NUR 101 Practical Nursing I. Fall 2016

Transcription

1 NUR 101 Practical Nursing I Fall 2016 Instructor Information Kim Amos, PhD, RN, CNE (Program Director) kamos@isothermal.edu Phone number: (828) Office Location: RLC 2 nd Floor, 302E Best times to contact: Monday -Thursday, 9am-4pm Carole Koehler, MSN, RN (Clinical Coordinator) ckoehler@isothermal.edu Phone number: (828) Office Location: RLC 2 nd Floor, 302C Best times to contact: Monday & Wednesday, 2-4pm Erin Maietta, BSN, RN emaietta@isothermal.edu Phone number: (828) Office Location: RLC 2 nd Floor, 302B Best times to contact: Monday & Wednesday, 2-4pm Course Information: Course Description: This course introduces the concepts within the three domains of the individual, healthcare, and nursing. Emphasis is placed on the concepts within each domain including assessment, clinical decision making, professional behaviors, caring interventions, biophysical and psychosocial concepts, communication, collaboration, teaching/learning, safety, ethical principles, legal issues, informatics, and evidence-based practice. Upon completion, students should be able to provide safe nursing care across the lifespan incorporating the concepts identified in this course. Pre-requisites: Admission to PNE program Co-requisites: BIO 168 Credit Hours: 11 Contact Hours: Class 7, Lab 6, Clinical 6 Total Required Hours: Class 112, Lab 96, Clinical 96 Isothermal Community College 1

2 Course Delivery NUR 101 Practical Nursing I is delivered as a 12 week accelerated, web-based course. This means that all of the required course hours will be completed in the first 12 week period of fall semester and that less than 50% of the required course hours will be completed on-line. The total breakdown of course hours includes the following: Course In-class, in-lab, or in-clinical activities Web-based activities Total hours required Class 87 hours 25 hours 112 Lab 80 hours 16 hours 96 Clinical 96 hours 96 Totals 263 hours (86%) 41 hours (14%) 304 Isothermal Community College 2

3 Textbooks and Other Required Supplies: Clayton, B. D., & Willihnganz, M. J. (2017). Basic pharmacology for nurses (17 th ed.). St. Louis, MO: Elsevier. (ISBN # ). (E-Book ISBN # ). dewit, S. C., & O Neill, P. (2014). Fundamental concepts and skills for nursing (4 th ed.) St. Louis, MO: Saunders Elsevier. (ISBN # ). (E-Book ISBN # ). dewit, S. C., & Kumagai, C. K. (2017). Medical-surgical nursing: Concepts and practice (3 rd ed.). St. Louis, MO: Saunders Elsevier. (ISBN # ). (E-Book ISBN # ). Giddens, J. F. (2017). Concepts for nursing practice (2 nd ed.). St. Louis, MO: Mosby Elsevier. (ISBN # ) (Includes E-Book). Leifer, G. (2015). Introduction to maternity and pediatric nursing (7 th ed.). St. Louis, MO: Saunders Elsevier. (ISBN # ). (E-Book ISBN # ). O Toole, M. T. (Ed.). (2013). Mosby s dictionary of medicine, nursing, & health professions (9 th ed.). St. Louis, MO: Elsevier Mosby. (ISBN # ). (E-Book ISBN # ). Ogden, S. J., & Fluharty, L. K. (2016). Calculation of drug dosages: A work text (10 th ed.). St. Louis, MO: Elsevier. (ISBN # ). Pagana, K. D., Pagana, T. J., & Pagana, T. N. (2015). Mosby s diagnostic & laboratory test reference (12 th ed.). St. Louis, MO: Elsevier Mosby. (ISBN # ). (E-Book ISBN # ). Silvestri, L. A. (2016). Saunders comprehensive review for the NCLEX-PN examination (6 th ed.). St. Louis, MO: Saunders Elsevier. (ISBN # ). (E-Book ISBN # ). Skidmore-Roth, L. (2017). Mosby s 2017 nursing drug reference (30 th ed.). St. Louis, MO: Elsevier Mosby. (ISBN # ). (E-Book ISBN # ). Required Computer Access Codes: Elsevier. (2016). Nursing concepts online-lpn/lvn Access Code. (ISBN# ) (includes: SimChart; SLS-LPN/LVN; Adaptive Quizzing; Online Mosby Nursing Video Skills, HESI Case Studies) Isothermal Community College 3

4 Course Overview: Unit of Study Concepts Covered Exam/ Date Units of Study Unit I: Introduction to Healthcare Unit II: Nursing Process & Critical Thinking Unit III: Holistic Assessment Unit IV: Infection, Mobility, & Safety Health Care System; Evidence-Based Practice; Health Policy; Legal Issues; Ethics; Quality Improvement; Accountability; Professional Behaviors; Informatics; Advocacy Clinical Decision-Making/Problem-Solving; Communication; Collaboration; Teaching/Learning Data Collection; Sensory/Perception; Comfort; Stress/Coping; Cognition; Metabolism; Intracranial Regulation; Thermoregulation; Perfusion; Oxygenation; Sexuality Infection; Inflammation; Tissue Integrity; Immunity; Mobility; Safety Exam # Exam # Exam # Exam # Unit V: Nutrition & Elimination Nutrition/Elimination; Health/Wellness/Illness Exam # Unit VI: Pharmacology & Medication Administration Unit VII: Growth & Development; Culture; Spirituality; Death/Dying Caring Interventions: Pharmacology; Medication Administration Development; Self; Family; Diversity; Culture; Spirituality; Grief & Loss Exam # Exam # Unit VIII: Fluid & Electrolytes Fluid/Electrolytes; Acid/Base Exam # Other NUR 101 HESI - PN HESI Custom Exam for NUR 101 (75 questions) Final Exam Comprehensive (Units I-VIII) Isothermal Community College 4

5 Concept Definitions Concept Definition Individual Domain 1. Acid Base Regulation of acidity and alkalinity in body fluids and conditions that contribute to imbalances. 2. Behavior Compulsive, problematic patterns of behavior resulting in psychological and/or physiological dependence. 3. Cellular Regulation Reproduction, proliferation, & alteration of cellular growth. 4. Cognition Mental operations that relate to logic, awareness, intellect, memory, language, and reasoning powers (Townsend, 2006). 5. Comfort An experience of emotional, spiritual, psychological and physical wellbeing. 6. Culture Comparative study and analysis of different cultures and subcultures in the world with respect to their caring behavior, nursing, care and healthillness values, beliefs, and patterns of behavior (Kelly-Heidenthal, 2003). 7. Development The sequential of cognitive, physical, emotional, psychosocial, and spiritual milestones. 8. Diversity Refers to the individual s variation both to innate and acquired characteristics such as: age, gender, race, abilities, individual life experiences, and sexual orientation. (Kelly-Heidenthal, 2003) 9. Elimination The secretion and excretion of body wastes from the kidneys and intestines and their alterations. 10. Family A system that seeks to maintain balance and functions as a unit. Thus if one event affects one family member all other members are affected (Delaune & Ladner, 2006). 11. Fluid and Electrolytes Processes that regulate the balance of water and electrolytes and conditions that contributes to imbalances. 12. Grief & Loss A series of intense & psychological responses that occur following a loss, with a goal of returning to homeostasis (Delaune & Ladner, 2006). Isothermal Community College 5

6 Concept Definition Individual Domain 13. Health, Wellness, & Illness Health, wellness, and illness encompass a lifelong process of holistic well-being and the process of human flourishing which is an existential journey of hope, regret, loss, illness, suffering, and achievement (NLN, 2010). Health is a dynamic state of being or experience in which the developmental and behavioral potential of an individual is realized to the fullest extent possible and may occur in the presence or absence of disease or injury (ANA, 1980, p. 5; ANA, 2004, p. 48). Wellness is a dynamic state of well-being to include self-responsibility and daily decision making in the areas of nutrition, stress management, physical fitness, preventive health care, and emotional health; and most importantly the whole being the individual (Berman & Snyder, 2011, p. 296). Illness is a highly personal state in which the person s physical, emotional, intellectual, social, developmental, or spiritual functioning is thought to be diminished (Berman & Snyder, 2011, p. 305). 14. Immunity The natural or induced resistance to infection and conditions associated with impaired response. 15. Infection The invasion of body tissue by microorganisms with the potential to cause illness or disease. 16. Inflammation The physiologic response to injury, infection, or allergens. 17. Intracranial Regulation Processes that impact intracranial compensation and adaptive neurological function. 18. Metabolism All physical and chemical changes that take place to sustain life and conditions that contribute to imbalances. 19. Mobility Mechanisms that facilitate or impair a person s ability to move. 20. Mood & Affect Mechanisms that influence the emotional state of an individual. 21. Oxygenation Mechanisms that facilitate or impair the body s ability to supply oxygen to the blood. 22. Perfusion Mechanisms that facilitate or impair circulation of blood through tissue. 23. Reproduction The process of conception, gestation, and childbirth. 24. Self The sum of mind and body that constitutes the identity of a person. (Taber's, 2006). Distortion may lead to psychosocial and physical manifestations. 25. Sensory/Perception Receiving and interpreting stimuli from the environment & utilizing the sense organs and factors contributing to impaired response. Isothermal Community College 6

7 Concept Definition Individual Domain 26. Sexuality The sum of the physical, functional, and psychological attributes that are expressed by one s gender identity and sexual behavior, whether or not related to the sex organs or to procreation (O Toole, 2006, p. 1091). 27. Spiritual An experience or feeling of being alive, purposeful, and fulfilled with the ability to make sense of life circumstances, beliefs about the universe, feelings of transcendence, joy, hopefulness and love (Berman & Snyder, 2011; Carson & Arnold, 1996). 28. Stress and Coping The body s attempt to return to homeostasis following a physiological response to disequilibrium (Townsend, 2006). 29. Thermoregulation Factors that regulate body temperature. 30. Tissue Integrity Mechanisms that facilitate or impair skin and mucous membrane intactness. 31. Violence Communication or behaviors which threaten or demonstrate harm to self or others. Nursing Domain 1. Assessment (Data Collection) Participation with the registered nurse in the holistic, systematic, and continuous collection, analysis, and synthesis of relevant data for the purpose of appraising the individual s health status (NLN, 2010). 2. Caring Intervention Caring interventions are those nursing behaviors and actions that assist clients in meeting their needs. These interventions are based on a knowledge and understanding of the natural sciences, nursing theory, nursing research, and past nursing experiences. Caring is the being with and doing for that assist clients to achieve the desired results. Caring behaviors are nurturing, protective, compassionate, and person-centered. Caring means promoting health, healing, and hope in response to the human condition (NLN, 2010). 3. Clinical Decision Making The use of critical thinking for decision making and problem solving to improve outcomes. Clinical judgment is a process of observing, interpreting, responding, and reflecting situated within and emerging from the nurse s knowledge and perspective (Tanner, 2006). Integration of best evidence provides rationale for informed decisions (Craig & Smith, 2007). Decision making is guided by logic and reasoning to promote the health of patients within a family context (NLN, 2010). 4. Collaboration Participation in an interdisciplinary health care team to promote safe, effective care and positive client outcomes. 5. Communication Interactive process of exchange of information that may occur verbally, nonverbally or through information technology. Isothermal Community College 7

8 Concept Definition Nursing Domain 6. Professional Behaviors Professional behaviors are characterized by a commitment to the profession of nursing. The student adheres to standards of professional practice, is accountable for her/his own actions and behaviors, and practices nursing within legal, ethical, and regulatory frameworks. Professional behaviors also include a concern for others, as demonstrated by caring, valuing the profession of nursing, and participating in ongoing professional development (NLN, 2010). Professional identity is evident in the lived experience of the nurse in his or her ways of being, knowing, and doing. (NLN, 2010). 7. Teaching and Learning Facilitator/facilitation of the acquisition of knowledge through learning. Healthcare Domain 1. Accountability Responsibility by health-care professionals for their own actions and judgment. 2. Advocacy Protecting, supporting, and intervening on behalf of the individual s rights and interests. Establishing a trusting relationship and respecting the individual s right to make their own choices. 3. Ethics A system of moral principles or standards governing relationships that is based on professional nursing beliefs and values (Taber's, 2006; Carroll, 2006). 4. Evidence-based Practice Integrate best research with clinical expertise and patient values for optimum care, and participate in learning and research activities to the extent feasible (IOM, 2003). 5. Health Care Systems Methods of healthcare delivery management and coordination. 6. Health Policy Decisions by government bodies and professional organizations aimed at directing and influencing actions and decisions of organizations and individuals within the health care system. 7. Legal Issues Rights, responsibilities and scope of practice as defined by the state nursing Practice Acts, as well public and civil laws. 8. Quality Improvement Systematic processes to measure client outcomes, identify hazards and errors, and develop changes to improve client care. 9. Safety A practice that ensures protection from harm or injury. To be safe, care must be seamless, supporting the nurse s ability to link the interdisciplinary healthcare team and technologies to perform as a unified whole (IOM, 2001). 10. Informatics Communicate, manage knowledge, mitigate error, and support decision making using information technology (IOM, 2003). Isothermal Community College 8

9 Course & Clinical Outlines: Will be provided by your instructor during the first week of class. How to be Successful in This Class: Read the chapters in the textbook; Take notes in class; Study every day (do not wait until the night before an exam); Review handouts and study guides on Moodle; Complete HESI practice exams and remediate as needed; Practice math calculations; study in groups with other students; online activities ICC General Education Competencies (GEC): Your achievement of competency in general education skills is incorporated into all the courses you take at Isothermal. This course will focus on the skills listed below. For information on how they will be evaluated, review the criteria that have been established by the college. These are available on the college website ( 1. Written Communication 2. Presentation Skills 3. Information Literacy 4. Critical Thinking 5. Quantitative Skills 6. Technology Skills *Also important to your success are: interpersonal skills, listening skills, and global awareness. NCCCS PN CRP Course Objectives Upon completion of the course, the learner will be able to: 1. Relate to the individual as a holistic, complex, multidimensional, unique, and significant being [Individual Domain (ID)]. 2. Internalize foundational principles of professional nursing practice to provide safe, culturally competent, therapeutic care for individuals [Nursing Domain (ND)]. 3. Transfer knowledge of the concepts within the domain of the healthcare system to safely and ethically administer care to the individual [Health Care System Domain (HCSD)]. Isothermal Community College 9

10 NCCCS PN CRP Program Learning Outcomes (PLOs) Model Concept-Based PN Curriculum Educational Outcomes PN Program Learning Outcomes Upon completion of the Practical Nursing Program, the graduate will: 1. Participate in evaluating the concepts of the holistic individual and client response in the promotion of health, wellness, illness, quality of life, and the achievement of potential. 2. Practice professional nursing behaviors, within the ethicallegal practice boundaries of the LPN, incorporating personal responsibility and accountability for continued competence. NUR 101 Student Learning Outcomes Upon completion of NUR 101 coursework (theory), the novice nursing student should begin to: a) Articulate all concepts within the domain of the healthy individual (ID). b) Identify the internal, external, and environmental factors that impact the health and wellbeing of individuals (ID). a) Demonstrate an awareness of the values, attitudes, behaviors, and beliefs important to professional nursing (ND). b) Demonstrate awareness of ethical and legal standards that govern the practice of nursing within the healthcare system (HCSD). c) Recognize responsibility and accountability for behaviors, actions, judgments, continued learning and self-development (HCSD). ICC General Education Competencies (GEC) Upon completion of NUR 101, the student should begin to incorporate the following GECs: N/A N/A 3. Participate in providing evidence-based nursing care, from an established plan of care, based on biophysical, psychosocial and cultural needs of clients in various stages of growth and development while assisting them to attain their highest level of wellness. a) Utilize principles of evidencebased practice while safely providing therapeutic nursing care to individuals in the healthcare system (HCSD). Information Literacy Isothermal Community College 10

11 NCCCS PN CRP Program Learning Outcomes (PLO) (continued) Model Concept-Based PN Curriculum Educational Outcomes PN Program Learning Outcomes Upon completion of the Practical Nursing Program, the graduate will: 4. Reinforce and /or implement the teaching plan developed and delegated by the registered nurse to promote the health of individuals, incorporating teaching and learning principles. NUR 101 Student Learning Outcomes Upon completion of NUR 101 coursework (theory), the novice nursing student should begin to: a) Promote the acquisition of knowledge and learning to enhance self-care for each individual from an established plan as delegated by the RN (ND). ICC General Education Competencies (GEC) Upon completion of NUR 101, the student should begin to incorporate the following GECs: N/A 5. Participate in the nursing process to provide individualized, safe and effective nursing care in a structured setting under supervision. a) Participate in the nursing process within the scope of practice of the practical nurse (ND). b) Perform data collection and caring nursing interventions for holistic care of individuals (ND). Critical Thinking 6. Demonstrate caring behaviors in implementing culturally-competent, clientcentered nursing care to diverse clients across the lifespan. a) Utilize all concepts within the domain of nursing to safely provide therapeutic care to individuals with basic health care needs (ND). Quantitative Skills 7. Participate in Quality Improvement (QI) by identifying hazards and errors and by suggesting, to the RN, changes to improve the client care process. a) Utilize the nursing process to identify hazards and errors within the healthcare system (HCSD). N/A 8. Utilize informatics to access, manage, and communicate client information. a) Incorporate informatics to access and communicate client information (HCSD). Technology Skills Isothermal Community College 11

12 NCCCS PN CRP Program Learning Outcomes (PLO) (continued) Model Concept-Based PN Curriculum Educational Outcomes PN Program Learning Outcomes Upon completion of the Practical Nursing Program, the graduate will: NUR 101 Student Learning Outcomes Upon completion of NUR 101 coursework (theory), the novice nursing student should begin to: ICC General Education Competencies (GEC) Upon completion of NUR 101, the student should begin to incorporate the following GECs: 9. Participate in collaboration with the interdisciplinary healthcare team, as assigned by the registered nurse, to support positive individual and organizational outcomes in a safe and cost effective manner. a) Communicate professionally and effectively while providing care to individuals with basic health care needs (ND). b) Discuss the importance of collaborating with the interdisciplinary healthcare team as assigned by the RN in providing care to individuals (ND). Written Communication Assessment of Learning Outcomes PLOs 1-9 relate to NUR 101 and are measured by unit exams and clinical assignments. The benchmark will be that students will score a minimum of 80 or higher on each assessment. Looking Ahead: Cumulative Reflection Paper A cumulative reflection paper is submitted at the end of the program. Students should keep examples of their written, graded work from NUR 101 to NUR 103 to use when writing this paper Isothermal Community College 12

13 Policies and Statements General Class Policies: Cellphones and laptops are allowed in the classroom but should be muted/silenced. Recording devices are not allowed in the classroom (See also: Traditional (Faceto-Face Classroom Regulations located in the Practical Nursing (PN) Student Policy Manual) General Web-Based Policies: Students are expected to complete the web-based modules on time and submit to Moodle by the due dates (See also: "Web-Based Regulations" located in the PN Student Policy Manual). General Clinical Policies: Students are expected to be prepared for each assigned clinical day by adhering to the "Clinical/Lab Regulations" as outlined in PN Student Policy Manual. Attendance Policy: Students are expected to be present and on time for all scheduled classes, labs, or clinical experiences. Extenuating circumstances or emergencies will be handled on an individual basis (See the Attendance Policy located in the PN Student Policy Manual). Academic Integrity Statement: You are expected to rely only on your own knowledge when taking tests and completing independent assignments. Cheating in any form, including plagiarism (the use of an author s words or ideas without providing proper documentation), will not be tolerated and may result in loss of academic credit for the course and/or a failing grade on the assignment. See Student Rights, Responsibilities, and Judicial Procedures, Section VIII, of the ICC Student Handbook (See also: Academic Dishonesty Policy in the PN Student Policy Manual). Isothermal Community College 13

14 Grading Policy Grading The final course letter grade will be assigned according to the following: Letter Grade Numerical Range A B C F 79 or below The final course grade is calculated based on the following percentages: Unit Exams 80% Final Exam 20% 100% *An 80 or above is required for all nursing courses and a grade of C is required in corequisites to progress in the program. Process for computing NUR 101 grades Assignment Multiply by percentage Points earned Unit Exams average X 0.80 = Final Exam average X 0.20 = Total Points earned: Course letter grade: Learning Activities are provided to assist students to be successful in the course. Learning Activities are required and are scored as Pass/Fail. Learning Activities do not count as part of the course grade. Failure to complete a learning activity will result in a Performance improvement Contract (PIC). (See PIC located in the PN Student Policy Manual) Students are responsible for all materials covered in class/clinical and must earn their grade. Any unannounced (pop) quizzes given on a day that a student is absent cannot be made up, and a grade of 0 will be received for that quiz. The clinical grade is not used to compute the above course grade. However, students must pass both the course and clinical components of the course in order to pass the course. (See Clinical Outline). Isothermal Community College 14

15 METHODS OF EVALUATION/ASSESSMENT To demonstrate attainment of course objectives for this course the student must: Achieve an overall average of 80% in the course. Grades will not be rounded until the final average is calculated. Numerical grades are carried two decimal places until the final grade is determined. A numerical grade ending in 0.50 or higher will be rounded to the next whole number (See PN Student Policy Manual). Satisfactorily complete all clinical/lab requirements (e.g., clinical orientations, competence verifications /skill return demonstrations, clinical papers, concept maps, etc.). Satisfactorily complete all Learning Activities. 1. Unit Exams (80%) a) Unit Exams will be given as announced and/or scheduled. Testing will begin as scheduled. b) Make-up Exams utilizing alternate formats (essay, fill-in the blank etc.) will be given at the discretion of the instructor for any student that is late or misses a scheduled exam. c) Scheduling a Make-up Exam is the responsibility of the student. If a make-up exam is not scheduled within 5 calendar days after the missed exam, then the grade will be recorded as a zero (See PN Student Policy Manual). d) Early Alert Remediation is required for any student who does not make 80% on any unit exam. The student is required to make an appointment with the instructor to discuss remediation before taking the next exam. The remediation assignment will be at the discretion of the instructor (e.g., Saunders Comprehensive Review questions; HESI Adaptive Quizzing, BoardVitals, etc.). Failure to make an appointment and/or complete the remediation will result in the student being prohibited from taking the next unit exam. e) Review of Unit Exams will be permitted at specified times or at the instructor s discretion. f) Exam Item Justification Forms must be submitted directly to the testing faculty member or lead instructor only within 24 hours following the exam review (See PN Student Policy Manual). 2. Final Exam (20%) a) A Comprehensive Final Exam will be administered at the conclusion of the course. b) The final exam is designed to measure the mastery of the course objectives and student learning outcomes (SLOs). c) No Makeup Final Exam will be given without prior arrangements made by the student and the instructor s approval. d) No Exam Item Justification Forms will be accepted since the final exam is cumulative (See PN Student Policy Manual). Isothermal Community College 15

16 3. Learning Activities (Pass/Fail) The student will complete learning activities designed to assist the student in further application of course concepts. Learning activities will include the following: Pop quizzes may be given unannounced at the discretion of nursing faculty to measure the student s application, analysis and synthesis of course content and key nursing concepts. Assignments 1) Computer Tutorial (See Course Outline) 2) Math/Pharmacology Modules (See Course Outline) 3) Web-Based Modules: The modules are to be completed weekly and posted to Moodle by the assigned due dates (See Moodle & Course Calendar). The web-based modules include the following: 1. Elsevier ebook highlights shared with the instructor. 2. NCLEX-PN Prep: During this course, the student is required to take proctored standardized exams. a. The student is required to complete 10 NCLEX-PN questions per day for a total of 70 practice questions per week. The student must have a minimum total of 840 NCLEX-PN practice questions by the end of the NUR 101 semester. b. The student is expected to submit a copy of their NCLEX-PN practice results each by the specified due date (See Moodle & Course Calendar) 3. Core Medication Drug Cards (For more information, see Web-Based Module Booklet) 4) Health Education Services Inc. (HESI) provides standardized exams and other educational material designed to prepare student nurses for professional licensure, and predict their likely success in licensure exams, such as the NCLEX-PN. The exams are computerized and administered online. Isothermal Community College 16

17 HESI Preparation a. Before taking the proctored HESI exam, each student is required to take the assigned practice exam(s). b. A student s verification of the practice exam must be completed at least 72 hours prior to the proctored exam to ensure the student has had ample time to prepare for the proctored exam. c. On the day of the proctored exam, evidence of completion will be verified by the faculty member. This verification will serve as the student s authorization to test. d. If a student does not take/submit the practice exam(s), the student must make an appointment with the faculty member to discuss further actions. Late work will NOT be accepted. Assignments are due at the beginning of the class period or as specified. If an assignment is late, then the grade will be recorded as zero. Failure to complete a learning activity will result in a Performance improvement Contract (PIC). (See PN Student Policy Manual) Missed quizzes/assignments that cannot be made-up and the grade will be recorded as a zero. 4. Laboratory Requirements (Pass/Fail) Laboratory performance is graded as Pass or Fail. The student is expected to complete lab prep assignments (see Course Outline), which are required before the student can practice skills in the nursing lab. Lab prep assignments include: Students must complete assigned Mosby Nursing Video Skills Module(s) before lab returns. These may be completed in the RLC Nursing Computer Lab or at home from the Evolve website ( The student must complete a return demonstration and/ or competency validation for all identified concepts, procedures, skills, etc. in the lab as assigned on weekly modules and course outline. Failure to complete required lab prep assignments demonstrates the student is unprepared for lab and will result in an Unsatisfactory for the lab day and a Performance Improvement Contract (PIC). 5. Clinical Requirements (Pass/Fail): Grading for the clinical component of the course is based satisfactory preparation and/or satisfactory performance in the clinical setting (See PN Student Policy Manual). Isothermal Community College 17

18 Clinical Preparation: a. The student will not be permitted to perform skills on a client in the clinical area if he/she has not: Satisfactorily prepared for the client-centered care experience and/or Performed the necessary skill competency validations in the nursing laboratory b. The student is expected to bring their clinical papers, skills booklet, textbooks, and other required clinical items deemed necessary for each clinical experience. Failure to bring required clinical items demonstrates the student is unprepared for clinical and will result in an Unsatisfactory for the clinical day and a Performance Improvement Contract (PIC). Clinical Papers/ Assignments: a. All clinical papers/ assignments are due at the end of the clinical day. b. Late /incomplete papers will not be accepted. Clinical documentation describes the essence of patient care experience and synthesizes student learning, therefore failure to complete clinical papers/assignments will result in an Unsatisfactory for the clinical day. Clinical Evaluation a. Students must receive a satisfactory in all areas of the final clinical evaluation to pass clinical. Isothermal Community College 18

19 ISOTHERMAL COMMUNITY COLLEGE PRACTICAL NURSE EDUCATION NUR 101 CLINICAL EVALUATION NAME FACILITY YEAR A satisfactory level of clinical performance must be maintained in order to pass NUR 101. Any student receiving one or more Unsatisfactory marks on the final evaluation will not pass clinical. A Needs Improvement or Unsatisfactory at midterm must be Satisfactory by the final evaluation. KEY: Satisfactorily Meets Objectives = S Needs Improvement = NI Unsatisfactory Performance = U At the completion of the NUR 101clinical experience, the novice nursing student should begin to implement the following behaviors at a Satisfactory level with instructor guidance. Evaluated Behaviors MIDTERM Comments FINAL Comments Relate to the individual as a holistic, complex, multidimensional, unique, and significant being (Individual Domain). Articulate all concepts within the domain of the healthy individual Identify the internal, external, and environmental factors that impact the health and well-being of individuals

20 Evaluated Behaviors MIDTERM Comments FINAL Comments Internalize foundational principles of professional nursing practice to provide safe, culturally competent, therapeutic care for individuals (Nursing Domain). Demonstrate an awareness of the values, attitudes, behaviors, and beliefs important to professional nursing Promote the acquisition of knowledge and learning to enhance self-care for each individual from an established plan as delegated by the RN Participate in the nursing process within the scope of practice of the practical nurse Perform data collection and caring nursing interventions for holistic care of individuals Utilize all concepts within the domain of nursing to safely provide therapeutic care to individuals with basic health care needs Communicate professionally and effectively while providing care to individuals with basic health care needs Discuss the importance of collaborating with the interdisciplinary healthcare team as assigned by the RN in providing care to individuals

21 Evaluated Behaviors MIDTERM Comments FINAL Comments Transfer knowledge of the concepts within the domain of the healthcare system to safely and ethically administer care to the individual (Health Care System Domain). Demonstrate awareness of ethical and legal standards that govern the practice of nursing within the healthcare system Recognize responsibility and accountability for behaviors, actions, judgments, continued learning and selfdevelopment Utilize principles of evidence-based practice while safely providing therapeutic nursing care to individuals in the healthcare system Utilize the nursing process to identify hazards and errors within the healthcare system Incorporate informatics to access and communicate client information

22 NUR 101 CLINICAL EVALUATION (continued) MIDTERM FINAL Faculty Comments Faculty Signature Date: Date: Date: Date: Student Comments Student Signature I have been advised on my progress and understand my standing. I understand that I have the right to add my comments/rebuttal should I disagree with the evaluation. Date: I have been advised on my progress and understand my standing. I understand that I have the right to add my comments/rebuttal should I disagree with the evaluation. Date:

23 Academic Resources College Resources: 1. The Advising Center Located in the Student Center Building near the West entrance of the facility. Contact information: or 2. Helpdesk Students may contact the IT Helpdesk for technical support for Moodle, student e- mail, or Patriot Port. Contact information: or 3. Library The ICC Library is at the Main Campus and offers a variety of services to students including access to the Open Computer Lab. Contact information: The electronic resources or databases can be accessed in the RLC Nursing Computer Lab. 4. Wireless Internet Free wireless internet access is provided at ICC. The college s wireless ICC-GUEST network is open to all visitors and does not require a special password. In accessing the college s wireless internet service, all users agree to abide by the terms of the ICC computer resources/internet policy (See college policies). 5. The Writing Center Located in the Administration Building in Room 211. Its goal is to enable students to become successful and self-sufficient writers. Tutors and tutorials are offered (e.g. formatting assistance, printing assignments, etc.). 6. The Math Tutoring Lab Located in the Administration Building and is available to provide assistance to students enrolled in many of the math courses offered at ICC. Schedule and courses vary. Please call: for more information. 7. Supplemental Instruction (SI) It is a peer-tutorial program available in courses, which have traditionally been challenging for students, such as chemistry, A&P, history, and math. Ask your advisor for more information concerning this free service. 8. Early Intervention Information Forms Students who exhibit patterns of inadequate attendance, missed assignments, behavioral issues, social issues, or difficulty with learning will be referred by faculty via the Early Intervention Form to the Dean of Learning Support and Retention for counseling. Nursing Resources: (For additional information, please see the ICC Student Handbook) 1. Nursing Faculty - Students have access to nursing faculty during office hours, clinical, and/or during facilitated lab times. The student is expected to request assistance from the nursing faculty assigned to the course content first. 2. Educational Plan Students are required to complete an individualized plan each semester, which will serve as a strategic plan for completing community college academic goals. Isothermal Community College 23

24 Further Information Deadline to Withdraw from Classes: October 21 st, 2016 (For NUR 101) ADA Statement: If you have a documented disability, it is your responsibility to contact Disability Support Services at: to discuss classroom accommodations. Campus Safety: The College cares about the health and safety of its students. Please become familiar with safety information via the College s Campus Safety webpage, Student Handbook, flyers across campus, and other College publications. You may sign up to receive campus safety alerts and warnings via text at The instructor of the course will review safety information relevant to the course. If there is an imminent, life-threatening emergency, call 911 (9-911 from a campus phone). For other emergencies or if you become aware of a crime, contact Campus Enforcement at Sexual Harassment and Sexual Violence: The College is committed to providing and promoting an atmosphere in which students can engage fully in the learning process. Incidents of sexual harassment or violence that disrupts the learning process may be reported to the Title Coordinators. Cindy Moore, Director of Human Resources cinmoore@isothermal.edu Karen Jones, Director of Student Services kjones@isothermal.edu Donna Hood, Dean of Continuing Education dhood@isothermal.eud Jeremiah McCluney, Principle-REaCH jsmcclun@rcsnc.org Reports will be confidential. Anonymous reports may be submitted via the College s website ( College counselors are available to provide confidential personal counseling assistance and referrals at or Notice of Availability of Institutional and Financial Aid Information: The College distributes consumer information to students through a variety of sources, including the College Catalog and Student Handbook. For the convenience of students, the College has created a web page to provide quick and easy access to institutional and financial aid information. This resource is available at Printed paper copies are available upon request in Student Services. Inclement Weather/ Alternate Assignment: In case of unplanned class cancellation, you are expected to read your textbook chapters and complete any make-up assignments as posted on Moodle. Isothermal Community College 24

25 What Students Can Expect of Isothermal What Isothermal Expects of Students In their commitment to learning and to the achievement of a true learning-centered community, Isothermal personnel will: Meet student needs by demonstrating professional, friendly, and courteous service in all aspects of student life Maintain high professional and academic standards Serve as role models in the development of leadership skills Respect diversity and treat all students fairly Be available to students and helpful with student problems Communicate clear learning objectives and expected outcomes Provide timely feedback in the assessment of learning outcomes Stay current in subject matter Practice effective teaching/learning strategies that promote critical thinking In their commitment to learning, students will: Accept responsibility for learning Attend and participate in all classes Complete required exercises and assignments as directed Develop a time management plan that includes adequate time for study Maintain an open-minded attitude toward learning Strive to become independent critical thinkers Seek help as needed from appropriate sources Be respectful and considerate of others Assume responsibility for knowing and adhering to all college policies Acknowledge that learning how to learn is the ultimate objective of education Recognize that struggle and discomfort often precede the rewards that accompany goal completion and success Note: From Isothermal Distinction Community of Learners; Statement of Expectations. Isothermal Community College, (Revised 2004) The Start Strong. Finish Stronger. initiative is a part of Isothermal s Quality Enhancement Plan which seeks to educate, engage, and empower first-time college students to achieve successful college completion through mandatory orientation, ACA within the first two semesters and a customized educational plan. Isothermal Community College 25

26 References American Nurses Association [ANA]. (2001). Code of ethics for nurses with interpretive statements. Washington, DC: American Nurses Association. American Nurses Association [ANA]. (1980). Nursing: A social policy statement. Kansas City, MO: American Nurses Association. American Nurses Association [ANA]. (2010). Nursing's social policy statement (3 rd ed.). Washington, DC: American Nurses Association. American Nurses Association [ANA]. (2004). Standards of clinical nursing practice (3 rd ed.). Washington, DC: American Nurses Publishing. Berman, A., & Snyder, S. (2011). Kozier & Erb's fundamentals of nursing (9 th ed.). Upper Saddle River, NJ: Prentice Hall, Inc. Carroll, P. (2006). Nursing leadership and management: A practical guide. Clifton Park, NY: Delmar Cengage Learning. Carson, V. B. & Arnold, E. N. (1996). Mental health nursing: The nurse patient journey. St. Louis, MO: W. B. Saunders Company. Craig, J. V., & Smith, R. (2007). The evidence-based practice manual for nurses (2 nd ed.). Philadelphia, PA: Churchill Livingstone Elsevier. Delaune, S. C., & Ladner, P. K. (2006). Fundamentals of nursing: Standards and practice (3 rd ed.). Clifton Park, NY: Cengage Learning. Institute of Medicine [IOM]. (2001). Crossing the quality chasm: A new health care system for the 21 st century. Washington, DC: National Academy of Science. Institute of Medicine [IOM]. (2003). Health professions education: A bridge to quality. Washington, DC: The National Academies Press. Isothermal Community College 26

27 Kelly-Heidenthal, P. (2003). Nursing leadership and management. New York, NY: Cengage Delmar Learning. National League for Nursing [NLN]. (2010). Outcomes and competencies for graduates of practical/vocational, diploma, associate degree, baccalaureate, master's, practice doctorate, and research doctorate programs in nursing. New York, NY: National League for Nursing. O Toole, M. (2006). Mosby's pocket dictionary of medicine, nursing & health professions (5 th ed.). St. Louis, MO: Mosby Elsevier. State of North Carolina. (2009). Nursing practice act. Retrieved from myfiles/downloads/nursing-practice-act.pdf Taber's. (2006). Taber s cyclopedic medical dictionary (20 th ed.). Philadelphia, PA: F. A. Davis Company. Tanner, C. A. (2006). Thinking like a nurse: A research-based model of clinical judgment in nursing. Journal of Nursing Education, 46(6), Townsend, M. C. (2006). Psychiatric mental health nursing: Concepts of care in evidencebased practice (5 th ed.). Philadelphia, PA: F. A. Davis Company. Isothermal Community College 27