Off Campus AP BSN Syllabus

N3632 Off Campus (AP) BSN Syllabus

The University of Texas at Arlington College of Nursing Undergraduate Program

NURS 3632 Clinical Nursing Foundations (Off-Campus)

Fall 2014

Instructors

Lead Teacher/Lead Instructor: Sara Washington, MS, RN, CNE

Office Number: Pickard Hall Room 531

Office Telephone: 817.272.2776 (main UTA CON number)

E-mail: swashington@uta.edu

Faculty Profile: See UTA Mentis (https://www.uta/mentis/public/#profile/profile/view/id3131)

Office Hours: Office hours vary due to format of course delivery. Please contact me via Blackboard email to schedule an appointment or to confirm my presence on campus. I will also provide cellular telephone contact information. Email contact to set up appointments is best.

Clinical Instructors & Academic Coaches

Clinical Instructor will provide contact information. Academic Coaches will post contact information in Blackboard.

Section Information

NURS 3632 Clinical Nursing Foundations, Section 3632- 600/601 Off-Campus BSN

Class Meetings- Web-Based Course with Clinical Component – See Site Schedule.

Placement in Curriculum

Junior I (JR1) – first clinical course

Prerequisites/Co-requisite

NURS 3320, NURS 3333 or concurrent enrollment. If a student is unable to complete N3320 (Assessment) due to failure or withdrawal, N3632 (Foundations) must be dropped if it is taken concurrently.

Description of Course Content

Clinical Nursing Foundations provides students with learning opportunities to develop basic therapeutic nursing interventions with individuals and families in diverse settings.

Student Learning Outcomes (Course Outcomes)

• Utilize current evidence to provide competent and holistic care to individuals and families.

• Demonstrate critical thinking in patient care and self-reflection activities.

• Apply ethical and legal principles and professional standards in providing care to individuals and families.

• Communicate respectfully with patient utilizing therapeutic techniques.

• Develop basic skills in conflict management that promote cooperative working relationships.

• Demonstrate responsible use of material resources.

• Evaluate personal performance in the delivery of basic nursing care to individuals and families.

• Provide basic patient education related to health needs.

• Utilize safe care practices and accept responsibility in lab and clinical setting.

• Utilize electronic information systems in providing patient care.

Clinical Outcomes

• Administer medication in a safe and accurate manner.

• Demonstrate written communication through documentation of patient care assessment findings, patient care plans, and critical thinking papers.

• Demonstrate verbal communication therapeutically with patients and families.

• Demonstrate time management to include organizing care interventions and completing all patient care and written required assignments on schedule.

• Practice standard precautions in patient care.

• Demonstrate use of sterile technique.

• Provide a safe patient environment.

• Apply ethical principles such as confidentiality, privacy, informed consent and truth telling.

• Collaborate with other members of the health care team in meeting the identified needs of the patient & family.

• Demonstrate professional behavior.

• Demonstrate critical thinking through performance of clinical and written assignments.

• Formulate care plans with appropriate short term goals for an individual client.

• Demonstrate appropriate and accurate use of skills as learned in lab.

• Evaluate and improve clinical performance considering self-evaluation, faculty evaluation and staff feedback.

• Identify own strengths and weaknesses in the delivery of nursing care.

Attendance

At the University of Texas at Arlington taking attendance is not required. Each faculty member is to develop course-specific policies on attendance. The didactic component for this course is on-line and available by podcasts. Attendance for face-to-face lecture is not applicable. The didactic course content is delivered through online and technology-enhanced methods. Weekly didactic course assignments available in Blackboard and other web-based (Evolve) platforms are a part of the learning experience.

Supervised clinical experiences are conducted at designated health care facilities (partner hospitals). The course schedule is not aligned with traditional semester schedules, which facilities a more rapid progression through the program.

Specific clinical hours and days vary. Attendance at clinical simulation lab/clinical direct care is required to be able to meet clinical objectives- approximately 15 – 20 hours per week.

Requirements

Clinical Simulation Lab and Clinical Direct Care Experiences

Clinical Labs /Clinical Direct Care days and times will be assigned per academic partner schedule.

Required Course Materials

• Course Syllabus: Available in Blackboard. Please print and read before first day of clinical lab. Print acknowledgement/contract page (last page), sign, and give to your Clinical Instructor on the first clinical lab day. Students are responsible for all material in the syllabus.

• Lab Nurse Kits/Packs are required for the Clinical Simulations Lab portion of the course and for the Assessment course. Lab Packs will be utilized in lab on a weekly basis. Students may be unable to participate in lab without the pack. Lab Packs also contain additional supplies for future courses.

• Lab and Clinical forms are posted in Blackboard in the Clinical and Lab Section. Students are responsible for printing forms and bringing forms to skills practice and skills check-offs.

• Because the course is in a blended online format, students are reminded of the computer and technology requirements as explained in the admission and acceptance process.

Required Books & Essential Learning Resources

• Please review Academic Term Books and Supplies list regarding Book Bundles for E-Books and Print-Books as well as current ISBN. The most current editions are best options.

• Clinical and Lab Experiences – You must bring reference resources with you, such as course textbook, skills book, medication drug guide, and nursing diagnoses book—print or electronic form.

• Course Syllabus- see Blackboard.

Potter and Perry (2013). Fundamentals of nursing. (8th ed). Elsevier. (Multimedia version)

Potter and Perry (2013). Nursing skills online for fundamentals of nursing V 3.0. (8th ed). Elsevier. (Evolve Modules)

Potter, Perry, & Ostendorf (2014). Clinical nursing skills & techniques. (8th ed). Elsevier.

Skidmore-Roth (2015). Mosby’s 2015 nursing drug reference. Mosby.

Gulanick & Myers (2014). Nursing care plans. (8th ed.) Mosby.

Nugent & Vitale (2012). Fundamentals success. (3rd ed). Davis.

Ogden & Fluharty (2012). Calculation of Drug Dosages. (9th ed). Elsevier.

Evolve On-Line HESI Case Studies RN Collection 2 year version- Note- Case Study Packet includes other case studies for future BSN courses.

Recommended Books and Resources

Silvestri (2014). Saunders comprehensive review for the NCLEX-RN examination. (6th ed)

A medical dictionary – Mosby’s dictionary of medicine, nursing, and health professions. (9th ed)

Descriptions of Major Assignment and Examinations

This course involves multiple requirements for success. Course outcomes include the following components- (See Course “Lecture” Schedule for dates. See Lab/Direct Care Guide.)

• Content Exams- three unit exams and a comprehensive final exam (80%)

• Standardized Exam – HESI Fundamentals of Nursing exam (5%)

• Medication Dosage Calculation Exam (3%) – Must pass within 3 attempts.

• Weekly Assignments including discussion board postings, clinical written work, online module exams and case studies. (12%)

Teaching Methods

Presentations/Discussion

Return demonstration of skills

Presentations (post conference)

Clinical experience

Learning activities

Simulation

Case studies

Video Skill instruction, Role playing, Computer Assisted Instruction, Clinical journals, Reading & writing assignments, Care plans, Faculty recorded podcasts

Course Content

The following topics will be covered in N 3632. The corresponding chapter in Potter and Perry (8th Edition) is noted in parenthesis.

• Patient Safety (27)

• Communication (24)

• Infection Prevention & Control (28)

• Nursing Process (16-20)

• Critical Thinking (15)

• Hygiene (39)

• Older Adults (14)

• Activity & Exercise (38)

• Mobility & Immobility (47)

• Nutrition (44)

• Urinary Elimination (45)

• Bowel Elimination (46)

• Skin Integrity & Wound Care (48)

• Oxygenation (40)

• Care of Surgical Patients (50)

• Legal Implications (23)

• Medication Administration (31)

• Pain Management (43)

• Ethics & Values (22)

• Patient Education (25)

• Fluid, Electrolytes, and Acid-Base Balance (41)

• Managing Patient Care (21)

• Documentation and Informatics (26)

• Sensory Alterations (49)

• Sleep (42)

• The Experience of Loss, Death, and Grief (36)

• Self-Concept (33)

• Sexuality (34)

• Spiritual Health (35)

NURS 3632 Skills -Overview

• Hand Hygiene & PPE

• Environmental Safety & Restraints

• Sterile gloves & Fields

• Communication

• Documentation

• Body mechanics/lifts

• Ambulation

• Moving & Positioning – Safe Patient Handling

• TED/SCD/O2/Incentive Spirometers

• Sterile dressing

• Input & Output

• Enemas/Ostomies

• Foley Catheter insertion

• Bed baths, oral care and linen changes

• NG insertion/maintenance

• Medication Safety

• Feeding tubes

• Injection sites

• Injection techniques: intramuscular, subcutaneous, intradermal

• Drawing up medications

• Insulin administration

• Central Line/PICC Dressing change & maintenance

• Medication Administration

• Intravenous Therapy – Monitoring of Patients

o Calculation of IV flow rates – gravity and pumps

o Monitoring for complications

Evaluation Methods

Clinical Lab and Clinical Requirements

Skills and Skill Check Offs: Satisfactory/Unsatisfactory

Students are expected to come to lab prepared with a basic understanding and knowledge of each skill scheduled for the day. Skills will not always be demonstrated during actual lab time. Instructor may review parts of a skill but is not expected to “teach” skills in a step-by-step demonstration.

Lab Check-Offs (N = 4)

• Principles of sterile technique as demonstrated through insertion of a urinary catheter: male or female

• Principles of sterile technique as demonstrated through setting up a sterile field, adding items to a sterile field, and application of sterile gloves – open gloving method

• Principles of infection control as demonstrated through proper application and removal of isolation attire and hand-washing/hand-hygiene

• Insertion of nasogastric tube

Lab/Clinical Safety in Medication Administration

• 6 Rights

• Oral

• Topical

• Inhalation

• Eye; Ear; and other non-parenteral routes

• Parenteral (Injectables- intramuscular, subcutaneous, or intradermal)

Clinical Evaluation: Satisfactory/Unsatisfactory (Pass/Fail)

Clinical failure may result when a student is unable to meet clinical course outcomes or exhibits unacceptable behaviors linked to the Texas Board of Nursing Standards of Professional Practice. Clinical failure for safety issues may occur at any time during the term. (See Clinical Failing Behaviors)

Skills Passport

Students are required to complete identified “Essential Skills” and provide documentation on a self-reporting assessment form – Skills Passport. An essential skill may be completed in the lab or direct care setting. Documentation is a part of the clinical evaluation process. Students maintain an on-going record of skills. At the end of the term, student finalizes the record with all dates/settings and turns in document to Clinical Instructor so that documentation becomes a part of the Final Clinical Evaluation form. Note- Clinical Instructor must sign off on Passport skills.

Grade Calculation

In order to pass the course, a student must pass all course components: theory, clinical lab, and clinical direct care. Note- Designated Clinical assignments must be completed in order to pass.

• Content Exams- three unit exams and a comprehensive final exam (80%)

• Standardized Exam – HESI Fundamentals of Nursing exam (5%)

• Medication Dosage Calculation Exam (3%) – Must pass within 3 attempts.

• Weekly Assignments including discussion board postings, clinical written work, online module exams and case studies. (12%)

Course Work

Designated Proctored Course Exams (85%) – (Weighted Average)

All exams are proctored. There are three unit exams, the HESI Fundamentals of Nursing Exam, and a comprehensive final exam. Exam blueprints will be posted in advance of testing.

The HESI Fundamentals Exam is administered toward the end of the course and is used as a student evaluation tool. A specific score is not required for progression. The HESI conversion score is used as the exam grade. The target HESI score is 850.

70% Weighted Exam Average

In order to successfully complete an undergraduate nursing course at UTA, a student must achieve a minimum 70% weighted average on designated proctored exams. All exams are proctored in this course.

Figuring Exam Grades with Weighted Averages

Example #1: This student made 100 on all exams.

Example #2: This student made 70 on all exams.

Other Course Requirements & Grades (15%)

Math Dosage Competency Exam (3%)

The medication math competency exam must be passed with a grade of 90% or higher in order to administer medications in the clinical setting. Students who do not receive at least 90% on the first Math Competency Exam will have two additional opportunities to retake the test. A 90% must be achieved by the third math exam or a clinical failure will result.

Required to Pass the Course – Designated Clinical Papers/Projects/Presentations

Designated clinical assignments/activities are required/mandatory for passing the course. Late required/mandatory work, anytime past the due date/time, is assigned a “0” but must still be turned in to the clinical instructor to pass the course.

Patient-Based Nursing Care Plans (actual patients) (3%)

Three patient-based care plans will be required during the academic term. To receive credit for the first two patient-based care plans, they should be complete and on time according to the clinical instructor deadline. The third care plan will be graded numerically.

Clinical Journals/Reflection Journals (CJ) (1.5% Total/0.25% each)

Six journals will be required during the academic term. You may not turn in more than one CJ during a week so plan your schedule accordingly.

Patient Teaching Presentation (1.5%)

Presentations will be performed in post conference. Please refer to guidelines and rubric for teaching presentation in Blackboard- Clinical and Lab Section.

Course Communication

Discussion board and email are the primary methods of communicating with your academic coach or lead teacher. Please use Blackboard e-mail and discussion areas provided as often as needed.

Clinical Dress Code

The clinical dress code applies to all graduate and undergraduate students of The University of Texas at Arlington College of Nursing (UTACON).

Clinical Pass/Fail

Clinical failing behaviors are linked to the Texas Board of Nursing Standards of Professional Practice.

Course Schedules

See “Lecture Schedule” for Specific Weekly Assignments. Schedules are subject to adjustment and correction as deemed appropriate and necessary by the lead teacher.

Student Contract/Syllabus Acknowledgment

Turn in to Clinical Instructor on the first day of Clinical Lab

Course Syllabus

• I have read the N3632 AP BSN Course Syllabus and I am aware of how course grades are determined.

• I have reviewed the policies regarding tardiness or absence from clinical/ clinical lab.

• I have reviewed the policies regarding tardiness or absence for exams.

• I am aware of the requirement to speak to my Clinical Instructor by telephone prior to a situation in which I may be or will be late to clinical/clinical lab or if I will be absent.

• I am aware that I may not administer any medications without direct supervision of my Clinical Instructor or a RN designated by my Clinical Instructor.

• I am aware of the expectation of academic integrity and will adhere to the UTA Honor Code as well as UTA College of Nursing academic integrity requirements in my course work, which is not limited to and includes clinical assignments, written work, and examination situations.

My signature below represents my understanding of the syllabus and my intention to abide by the policies of the course. I have had an opportunity to ask questions or to seek clarification on matters discussed in the syllabus.