2014
Thursday
Lab/Clinical
Clinical/Observations
April 14, 2014
Monday
Test #2
Units 4-6
April 15, 2014
Tuesday
Lab/Clinical
Clinical/Observations
Lecture Unit 7
Unit 7
Med Quiz #5
Lab/Clinical
Clinical/Observations
April 16, 2014
Wednesday
April 17, 2014
Thursday
April 21, 2014
Monday
Lecture Unit 7 cont.
Kaplan Integrated
Testing
Unit 7 cont
Kaplan Testing
April 22, 2014
Tuesday
Lab/Clinical
Clinical/Observations
April 23, 2014
Wednesday
Lecture Unit 8
Unit 8
Med Quiz #6
Kaplan Focused Reveiws
Due
April 24, 2014
Thursday
Lab/Clinical
Clinical/Observations
April 28, 2014
Monday
Test #3
Unit 8
April 29, 2014
Tuesday
Lab/Clinical
Clinical/Observations
April 30, 2014
Wednesday
Review for Final
Units 7-8
Portfolios Due
End of Course Survey
Due (See D2L)
PNR 154 Final Exam
Grades will be posted by
May 7, 2014
May 5, 2014
Final Exam
Monday
Please pick up
portfolios today after
testing.
*In April, one Friday clinical may be required for each student.
PNR 154: Student Objectives
Unit 1: Prenatal Care
 Define key terms from the text book (glossary found in the back of the text).
 Discuss historical factors affecting pregnancy and child birth.
 Describe fetal development from conception to birth.
 Identify the physical and psychological maternal changes that occur during pregnancy.
 Describe the assessments performed at each prenatal visit.
 Discuss the nutritional needs of a woman during pregnancy.
 List the discomforts of pregnancy and one way a patient might alleviate each.
 Using the nursing process to plan care for a pregnant patient.
Reading:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 1, 2, 3.
Unit 2: Complications of Pregnancy










Define key terms.
Explain medical and nursing interventions for a patient with Hyperemesis
Gravidarum.
Compare and contrast the etiology, medical-surgical management, and
nursing care for bleeding disorders of pregnancy.
Describe the development, medical-surgical management, and nursing care
of a patient with Gestational Hypertension and Gestation Diabetes.
Discuss the nursing care of a pregnant patient with a chronic medical
diagnosis: Diabetes, Hypertension, Heart disease, Maternal PKU.
Discuss the effects of infection on a pregnant woman and her fetus and ways
to prevent infections.
Compare and contrast the etiology, medical-surgical management, nursing
care, and effect on the fetus of Rh incompatibility and ABO incompatibility.
Explain the effects of multiple pregnancies on the mother, fetus, and family.
Describe the effects of addiction on the mother and fetus.
Summarize the needs of a woman in preterm labor.
Reading
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 1, 2, 3.
UNIT 3: The Birth Process

Explain the key terms.









Describe possible causes of labor.
Identify signs of labor.
Differentiate between true and false labor.
Discuss the maternal systemic response to labor.
Identify variables that affect the progress of labor.
Explain the four stages of labor.
Describe the mechanisms of labor.
Show nursing actions necessary when admitting a woman to the labor unit.
Demonstrate the specific assessments used when caring for a woman in labor: fetopelvic
relationships, fetal assessment, contractions, Leopold’s Maneuvers, vaginal examination.
 Explain possible nursing diagnoses and interventions for a patient during labor and
delivery.
 Identify the most common complications of labor—Dystocia and fetal distress.
 Identify possible medical—surgical interventions for labor: cesarean birth, induction and
augmentation of labor, amniotomy, episiotomy, forceps, vacuum extractor, and
analgesia/anesthesia.
 Provide care for the patient during labor and delivery.
Reading:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 1, 2, 3.
UNIT 4: Postpartum Care
Define key terms.
Describe the various aspects of family adaptation.
Discuss the mother’s physiologic changes after the birth of her baby.
Describe the expected and unexpected emotional/behavioral changes in the mother.
Demonstrate the postpartum assessments for every new mother and the additional
assessments for the mother who has had a cesarean birth.
• Discuss possible postpartum complications of hemorrhage, and Puerperal infection,
including endometritis, Mastitis, and thrombophlebitis.
• Explain the advantages and disadvantages of the various methods of family planning.
• Plan and provide the care of a woman who has had a baby.
Reading:
•
•
•
•
•
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 4, 5, 6.
UNIT 5: Newborn Care




Define key terms.
Describe the immediate needs of the newborn.
Discuss what initiates breathing in the newborn.
Describe the newborns methods of heat production and heat retention.








Identify the four ways heat is lost and nursing interventions to prevent heat loss.
Describe the immediate care of the newborn.
Discuss the Apgar score and how it is used.
Describe the physical characteristics of the newborn.
Identify the common variations in newborns.
Elicit the newborns reflexes.
Determine gestational age of a newborn.
Discuss the newborns nutritional needs and how they can be met by breastfeeding and
bottle feeding.
 Identify common problems the newborn may encounter and nursing interventions for
each.
 Plan the care for a newborn.
Reading:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 4, 5, 6.
UNIT 6: The Basics of Pediatric Care
Define key terms.
Discuss the role of a nurse in preparing a child and family for hospitalization.
Explain the role of the nurse in admission and discharge of the pediatric patient.
Prepare children at different developmental stages for procedures.
Discuss various methods of assessing needs and planning daily care.
Safety performing supportive pediatric procedures.
Identify the child’s understanding of death at different stages of development.
Describe commons responses to death and dying of pediatric patients (family, child,
siblings, and nurses).
• Discuss sources of support for the dying child.
•
•
•
•
•
•
•
•
Reading:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 4, 5, 6.
Unit 7: Infants with Special Needs: Birth to 12 Months






Define key terms.
Differentiate between the most common respiratory illnesses affecting infants.
Describe nursing care for infants with circulatory conditions.
Discuss nursing considerations for infants with digestive conditions.
Explain the evaluation techniques for infants suspected of having musculoskeletal
disorders.
Explain causes and effects of nervous system conditions seen in infants.



Outline teaching strategies for caregivers of infants with visual and hearing impairments
and cognitive disorders.
Implement nursing interventions for infants that have been abused.
Describe teaching guidelines for families of infants who have unsafe environments.
Reading:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 7, 8.
Unit 8: Common Problems: 1 to 18 Years.



Define key terms.
Discuss common skin disorders in children.
Differentiate between the pathophysiology, diagnosis, common diagnostic tests,
treatment, and nursing care of children with skin disorders in comparison to adults with
skin disorders.
 Differentiate between the etiology, medical-surgical management, and nursing care for
genitourinary conditions in children as compared to adults.
 Discuss communicable and infectious diseases of childhood, including their causative
agents, transmission, incubation periods, prevention, signs and symptoms, treatment, and
nursing care.
 Differentiate between the etiology, medical-surgical management, and nursing care of
orthopedic conditions in children as compared to adults.
 Briefly describe behavioral problems in children, including symptoms, treatment, and
nursing care.
 Plan care for a child with any of the conditions previously mentioned.
Reading:
White, L., Duncan, G., & Baumle, W. (2011). Foundations of maternal & pediatric nursing (3rd
ed.). Clifton Park, NY: Cengage Learning. Chapter 7, 8.
PNR 154: Commonly Administered Medications
The following medications are divided by units of the PNR 154 course. You will have a weekly
medication drug quiz on the dates indicated by unit. Please make medication cards for each of
these drugs. Place them in your portfolio as indicated.
Unit 1
Unit 2
Unit 3
Unit 4
Unit 5
Unit 6
Orthotricyclen
Methergine
Clomid
Colace
Depo Provera
RhoGam
IUD
Mylicon
Diaphragm
Annusol
Norplant
Vitamin K
Methotrexate
Magnesium
sulfate
Obtaining vital
Daily vitamin
signs in the infant
EMLA cream
and pediatric
population.
Giving
medications to
children (Box 22Immunization
1, pg 516)
schedule
Children
receiving oxygen
(Box 22-3, Pg
523)
Dilaudid
echinacea
morphine
Aloe vera
Valproic
acid/Depakote
St. John’s wort
baby aspirin
Gingko biloba
prednisone
Prima Bella
epinephrine
Rolfing
Tylenol
TENS
RU486
Oxytocin
TPN
Shiatsu
Prostaglandins
Surfac
theophylline
Fish oil
Ortho Evra
Tetracycline
digoxin
ginger
Folic acid
phenytoin
probiotics
Iron
Regular insulin
melatonin
Ibuprofen
Tylenol with
codeine
Suctioning and
airway
maintenance of
children
(Handout to be
provided)
Prenatal
vitamins
Nuva ring
Rubella
immunization
PNR 154: Student Portfolio Development
See portfolio instructions previously given.
PNR 154: Observation Written Assignments:
For each observation the student must submit a 1 page paper reflecting their experience at the
site and evaluate the facilities approach to safety , clinical decision making, professional
behaviors, teamwork and collaboration, and patient centered care. This paper should be typed
in a 12 font, double spaced, and submitted to Dropbox by the beginning of the next week.
(Tuesday’s observation paper will be due by the following Sunday at Midnight; Thursday’s
observation paper will be due by the following Tuesday at Midnight.) If your paper is not
submitted by the due date via dropbox it will result in a U (unsatisfactory) on your clinical
evaluation tool for Professional Behaviors. No late papers are accepted.
Expected Clinical Behaviors:
Observation schedules will be posted by faculty during the semester. Students must wear
uniforms per HGTC nursing dress code, with visible ID badges to all observations unless
otherwise indicated. Wear your nursing uniform and badges to all clinical in patient sites.
Students that do not show up to lab or clinical observation and do not call will receive a Uunsatisfactory on their clinical evaluation tool for professional behaviors. Call instructor and
facility coordinators if you are arriving late to lab or clinical. Students are considered tardy after
5 minutes, and may receive a U at this time. Students who arrive late to clinical observations or
labs may have their tardiness result in a clinical absence. See clinical evaluation tool standard
section 4l for explanation. Students must abide by facility policies and any students that do not
will receive a U-unsatisfactory for poor clinical performance per clinical performance standards
outlined later in this document. Please review Clinical performance standards. Each student will
have a clinical observation attendance roster which they will have signed by the facility
coordinator at each observation site. This sheet will require a signature, time of arrival, and
departure time. Students are responsible for obtaining signatures and times and submitting this
document to faculty members for approval. If this sheet is not submitted the student is subject
to withdrawal from the program due to clinical absences. Remember while attending
physician’s office observations that student will not engage in any hands on care or medication
administration. Please operate with the utmost attention to professional behavior while in all
clinical sites.
Clinical Assignments:
Inpatient clinical assignments will be assigned per your clinical instructor. Uniform and name
badge must be worn at all in patient clinical sites.
Student Clinical Observation Attendance Record
Site
Ex. Georgetown Head Start
Day & Date
Ex. Tuesday,
03/22/13
Arrival
Departure
Time
Time
0730
1230
Signature of Coordinator
Dana Reece Teacher
1)
2)
3)
4)
5)
6)
7)
8)
Facility coordinator comments section:
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GEORGETOWN TECHNICAL COLLEGE – PN PROGRAM
CLINICAL PERFORMANCE EVALUATION
COURSE: PNR 154
Student Name:____________________________
Semester: ____________________
Clinical Performance Evaluation: This tool is used by the instructor to record weekly evaluation results
as well as a mid-term and a final evaluation. Students are expected to show consistent performance
improvement and consistent progression in learning. A section is provided for:
1. Student comments, self-evaluation and reflection.
2. Faculty comments relevant to clinical performance. Any student learner grade of “NI” or “U”
requires faculty comment in this section.
Clinical Performance Standards: These are subcategories of expected performance for the student
learning outcomes: Safety (S), Clinical Decision Making (CDM), Teamwork & Collaboration (T & C),
Professional Behaviors (PB), and Patient-Centered Care (PCC)
Clinical Learning Activities/Evaluation Methods: These learning activities are intended to guide the
student toward learning that: 1) facilitates achievement of the clinical learning outcomes 2) promotes
integration of the organizing concepts within clinical practice 3) advances student performance toward
the terminal student learning outcomes. These can be found within the course clinical packet or as a
component of the instructional packet.
GRADING CRITERIA:
The following grades will be assigned for clinical performance for weekly, midterm, and final
evaluations, except an “NI” cannot be assigned for the OVERALL FINAL evaluation.
1. SATISFACTORY (S)
a. Meets minimal competency on a weekly basis
b. Consistently demonstrates progression toward achievement of SLOs as evidenced by integration of
established clinical performance standards at MIDTERM
c. Clinical learning outcomes are successfully achieved at FINAL EVALUATION
2. NEEDS IMPROVEMENT (NI)
a. Does not fully meet minimal competency on a weekly basis
b. Considered a “warning” to provide student the opportunity to improve by the next clinical
experience
c. If subsequent improvement not demonstrated, will progress to a “U”
3. UNSATISFABORY (U)
a. Unable to meet minimal competency on a weekly basis (not meeting performance standards)
b. Unable to demonstrate progression toward SLOs at midterm; expected to correct/improve the
behavior prior to assignment of the FINAL EVALUATION
c. Unable to achieve course learning outcomes with deficient or inconsistent integration of established
clinical performance standards as measured by:



2 “U”s under one learning outcome
3 “U”s under different learning outcomes
A single “CRITICAL EVENT”
Student Learning
Outcomes
1
2
3
4
5
6
Date
Site
Sites:
L = Lab
H = Hospital
SC= Skills Competency
OBS-Outside
Observation
1. SAFETY
Wk
Promote a culture of safety
within various health
environments
S
S
S
S
S
S
S
S
S
S
S
S
NI
NI
NI
NI
NI NI
NI NI
NI NI
NI NI
U
U
U
U
U U
U U
U U
U U
S
S
S
S
S
S
S
S
NI
NI
NI
NI
NI NI
NI NI
NI NI
NI NI
U
U
U
U
U
U
U
U
U
U
U
U
S
S
S
S
S
S
S
S
S
S
S
S
NI
NI
NI
NI
NI NI
NI NI
NI NI
NI NI
U
U
U
U
U
U
U
U
U
U
U
U
S
S
S
S
S
S
S
S
S
S
S
S
NI
NI
NI
NI
NI NI
NI NI
NI NI
NI NI
U
U
U
U
U
U
U
U
U
U
U
U
S
S
S
S
S
S
S
S
S
S
S
S
NI
NI
NI
NI
NI NI
NI NI
NI NI
NI NI
U
U
U
U
U
U
U
U
2. CDM
Formulate effective clinical
decisions, using analytical
processes and the effective use
of information technology to
guide the delivery of quality
nursing care of within various
health environments
S
S
S
S
3. T & C
Facilitate coordinated patient
care by integrating effective
communication skills with interprofessional collaborative
processes
4. PB
Model behaviors that
demonstrate accountability and
reflect standards of the
profession
5. PCC
Manage patient centered care
that values individual rights and
needs while respecting
diversity.
U
U
Faculty Initials (weekly)
OVERALL EVALUATION
FINAL GRADE (S, U)
U
U
Faculty Signature
Student Signature
1.
SAFETY
2.
CDM
3.
T&C
4.
PB
CLINICAL PERFORMANCE STANDARDS: The Student Learner will:
a. Comply with INFECTION CONTROL practices: standard precautions, hand-washing, isolation protocols
b. Assure patient safety at every encounter by:
 Administering MEDICATIONS correctly including accurately calculating medication dosages
 Properly identifying patient (before meds/procedures, matches mother/bay ID in FCC areas)
 Safe performance of nursing skills following policy/procedure
c. Practice ergonomic safety; demonstrate awareness of environmental safety
a. Appropriately use the NURSING PROCESS to guide care by:
 Assessing assigned patient using tool provided
 Prioritizing patient needs/problems
 Identifying measurable outcomes
 Selecting nursing interventions (with appropriate rationale) based on knowledge of current
standards of care
 Evaluates (re-assesses) patient as indicated and follows up with appropriate actions
b. Provide evidence-based care by:
 Researching drug information and patient-related data to guide decisions prior to administration
 Gathering necessary supplies and review process prior to performing procedures
 Researching relevant data to assure best practice standards for population of clients being care
for
 Carrying forward knowledge and skills gained from previous courses
c. Utilize resources to support patient care by:
 Using Information technology efficiently to access data and document in an organized and timely
manner
 Accurately using patient care equipment (monitors, IV pumps, etc)
a. Coordinate and/or participate in the coordination of care by:
 Interacting with team members to promote patient-centered care
 Observes patient interactions with other interdisciplinary team members, as appropriate
 Incorporates discharge planning needs in care routine; anticipates services for designated
population
 Promptly informing primary nurse & others responsible for assigned patient of student’s
role/responsibilities
 Promptly reports changes in patient condition to clinical instructor and/or primary nurse
 Demonstrates awareness how personal organization & time-management influence functioning of
the team
b. Effectively communicates care routines and provisions by:
 Documenting data in a timely manner
 Conveying ideas clearly and concisely both orally and in writing
 Using correct grammar, spelling, punctuality, medical terminology and abbreviations
a. Complies with agency specific policies by:
 Wearing identification badge consistently
 Parking only in designated student parking areas
 Remembers passwords and codes consistently
 Maintaining up-to-date requirements for clinical clearance (CPR, immunizations, health record,
GHO)
5. PCC
 Abides by healthcare facility guidelines for personal technology use-cell phone/PDA/computer
b. Maintains appropriate appearance by:
 Dressing according to policy: is well groomed, has no body odor, halitosis, strong scents,
alcohol/cigarette odors
c. Assumes responsibility for achievement of clinical learning activities/outcomes by:
 Explores available learning opportunities without prompting
 Uses Skills Validation checklist as guide for acquisition of clinical skills and communicates needs to
instructor
 Demonstrates accountability for own competence and performance
d. Demonstrates conduct consistent with the profession by:
 Respecting those in authority
 Utilizes constructive suggestions and self-evaluations to improve practice without becoming
defensive
 Maintains composure and control of emotions; avoids talking loudly in clinical areas.
 Demonstrates a positive attitude
 Adheres to guidelines set forth by: nursing Code of Ethics, Nurse Practice Act, and HGTC Student
Nurse Handbook
e. Demonstrates clinical preparedness by:
 Arriving on time, ready to begin and does not leave early. Submits assignments on time.
 Consistently has designated supplies available for providing patient care (refer to course specific
requirements)
a. Communicates appropriately by:
 Considering individual patient situations, incorporating language, growth/development,
emotionals needs, level of education, and other diversity related needs
 Introducing self to new patient to establish rapport and put the patient at ease
b. Demonstrates respect for diversity in patient populations without regard to race, culture, ethnicity,
education, socio-economic level, sexual orientation, physical functioning, appearance, or political
affiliation
c. Advocates for the patient by:
 Explains procedures & keeps patient informed of relevant information within scope of student
nurse role
 Incorporates relevant psychosocial developmental concepts into nursing care
 Responds promptly and appropriately to patient’s complaints of pain or other symptoms
 Re-assesses patient for pain relief or relief of other symptoms without prompting
 Respects privacy and promotes patient dignity with all interactions
 Maintaining confidentiality (ex; does not take information with patient’s name out of health
care facility)
d. Demonstrates a caring attitude
e. Provides relevant health care information in a manner that incorporates teaching/learning
principles
The above list is intended as a guideline for clinical/lab experiences. Expected student behaviors, include, but are not limited
to, those listed above.
Student Notes
Faculty Notes (Any “NI” or “U” circled for weekly performance requires supporting faculty
comment/notation)