Texas Fast Start Programs Alamo Colleges and Collin College Initiative TWC Contract Number: 2014GRF000

Transcription

1 Texas Fast Start Programs Alamo Colleges and Collin College Initiative TWC Contract Number: 2014GRF000 The new Medic/Paramedic Fast Track program at Collin College was developed as a part of the Texas Work Force Commission (TWC) Fast Start grant. The TWC grant provided $229,421 in financial support for the implementation of the new program at Collin College through mentoring by Alamo Colleges, as well as for the online nursing curriculum development and revision for the Concept Based Curriculum at Alamo Colleges and Collin College. For more information on the program and enrollment, contact the Collin College Nursing Department at Contact for further details: Ola Hudgins, Alamo Colleges Account Executive and Co Project Coordinator ph Joyce Sizemore, Collin College Co Project Coordinator ph

2 Course Syllabus Course Number: RNSG 2371 Course Title: Transition to Professional Nursing Semester Credits/Credit hours: 3 Lecture Hours: 3 Faculty name: Yvette Baxter MSN RN Faculty contact information: Yvette Baxter, MSN, RN: yperez26@alamo.edu Office NAHC 320, Office Hours by appointment, (210) Prerequisites/ Co-requisites: RNSG 1170, RNSG 1172, RNSG 1163 Course Description: This course will introduce the medical surgical concepts found in nursing. The purpose of the course is to assist students with the nursing process and application to conditions most commonly found across the lifespan. Students will be able to understand the role of the nurse within the evolving practice environments and across the spectrum of health and illness. Content will include pathophysiology, physiology, nursing process, psychosocial aspects of care, and nursing principles. The course is designed to be parallel with the concepts discussed in RNSG The exemplars will be discussed further throughout the semester. The expectation of the course is for the student to be able to achieve the learning outcomes and be able to apply in the clinical setting. In order to prepare for this course, there are several tools that will guide the student in understanding the structure. Concept definitions will provide meanings of the terms that will be used for this course. Conceptual diagrams will serve as a visual aid for the student and put into perspective how the nursing care, attributes, antecedents, consequences, interrelated concepts, and sub-concepts are applicable to the content being discussed in class. Unit outcomes are the expected goals that are to be achieved per module and will be tested per the course schedule. Course Objectives: Upon completion of this course students will be able to: Describe the basic concepts of nursing including healthcare delivery and evidence-based practice, critical thinking, ethical decision making, the nursing process, health education, health promotion, and health assessment. 1

3 Discuss biophysical and psychosocial concepts as they relate to nursing practice: individual and family homeostasis, stress, and adaptation; transcultural nursing, genetics and genomics, chronic illness, rehabilitation, and care of the older adult. Analyze concepts and challenges regarding patient management including pain management, fluid and electrolyte balance and disturbance, shock and multiple organ dysfunction syndrome, oncology, and end-of-life care. Describe the basic role of the nurse in perioperative care: preoperative, intraoperative, and postoperative. Implement safe, effective nursing care for individuals with respiratory, cardiovascular, hematologic, immunologic, musculoskeletal, digestive and gastrointestinal, metabolic and endocrine, urinary, reproductive, integumentary, sensory, and neurologic dysfunction. Describe the nurse s role in assessment and implementation of patients with infectious diseases. Course Outline HEALTH CARE CONCEPTS BIOPHYSICAL Acid Base Balance Diabetic Ketoacidosis (DKA)- Metabolic Acidosis Hyperventilation- Respiratory Alkalosis Gastro-intestinal Losses- Metabolic Alkalosis Drug Overdose with Hypoventilation- Respiratory Acidosis Clotting Hemophilia Deep Vein Thrombosis (DVT) Comfort Phantom Limb Pain Nerve Root Compression chronic Pre-procedure Degenerative Disc Disease Diabetic Neuropathy Pancreatitis Pain (acute) Sickle Cell Pain (chronic) Post-operative Pain Renal Calculi End Stage Renal Disease Congestive Heart Failure Elimination Benign Prostate Hypertrophy (BPH) Urinary Retention Diarrhea Bowel Incontinence Gerontology Urinary Incontinence Paralytic Ileus Bowel Obstruction (constipation/impaction Elderly skills courses) Diverticulitis Clostridium Difficile (C-diff) 2

4 Crohn s Disease Neurogenic Bladder- Spastic Fluid & Electrolyte Balance Dehydration- Gastroenteritis Extracellular Fluid Volume Excess Hypokalemia Hyperkalemia- Chronic Renal Failure Hyponatremia- Syndrome of antidiuretic Hormone (SIADH) Hypernatremia- Diabetes Insipidus (DI) Hypophosphatemia Hyperphosphatemia Hypomagnesemia Hypermagnesemia Functional Ability Alzheimer s Down Syndrome Multiple Sclerosis Parkinson s Cerebrovascular Accident Gas Exchange Asthma Chronic Obstructive Pulmonary Disease (COPD) Pneumonia- Aspiration RSV/Bronchiolitis Mobility Hip Fractures Disuse syndrome Joint Replacement Osteoarthritis Osteoporosis Immunity Vaccines Otitis media Urinary Tract Infection Cellulitis Pneumonia Appendicitis Trauma-sprain Metabolism Diabetes Type 1 Diabetes Type 2 Gestational Diabetes 3

5 Graves Disease- Hyperthyroidism Hypothyroidism Addison s Disease- Hypocortisolism (chronic adrenal insufficiency) Cushing s- Hypercortisolism Nutrition Obesity Malnutrition (Inadequate-excess) Iron deficiency Anemia Dysphagia Cardiovascular Diabetes Type 2 Malabsorption Syndromes (Gastrostomy and Enteral Feedings) Perfusion Dysrhythmias Congestive Heart Failure Hypertension Pregnancy Induced Hypertension (PIH) Mitral Valve Prolapse Coronary Artery Disease (CAD) Myocardial Infarction (MI) Shock Tetralogy of Fallot (congenital) Peripheral Vascular Disease (PVD) Sensory Perception Cataracts Conductive Hearing Loss Macular Degenerative Disease Peripheral Neuropathy Sensorineural Hearing Loss (pediatrics) Glaucoma Eye Injuries Sleep Sleep Deprivation Insomnia Sleep Apnea Thermoregulation Environmental Exposure Hypothermia Frost Bite, Infant Hyperthermia Heat Stroke in Elderly Fever (pedi) Malignant Hyperthermia 4

6 Tissue Integrity Dermal Ulcer Impetigo Psoriasis Wound (surgical/traumatic) Tinea Pedis Candida Pediculosis HEALTH CARE CONCEPTS PSYCHOSOCIOCULTURAL Cognition Alzheimer s Disease/ Dementia Delirium Down Syndrome Coping Anxiety Generalized Anxiety Disorder Panic Disorder (Attack) Obsessive Compulsive Personality Disorder Phobia Separation Anxiety (Developmental) Stress Post-Traumatic Stress Disorder Divorce Peptic Ulcer Disease (stress related) Substance Abuse/Addictive Behaviors Alcoholism Maternal/Fetal Cocaine Addiction Neonatal Abstinence Syndrome Eating Disorders Anorexia Nervosa Bulimia Diversity Hispanic Traditions Maternity w Complementary/Alternative Medicine Jehovah s Witness Blood Products, Pediatrics Traditional Islamic Ritual dying Client Spiritual distress (exemplars to include Race, Gender, Sexual Orientation, Age, Education, Abilities, & Life Experiences) Grief Job Loss Terminal Illness Human Development* 5

7 PROFESSIONAL NURSING CONCEPTS Clinical Judgment Nursing Process Timing and clustering of daily care Model of Clinical Judgment Context/Nursing Unit Culture** Clinical Decision Making Critical Thinking Starting Oxygen Recognize Anaphylaxis Patient Education Medication Management When to Contact Dr. or other H C Provider** Communication Interpersonal Therapeutic Interviewing Effective Listening Inter-professional SBAR Documentation Intrapersonal Self-Talk Peers and Healthcare Team Members Ethics & Legal precepts Nursing Practice Act Social Media (HIPPA) Criminal Law Civil Law ANA Code of Ethics Evidence-Based Practice Best Practices and Standards (related to course content) Health Information Technology* Health Promotion Obesity Leadership & Management Delegation Patient-Centered Care Advocacy Prioritizing Individualized Care Patient education* 6

8 Professionalism Roles of the Nurse (DECS) Chain of Command Attributes of the Profession Safety Standard Precautions National Patient Safety Goals Time Outs Teamwork & Collaboration Patient Plan of Care Group work Conflict Management Strategies Group Process Assertive Communication * only the concept is covered no exemplars Required Titles: Lippincott CoursePoint ATI modules, tutorials, proctored and practice assessments, learning resources (Available on-line at Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition for CoursePoint for Nursing Concepts. Karch: Focus on Nursing Pharmacology, Sixth Edition, for CoursePoint for Nursing Concepts. Marquis & Huston: Leadership Roles and Management Functions in Nursing: Theory and Application, Eighth Edition, for CoursePoint for Nursing Concepts. Porth: Essentials of Pathophysiology: Concepts of Altered Health States, Third Edition, for CoursePoint for Nursing Concepts. Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition, for CoursePoint for Nursing Concepts. Taylor, Lillis, LeMone & Lynn: Fundamentals of Nursing: The Art and Science of Nursing Care, Seventh Edition, for CoursePoint for Nursing Concepts. Videbeck: Psychiatric-Mental Health Nursing, Sixth Edition, for CoursePoint for Nursing Concepts. Weber & Kelley: Health Assessment in Nursing, Fifth Edition, for CoursePoint for Nursing Concepts. 7

9 Semester syllabus (Available online) San Antonio College Nursing Education Nursing Student Handbook (Available online) San Antonio College Student Handbook (Available online) Course Requirements 1. Each student must complete all online requirements. 2. Complete four (4) scheduled exams, six (6) discussion postings, one (1) comprehensive final, and one (1) comprehensive ATI final exam. Mandatory remediation for ATI exam if Level one (1) or below Level one (1). 3. The student must be concurrently enrolled in RNSG Introduction to Health Care Concepts, RNSG Clinical- Concept Based Transition to Professional Nursing; and RNSG 1172 Professional Nursing Competencies. Each course carries its own grade. 4. All courses must be passed with C or better to progress to the next semester. 5. If the student withdraws from RNSG 2371, the student must also withdraw from RNSG 1163, RNSG 1170, and RNSG The student must make application for re-entry to the course. Student Evaluation/Grading Policies: Grading: You can expect grades to be posted within two weeks of each due date. Grading rubrics are provided below. You will see feedback on your graded information in the Gradebook or attached to your assignment. Examinations are electronically graded. The dates of all examinations will be posted. Testing material will be based on class presentations, readings, audiovisual, computer assisted instruction, and behavioral objectives. Exam average MUST be at least 70 in order to successfully complete the semester. Students must also complete all scheduled ATI Assessments to successfully complete the semester. (See calendar for schedule). The course grade consists of multiple assignments that are averaged into a final grade. The following is a breakdown of the course requirements to successfully pass the course: Discussion Board 20% Exams 60% Final Exam 10% Standardized Exam 10% Examination Policy: The course will consist of four examinations and one final exam. The exams will consist of 40 items that will be at the application level. Students will need to apply knowledge of theory and the nursing process to arrive at the best decision. The standardized exam will be the Assessment Technologies Institute (ATI) which is a benchmark exam to determine 8

10 the success and understanding of the content to strengthen the student s success for the pre-licensure examination. Following each examination the student will receive an opportunity to review the items that were missed on the exam in the computer lab. It is the student s responsibility to arrange a time to meet with the instructor of record to discuss possible plans to study, seek clarification on content, and identify other strategies to apply to make the student successful in the course. If for any reason the student is absent or unable to attend an exam day it is the responsibility of the student to notify the instructor. If the instructor receives no notification 24 hours before the exam the student will receive a zero for the exam. Expectations of Students: The expectations of the student are to abide by the San Antonio College policies and student handbook. Students are to conduct themselves in a professional manner on campus, with instructor, and with other peers. It is mandatory the student read the assigned readings prior to meetings with instructor. Students need to be able to ask questions to seek clarification on content. Since this course is online, it is required that the student participate with the discussion board assignments. This is a proven method that will assist with the learning and understanding of the content. Assignments/Presentations: All assignments including discussion board will be due on midnight central standard time every week. It is the student s responsibility to follow the schedule and deadlines. Absolutely no late work will be accepted. Coursework Textbook For each module, there is assigned reading in the course digital textbook. You can find information about the reading assignments by reviewing the Modules link in Canvas. All discussion assignments and exams will go along with the reading content. Discussion This is an online course. There will be weekly online discussion just like there would be weekly lecture if this course was taught in the classroom. Discussion assignments will be made to reinforce the course content and explore the most up to date information. Each Sunday a new discussion will begin and end on the next Sunday at 11:59 pm. Each student will be responsible for answering his/her primary assigned question and then respond to 3 other student's primary responses. The response to the primary question is due the beginning of the week on Sunday at midnight. The responses to your 3 additional responses will be due the following Sunday at midnight. The discussion will be graded weekly. Participation in course discussion is required. Failure to participate in class discussion will result in a lowering of your course grade. Discussion board work that is posted after the due dates will receive no credit. 9

11 Professor s Expectations of Students: In addition to expectations listed elsewhere, students are expected to keep a copy of all saved course work until the final grade has been posted, since electronic communications can fail or crash. This policy may allow for resubmission of important items, if permitted by the professor. If technology issues arise, students are expected to use San Antonio College computers or other equipment for submitting work according to schedule. In other words, a personal computer challenge is no excuse for failing to submit work on time. Students are expected to plan ahead concerning inquiries to allow for reasonable response time from the professor. Students are expected to mark the weeks of the term on their personal calendars and to maintain a check list of work completed and grades received in order to self-monitor progress in the course. Remember that online courses require the STUDENT to be self-disciplined concerning course performance. Online Class Information: This totally online class is posted in Canvas and must be completed within the 16-week semester. Students are required to come to campus for exams. Students may seek assistance from the writing center tutors in the San Antonio College Writing Center. All course-related communications are to be within Canvas as soon as students have access. Attendance Policy: The attendance policy is based on the San Antonio College handbook. For this course, it is primarily online therefore the only time the student will be required to attend would be during exams. If you have an emergency of any sort you are required to notify your instructor of record 24 hours before. If you have not made arrangements with your instructor and you are absent from the exam you will receive a zero. Withdrawal Policy: See Associate Degree Nursing Student Handbook, Adding or Dropping Courses, regarding withdrawing procedures, and the current San Antonio College Academic Calendar for last day to withdraw. Failure to drop or withdraw on or before the last day to withdraw will result in a performance grade. Texas Education Code Course Drop Limit Provisions Students who enroll as an entering freshman or a first-time college student in undergraduate courses at any Texas public community college, technical institute, health sciences institution, or any public university offering undergraduate courses must comply with the legislation of TEC TEC states that students who enroll for the first time during the fall 2007 semester or any subsequent semester are subject to the course drop limit of six course drops. San Antonio College Academic Policies: See the current San Antonio College Student Handbook. Americans with Disabilities Act: San Antonio College will adhere to all applicable federal, state and local laws, regulations and guidelines with respect to providing reasonable accommodations as 10

12 required to afford equal opportunity. It is the student s responsibility to contact the disability Support Services (210) location: Moody Learning Center to arrange for appropriate accommodations. See the current San Antonio College Student Handbook for additional information. Minimum Technology Requirement: For minimum technical requirements, visit the San Antonio College Distance Learning website High speed Internet connection (cable modem or DSL) is recommended. Computer Skills Needed: You should know how to access a Web site when given an address (URL) or link, use the features of your Web browser, download files, attach files to s, and use MS Word processing software. You will also need to use MS Excel. Technical Support: You may contact technical support at District Helpdesk (210) or SAC Helpdesk (210) Minimum Student Skills: Students should expect to spend an average of 10 hours weekly in order to complete basic course requirements. Students must complete all assignments, including exams, as scheduled. Students are expected to monitor ACES and Course and announcements several times weekly. If you experience personal computer or problems, you are expected to find another computer to use. If necessary, you may use computers located at the San Antonio College campus libraries or Nursing Allied Health Complex computer lab. In other words, personal computer or problems are no excuse for failing to communicate or submit course work. Netiquette Expectations: Expectations for online class involvement: *Standards of courtesy and respect must be maintained at all times in our online classroom. Join in to the discussion, but remember that this is still a classroom setting and that respect and consideration are crucial for any intellectual discussion. Personal attacks are no permitted. *Allow a professor 48 hours to respond to all questions and inquiries during the work week. Instructors are not expected to work weekends; therefore, response time will be extended. Please plan your time accordingly. Requesting to turn in an assignment late, because you are waiting on a reply from your instructor will not be considered an acceptable excuse. Deadlines are deadlines and it is imperative you plan your time accordingly. *Communication with instructors should be kept brief. State the problem concisely as well as how you would like them to help. Instructors should always be addressed in a respectful and professional manner. Making demands, criticizing, and yelling (writing in a bold font and in all capital letters) are not 11

13 acceptable forms of communication and are against the Collin College statement of core values. *If the student has an issue with the class, the teacher should be contacted individually. It is not a student s position to appoint themselves spokesperson for the class. *A student s responsibility is to perform within the structure of the class. Any attempt by the student to change the structure of the class may be regarded as a violation of departmental and college policy. *It is in good faith that faculty and students engage in the learning process. It is expected that students perform in class with that philosophy in mind. Students are expected to make a good faith effort to read and understand the material and to engage in learning activities provided by the instructor. *All writing and communication in this course should be conducted in an academic fashion. Texting shortcuts and abbreviations should not be used. *Any violation of these expectations of behavior online will be reported to the Dean of Students and appropriate disciplinary action will be taken by the college. Supplies: Online students need an Internet-ready computer. (NOTE: Disable popup window protection to complete online assessments; course is best viewed using Firefox, Safari, or Google Chrome). Whenever necessary, you may use a college computer in one of the libraries or in an open computer lab. Academic Ethics The College District may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, statements, acts, or omissions related to applications for enrollment or the award of a degree, and/or the submission as one s own work material that is not one s own. Scholastic dishonesty may involve, but is not limited to, one or more of the following acts: cheating, plagiarism, collusion, use of annotated texts or teacher s editions, and/or falsifying academic records. Plagiarism - the unauthorized or undocumented use or close imitation of the language and thoughts of another author and the representation of them as one s own original work. Cheating - the use or attempted use of unauthorized materials, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge; or unauthorized copying or collaboration. Collusion - assisting another to commit an act of academic dishonesty, such as paying or bribing someone to acquire a test or assignment, taking a test or doing an assignment for someone else, or allowing someone to do these things for one s own benefit. Refer to Associate Degree Nursing Student Handbook and San Antonio College Student Handbook. 12

14 Software Piracy Law strictly prohibits unauthorized copying of software purchased by Alamo Colleges District. Appropriate disciplinary action will be taken against anyone violating copyright laws. Computer Viruses Computer viruses are, unfortunately, a fact of life. Using the diskettes on more than one computer creates the possibility of infecting computers and diskettes with a computer virus. Using and surfing and downloading from the Internet also creates exposure to viruses. Therefore, the computers of the college, your personal computer, and any other computer you may be using can be exposed to potentially damaging viruses. The college has aggressive anti-virus procedures in place to protect its computers, but cannot guarantee that a virus might not temporarily infect one of its machines. It is your responsibility to protect all computers under your control and use and ensure that each computer hard drive and any diskettes you use, whenever or wherever you use them, have been scanned with anti-virus software. Since new viruses arise continually, your antivirus software must be kept current. And, since no anti-virus software will find every virus, keeping copies of data (backups) is extremely important. In the event I believe academic dishonesty has occurred, I will delay posting a grade until the Dean of Students Office renders an administrative decision. If you are found guilty of scholastic dishonesty in this course, you will receive a zero for the assignment. BACK UP AND SAVE ALL YOUR COURSE ASSIGNMENTS, CORRESPONDENCE, AND WORK. Syllabus Changes While every attempt has been made to prepare this syllabus in final form, it will be the instructor s prerogative to make any changes as may be deemed necessary in order to meet the learning outcomes of the class. Students will be notified of any changes by and through postings at the course website. 13

15 Week RNSG 2371 Assigned Reading Week 1 January19-25, 2015 Course Orientation: Ice breaker Concept: Professionalism - Roles of the nurse - Chain of command - Attributes of the profession Professionalism: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e Digital Textbook Pages Health Care Delivery and Evidence-Based Nursing Practice: Professional Nursing Practice; pages Terrorism, Mass Casualty, and Disaster Nursing: Hospital Emergency Preparedness Plans; pages Taylor: Fundamentals of Nursing, 7e Digital Textbook Pages Introduction to Nursing; pages 5-17 Concept: Communication - Interpersonal - Intra-professional - Peers and Healthcare team Members Concept: Clinical Judgment - Nursing process - Timing and clustering of daily care - Model of clinical judgment - Context/nursing unity culture - Clinical decision making - Critical thinking - Starting Oxygen - Recognizing anaphylaxis - Patient education - Medication Management - When to contact Dr. or other health care provider Communication: Interpersonal Communication: Interviewing Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e Digital Textbook pages Adult Health and Nutritional Assessment: Health History (Including charts); pages Chronic Illness and Disability: Right of Access to Health Care: Communication Strategies (Including Chart 9-6); pages Critical Thinking, Ethical Decision Making and the Nursing Process: The Nursing Process: Definition; pages Weber: Health Assessment in Nursing, 5e Digital Textbook Pages Assessing Children and Adolescents: Interviewing; pages Taylor: Fundamentals of Nursing, 7e Digital Textbook Pages Assessing: Data Collection; pages Healthcare Delivery Systems: Interdisciplinary Care: The Healthcare Team; pages , Healthcare Delivery Systems: Methods of Healthcare Delivery; pages Clinical Judgment: Hinkle: Brunner & Suddarths Textbook of Medical-Surgical Nursing, 13e Critical thinking, Ethical Decision making and Nursing process Ch. 3 pg ,Adult Health & Nutritional Assessment,pg Week 2 January26-February 1, 2015 Week 3 February 2-8, 2015 DQ initial post due Concept: Immunity Exemplars: Vaccines Otitis media UTI Cellulitis Pneumonia Appendicitis Trauma-sprain Concept: Thermoregulation Exemplars: Environmental exposure Immunity: Vaccines- Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Otitis media- Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs UTI- Children: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Adult: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Cellulitis- Children: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Adult: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 859 Pneumonia- Children: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Adult: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Appendicitis- Children: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Adult: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Trauma-Sprain-Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Thermoregulation: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e Maintaining Normal Body Temperature , 763, Age related changes 187, Temperature Regulation 1755 Maintaining Body

16 DQ responses due Immunity & Thermoregulation Week 4 February 9-15, 2015 DQ Gas exchange Hypothermia - frost bite (infant) Hyperthermia (heat stroke-elderly) Fever (Pedi) Malignant hyperthermia Concept: Safety Exemplars: Standard Precautions National Patient Safety Goals Time Outs Concept: Gas Exchange Exemplars: Asthma COPD Pneumonia RSV/Bronchiolitis Temperature , Temperature Regulation 1928, Environmental Emergencies , Malignant hyperthermia definition 420, Safety: National Patient Safety Goals Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e Intraoperative Nursing Management: The Surgical Environment; pages 425, Chart 17-8 and Maintaining Patient Safety pg Standard Precautions: Management of Patients with Infectious Diseases: Infection Control and Prevention; pages Intraoperative Nursing Management: The Surgical Team (Including Chart 18-1); pages Gas Exchange: Asthma- Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs COPD- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Pneumonia- Aspiration- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e digital textbook pgs. 188 (GI system), 565. Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs , 1419 RSV/Bronchiolitis- Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Week 5 February 16-22, 2015 Exam 1: Professionalism, Communication, Clinical Judgment, Immunity, Thermoregulation, Safety, Gas Exchange February 19, 2:00pm Concept: Comfort Exemplars: Phantom Limb Pain Nerve root compression-chronic Pre-procedure RX Degenerative Disc Disease Diabetic Neuropathy Pancreatitis Pain Sickle cell pain (chronic) Post-operative pain Renal calculi ESRD CHF Comfort: Phantom Limb Pain- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e digital textbook pgs Nerve root compression-chronic: Porth: Essentials of Pathophysiology, 3e, digital textbook pgs Weber: Health Assessment in Nursing, 5e, Watch & Learn Videos, Assessment: Performing a Physical Examination: The Musculoskeletal and Neurological Systems Pre-procedure RX- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg , Watch & Learn Videos, Preoperative Nursing Care on the Day of Surgery. Degenerative Disc Disease- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pgs , Taylor: Fundamentals of Nursing, 7e, Watch & Learn Videos, Physical Assessment: Assessing the Musculoskeletal and Neurological Systems Diabetic Neuropathy- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg Pancreatitis Pain- Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg SCD Pain Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg Post-op pain Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg Renal Calculi Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg ESRD Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg CHF Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e pg Concept: Sleep Exemplar: Sleep deprivation Insomnia Sleep: Taylor: Fundamentals of Nursing, 7e, digital textbook pg Sleep deprivation- Taylor: Fundamentals of Nursing, 7e, digital textbook pg. 1091; Videbeck: Psychiatric- Mental Health Nursing, 6e, digital textbook pg. 507 Insomnia- Taylor: Fundamentals of Nursing, 7e, digital textbook pgs ; Videbeck: Psychiatric- Mental Health Nursing, 6e, digital textbook pg. 507; Karch: Focus on Nursing Pharmacology, 6e, digital textbook pgs

17 Week 6 February 23-March 1, 2015 Sleep-apnea Concept: Fluid and Electrolyte Balance Exemplars: Dehydration-GE-elderly Extracellular Fluid Volume Excess Hypokalemia Hyperkalemia-CRF Hyponatremia-SIADH Hypernatremia- DI Hypo/hyperphosphatemia Hypo/hypermagnesemia Sleep-Apnea- Taylor: Fundamentals of Nursing, 7e, digital textbook pgs ; Videbeck: Psychiatric- Mental Health Nursing, 6e, digital textbook pg. 507; Hinkle: Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13e pgs Fluid & Electrolyte Balance: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e Chapter 13 Fluid and Electrolyte Imbalance Electrolyte Imbalances Parenteral Fluid Therapy Dehydration (Elderly) pg. 188, 204 Electrolyte Imbalances Pgs Hyperkalemia CRF Pgs Hyponatremia-SIADH Pg. 251 Parenteral Fluid Therapy- pg Concept: Patient Centered Care Exemplars: Advocacy Prioritizing Individual Care Patient Centered Care: Advocacy- Taylor: Fundamentals of Nursing, 7e, digital textbook pgs , 179, Prioritizing Individualized care- - Taylor: Fundamentals of Nursing, 7e, digital textbook pgs. 269, 289 Week 7 March 2-8, 2015 DQ initial post due DQ responses due Fluid & Elimination Concept: Elimination Exemplars: Benign Prostate Hypertrophy (BPH)-urinary retention Diarrhea - Bowel Incontinence Gerontology - urinary incontinence Paralytic Ileus-Bowel Obstruction Diverticulitis Clostridium Difficile Crohn s Disease Neurogenic Bladder Elimination: Benign Prostate Hypertrophy-Urinary retention: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , 1728 Diarrhea- Bowel Incontinence Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Gerontology- Urinary Incontinence Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 205, Paralytic Ileus- Bowel Obstruction: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , Table 48-6 pg Diverticulitis: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , definition pg Clostridium Difficile: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , Crohn s Disease: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , Neurogenic Bladder-Spastic: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Concept: Evidence-based practice Best Practices and Standards Evidence Based Practice: Taylor: Fundamentals of Nursing, 7e, digital textbook pgs Week 8 March 16-22, 2015 DQ initial post due DQ responses due Perfusion Concept: Perfusion Exemplars: Dysrhythmias Congestive Heart Failure (CHF) Perfusion: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook Perfusion pg Dysrhythmias: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg

18 Hypertension (HTN) Pregnancy Induced Hypertension (PIH) Mitral Valve Prolapse (MVP) Coronary Artery Disease (CAD) Myocardial Infarction (MI) Shock Tetralogy of Fallot (TOF) Peripheral Vascular Disease (PVD) Concept: Clotting Exemplars: Hemophilia Deep Vein Thrombosis (DVT) Concept: Leadership and Management: Exemplar: Delegation CHF: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg HTN: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg PIH: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pg Mitral valve prolapse: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 771 CAD: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg MI: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook Shock: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg TOF: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook PVD: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook Clotting: Hemophilia: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs DVT:Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Leadership and Management: Delegation: Marquis: Leadership Roles & Management Functions in Nursing, 8e Ch. 20 pg Week 9 March 23-29, 2015 Exam 2 Comfort, Sleep, Fluid & Electrolyte, Patient Centered Care, Elimination, Evidence Base Practice, Perfusion, Clotting, Leadership & Management March 26, 2:00pm Concept: Mobility Exemplars: Hip fracture Disuse syndrome Joint replacement Osteoarthritis Osteoporosis Mobility: Hip fracture: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , Disuse syndrome: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Joint replacement: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Osteoarthritis: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Osteoporosis: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Concept: Teamwork and Collaboration Exemplars: Patient Plan of Care Group work Group process Conflict management strategies Assertive communication Teamwork & Collaboration: Patient Plan of Care: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Group Work/Group Process: Marquis: Leadership Roles & Management Functions in Nursing, 8epgs Conflict Management Strategies: Marquis: Leadership Roles & Management Functions in Nursing, 8epgs Assertive Communication: Taylor: Fundamentals of Nursing, 7e, digital textbook pgs. 300,

19 Week 10 March 30-April 5, 2015 Concept: Acid-Base Balance Exemplars: DKA-Metabolic Acidosis Hyperventilation-birthing mother, panic attack-respiratory alkalosis Gastro-intestinal losses (pediatric)-metabolic alkalosis Drug overdose with hypoventilation- Respiratory acidosis Acid-Base Balance: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook Acid-Base Balance pgs DKA pg Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook Hyperventilation pg. 342, 464 Videbeck: Psychiatric-Mental Health Nursing, 6e Panic Attack pg Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook Pg Videbeck: Psychiatric-Mental Health Nursing, 6e Drug overdose pg. 365 Week 11 April 6-12, 2015 DQ initial post due DQ responses due Acid Base Balance Concept: Patient Education: No Exemplars: Concept: Ethical/Legal: Exemplars: Nurse practice act Social media (HIPAA) Criminal law Civil law ANA code of conduct Concept: Nutrition Exemplars: Obesity Malnutrition (Inadequate-excess) Iron deficiency anemia Dysphagia Cardiovascular DM type 2 Malnutrition Malabsorption syndrome infant & elderly; (Gastrostomy and Enteral feedings) Concept: Diversity Exemplars: Hispanic Traditions-maternity with complementary/alternative medicine Jehovah's witness-blood products; pediatrics; Traditional Islamic-ritual dying patient Spirituality-spiritual distress Patient Education Concept: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Ethical/Legal: Nurse practice act: Taylor: Fundamentals of Nursing, 7e, digital textbook pg. 112 Social media (HIPAA): Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 30. Taylor: Fundamentals of Nursing, 7e, digital textbook pg Marquis: Leadership Roles & Management Functions in Nursing, 8e pg , 455. Criminal law/ Civil Law: Taylor: Fundamentals of Nursing, 7e, digital textbook pg Marquis: Leadership Roles & Management Functions in Nursing, 8e pg ANA code of conduct: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 28. Taylor: Fundamentals of Nursing, 7e, digital textbook pg Marquis: Leadership Roles & Management Functions in Nursing, 8e pg. 79 Nutrition: Concept: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook.pg Obesity (bariatric surgery): Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook Pg Malnutrition: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Iron deficiency anemia: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Dysphagia GERD: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 188, Cardiovascular: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook DM type II: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Malabsorption peds (Short Bowel): Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pg Malabsorption elderly: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg , 1293 Gastrostomy and Enteral feedings: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg

20 Week 12 April 13-19, 2015 DQ initial post due DQ responses due Metabolism Week 13 April 20-26, 2015 Concept: Metabolism Exemplars: Diabetes Type 1 Diabetes Type 2 Gestational Diabetes Grave's Disease-hyperthyroidism Hypothyroidism Addison's Disease - Hypo-cortisolism (chronic adrenal insufficiency) Cushing s- Hypercortisolism Concept: Health Promotion Exemplar: Obesity Concept: Health Information Technology (HIT) No Exemplar Exam 3: Mobility, Team Work & Collaboration, Acid-base, Patient Education. Ethical Legal, Nutrition, Diversity, Metabolism, Health promotion, Health Iinformation Technology April 23, 2:00 pm Concept: Sensory Perception Exemplars: Cataracts Conductive hearing loss Macular degenerative disease Peripheral neuropathy (PAD) Sensor neural hearing loss (pedi) Glaucoma Eye injuries Concept: Cognition Exemplars: Diversity: Concept: Taylor: Fundamentals of Nursing, 7e, digital textbook pgs , Hispanic Traditions-maternity with complementary/alternative medicine: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Jehovah's witness-blood products: pediatrics- Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pg. 50, (Refusal of Medical Treatment) Traditional Islamic-ritual dying patient: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg. 382 Spirituality-spiritual distress: Taylor: Fundamentals of Nursing, 7e, digital textbook pg Meatbolism: Diabetes Type 1/Diabetes Type 2/Gestational Diabetes: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Gestational Diabetes: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Grave's Disease-hyperthyroidism/Hypo thyroidism: Hinkle: Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13e: digital textbook pgs Addison's Disease - Hypo-cortisolism (chronic adrenal insufficiency) /Cushing s- Hypercortisolism: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Health Promotion: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pgs. 6-10, Obesity: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pg. 715, pg HIT: Taylor: Fundamentals of Nursing, 7e, digital textbook pgs Sensory Perception: Cataracts: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: Conductive hearing loss: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pg Macular Degeneration: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: Pg 1867 Peripheral neuropathy: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pg Sensory neural hearing loss (pedi): Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Eye injuries: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: Pg Glaucoma: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: Cognition: Concept: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pg. 142, 194, Alzheimer s: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: Dementia: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e:pg Delirium: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e:pg Down Syndrome: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Down Syndrome: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e:pg

21 Alzheimer's Disease/Dementia Delirium Down Syndrome Week 14 April 27-May 3, 2015 Week 15 May 4-10, 2015 Concept: Tissue Integrity Exemplars: Dermal ulcer Impetigo Psoriasis, Wound(surgical/traumatic) Tinea Pedis Candida Pediculosis (lice) Exam 4 & ATI exam: Sensory Perception, Cognition, Tissue Integrity, May 7, 2:00 pm Concept: Coping Exemplars: Anxiety- General Anxiety Disorder; Panic Disorder (attack);obsessive Compulsive personality Disorder; Phobia; Separation Anxiety (Developmental) Stress: Post traumatic Stress Disorder, Divorce, Peptic Ulcer Disease Substance Abuse/Addictive Behaviors: Alcoholism, Maternal/Fetal Cocaine Addiction, Neonatal Abstinence Syndrome (withdrawal), Anorexia Nervosa, Bulimia Concept: Grief Exemplars: Job loss Terminal illness Concept: Human Development No exemplars Concept: Functional ability Exemplars: Multiple sclerosis Parkinson's Cerebral vascular accident-stroke Tissue Integrity: Dermal ulcer: Taylor: Fundamentals of Nursing, 7e, digital textbook pgs , 955 Impetigo: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Psoriasis: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Wound (surgical/traumatic): Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs , , Tinea Pedis: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pgs Candida: Porth: Essentials of Pathophysiology, 3e, digital textbook pg Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Table 46-1 Pediculosis (lice): Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs Coping: Anxiety- Videbeck: Psychiatric-Mental Health Nursing, 6e. pgs General Anxiety Disorder: pg. 248; Panic Disorder (attack): ;Obsessive Compulsive personality Disorder: ; Phobia: ; Separation Anxiety (Developmental): Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs. 929, Stress: Post traumatic Stress Disorder: Videbeck: Psychiatric-Mental Health Nursing, 6e. pgs , , Divorce: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pg. 22, Peptic Ulcer Disease: Hinkle: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: digital textbook pg Substance Abuse/Addictive Behaviors: Alcoholism: Videbeck: Psychiatric-Mental Health Nursing, 6e. pgs, , Maternal/Fetal Cocaine Addiction: Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pg, 855 Table 24-4, Neonatal Abstinence Syndrome (withdrawal): Ricci & Kyle: Maternity & Pediatric Nursing, 2e: digital textbook pgs, , Anorexia Nervosa/Bulimia: Videbeck: Psychiatric- Mental Health Nursing, 6e. pgs Grief: Concept: Videbeck: Psychiatric-Mental Health Nursing, 6e Chapter 10 pg Job Loss: Videbeck: Psychiatric-Mental Health Nursing, 6e pg. 168 Terminal Illness: Videbeck: Psychiatric-Mental Health Nursing, 6e Nursing Care Plan Grieving pg. 179 and Box Best practice prolonged grief Human Development Ch. 8pg Functional Ability: Concept: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pgs Multiple Sclerosis: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pg Parkinson s: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pg Cerebral Vascular Accident: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13e: pg

22 Week 16 May11-15, 2015 Final Exam & ATI Retake

23 San Antonio College Department of Nursing Education RNSG 2371 Grading Summary Name Student ID # Semester: Summer, Fall, Spring, Year: Instructor of Record: Theory Grades Discussion Board Questions (20%) of Theory Grade X.20= Exams (60%) of Theory grade Exam 1 Exam 2 Exam 3 Exam 4 Exam Average X.60 = Final Exam (10%) of Theory grade Standardized Exam (10%) of Theory grade Final Exam X.10 = Standardized NCLEX type Exam (ATI Nursing Education) X.10 = L3= 90%: Remediate 1 hr add 10% L2= 80%: Remediate 2 hr add 10% L1= 0%: Remediate 3 hr & retake =L2: 80% Below L1= 0%: Remediate 4 hr & retake=l2: 80% Final Theory Grade Course Letter Grade DV file: SAC 2371 theory

24 SAN ANTONIO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM RNSG 1172 Professional Nursing Competencies FALL 2014 TEXAS CONCEPT-BASED CURRICULUM 1

25 Texas Concept-Based Curriculum San Antonio College ADN Program Career Mobility Program RNSG 1172 Professional Nursing Competencies Fall 2014 SEMESTER HOURS 1 CONTACT HOURS LAB: 4 PREREQUISITES: ADMISSION TO ADN Fast Track PROGRAM CO-REQUISITES: RNSG 1170, 1163, 2371 Instructor: For any questions pertaining to this course, please contact your instructor of record. Yvette Baxter MSN, RN Office Room Number 320 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES yperez26@alamo.edu Eve Marie Rodriguez Ph.D, RN Office Room Number 324 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES erodriguez43@alamo.edu Dawn Veltre MSN, RN-BC Office Room Number 375 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES dveltre@alamo.edu Instructor-Student Communication: To communicate with your instructor of record you should use : 1) Canvas mail (preferred) I usually reply within the same day. Long questions and answers are less difficult. 2) Phone call Need to be scheduled, which might take a day or two. This is best for long questions and answers. Ideally, course-related communication will go through the Canvas mail option. The best way to discuss more complex issues is by phone. If you haven t heard from me within 24 hours call me and leave a voice message. I ll do my best to get back to you as soon as I am available. Class Meeting Times and Expectations: 2

26 We will meet on the day you are scheduled and report to the simulation lab in the Nursing Allied Health Building 2 nd floor. You will be required to complete your assigned readings and viewing and be ready to practice and demonstrate the assigned skills for the day. Course Description Development of professional nursing competencies in the care of diverse patients throughout the lifespan. Emphasizes psychomotor skills and clinical reasoning in the performance of nursing procedures related to the concepts of: clinical judgment, comfort, elimination, fluid and electrolytes, nutrition, gas exchange, safety, functional ability, immunity, metabolism, mobility, and tissue integrity. Includes health assessment and medication administration. This course lends itself to a concept-based approach. Course Objectives Upon completion of this course the student will: 1. Apply concepts and principles necessary for the performance of professional nursing skills across the lifespan. 2. Demonstrate competency/clinical reasoning in the performance of professional nursing skills. 3. Demonstrate a complete head-to- toe and focused health assessment. 4. Demonstrate safe medication administration. Required Textbooks Adaptive Learning Powered by PrepU for Brunner & Suddarth s Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins. ATI modules, tutorials, proctored and practice assessments, learning resources. Available on-line at Lippincott s CoursePoint for Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical- Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins (Electronic Text) Taylor, Lillis, LeMone, & Lynn: Fundamentals of Nursing: The art and science of nursing care (7th ed.). Weber & Kelley: Health Assessment in Nursing, Fifth Edition, for CoursePoint for Nursing Concepts Recommended Titles: Handbook for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Brunner and Suddarth's Handbook of Laboratory and Diagnostic Tests, 2nd ed. (2014). Philadelphia: Lippincott Williams & Wilkins. 3

27 Required Equipment: Stethoscope Watch with second hand Bandage scissors Student Uniform Pen light Course Requirements 1. Each student must complete all online requirements, open lab practice and scheduled skills check-off days. 2. The student must be concurrently enrolled in RNSG Introduction to Health Care Concepts, RNSG Clinical- Transition to Professional Nursing; and RNSG 2371 Concept based Transition to Professional Nursing Practice. Each course earns a grade. 4. The student must pass RNSG 1172 with a grade of C or better in order to progress to the next semester. 5. If the student withdraws from RNSG 1172, the student must also withdraw from RNSG 1163, RNSG 1170, and RNSG The student may repeat this course only once after receiving a grade, including a W. 7. In the event of an absence, the student earns a zero for the day. No grade will be given for the ATI prep work or class date. However, because the content is important and skills testing is conducted throughout the course it is required that you review the content that was missed. METHOD OF EVALUATION: The course grading criteria is as follows: ATI pre-post tests 20% Competency/Skills Testing (5) 80% The course grade will be determined through the following processes. Pre and post quizzes. Students will receive a zero if they fail to provide documentation of completion of ATI pre-and post-tests for assigned modules. Students must achieve an 80% or more on the designated skill testing. If the student receives less than an 80% on the skill check-off, he or she will receive another opportunity to retest. Only one attempt will be given in addition to the initial attempt. Remediation will be given for students that are unsuccessful after the first attempt. The skills competency is a pass/fail however students will receive a grade that will be averaged into the course grade. For example, if student A makes a 50 on the first attempt and second attempt scores a 90. The average between the both scores will be given as the grade=70. 4

28 STUDENT RESPONSIBILITIES Attendance: the student is responsible for as per the following: 1. Effective Spring Term 2010, student absences will be recorded from the first day the class. 2. Regular and punctual attendance in all classes and laboratories, day and evening, is required. Students who are absent for any reason should always inform their instructors. 3. Both tardiness and early departure from class may be considered forms of absenteeism. In all cases, students will be held responsible for completion of course requirements covered in their absence. Additionally, it is the student s responsibility to drop a course for nonattendance. Course instructors establish policy with regard to attendance in their respective syllabi and may drop a student for excessive absences. 4. Absences are considered excessive when more than 12.5 percent of the total contact hours of instruction in a semester, including lecture and lab, are missed. For example, in a three-credit hour lecture class, students may be dropped after more than six contact hours of absences. In a four-credit-hour lecture/lab class, students may be dropped after more than eight contact hours of absences. Absences are counted regardless of whether they occur consecutively. In special programs with additional accreditation or certification standards, additional attendance requirements may be enforced but faculty must clearly explain these policies in their syllabi. 5. Students who stop attending class for any reason should contact the instructor and the college registrar to officially withdraw from the class. Students may be required to consult with an advisor or designee before dropping. Failure to officially withdraw may result in a failing grade for the course. It is the student s responsibility to withdraw officially from a class by submitting a completed Withdrawal Form to the Admissions and Records Office. 6. If a student is absent to the day of skills testing and fails to notify the instructor of the absence this will count as a zero for the competency. Student Responsibility for Success (Alamo Colleges Policy F.6.2): Students are responsible for success as follows: 1. As members of the Alamo Colleges learning community, students, faculty, staff and administrators all share the responsibility to create an atmosphere where knowledge, integrity, truth, and academic honesty are valued and expected. A clear acknowledgment of the mutual obligations of all members of the academic community emphasizes this implicit partnership in fostering the conditions necessary for student success. In this relationship, the Alamo Colleges provides institutional policies, procedures, and opportunities to facilitate student learning that 5

29 encourage interaction, involvement and responsible participation. 2. Inherent in the academic climate is the expectation that students will assume responsibility for contributing to their own development and learning. Academic success is directly tied to the effort students put into their studies, the degree to which they interact with faculty and peers, and the extent to which students integrate into the campus life. Engagement: Engagement is critical for your success as a student. Be aware of the following, which will enhance your engagement. 1. Create connections and build relationships with faculty, staff and students (visit during office hours, join clubs and organizations, participate in student activities, etc.). 2. Stay informed of policies, procedures, deadlines and events for academic and co-curricular activities. 3. Complete all requirements for admission, registration, and payment by deadlines. 4. Apply for financial assistance, if needed, complying with all federal, state and local regulations and procedures. 5. Meet all federal, state and local health care regulations. Communication: Communication (good communication) is the foundation of engagement. 1. Seek guidance from faculty, advisors or counselors for questions and concerns in regards to degree plans, major selection, academic status, grades, and issues impacting college success. 2. Develop a peer support system to identify student contacts for questions, group assignments, etc. regarding academic and co-curricular activities. 3. Communicate with College personnel promptly regarding academic or co-curricular concerns and assistance requests. 4. Carefully consider the information provided by College personnel and make decisions using that information. 5. Check the Alamo Colleges Web Services regularly for s, holds, student records, financial aid status and announcements. 6. Submit disability documents if service/accommodation is required. Request academic accommodation before each semester begins. Academic Success: 6

30 The following are noted to be associated with academic success. 1. Complete courses with passing grades and maintain in good academic standing (2.0 GPA) status. 2. Read and follow the syllabi. 3. Purchase textbooks and required supplies in a timely manner. 4. Attend classes regularly and on time, with as few absences, late arrivals, and early exits as possible. 5. Prepare for each week by completing all needed materials and completed assignments for that class period. 6. Be attentive in class and actively participate as appropriate. 7. Devote sufficient time for studying. 8. Ensure integrity in all aspects of academic and career development. 9. Accurately represent one s own work and that of others used in creating academic assignments. Use information ethically and exercise appropriate caution to avoid plagiarism on all assignments. 10. Notify faculty in advance or as soon as possible about absences and provide documentation as appropriate. 11. Consult faculty members in advance when unable to complete projects, assignments, or take examinations as scheduled. Self-Responsibility and Responsibility to Others: Being a student comes with responsibilities for your self, and for others. 1. Maintain accurate and complete degree/certificate major selection and contact information including name, address, phone number and emergency contact. 2. Balance personal obligations and educational pursuits. Work with a counselor / advisor to design a realistic schedule that dedicates adequate effort to be successful in college studies. 3. Know and follow the regulations and guidelines outlined in the Student Code of Conduct and Student Handbook. 4. Maintain respectful and appropriate behavior within and outside the classroom. 5. Ask for help when needed. Use all available resources and facilities provided by the College to enhance the learning experience. 7

31 6. Attend scheduled advising sessions, tutorials, and other appointments. Cancel or reschedule only with good reasons as early as possible. 7. Arrive prepared for tutorial sessions, bringing all needed materials (books, syllabi, rough drafts, calculators, assignment sheets, etc.). Academic Integrity Honesty in completing assignments is essential to the mission of the university and to the development of the personal integrity of the student. Cheating, plagiarism, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, or being suspended or expelled. The specific disciplinary process for academic dishonesty is found in the SAC/ Student Handbook. In an effort to ensure the integrity of the academic process, San Antonio College Department of Nursing Education vigorously affirms the importance of academic honesty as defined by the Student Handbook. Administrators may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, Academic Misconduct, Cheating, Plagiarism, Fabrication and Collusion. Definitions The following definitions shall apply in the Code of Student Conduct: Academic Misconduct - the intentional violation of college policies, such as tampering with grades, misrepresenting one's identity, or taking part in obtaining or distributing any part of a test or assessment, or any information regarding the content of such an instrument. Cheating - the use or attempted use of unauthorized materials, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge; or unauthorized copying or collaboration. Collusion - assisting another to commit an act of academic dishonesty, such as paying or bribing someone to acquire a test or assignment, taking a test or doing an assignment for someone else, or allowing someone to do these things for one's own benefit. Fabrication - intentional misrepresentation or invention of any information, such as falsifying research, inventing or exaggerating data, or listing incorrect or fictitious references. Plagiarism - the unauthorized or undocumented use or close imitation of the language and thoughts of another author and the representation of them as one's own original work. F (Procedure) Student Code of Conduct. Procedure.pdf COLLEGE REQUIREMENTS A comprehensive final evaluation, not to exceed three hours in length, shall be given at the end of each course at the official scheduled final exam time. The appropriate Dean must approve any 8

32 exceptions to this requirement. Other evaluations are given at the discretion of the instructor. A student who must be absent from a final evaluation should petition that instructor for permission to postpone the evaluation. A student absent without permission from a final evaluation is graded "0" on the exam. COLLEGE POLICIES Students are expected to be mindful of and adhere to all San Antonio College rules and policies. College policies are included as a separate file with electronic course materials, which can also be found in the Nursing Student Handbook. 1. All of the Alamo Colleges are tobacco free. 2. Alamo Colleges DPS Emergency Phone Numbers: Emergency Phone (210) General Phone (210) Weather Phone (210) (For information on college closures) 3. A Rapid Response Team exists for the purpose of responding to emergencies. If you have a disability that will require assistance in the event of a building evacuation, notify San Antonio College disability Support Services, Chance Academic Center 124C, (210) Students are required to silence all electronic devices (e.g., pagers, cellular phones, etc.) when in classrooms, laboratories and the library. 5. Students must abide by the policies, procedures and rules set forth in the Student Code of Conduct and all other policies set forth in the San Antonio E-Catalog: DISABILITY ACCESS STATEMENT In accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, it is the responsibility of the student to self-identify with the campus Disability Services office. Only those students with appropriate documentation will receive a letter of accommodation from the Disability Services office. Instructors are required to follow only those accommodation and/or services outlined in the letter of accommodation. For further information, please contact the San Antonio College disability Support Services office at (210) or visit the office located in the Chance Academic Center building, Rm. 124C. If you have specific needs; please discuss them privately with your instructor. 9

33 10

34 Texas Concept-Based Curriculum San Antonio College RNSG 1172 Health Care Concepts Spring Semester 2015 Week Concept Skills Week 1 January19-25, 2015 Week 2 January26- February 1, 2015 Week 3 February 2-8, 2015 Immunity Safety Professionalism Communication Comfort 1. Vital Signs(radial pulse, respirations, and blood pressure) 2. Thermoregulation a. temp., heat and cold therapy 3. Pain Assessment 4. Head to Toe Physical Assessment and health history a. Heart and breath sounds b. Locating pulses & apical heart rate c. Fetal heart rate d. Spinal screening 5. Clinical judgment: Situational assessments 6. Safety: 60 Second Assessment **Pre and post quiz due prior to class*** Skills Testing: Physical Assessment and Vital Signs Medication administration: Dosage and drug calculations Oral and topical Injections **Pre and post quiz due prior to class*** 1

35 Week 4 February 9-15, 2015 Week 5 February 16-22, 2015 Texas Concept-Based Curriculum San Antonio College RNSG 1172 Health Care Concepts Spring Semester 2015 Skills Testing: Medication Administration Mobility 1. Positioning 2. Moving/transferring a patient 3. Body mechanics 4. Applying restraints 5. Ambulation/Assistive Devices 6. Bed bath/personal hygiene/sitz bath Bed Making (Occupied/unoccupied) **Pre and post quiz due prior to class*** Week 6 February 23- March 1, 2015 Gas Exchange 1. Oxygenation 2. Pulse Oximetry 3. Oxygen administration 4. Incentive Spirometer 5.Airways a. Use of bag-valve mask b. Suctioning c. Nasotracheal suctioning d. Endotracheal Suctioning e. Bulb and DeLee Suctioning f. Tracheostomy Suctioning **Pre and post quiz due prior to class*** 2

36 Week 7 Texas Concept-Based Curriculum San Antonio College RNSG 1172 Health Care Concepts Spring Semester 2015 Skills Testing: Tracheostomy and Suctioning March 2-8, 2015 Week 8 March 16-22, 2015 Fluid and Electrolyte Balance 1. Venipuncture 2. IV initiation and management 3. IVPB 4. IV Push 5. Continue practice with medication administration as needed. **Pre and post quiz due prior to class*** Week 9 March 23-29, 2015 Skills Testing: IV Skills (venipuncture, IVPB, and IVP) *****Read skills and study for skills testing. Bring a copy of each skills checklist for your instructor***** Week 10 March 30- April 5, 2015 Elimination Intake and Output Removing fecal impaction Sterile gloves and sterile field Inserting foley/condom catheter Enema Ostomy care Diagnostic tests (Blood draw specimen collection, glucose monitoring, urine, and fecal) **Pre and post quiz due prior to class*** Week 11 April 6-12, 2015 Skills Testing: Foley catheter Insertion/Removal 3

37 Week 12 April 13-19, 2015 Perfusion Texas Concept-Based Curriculum San Antonio College RNSG 1172 Health Care Concepts Spring Semester 2015 Vascular assessment Cast Care Traction Blood administration Central venous lines care, maintenance, and dressing change. Wound care Central venous lines site care Bandages/binders Bandages, suture and staple removal Sterile dressing change Drainage evacuation Wound irrigation Traction pin care **Pre and post quiz due prior to class*** Week 13 April 20-26, 2015 Skills Testing: Central Line Dressing Change Week 14 April 27- May 3, 2015 Week 15 May 4-10, 2015 Metabolism GI assessment-assisting with elimination Nutrition assessment- Assisting with eating Nasogastric tube insertion/irrigation/removal Enteral feedings Peg tube feeding/care **Pre and post quiz due prior to class*** Skills Testing : Sterile dressing, NG tube insertion, and removal 4

38 SAN ANTONIO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM RNSG 1170 INTRODUCTION TO HEALTH CARE CONCEPTS TEXAS CONCEPT-BASED CURRICULUM 1

39 Texas Concept-Based Curriculum San Antonio College Upward Mobility Program RNSG 1170: Introduction to Healthcare Concepts SEMESTER HOURS: 1 CONTACT HOURS: LECTURE: 1 PREREQUISITES: ADMISSION TO ADN PROGRAM COREQUISITES: RNSG 2371; RNSG 1163; AND RNSG 1172 Yvette Baxter MSN, RN Office Room Number 320 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES yperez26@alamo.edu Eve Marie Rodriguez Ph.D, RN Office Room Number 324 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES erodriguez43@alamo.edu Dawn Veltre MSN, RN-BC Office Room Number 375 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES dveltre@alamo.edu Instructor-Student Communication: There are three ways that we can communicate directly in this course without having to meet on campus: 1) Text message I usually reply within minutes to hours, but long questions and answers are difficult. 2) Canvas mail (preferred) I usually reply within the same day. Long questions and answers are less difficult. 3) Phone call Need to be scheduled, which might take a day or two. This is best for long questions and answers. Course Description An introduction to concept-based learning with emphasis on selected pathophysiological concepts with nursing applications. Concepts include acid-base balance, fluid and electrolytes, immunity, gas exchange, perfusion, metabolism, coping, and tissue integrity. Course Objectives Upon completion of this course the student will: 2

40 1. Utilize a systematic process to evaluate the human body response to selected health problems referred to as concepts. 2. Apply pathophysiological and assessment data when planning and implementing nursing actions. Course Outline HEALTH CARE CONCEPTS BIOPHYSICAL Acid Base Balance* Fluid & Electrolyte Balance* Gas Exchange* Immunity* Metabolism* Perfusion* Tissue Integrity* HEALTH CARE CONCEPTS - PSYCHOSOCIOCULTURAL Coping* *only the concept analysis is covered no exemplars Course Requirements 1. Students must participate in class and lab times (discussion/learning activities). 2. Students must be currently enrolled in RNSG 2371 Concept-Based Transition; RNSG 1172 Professional Nursing Competencies; and RNSG 1163 Clinical- Concept Based Transition to Professional Nursing. Each course carries its own grade. All courses must be passed with a grade of C or better in order to progress to the next semester. Required Textbooks and Equipment: Adaptive Learning Powered by PrepU for Brunner & Suddarth s Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins. Required Titles: Lippincott CoursePoint ATI modules, tutorials, proctored and practice assessments, learning resources (Available on-line at Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition for CoursePoint for Nursing Concepts. Karch: Focus on Nursing Pharmacology, Sixth Edition, for CoursePoint for Nursing Concepts. Marquis & Huston: Leadership Roles and Management Functions in Nursing: Theory and Application, Eighth Edition, for CoursePoint for Nursing Concepts. 3

41 Porth: Essentials of Pathophysiology: Concepts of Altered Health States, Third Edition, for CoursePoint for Nursing Concepts. Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition, for CoursePoint for Nursing Concepts. Taylor, Lillis, LeMone & Lynn: Fundamentals of Nursing: The Art and Science of Nursing Care, Seventh Edition, for CoursePoint for Nursing Concepts. Videbeck: Psychiatric-Mental Health Nursing, Sixth Edition, for CoursePoint for Nursing Concepts. Weber & Kelley: Health Assessment in Nursing, Fifth Edition, for CoursePoint for Nursing Concepts. Semester syllabus (Available online) San Antonio College Nursing Education Nursing Student Handbook (Available online) San Antonio College Student Handbook (Available online) Recommended Titles: Handbook for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Brunner and Suddarth's Handbook of Laboratory and Diagnostic Tests, 2nd ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Student Evaluation/Grading Policies: Grading Scale - per the SAC Department of Nursing Education Grade A Points B C D F < 60 Methods of Measurement (grade requirement): A student must earn a minimum grade of 70% to pass this course. The student s grade will be determined based on performance on the following assignments: Course Grade Breakdown Exams = 60% Final Exam = 20% Quizzes = 20% 4

42 Instructor Requirements 1. Assignments are due on the date and time designated in the class schedule. 2. Attendance: Students are expected to participate by regularly logging on to the class through Canvas. Class participation will be evidenced in completion of online class discussions. Students will be expected to have computer access to support Canvas applications. 3. A student may be dropped for failure to log on the first week of class. 4. Students will be expected to review Canvas tutorials to learn how to communicate and manage assignments through Canvas. 5. All communication is expected to be conducted through Canvas. 6. s and announcements should be checked in Canvas minimally every 48 hours. 7. Students should review the syllabus to ensure timely and correctly completed assignments. 8. Course discussions are confidential and should not be shared with anyone outside of the course. 9. Students should notify faculty if they are unable to complete the course. 10. Class discussions are intended to share thoughts and ideas to enhance the learning process. Computer Skills Needed: You should know how to access a Web site when given an address (URL) or link, use the features of your Web browser, download files, attach files to s, and use MS Word processing software. You will also need to use MS Excel. Technical Support: You may contact technical support at District Helpdesk (210) or SAC Helpdesk (210) Minimum Student Skills: Students should expect to spend an average of 10 hours weekly in order to complete basic course requirements. Students must complete all assignments, including exams, as scheduled. Students are expected to monitor ACES and Course and announcements several times weekly. If you experience personal computer or problems, you are expected to find another computer to use. If necessary, you may use computers located at the San Antonio College campus libraries or Nursing Allied Health Complex computer lab. In other words, personal computer or problems are no excuse for failing to communicate or submit course work. 5

43 Netiquette (Internet Etiquette Guidelines): online communication can be difficult to interpret at times, especially if you re not adhering to good netiquette principals. All contributions should be made in a respectful manner. Disrespect to classmates or faculty will be tolerated. The principles of Netiquette should be followed, Expectations for online class involvement: 1. Please refer to the following website for Internet Etiquette Guidelines: 2. Do not post inflammatory remarks. 3. Do not type messages in all capital letters. 4. Standards of courtesy and respect must be maintained at all times in our online classroom. 5. Join in to the discussion, but remember that this is still a classroom setting and that respect and consideration are crucial for any intellectual discussion. Personal attacks are not permitted. 6. Allow a professor 48 hours to respond to all questions and inquiries during the work week. Instructors are not expected to work weekends; therefore, response time will be extended. Please plan your time accordingly. Requesting to turn in an assignment late, because you are waiting on a reply from your instructor will not be considered an acceptable excuse. Deadlines are deadlines and it is imperative you plan your time accordingly. 7. When communicating with instructors, state the problem concisely, as well as how you would like them to help. Instructors should always be addressed in a respectful and professional manner. Making demands, criticizing, and yelling (writing in a bold font and in all capital letters) are not acceptable forms of communication. 8. If the student has an issue with the class, the teacher should be contacted individually. It is not a student s position to appoint themselves spokesperson for the class. 9. It is in good faith that faculty and students engage in the learning process. It is expected that students perform in class with that philosophy in mind. Students are expected to make a good faith effort to read and understand the material and to engage in learning activities provided by the instructor. 10. All writing and communication in this course should be conducted in an academic fashion. Texting shortcuts and abbreviations should not be used. 11. Any violation of these expectations of behavior online will be reported to the Dean of Students and appropriate disciplinary action will be taken by the college. Instructor Responsibilities 1. Instructors will regularly monitor Canvas and discussion board. Unless posted on Friday, students will receive a response to s within 48 hours of posting. 2. Instructors will provide regular communication through discussion board feedback, announcements, and Students will receive feedback on assignments within 5 days of assignment due dates unless notified by the course faculty. Student Responsibilities Attendance: the student is responsible for as per the following: 1. Effective Spring Term 2010, student absences will be recorded from the first day the class meets. 2. Regular and punctual attendance in all classes and laboratories, day and evening, is required. 6

44 Students who are absent for any reason should always consult with their instructors. 3. Course syllabi must provide specific information regarding attendance, including, for courses involving the Internet, online activity that constitutes attendance. Also, both tardiness and early departure from class may be considered forms of absenteeism. In all cases, students will be held responsible for completion of course requirements covered in their absence. Additionally, it is the student s responsibility to drop a course for nonattendance. Course instructors establish policy with regard to attendance in their respective syllabi and may drop a student for excessive absences. 4. Absences are considered excessive when more than 12.5 percent of the total contact hours of instruction in a semester, including lecture and lab, are missed. For example, in a three-credit hour lecture class, students may be dropped after more than six contact hours of absences. In a fourcredit-hour lecture/lab class, students may be dropped after more than eight contact hours of absences. Absences are counted regardless of whether they occur consecutively. In special programs with additional accreditation or certification standards, additional attendance requirements may be enforced but faculty must clearly explain these policies in their syllabi. 5. Students who stop attending class for any reason should contact the instructor and the college registrar to officially withdraw from the class. Students may be required to consult with an advisor or designee before dropping. Failure to officially withdraw may result in a failing grade for the course. It is the student s responsibility to withdraw officially from a class by submitting a completed Withdrawal Form to the Admissions and Records Office. Withdrawal Policy: See Associate Degree Nursing Student Handbook, Adding or Dropping Courses, regarding withdrawing procedures, and the current San Antonio College Academic Calendar for last day to withdraw. Failure to drop or withdraw on or before the last day to withdraw will result in a performance grade. Texas Education Code Course Drop Limit Provisions Students who enroll as an entering freshman or a first-time college student in undergraduate courses at any Texas public community college, technical institute, health sciences institution, or any public university offering undergraduate courses must comply with the legislation of TEC TEC states that students who enroll for the first time during the fall 2007 semester or any subsequent semester are subject to the course drop limit of six course drops. San Antonio College Academic Policies: See the current San Antonio College Student Handbook. Student Responsibility for Success (Alamo Colleges Policy F.6.2): Students are responsible for success as follows: 1. As members of the Alamo Colleges learning community, students, faculty, staff and administrators all share the responsibility to create an atmosphere where knowledge, integrity, truth, and academic honesty are valued and expected. A clear acknowledgment of the mutual obligations of all members of the academic community emphasizes this implicit partnership in fostering the conditions necessary for student success. In this relationship, the Alamo Colleges provides institutional policies, procedures, and opportunities to facilitate student learning that encourage interaction, involvement and responsible participation. 2. Inherent in the academic climate is the expectation that students will assume responsibility for contributing to their own development and learning. Academic success is directly tied to the effort students put into their studies, the degree to which they interact with faculty and peers, and the 7

45 extent to which students integrate into the campus life. Engagement: Engagement is critical for your success as a student. Be aware of the following, which will enhance your engagement. 1. Create connections and build relationships with faculty, staff and students (visit during office hours, join clubs and organizations, participate in student activities, etc.). 2. Stay informed of policies, procedures, deadlines and events for academic and co-curricular activities. 3. Complete all requirements for admission, registration, and payment by deadlines. 4. Apply for financial assistance, if needed, complying with all federal, state and local regulations and procedures. 5. Meet all federal, state and local health care regulations. Communication: Communication (good communication) is the foundation of engagement. 1. Seek guidance from faculty, advisors or counselors for questions and concerns in regards to degree plans, major selection, academic status, grades, and issues impacting college success. 2. Develop a peer support system to identify student contacts for questions, group assignments, etc. regarding academic and co-curricular activities. 3. Communicate with College personnel promptly regarding academic or co-curricular concerns and assistance requests. 4. Carefully consider the information provided by College personnel and make decisions using that information. 5. Check the Alamo Colleges Web Services regularly for s, holds, student records, financial aid status and announcements. 6. Submit disability documents if service/accommodation is required. Request academic accommodation before each semester begins. Academic Success: The following are noted to be associated with academic success. 1. Complete courses with passing grades and maintain in good academic standing (2.0 GPA) status. 2. Read and follow the syllabi. 3. Purchase textbooks and required supplies in a timely manner. 4. Attend classes regularly and on time, with as few absences, late arrivals, and early exits as possible. 5. Prepare for each week by completing all needed materials and completed assignments for that class period. 6. Be attentive in class and actively participate as appropriate. 7. Devote sufficient time for studying. 8. Ensure integrity in all aspects of academic and career development. 9. Accurately represent one s own work and that of others used in creating academic assignments. Use information ethically and exercise appropriate caution to avoid plagiarism on all assignments. 10. Notify faculty in advance or as soon as possible about absences and provide documentation as appropriate. 11. Consult faculty members in advance when unable to complete projects, assignments, or take examinations as scheduled. 8

46 Self-Responsibility and Responsibility to Others: Being a student comes with responsibilities for yourself, and for others. 1. Maintain accurate and complete degree/certificate major selection and contact information including name, address, phone number and emergency contact. 2. Balance personal obligations and educational pursuits. Work with a counselor / advisor to design a realistic schedule that dedicates adequate effort to be successful in college studies. 3. Know and follow the regulations and guidelines outlined in the Student Code of Conduct and Student Handbook. 4. Maintain respectful and appropriate behavior within and outside the classroom. 5. Ask for help when needed. Use all available resources and facilities provided by the College to enhance the learning experience. 6. Attend scheduled advising sessions, tutorials, and other appointments. Cancel or reschedule only with good reasons as early as possible. 7. Arrive prepared for tutorial sessions, bringing all needed materials (books, syllabi, rough drafts, calculators, assignment sheets, etc.). Academic Integrity Honesty in completing assignments is essential to the mission of the university and to the development of the personal integrity of the student. Cheating, plagiarism, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, or being suspended or expelled. The specific disciplinary process for academic dishonesty is found in the SAC/ Student Handbook. In an effort to ensure the integrity of the academic process, San Antonio College Department of Nursing Education vigorously affirms the importance of academic honesty as defined by the Student Handbook. Administrators may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, Academic Misconduct, Cheating, Plagiarism, Fabrication and Collusion. Definitions The following definitions shall apply in the Code of Student Conduct: Academic Misconduct - the intentional violation of college policies, such as tampering with grades, misrepresenting one's identity, or taking part in obtaining or distributing any part of a test or assessment, or any information regarding the content of such an instrument. Cheating - the use or attempted use of unauthorized materials, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge; or unauthorized copying or collaboration. Collusion - assisting another to commit an act of academic dishonesty, such as paying or bribing someone to acquire a test or assignment, taking a test or doing an assignment for someone else, or allowing someone to do these things for one's own benefit. Fabrication - intentional misrepresentation or invention of any information, such as falsifying research, inventing or exaggerating data, or listing incorrect or fictitious references. 9

47 Plagiarism - the unauthorized or undocumented use or close imitation of the language and thoughts of another author and the representation of them as one's own original work. F (Procedure) Student Code of Conduct. Procedure.pdf In the event I believe academic dishonesty has occurred, I will delay posting a grade until the Dean of Students Office renders an administrative decision. If you are found guilty of scholastic dishonesty in this course, you will receive a zero for the assignment. College Requirements A comprehensive final evaluation, not to exceed three hours in length, shall be given at the end of each course at the official scheduled final exam time. The appropriate Dean must approve any exceptions to this requirement. Other evaluations are given at the discretion of the instructor. A student who must be absent from a final evaluation should petition that instructor for permission to postpone the evaluation. A student absent without permission from a final evaluation is graded "0" on the exam. College Policies Students are expected to be mindful of and adhere to all San Antonio College rules and policies. College policies are included as a separate file with electronic course materials, which can also be found in the Nursing Student Handbook. 1. All of the Alamo Colleges are tobacco free. 2. Alamo Colleges DPS Emergency Phone Numbers: Emergency Phone (210) General Phone (210) Weather Phone (210) (For information on college closures) 3. A Rapid Response Team exists for the purpose of responding to emergencies. If you have a disability that will require assistance in the event of a building evacuation, notify San Antonio College disability Support Services, Chance Academic Center 124C, (210) Students are required to silence all electronic devices (e.g., pagers, cellular phones, etc.) when in classrooms, laboratories and the library. 5. Students must abide by the policies, procedures and rules set forth in the Student Code of Conduct and all other policies set forth in the San Antonio E-Catalog: Disability Access Statement In accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, it is the responsibility of the student to self-identify with the campus Disability Services office. Only those students with appropriate documentation will receive a letter of accommodation from the Disability Services office. Instructors are required to follow only those accommodation and/or services outlined in the letter of accommodation. For further information, please contact the San Antonio College disability Support Services office at (210) or visit the office located in the Chance Academic Center building, Rm. 124C. If you have specific needs; please discuss them privately with your instructor. BACK UP AND SAVE ALL YOUR COURSE ASSIGNMENTS, CORRESPONDENCE, AND WORK. 10

48 Syllabus Changes While every attempt has been made to prepare this syllabus in final form, it will be the instructor's prerogative to make any changes as may be deemed necessary in order to meet the learning outcomes of the class. Students will be notified of any changes by and through postings at the course website. 11

49 RNSG 1170 Course Schedule Spring 2015 Week Topic(s) Reading Assignments Week 1 January Course Orientation Readings and Viewings: 1. Course syllabus, schedule and reading list, course Concept: information. Immunity 2. Critical Thinking Strategies: Concept Mapping 3. Brunner & Suddarth s s Textbook of Medical Surgical Nursing Chapter 35 Pages Article: Autoimmune Disorders 5. Review Immunity nursing diagnosis 6. Review the Immunity Concept Diagram 7. Watch required module videos. NOTE: Links for all articles may be found under readings and viewings in Canvas, and in PowerPoint presentations. Assignment: 1. Complete course orientation and demonstration of Canvas skills as directed under welcome icon. 2. Post introduction to peers and respond to at least two peer introductions. Due: Introductions and demonstration of Canvas skills due by January 25 th at 11:59 pm CST Week 2 January 26- February 1 Concept: Immunity Assignment: 1. Complete Immunity Quiz. Opens: January 25 th at 12:01 am CST Closes: February 1 st at 11:59 pm CST 1

50 Week 3 February 2-8 Concept: Gas Exchange Readings and Viewings: 1. Brunner & Suddarth: Chapter 20 Pages Weber & Kelly: Health Assessment in Nursing: Chapter 19: assessing thorax and lungs of the adult (pp ): assessing the thorax and lungs of the pediatric patient (p. 718). 3. Article: Pulse oximetry in adults 3. Review Gas Exchange Diagram 4. Watch required module videos Complete assigned discussion for Week 4 February 9-15 Concept: Gas Exchange Assignment: 1. Complete Gas Exchange Quiz. Opens: February 8 at 12:01 am CST Closes: February 15 at 11:59 pm CST Complete assigned discussion for Week 5 February Concept: Fluid and Electrolyte Balance Exam 1: Covering Immunity and Gas Exchange February 19 th at 2 pm CST Location: SAC Computer Lab Readings and Viewings: 1. Brunner & Suddarth: Chapter 13 Pages & Review Fluid and Electrolyte Balance nursing diagnosis 3. Watch designated videos 2

51 Week 6 February 23-March 1 Concept: Fluid and Electrolyte Balance Assignment: Complete Fluid & Electrolytes quiz. Opens: February 22 at 12:01 AM CST Closed: March 1 at 11:59 pm CST Week 7 March 2-8 Concept: Perfusion Readings and Viewings: 1. Brunner & Suddarth: Chapter 25 (pp ). 2. Weber & Kelley: Assessing general adult status and vitals (pp ); assessing vitals of newborn (pp ); assessing vitals of infant (pp ). 3. Article: Heart disease and stroke 4. Review Perfusion Concept Analysis Diagram 5. Review Perfusion Nursing Diagnosis 6. Watch required module videos Complete assigned discussion for March 9-15 SPRING BREAK!!! ASSIGNMENT: HAVE FUN!! Week 8 March Concept: Perfusion Assignment: Complete Perfusion Quiz Quiz opens March 12:01 am CST Closes March 22 11:59 pm CST Complete assigned discussion for

52 Week 9 March Concept: Acid-Base Balance Exam 2 covering Fluid and Electrolytes and Perfusion March 26, 2015 at 2 pm CST Location: SAC Computer Lab Readings and Viewings: 1. Brunner & Suddarth: Chapter 13 Pages Porth: Essentials of Pathophysiology: Concepts of Altered Health States, Third Edition, for CoursePoint for Nursing Concepts: Chapter 8 (pp ) 3. Article: Turn ABG's Into Childs Play 4. Article: Assessing the Ion Gap 5. Review Acid Base Balance nursing diagnosis & concept diagram 6. Watch required module videos. Week 10 March 30-April 5 Concept: Acid-Base Balance Assignment: Complete Acid-Base Quiz Quiz opens: March 29 12:01 am CST Closes: April 5 11:59 pm CST Week 11 April 6-12 Concept: Metabolism Readings and Viewings: 1. Brunner & Suddarth: a) Assessment of digestive and gastrointestinal function (pp ) b) The liver (pp ). c) Gallbladder & Pancreas (pp ). d) Endocrine system, pituitary gland, & thyroid gland (pp up to hypothyroidism) e) Parathyroid and adrenal glands ( pp through adrenal sex hormones) 2. Weber & Kelley: Assessing the Abdomen (pp ). 3. Review Metabolism Concept Diagram 4. Watch required module videos Complete assigned discussion for

53 Week 12 April Week 13 April Concept: Metabolism Concept: Tissue Integrity Assignment: Complete Metabolism Quiz Quiz opens April 12 12:01 am CST Closes April 19 11:59 pm CST Complete assigned discussion for Exam 3: April 23rd at 2:00 pm CST. Covering acid-base and metabolism concepts Location: SAC Computer Lab Readings and Viewings: 1. Brunner & Suddarth: Chapter 60 (pages ) 2. Weber & Kelley: Assessing skin, hair, and nails (pp ). 3. Taylor, Lillis, LeMone, & Lynn: Fundamentals of Nursing: Skin integrity and wound healing (pp ) 4. Review Tissue Integrity Concept Analysis Diagram 5. Review Tissue Integrity nursing diagnosis 6. Watch required module videos 5

54 Week 14 April 27-May 3 Week 15 May 4-10 Concept: Coping Readings and Viewings: 1. Brunner & Suddarth: Chapter 6- Pages Taylor, Lillis, LeMone & Lynn: Fundamentals of Nursing. Chapter 42 (pp ). 3. Article: 15 Common Defense Mechanism 3. Review Coping nursing diagnosis 4. Review Coping Concept Diagram 5. Watch required module videos Assignment: Complete Tissue Integrity and Coping Quiz Quiz opens April 26 12:01 am CST Closes May 11:59 pm CST Review for Comprehensive Final Exam Week 16 May 3-10 COMPREHENSIVE FINAL EXAMINATION TBA 6

55 SAN ANTONIO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM RNSG 1163 Clinical: Concept-Based Transition to Professional Nursing Spring 2015 TEXAS CONCEPT-BASED CURRICULUM 1

56 Texas Concept-Based Curriculum San Antonio College ADN Program Career Mobility Program RNSG 1163 Concept-Based Transition to Professional Nursing Spring 2015 SEMESTER HOURS 1 CONTACT HOURS CLINICAL: 4 PREREQUISITES: ADMISSION TO THE ADN PROGRAM CO-REQUISITES: RNSG 1170, 1172, 2371 Instructors: For questions regarding the course please contact your instructor of record. Yvette Baxter MSN, RN Office Room Number 320 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES yperez26@alamo.edu Eve Marie Rodriguez Ph.D, RN Office Room Number 324 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES erodriguez43@alamo.edu Dawn Veltre MSN, RN-BC Office Room Number 375 Phone Number Office Hours by appointment Contact me via Course Canvas or ACES dveltre@alamo.edu Instructor-Student Communication: There are two ways to communicate with your instructor: 1) Canvas mail (preferred) I usually reply within the same day. Long questions and answers are less difficult. 3) Phone call Need to be scheduled, which might take a day or two. This is best for long questions and answers. 2

57 Ideally, course-related communication will go through the Canvas mail option. And the best way to discuss more complex issues is by phone. If you haven t heard from me within 24 hours call me and leave a voice message. I ll do my best to get back to you as soon as I am available. Course Description A health-related work-based learning experience that enables the student to apply specialized nursing theory, skills, and concepts. Direct supervision is provided by the clinical professional. The transitional clinical will be through simulated and hospital clinical experiences. The student will be provided opportunities to practice procedural, assessment, and communication skills with patients. The student begins applying knowledge of concepts and developing clinical judgment skills in direct patient care. Specific learning objectives guide the student s clinical experiences, focusing on application of concepts and skills learned in RNSG 1170, 1172, 2371 Course Objectives Upon completion of this course, the student will: 1. Apply knowledge of selected foundational concepts to clinical situations. 2. Use clinical reasoning and knowledge based on the nursing program of study to date as the basis for decision making and safe patient care for one patient in an acute care setting. 3. Utilize a systematic process to develop a concept map for patient-centered care for a patient in an acute care setting. 4. Identify potential safety issues in a patient s environment. 5. Demonstrate beginning collaboration skills by using situation-background-assessmentrecommendations (SBAR) to report on patients. 6. Document a shift assessment on an electronic health record (EMR). 7. Demonstrate professional accountability. 8. Adhere to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse. Required Textbooks & Equipment Required Titles: Lippincott CoursePoint Adaptive Learning Powered by PrepU for Brunner & Suddarth s Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins. ATI modules, tutorials, proctored and practice assessments, learning resources (Available on-line at Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition for CoursePoint for Nursing Concepts. Karch: Focus on Nursing Pharmacology, Sixth Edition, for CoursePoint for Nursing Concepts. 3

58 Marquis & Huston: Leadership Roles and Management Functions in Nursing: Theory and Application, Eighth Edition, for CoursePoint for Nursing Concepts. Porth: Essentials of Pathophysiology: Concepts of Altered Health States, Third Edition, for CoursePoint for Nursing Concepts. Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition, for CoursePoint for Nursing Concepts. Taylor, Lillis, LeMone & Lynn: Fundamentals of Nursing: The Art and Science of Nursing Care, Seventh Edition, for CoursePoint for Nursing Concepts. Videbeck: Psychiatric-Mental Health Nursing, Sixth Edition, for CoursePoint for Nursing Concepts. Weber & Kelley: Health Assessment in Nursing, Fifth Edition, for CoursePoint for Nursing Concepts. Semester syllabus (Available online) San Antonio College Nursing Education Nursing Student Handbook (Available online) San Antonio College Student Handbook (Available online) Recommended Titles: Handbook for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Brunner and Suddarth's Handbook of Laboratory and Diagnostic Tests, 2nd ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Required Equipment: Stethoscope Watch with second hand Bandage scissors Student Uniform Pen light Course Requirements: 1. Each student must attend clinical and be dressed according to the dress code as indicated in your San Antonio College Nursing Program Student Handbook. 2. Each student must have a clinical evaluation average of at least 70%. 3. The student must be currently enrolled in RNSG 1170, 1172, Each course earns a grade. All five courses must be passed with a grade of C or better in order to progress to the next semester. 4. In the event that a student should withdraw from RNSG 1163, the student must also withdraw from RNSG 1170, 1172,

59 Additional Clinical Requirements: I. Clinical Activities A. In an acute or long term care setting, the student is required to satisfactorily complete: 1. A patient assessment 2. A Documented daily shift assessment 3. An SBAR report 4. Concept maps or nursing care plan for assigned patients 5. Direct patient care activities 6. Criteria as outlined in the clinical evaluation tool B. In the clinical setting or in a simulated clinical setting, the student is required to satisfactorily complete focused clinical activities as outline by concepts and identified in this clinical supplement. 1. In performing clinical activities, it is up to the discretion of the instructor whether the activities will be performed in a group or individually. 2. The instructor will determine how many of the activities will be performed throughout the semester based on time allowance, opportunities available, number of patients, clinical setting, etc. 3. Each student will maintain a student folder which will contain all of the activities done throughout the semester. C. In a simulated clinical setting, the student is expected to performed activities, assessments, care plans, etc., as if in a real clinical setting. The student will be graded on the clinical evaluation tool as if in a real clinical environment. II. Clinical Outcomes for Simulation A. Upon completion of the simulation, the learner will: i. Apply the nursing process while performing patient care ii. Collect and Identify assessment data iii. Organize and plan nursing care for identified patient(s) based on assessment findings iv. Demonstrate care in a safe manner and within the legal and ethical framework of the Texas Nurse Practice Act v. Demonstrate therapeutic communication vi. Demonstrate a professional demeanor, attitude and behaviors in the simulated clinical setting vii. Clarify self-learning through reflection viii. Identify what learning has occurred during debriefing ix. Identify mistakes as part of the learning process during debriefing x. Compare and contrast the simulation experience to real life situations 5

60 xi. Demonstrate knowledge, skill performance, critical thinking and selfconfidence while participating in simulation activities B. Prior to coming participating in the simulation experience, the student will: i. Complete all simulation prep material including review of medical diagnosis and associated nursing interventions. ii. Review physical assessment principles and basic skills (through textbook, ATI, skills lab, etc.) iii. Prepare medication cards on any medications listed in the prep material iv. Review documentation principles III. Clinical Performance Expectations A. In the clinical settings, the student will be required to satisfactorily demonstrate clinical competency according to Level I criteria as outlined in the clinical evaluation tool. B. Failure to complete written activities (focused clinical activities) by the stated date and time as delineated by the clinical instructor will result in a deduction of points per day. Any work not turned in after 2 days will not be accepted and the student will receive a zero for the assignment. C. Papers graded on a Pass/Fail basis which do not meet the stated criteria, will result in a failure. Completion of activities will be required for successful completion of the course. IV. Pharmacology Math Mastery A. By the end of this skill, the student will: 1. Achieve an 80% mastery on a 20- item pharmacology math exam (two attempts only) 2. Calculate dosages across the lifespan for oral, subcutaneous, intramuscular, intravenous, and topical medications 3. Perform metric conversions related to weights and volumes B. If after two attempts to achieve an 80% on the pharmacology math exam and still unsuccessful, the student will receive an F for the course or the student must drop the course if still within the allowable drop date. C. The student should complete the following activities prior to attempting the Math Mastery exam on the prescheduled dates: 1. Review conversion factors 2. Review dosage calculations for oral, subcutaneous, intramuscular, intravenous, and topical medications 3. Complete the ATI Modules under tutorials: Dosage Calculation and Pharmacology made easy 4. If the student is unsuccessful with Math Mastery attempt #1, they MUST attend mandatory remediation sessions scheduled by the faculty before attempting exam #2. 6

61 Grading Criteria for Clinical RNSG 1163 The Clinical Evaluation is a comprehensive assessment of the quality of completed clinical behaviors/competencies necessary to meet the outcomes required in the course. It involves evaluating the student s ability to perform at an expected level to meet course objectives and advancing to the next level. Each clinical nursing course has a co-requisite didactic course. The clinical objectives are a reflection of the content in the co-requisite didactic course. Clinical provides students an opportunity to learn and practice skills as well as apply theory content necessary to address patient problems and perform safely in the clinical area. Students have the opportunity to evaluate their own strengths, weaknesses, learning needs, etc., through weekly clinical evaluations. A student who is having difficulty is encouraged to request a student/faculty conference. The weekly evaluations by the clinical instructor represents the feedback to the learner regarding the progress or lack thereof in meeting the course outcomes and objectives. F ormative evaluation is diagnostic in nature providing feedback in areas needing improvement and/or promoting continued areas of strength. The summative evaluation (end of rotation evaluation), provides information to the extent in which the learner has achieved the course objectives. Student must achieve a minimal score of 70 % in both clinical performance and clinical activities in order to advance to the next level. Clinical activities are designed to help the student integrate and synthesize concepts learned in theory with clinical practice. Additionally, students must pass a math proficiency exam with an 80% or better in order to pass the course. You are allowed two attempts to pass the math proficiency exam. If after the first attempt, you are unsuccessful, you are required to attend remediation. If after the second attempt you are unsuccessful you must either withdraw from the course (if still within the withdrawal date) or receive an F for the course. Each clinical action will be graded based on the following scale: 4 = Outstanding; 3 = Very Effective; 2 = Effective; 1 = Needs Improvement; 0 = Ineffective. Total possible points per clinical day equals 172 (4 x 43). Clinical Grading Criteria Nursing Clinical Care Plan (Total of 4 within 40% semester) Daily Performance 40% Clinical Judgment Activity 10% Weekly Reflective Journal 5% Math Proficiency Pass/fail (two attempts) Total 100% 7

62 Grading Policy; Grading Scale - per the SAC Department of Nursing Education Grade A Points B C D F < 60 STUDENT RESPONSIBILITIES Attendance: the student is responsible for as per the following: 1. Effective Spring Term 2010, student absences will be recorded from the first day the class meets. 2. Regular and punctual attendance in all classes and laboratories, day and evening, is required. Students who are absent for any reason should always consult with their instructors. 3. Course syllabi must provide specific information regarding attendance, including, for courses involving the Internet, online activity that constitutes attendance. Also, both tardiness and early departure from class may be considered forms of absenteeism. In all cases, students will be held responsible for completion of course requirements covered in their absence. Additionally, it is the student s responsibility to drop a course for nonattendance. Course instructors establish policy with regard to attendance in their respective syllabi and may drop a student for excessive absences. 4. Absences are considered excessive when more than 12.5 percent of the total contact hours of instruction in a semester, including lecture and lab, are missed. For example, in a three-credit hour lecture class, students may be dropped after more than six contact hours of absences. In a fourcredit-hour lecture/lab class, students may be dropped after more than eight contact hours of absences. Absences are counted regardless of whether they occur consecutively. In special programs with additional accreditation or certification standards, additional attendance requirements may be enforced but faculty must clearly explain these policies in their syllabi. 5. Students who stop attending class for any reason should contact the instructor and the college registrar to officially withdraw from the class. Students may be required to consult with an advisor or designee before dropping. Failure to officially withdraw may result in a failing grade for the course. It is the student s responsibility to withdraw officially from a class by submitting a completed Withdrawal Form to the Admissions and Records Office. Student Responsibility for Success (Alamo Colleges Policy F.6.2): Students are responsible for success as follows: 8

63 1. As members of the Alamo Colleges learning community, students, faculty, staff and administrators all share the responsibility to create an atmosphere where knowledge, integrity, truth, and academic honesty are valued and expected. A clear acknowledgment of the mutual obligations of all members of the academic community emphasizes this implicit partnership in fostering the conditions necessary for student success. In this relationship, the Alamo Colleges provides institutional policies, procedures, and opportunities to facilitate student learning that encourage interaction, involvement and responsible participation. 2. Inherent in the academic climate is the expectation that students will assume responsibility for contributing to their own development and learning. Academic success is directly tied to the effort students put into their studies, the degree to which they interact with faculty and peers, and the extent to which students integrate into the campus life. Engagement: Engagement is critical for your success as a student. Be aware of the following, which will enhance your engagement. 1. Create connections and build relationships with faculty, staff and students (visit during office hours, join clubs and organizations, participate in student activities, etc.). 2. Stay informed of policies, procedures, deadlines and events for academic and co-curricular activities. 3. Complete all requirements for admission, registration, and payment by deadlines. 4. Apply for financial assistance, if needed, complying with all federal, state and local regulations and procedures. 5. Meet all federal, state and local health care regulations. Communication: Communication (good communication) is the foundation of engagement. 1. Seek guidance from faculty, advisors or counselors for questions and concerns in regards to degree plans, major selection, academic status, grades, and issues impacting college success. 2. Develop a peer support system to identify student contacts for questions, group assignments, etc. regarding academic and co-curricular activities. 3. Communicate with College personnel promptly regarding academic or co-curricular concerns and assistance requests. 4. Carefully consider the information provided by College personnel and make decisions using that information. 5. Check the Alamo Colleges Web Services regularly for s, holds, student records, financial aid status and announcements. 6. Submit disability documents if service/accommodation is required. Request academic accommodation before each semester begins. Academic Success: The following are noted to be associated with academic success. 9

64 1. Complete courses with passing grades and maintain in good academic standing (2.0 GPA) status. 2. Read and follow the syllabi. 3. Purchase textbooks and required supplies in a timely manner. 4. Attend classes regularly and on time, with as few absences, late arrivals, and early exits as possible. 5. Prepare for each week by completing all needed materials and completed assignments for that class period. 6. Be attentive in class and actively participate as appropriate. 7. Devote sufficient time for studying. 8. Ensure integrity in all aspects of academic and career development. 9. Accurately represent one s own work and that of others used in creating academic assignments. Use information ethically and exercise appropriate caution to avoid plagiarism on all assignments. 10. Notify faculty in advance or as soon as possible about absences and provide documentation as appropriate. 11. Consult faculty members in advance when unable to complete projects, assignments, or take examinations as scheduled. Self-Responsibility and Responsibility to Others: Being a student comes with responsibilities for your self, and for others. 1. Maintain accurate and complete degree/certificate major selection and contact information including name, address, phone number and emergency contact. 2. Balance personal obligations and educational pursuits. Work with a counselor / advisor to design a realistic schedule that dedicates adequate effort to be successful in college studies. 3. Know and follow the regulations and guidelines outlined in the Student Code of Conduct and Student Handbook. 4. Maintain respectful and appropriate behavior within and outside the classroom. 5. Ask for help when needed. Use all available resources and facilities provided by the College to enhance the learning experience. 6. Attend scheduled advising sessions, tutorials, and other appointments. Cancel or reschedule only with good reasons as early as possible. 7. Arrive prepared for tutorial sessions, bringing all needed materials (books, syllabi, rough drafts, calculators, assignment sheets, etc.). 10

65 Academic Integrity Honesty in completing assignments is essential to the mission of the university and to the development of the personal integrity of the student. Cheating, plagiarism, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, or being suspended or expelled. The specific disciplinary process for academic dishonesty is found in the SAC/ Student Handbook. In an effort to ensure the integrity of the academic process, San Antonio College Department of Nursing Education vigorously affirms the importance of academic honesty as defined by the Student Handbook. Administrators may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, Academic Misconduct, Cheating, Plagiarism, Fabrication and Collusion. Definitions The following definitions shall apply in the Code of Student Conduct: Academic Misconduct - the intentional violation of college policies, such as tampering with grades, misrepresenting one's identity, or taking part in obtaining or distributing any part of a test or assessment, or any information regarding the content of such an instrument. Cheating - the use or attempted use of unauthorized materials, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge; or unauthorized copying or collaboration. Collusion - assisting another to commit an act of academic dishonesty, such as paying or bribing someone to acquire a test or assignment, taking a test or doing an assignment for someone else, or allowing someone to do these things for one's own benefit. Fabrication - intentional misrepresentation or invention of any information, such as falsifying research, inventing or exaggerating data, or listing incorrect or fictitious references. Plagiarism - the unauthorized or undocumented use or close imitation of the language and thoughts of another author and the representation of them as one's own original work. F (Procedure) Student Code of Conduct. 1-Procedure.pdf COLLEGE REQUIREMENTS A comprehensive final evaluation, not to exceed three hours in length, shall be given at the end of each course at the official scheduled final exam time. The appropriate Dean must approve any exceptions to this requirement. Other evaluations are given at the discretion of the instructor. A student who must be absent from a final evaluation should petition that instructor for permission to postpone the evaluation. A student absent without permission from a final 11

66 evaluation is graded "0" on the exam. COLLEGE POLICIES Students are expected to be mindful of and adhere to all San Antonio College rules and policies. College policies are included as a separate file with electronic course materials, which can also be found in the Nursing Student Handbook. 1. All of the Alamo Colleges are tobacco free. 2. Alamo Colleges DPS Emergency Phone Numbers: Emergency Phone (210) General Phone (210) Weather Phone (210) (For information on college closures) 3. A Rapid Response Team exists for the purpose of responding to emergencies. If you have a disability that will require assistance in the event of a building evacuation, notify San Antonio College disability Support Services, Chance Academic Center 124C, (210) Students are required to silence all electronic devices (e.g., pagers, cellular phones, etc.) when in classrooms, laboratories and the library. 5. Students must abide by the policies, procedures and rules set forth in the Student Code of Conduct and all other policies set forth in the San Antonio E-Catalog: DISABILITY ACCESS STATEMENT In accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, it is the responsibility of the student to self-identify with the campus Disability Services office. Only those students with appropriate documentation will receive a letter of accommodation from the Disability Services office. Instructors are required to follow only those accommodation and/or services outlined in the letter of accommodation. For further information, please contact the San Antonio College disability Support Services office at (210) or visit the office located in the Chance Academic Center building, Rm. 124C. If you have specific needs; please discuss them privately with your instructor. 12

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68 Texas Concept-Based Curriculum San Antonio College RNSG 1163 Clinical-Concept- Based Transition Week Concept Assignments Week 1 January19-25, 2015 Week 2 January26- February 1, 2015 Week 3 February 2-8, 2015 Nursing Process Nursing Assessment Thermoregulation Orientation Nursing Process Module Readings Clinical Judgment Activity (To be completed before class) Review Clinical Pre-work Clinical Judgment Activity (To be completed before class) Review Clinical Pre-work Week 4 February 9-15, 2015 Week 5 February 16-22, 2015 Week 6 February 23- March 1, 2015 Gas Exchange Comfort Fluid and Electrolytes Clinical Judgment Activity (To be completed before class). Review Clinical Pre-work Complete Math Homework Review Clinical Pre-work Care plan # 1 Due Clinical Judgment Activity (To be completed before class) Review Clinical Pre-work 1

69 Week 7 March 2-8, 2015 Elimination Texas Concept-Based Curriculum San Antonio College RNSG 1163 Clinical-Concept- Based Transition Clinical Judgment Activity (To be completed before class) Review Clinical Pre-work Week 8 March 16-22, 2015 Week 9 March 23-29, 2015 Week 10 March 30-April 5, 2015 Week 11 April 6-12, 2015 Week 12 April 13-19, 2015 Week 13 April 20-26, 2015 Perfusion Mobility Acid Base Balance Nutrition Metabolism Senosry Perception and Cognition Review Clinical Pre-work Care Plan # 2 Clinical Judgment Activity (To be completed before class) Review Clinical Pre-work Concept Map Due SBAR Assignment Due Care Plan # 3 Due Concept Map Due 2

70 Week 14 Texas Concept-Based Curriculum San Antonio College RNSG 1163 Clinical-Concept- Based Transition Tissue Integrity Care Plan # 4 April 27-May 3, 2015 Week 15 May 4-10, 2015 Week 16 May 11-15, 2015 Coping Last Week of Clinical TBA TBA 3

71 SAN ANTONIO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM RNSG 2173 Professional Nursing ConceptsIII TEXAS CONCEPT-BASED CURRICULUM 1

72 Texas Concept-Based Curriculum San Antonio College Online Career Mobility RNSG 2173: P r o f e s s i o n a l N u r s i n g C o n c e p t s I I I SEMESTER HOURS: 1 CONTACT HOURS: LECTURE: 1 PREREQUISITES: RNSG 1170, 1172, 1163, 2371 COREQUISITES: RNSG 2573 & 2363 Instructor: Michelle Justis RN, MSN Phone: (cell), (office) mjustis@alamo.edu Office: NAHC346 Office Hours (onsite): Thursday Virtual Office Hours: Tuesday and Wednesdays & (via phone or discussion) Instructor-Student Communication: There are three ways that we can communicate directly in this course without having to meet on campus: 1) Text message between the hours of 8am and 9pm, please leave your name along with the message 2) Canvas mail (preferred) 3) Phone call leave a message along with your name and phone number (repeat your number twice) Course Description Application of professional nursing concepts and exemplars within the professional nursing roles. Utilizes concepts of clinical judgment, ethical-legal,evidenced-based practice,patient-centered care, professionalism,safety, and team/collaboration. Introduces the concept of quality improvement and health care organizations. Incorporates concepts into role development of the professional nurse. This course lends itself to a concept-based approach. Course Objectives Upon completion of this course the student will: 1. Discuss the scope of practice in professional nursing roles. 2. Uses clinical reasoning and evidenced-based practice outcomes as the basis for decisionmaking and safe patient-centered care. 3. Describe the legal-ethical parameters for professional nursing practice as related to selected exemplars. 4. Communicate and manage information using technology to support decision-making to improve patient care and delivery system. 5. Apply principles of leadership/management including delegation. Course Topics PROFESSIONAL NURSING CONCEPTS Ill Clinical Judgment 2

73 Clinical Decision Making Recognize Hemorrhage Patient Advocacy Medication Management Prioritization of Care Contacting Healthcare Provider Professionalism Commitment to the Profession Teamwork & Collaboration Working with Interdisciplinary Teams Ethical & Legal Precepts Ethical Dilemmas Ethical Principles Patient s Right Evidence Based Practice Best Practices & Standards Healthcare Organizations Access to Healthcare Diagnostic related Groups (DRG) Primary Care Secondary Care Tertiary Care Emergency Preparedness Allocation of Resources/Resource Utilization Cost Effective Care Nursing Care Delivery Systems Health Information Technology Point of Care Computer Based Reminder Systems Clinical Decision Support Systems Tele-Health Alarm(Alert) Fatigue Legal Aspects Patient-Centered Care Quality Improvement Safety Regulatory Agencies Hand off Communication Nurse Fatigue Course Requirements 1. Students must participate in class and lab times (discussion/learning activities). 2. Students must be currently enrolled in RNSG 2573 Healthcare Concepts III & RNSG 2362 Each course carries its own grade. All courses must be passed with a grade of C or better in order to progress to the next semester. 3. In the event that a student should withdraw from RNSG 2173, the student must also withdraw from RNSG 2573 & RNSG If the student fails RNSG 2173, RNSG 2362, or RNSG 2573, the student must repeat all three 3

74 courses. The student must make application for readmission into the nursing program. Required Textbooks and Equipment: Adaptive Learning Powered by PrepU for Brunner & Suddarth s Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins. LWW DocuCare (Online Charting) SAC Uniform, Stethoscope, Watch (with a second hand), Pen Light, & Scissors Required Titles: Lippincott CoursePoint ATI modules, tutorials, proctored and practice assessments, learning resources (Available on-line at Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition for CoursePoint for Nursing Concepts. Karch: Focus on Nursing Pharmacology, Sixth Edition, for CoursePoint for Nursing Concepts. Marquis & Huston: Leadership Roles and Management Functions in Nursing: Theory and Application, Eighth Edition, for CoursePoint for Nursing Concepts. Porth: Essentials of Pathophysiology: Concepts of Altered Health States, Third Edition, for CoursePoint for Nursing Concepts. Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition, for CoursePoint for Nursing Concepts. Taylor, Lillis, LeMone & Lynn: Fundamentals of Nursing: The Art and Science of Nursing Care, Seventh Edition, for CoursePoint for Nursing Concepts. Videbeck: Psychiatric-Mental Health Nursing, Sixth Edition, for CoursePoint for Nursing Concepts. Weber & Kelley: Health Assessment in Nursing, Fifth Edition, for CoursePoint for Nursing Concepts. Semester syllabus (Available online) San Antonio College Nursing Education Nursing Student Handbook (Available online) San Antonio College Student Handbook (Available online) Recommended Titles: Handbook for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Brunner and Suddarth's Handbook of Laboratory and Diagnostic Tests, 2nd ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Student Evaluation/Grading Policies: 4

75 Grading Scale - per the SAC Department of Nursing Education Grade A Points B C D F < 60 Methods of Measurement (grade requirement): A student must earn a minimum grade of 70% to pass this course. The student s grade will be determined based on performance on the following assignments: Course Grade Breakdown Midterm Exam = 35% Discussion Questions = 25% Student Presentation= 10% Final Exam=30% Student Presentation: Each student will be assigned a concept at the beginning of the course. This concept will serve as the topic for your PowerPoint presentation assignment. You will be graded on the organization and development of your presentation. DISCUSSION BOARD Purpose: The Discussion Board should be perceived the same as in-class time where face-to-face communication occurs. It is the place where the teaching-learning dynamic occurs between faculty and students and also between individual students. Discussions serve to reinforce your grasp of challenging course concepts. Furthermore, discussion board activities provide resources to assist you achieve success in your examinations. You are required to actively participate in all discussiorequirements: There will be a discussion assignment for this course every other week - see Course Schedule. Discussions can be found under Unit Modules on the homepage. There are a minimum of three postings required during the discussion week for each student (one initiation and two response postings). Initiation Post: address and expand upon topic questions. Cutting and pasting large amounts of information is highly discouraged and could be considered plagiarism. Information should be distilled into the student s own words with appropriate citation. Students are expected to explore their own perspectives on the topic. Supporting resources must be cited. Response Posts: You must respond to another student s posting and build upon the discussion thread. This is an opportunity to clarify and share knowledge, as well as explore interrelated concepts. Supporting resources must be cited. Refer to your course schedule for discussion post due dates/times. Students who submit discussion board work that is posted after the due dates will receive no credit. 5

76 GRADING CRITERIA FOR ON-LINE DISCUSSIONS See the grid below for discussion grading criteria. Description of Grading Criteria Points Possible Content Responses are on topic, original, and contribute to the quality of the 5 discussion Responses are on topic, largely original, and contribute to the 4 quality of the discussion Responses are on topic, but lack originality, and lack a significant 3 contribution to the quality of the discussion Responses are only partially on topic, lack originality, and lack a 2 significant contribution to the quality of the discussion Responses are off topic, lack originality, and lack any contribution 1 to the quality of the discussion. Critical Thinking Demonstrates understanding of content and application of theory 4 Supports argument with concepts but unable to recognize 3 connections between theory and practice. Vague understanding of concepts lacks application. 2 Makes no effort to apply theory and concepts. 1 Nursing Process Exhibits understanding of pathophysiology and recognizes nursing 4 diagnosis that fit condition. Identifies goals that are measurable. 3 Interventions applied are suitable to the condition and provides 2 rationale. Points Earned 6

77 Outcomes are evaluated and reconsidered. 1 Writing Quality Responses are clearly written 5 Responses are generally clearly written 4 Responses have several mechanical or stylistic errors 3 Responses are difficult to understand due to mechanical or stylistic 2 errors Responses are abusive or inappropriate 1 Incorporation of Unit Material Responses make informed references to unit material 5 Responses make some informed references to unit material 4 Responses make vague or summary references to unit material 3 Responses make little or no reference to unit material 2 Responses make no reference to unit material 1 Completeness of Response to questions asked All parts of the discussion questions completed 4 One part of a discussion question is not answered 3 Several parts of the discussion question are not answered 2 Discussion questions were not answered 1 Peer Discussion Participation Two or more participation responses per question to classmates that 4 are thoughtful and advance the discussion One participation response per question to a classmate that is 3 thoughtful and advances the discussion Participation responses do not advance the discussion 2 No participation responses to other classmates 1 Sources (if discussion does not require references, full pts) Responses included source references in APA format 2 Sources are references but not formatted in APA format 1 Sources are not referenced 0 Instructor Requirements Total Points Earned /33 1. Assignments are due on the date and time designated in the class schedule. 2. Attendance: Students are expected to participate by regularly logging on to the class through Canvas. Class participation will be evidenced in completion of online class discussions. Students will be expected to have computer access to support Canvas applications. 3. A student may be dropped for failure to log on the first week of class. 7

78 4. Students will be expected to review Canvas tutorials to learn how to communicate and manage assignments through Canvas. 5. All communication is expected to be conducted through Canvas. 6. s and announcements should be checked in Canvas minimally every 48 hours. 7. Students should review the syllabus to ensure timely and correctly completed assignments. 8. Course discussions are confidential and should not be shared with anyone outside of the course. 9. Students should notify faculty if they are unable to complete the course. 10. Class discussions are intended to share thoughts and ideas to enhance the learning process. Computer Skills Needed: You should know how to access a Web site when given an address (URL) or link, use the features of your Web browser, download files, attach files to s, and use MS Word processing software. You will also need to use MS Excel. Technical Support: You may contact technical support at District Helpdesk (210) or SAC Helpdesk (210) Minimum Student Skills: Students should expect to spend an average of 10 hours weekly in order to complete basic course requirements. Students must complete all assignments, including exams, as scheduled. Students are expected to monitor ACES and Course and announcements several times weekly. If you experience personal computer or problems, you are expected to find another computer to use. If necessary, you may use computers located at the San Antonio College campus libraries or Nursing Allied Health Complex computer lab. In other words, personal computer or problems are no excuse for failing to communicate or submit course work. Netiquette (Internet Etiquette Guidelines): online communication can be difficult to interpret at times, especially if you re not adhering to good netiquette principals. All contributions should be made in a respectful manner. Disrespect to classmates or faculty will be tolerated. The principles of Netiquette should be followed, Expectations for online class involvement: 1. Please refer to the following website for Internet Etiquette Guidelines: 2. Do not post inflammatory remarks. 3. Do not type messages in all capital letters. 4. Standards of courtesy and respect must be maintained at all times in our online classroom. 8

79 5. Join in to the discussion, but remember that this is still a classroom setting and that respect and consideration are crucial for any intellectual discussion. Personal attacks are not permitted. 6. Allow a professor 48 hours to respond to all questions and inquiries during the work week. Instructors are not expected to work weekends; therefore, response time will be extended. Please plan your time accordingly. Requesting to turn in an assignment late, because you are waiting on a reply from your instructor will not be considered an acceptable excuse. Deadlines are deadlines and it is imperative you plan your time accordingly. 7. When communicating with instructors, state the problem concisely, as well as how you would like them to help. Instructors should always be addressed in a respectful and professional manner. Making demands, criticizing, and yelling (writing in a bold font and in all capital letters) are not acceptable forms of communication. 8. If the student has an issue with the class, the teacher should be contacted individually. It is not a student s position to appoint themselves spokesperson for the class. 9. It is in good faith that faculty and students engage in the learning process. It is expected that students perform in class with that philosophy in mind. Students are expected to make a good faith effort to read and understand the material and to engage in learning activities provided by the instructor. 10. All writing and communication in this course should be conducted in an academic fashion. Texting shortcuts and abbreviations should not be used. 11. Any violation of these expectations of behavior online will be reported to the Dean of Students and appropriate disciplinary action will be taken by the college. Instructor Responsibilities 1. Instructors will regularly monitor Canvas and discussion board. Unless posted on Friday, students will receive a response to s within 48 hours of posting. 2. Instructors will provide regular communication through discussion board feedback, announcements, and Students will receive feedback on assignments within 5 days of assignment due dates unless notified by the course faculty. Student Responsibilities Attendance: the student is responsible for as per the following: 1. Effective Spring Term 2010, student absences will be recorded from the first day the class meets. 2. Regular and punctual attendance in all classes and laboratories, day and evening, is required. Students who are absent for any reason should always consult with their instructors. 3. Course syllabi must provide specific information regarding attendance, including, for courses involving the Internet, online activity that constitutes attendance. Also, both tardiness and early departure from class may be considered forms of absenteeism. In all cases, students will be held responsible for completion of course requirements covered in their absence. Additionally, it is the student s responsibility to drop a course for nonattendance. Course instructors establish policy with regard to attendance in their respective syllabi and may drop a student for excessive absences. 4. Absences are considered excessive when more than 12.5 percent of the total contact hours of instruction in a semester, including lecture and lab, are missed. For example, in a three-credit hour 9

80 lecture class, students may be dropped after more than six contact hours of absences. In a fourcredit-hour lecture/lab class, students may be dropped after more than eight contact hours of absences. Absences are counted regardless of whether they occur consecutively. In special programs with additional accreditation or certification standards, additional attendance requirements may be enforced but faculty must clearly explain these policies in their syllabi. 5. Students who stop attending class for any reason should contact the instructor and the college registrar to officially withdraw from the class. Students may be required to consult with an advisor or designee before dropping. Failure to officially withdraw may result in a failing grade for the course. It is the student s responsibility to withdraw officially from a class by submitting a completed Withdrawal Form to the Admissions and Records Office. Withdrawal Policy: See Associate Degree Nursing Student Handbook, Adding or Dropping Courses, regarding withdrawing procedures, and the current San Antonio College Academic Calendar for last day to withdraw. Failure to drop or withdraw on or before the last day to withdraw will result in a performance grade. Texas Education Code Course Drop Limit Provisions Students who enroll as an entering freshman or a first-time college student in undergraduate courses at any Texas public community college, technical institute, health sciences institution, or any public university offering undergraduate courses must comply with the legislation of TEC TEC states that students who enroll for the first time during the fall 2007 semester or any subsequent semester are subject to the course drop limit of six course drops. San Antonio College Academic Policies: See the current San Antonio College Student Handbook. Student Responsibility for Success (Alamo Colleges Policy F.6.2): Students are responsible for success as follows: 1. As members of the Alamo Colleges learning community, students, faculty, staff and administrators all share the responsibility to create an atmosphere where knowledge, integrity, truth, and academic honesty are valued and expected. A clear acknowledgment of the mutual obligations of all members of the academic community emphasizes this implicit partnership in fostering the conditions necessary for student success. In this relationship, the Alamo Colleges provides institutional policies, procedures, and opportunities to facilitate student learning that encourage interaction, involvement and responsible participation. 2. Inherent in the academic climate is the expectation that students will assume responsibility for contributing to their own development and learning. Academic success is directly tied to the effort students put into their studies, the degree to which they interact with faculty and peers, and the extent to which students integrate into the campus life. Engagement: Engagement is critical for your success as a student. Be aware of the following, which will enhance your engagement. 1. Create connections and build relationships with faculty, staff and students (visit during office hours, join clubs and organizations, participate in student activities, etc.). 10

81 2. Stay informed of policies, procedures, deadlines and events for academic and co-curricular activities. 3. Complete all requirements for admission, registration, and payment by deadlines. 4. Apply for financial assistance, if needed, complying with all federal, state and local regulations and procedures. 5. Meet all federal, state and local health care regulations. Communication: Communication (good communication) is the foundation of engagement. 1. Seek guidance from faculty, advisors or counselors for questions and concerns in regards to degree plans, major selection, academic status, grades, and issues impacting college success. 2. Develop a peer support system to identify student contacts for questions, group assignments, etc. regarding academic and co-curricular activities. 3. Communicate with College personnel promptly regarding academic or co-curricular concerns and assistance requests. 4. Carefully consider the information provided by College personnel and make decisions using that information. 5. Check the Alamo Colleges Web Services regularly for s, holds, student records, financial aid status and announcements. 6. Submit disability documents if service/accommodation is required. Request academic accommodation before each semester begins. Academic Success: The following are noted to be associated with academic success. 1. Complete courses with passing grades and maintain in good academic standing (2.0 GPA) status. 2. Read and follow the syllabi. 3. Purchase textbooks and required supplies in a timely manner. 4. Attend classes regularly and on time, with as few absences, late arrivals, and early exits as possible. 5. Prepare for each week by completing all needed materials and completed assignments for that class period. 6. Be attentive in class and actively participate as appropriate. 7. Devote sufficient time for studying. 8. Ensure integrity in all aspects of academic and career development. 9. Accurately represent one s own work and that of others used in creating academic assignments. Use information ethically and exercise appropriate caution to avoid plagiarism on all assignments. 10. Notify faculty in advance or as soon as possible about absences and provide documentation as appropriate. 11. Consult faculty members in advance when unable to complete projects, assignments, or take examinations as scheduled. Self-Responsibility and Responsibility to Others: Being a student comes with responsibilities for yourself, and for others. 1. Maintain accurate and complete degree/certificate major selection and contact information including name, address, phone number and emergency contact. 11

82 2. Balance personal obligations and educational pursuits. Work with a counselor / advisor to design a realistic schedule that dedicates adequate effort to be successful in college studies. 3. Know and follow the regulations and guidelines outlined in the Student Code of Conduct and Student Handbook. 4. Maintain respectful and appropriate behavior within and outside the classroom. 5. Ask for help when needed. Use all available resources and facilities provided by the College to enhance the learning experience. 6. Attend scheduled advising sessions, tutorials, and other appointments. Cancel or reschedule only with good reasons as early as possible. 7. Arrive prepared for tutorial sessions, bringing all needed materials (books, syllabi, rough drafts, calculators, assignment sheets, etc.). Academic Integrity Honesty in completing assignments is essential to the mission of the university and to the development of the personal integrity of the student. Cheating, plagiarism, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, or being suspended or expelled. The specific disciplinary process for academic dishonesty is found in the SAC/ Student Handbook. In an effort to ensure the integrity of the academic process, San Antonio College Department of Nursing Education vigorously affirms the importance of academic honesty as defined by the Student Handbook. Administrators may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, Academic Misconduct, Cheating, Plagiarism, Fabrication and Collusion. Definitions The following definitions shall apply in the Code of Student Conduct: Academic Misconduct - the intentional violation of college policies, such as tampering with grades, misrepresenting one's identity, or taking part in obtaining or distributing any part of a test or assessment, or any information regarding the content of such an instrument. Cheating - the use or attempted use of unauthorized materials, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge; or unauthorized copying or collaboration. Collusion - assisting another to commit an act of academic dishonesty, such as paying or bribing someone to acquire a test or assignment, taking a test or doing an assignment for someone else, or allowing someone to do these things for one's own benefit. Fabrication - intentional misrepresentation or invention of any information, such as falsifying research, inventing or exaggerating data, or listing incorrect or fictitious references. Plagiarism - the unauthorized or undocumented use or close imitation of the language and thoughts of another author and the representation of them as one's own original work. 12

83 F (Procedure) Student Code of Conduct. Procedure.pdf In the event I believe academic dishonesty has occurred, I will delay posting a grade until the Dean of Students Office renders an administrative decision. If you are found guilty of scholastic dishonesty in this course, you will receive a zero for the assignment. College Requirements A comprehensive final evaluation, not to exceed three hours in length, shall be given at the end of each course at the official scheduled final exam time. The appropriate Dean must approve any exceptions to this requirement. Other evaluations are given at the discretion of the instructor. A student who must be absent from a final evaluation should petition that instructor for permission to postpone the evaluation. A student absent without permission from a final evaluation is graded "0" on the exam. College Policies Students are expected to be mindful of and adhere to all San Antonio College rules and policies. College policies are included as a separate file with electronic course materials, which can also be found in the Nursing Student Handbook. 1. All of the Alamo Colleges are tobacco free. 2. Alamo Colleges DPS Emergency Phone Numbers: Emergency Phone (210) General Phone (210) Weather Phone (210) (For information on college closures) 3. A Rapid Response Team exists for the purpose of responding to emergencies. If you have a disability that will require assistance in the event of a building evacuation, notify San Antonio College disability Support Services, Chance Academic Center 124C, (210) Students are required to silence all electronic devices (e.g., pagers, cellular phones, etc.) when in classrooms, laboratories and the library. 5. Students must abide by the policies, procedures and rules set forth in the Student Code of Conduct and all other policies set forth in the San Antonio E-Catalog: Disability Access Statement In accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, it is the responsibility of the student to self-identify with the campus Disability Services office. Only those students with appropriate documentation will receive a letter of accommodation from the Disability Services office. Instructors are required to follow only those accommodation and/or services outlined in the letter of accommodation. For further information, please contact the San Antonio College disability Support Services office at (210) or visit the office located in the Chance Academic Center building, Rm. 124C. If you have specific needs; please discuss them privately with your instructor. BACK UP AND SAVE ALL YOUR COURSE ASSIGNMENTS, CORRESPONDENCE, AND WORK. 13

84 Syllabus Changes While every attempt has been made to prepare this syllabus in final form, it will be the instructor's prerogative to make any changes as may be deemed necessary in order to meet the learning outcomes of the class. Students will be notified of any changes by and through postings at the course website. 14

85 San Antonio College Department of Nursing Education RNSG 2173 Professional Concepts III (Level 2 Online Career Mobility) Week Topic Concept Objectives Planned Activity /Reading/Viewing 1 Mobility Clinical Judgment Clinical Decision Making Urgent/Emergent Situations (hemorrhagic) Patient Advocacy 1. Examine how the following factors, described in Tanner s Clinical Judgment Model, impact a nurse s clinical judgment: nursing values, environmental context, knowing the patient, theoretical knowledge, and previous experiences. 2. Differentiate the reasoning patterns of analytic processes, intuition and narrative thinking as described in the Tanner s Model of Clinical Judgment. 3. Identify how reflection-in-action is connected to patient outcomes and clinical learning. 4. Explain the application of Clinical Judgment to the exemplars urgent/emergent situations (hemorrhagic), prioritization of care, patient advocacy, and when to contact physician or other health care provider. Review PowerPoints, Videos, Online Discussion Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Pps24-42 (Critical Thinking) Weber & Kelley, Health Assessment Textbook 5 th ed. Pps65-72 (Critical Thinking) Marquis & Huston Leadership Roles Textbook 8 th ed. Pps (Patient Advocacy) Pps 2-25 (Critical Thinking) Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Pps83-105(Patient Advocacy) Pps (Critical Thinking) Selanders, L. & Crane, P. (2012). The voice of Florence Nightingale on advocacy. The Online Journal of Issues in Nursing, 17(1). Retrieved from lace/anaperiodicals/ojin/tableofcontents/vol /no1-jan-2012/florence-nightingale-on-advocacy.html 2 Clinical Judgment Same as week 1 objectives Review PowerPoints, Videos, Online Discussion

86 When to contact the physician or other care providers Prioritization of Care Patient Advocacy Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Chapter 11 (Contacting the Physician) Marquis & Huston, Leadership Roles Textbook 8 th ed. Pps (Prioritization of Care) 3 Professionalism Commitment to the Profession 1. Explain the relationship of commitment to the concept of professionalism. 2. Describe the types of commitment as they relate to nursing as a profession. 3. Identify the stages of commitment development and how they relate to the growth of commitment in a nursing student. 4. Discuss the process of socialization that leads the nursing student to a commitment to the profession. Videbeck, Psychiatric Mental Health Nursing Pps91-92 (Patient Advocate) Review PowerPoints, Videos, Online Discussion Marquis & Huston, Leadership Roles Textbook 8 th ed. Pps (Team Building) Pps (Leadership) Ricci, Kyle, & Carman Textbook of Maternity & Pediatric Nursing 2 nd Ed.- Chapter 1 (Nursing Role) Videbeck, Psychiatric Mental Health Nursing Pps154 (Nurse Liability) Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Pps (Legal Implications) Pps (Laws Affecting Nursing Practice) Pps (Nurse s Role) Pps (Leader & Manager) Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Pps4-14 (Nursing Practice) A Nurse I Am. 4 Teamwork & Collaboration Working with Interdisciplinary Teams 1. Explain the correlation between working with interdisciplinary teams to the concept of teamwork and collaboration. 2. Examine the background of teamwork and Review PowerPoints, Videos, Online Discussion Weber & Kelley, Health Assessment Textbook 5 th ed. Chapter 4 (Validating & Documenting Data)

87 working with teams 3. Identify differences in interdisciplinary, multidisciplinary, and interprofessional teams 4. Discuss vital components of interdisciplinary teams 5. Analyze advantages of interdisciplinary teams 6. Identify barriers to teamwork within an interdisciplinary team Videbeck, Psychiatric Mental Health Nursing Pps71-72 Including Box 4.5 (Interdisciplinary Teams) Marquis & Huston Leadership Roles Textbook 8 th ed. Pps (Communication) Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Pps (Interdisciplinary Care) Page293 (Interdependent Nursing) Pps (Interdisciplinary Care) Pps (Leadership) Pps (Implementing Leadership) Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Page 13 (Interdisciplinary Collaborative Practice) Pps16-17(Community Based Nursing) 5 Ethics & Legal Precepts Ethical Principles 1. Review the concept of Ethics & Legal Precepts (including definition, antecedents, and attributes). 2. Analyze conditions which place a patient at risk for ethical dilemmas and violations of patient s rights. 3. Identify when moral distress (negative consequence) is developing or has developed. 4. Discuss exemplars of ethical dilemmas, ethical principles, and patient s rights. 5. Apply the nursing process (including collaborative interventions) for individuals experiencing the consequences of ethical dilemmas and violations of patient s rights. 6. Describe the ethical-legal parameters for nursing practice related to ethical dilemmas and patient s rights. Review PowerPoints, Videos, Online Discussion Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Pps (Ethical Decision Making) Page 207 (Older Adult) Page 128 (Ethical Issues) Pps (Ethical Concerns Patient s with HIV & AIDS) Chapter 16 (End of Life) Chapter 73 (Ethical Conflicts) Ricci, Kyle, & Carman Textbook of Maternity & Pediatric Nursing 2 nd ed. Pps (Abortions) Pps (Ethics & Genetics) Pps (Dying Child) Videbeck, Psychiatric Mental Health Nursing Pps (Legal & Ethical Consideration-Mood d/o) Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Page 151 (Healthcare) Page 299 (Guides to Practice)

88 6 Ethics & Legal Precepts 7. Analyze the role of the nurse related to risk and quality management based on the ethical and legal standards. 8. Discuss controversial ethical and legal issues resulting in ethical dilemmas related to the delivery of quality health care and protection of patient s rights. 9. Explain the correlation between academic integrity to the concepts of professional ethical and legal practices. 10. Apply critical thinking and clinical decision-making processes related to the use of social media. 11. Analyze the nurse professional boundaries when caring for patients and families. 12. Identify how patient s rights are communicated and enforced. Same as Week 5 Objectives Pps (Ethical Concerns) Page 1550 Including Box43-2 (Terminal Illness) Pps (Loss, Grief & Dying) Marquis & Huston Leadership Roles Textbook 8 th ed. Pps (Ethical Issues) - Hanna, A. F. (2013). Don t cross the line: Respecting professional boundaries /01000/Staff_development_special_Don_t_cross_the _line_.7.aspx - The Code of Ethics for Nurses of the American Nurses Association (ANA) PracticeofProfessionalNursing/NursingStandards - Confronting Workplace Violence in Nursing onting-workplace-violence-in-nursing.aspx - Patient Bill of Rights - CMS Patient s Bill of rights Initiatives/Health-Insurance-Market-Reforms/Patients- Bill-of-Rights.html - AHA new Patient Care Partnership, Patient Rights and Responsibilities - Texas Patient Bill of Rights sl=r&app=9&p_dir=&p_rloc=&p_tloc=&p_ploc=&pg=1&t i=25&ch=133&rl=42 - Patient Rights & Responsibilities - EMTALA Guidance/Legislation/EMTALA/index.html?redirect=/emt ala/ - FAQs informed consent Review PowerPoints, Videos, Online Discussion

89 Ethical Principles Patient s Rights (Review Reading from Previous week also) Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Page 176 Including Box 10-3 (Patient Rights) Pps Including Box 11-5 (Developing Ethical & Legal Skills) Pps823 (Informed Consent) Pps Including Box 35-3)(Patient s Rights) Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Pps26-31 (Ethical Decision Making) 7 Evidence Based Practice Best Practices & Standards (related to course content) 8 Midterm Exam (50 questions) TBA Healthcare Organizations Access to Healthcare Diagnostic Related Groups (DRG) Primary Care Secondary Care 1. Discuss ways to apply evidence in practice. 2. Explain how nursing research improves nursing practice. 3. Explore the Institute for Healthcare Improvement website. 4. Identify best practices and standards for prevention of: Pressure Ulcers Central Line Acquired Blood Stream Infections (CLABSI) Catheter Acquired Urinary Tract Infections (CAUTI) Ventilator-associated pneumonia Spring Break (No School) 1. Explain the concept of Health Care Organizations (including definition, antecedents, and attributes). 2. Analyze conditions, which place a patient at risk for increase morbidity and mortality. 3. Identify when there is a lack of Review PowerPoints, Videos, Online Discussion Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Pps4-14 (Health care Delivery) Marquis & Huston Leadership Roles Textbook 8 th ed. Pps13-14 & Display1.8 (Decision Making) Pp 170 Examining the Evidence 8.1 (Planned Change) Pps (Time Management) Pps (Staffing Needs) Review PowerPoints, Videos, Online Discussion Ricci, Kyle, & Carman Textbook of Maternity & Pediatric Nursing 2 nd ed. Pps40-42 (Access to Health Care) Brunner & Suddarth s Textbook of Medical Surgical Nursing 13 th ed Pps4-13 (Health Care Delivery)

90 Tertiary Care services provided by health care organizations to defined communities, populations and/or markets. 4. Discuss the following Health Care Organization exemplars: Diagnostic Related Groupings (DRG), Primary, Secondary and Tertiary care, Emergency Preparedness, allocation of resources/resource utilization, cost effective care and nursing care delivery systems. 5. Apply the nursing process (including collaborative interventions) for individuals experiencing negative consequences related to inadequate access to health care organizations. Taylor et al. Fundamentals of Nursing Textbook 7 th ed. Page 30 (Cultural Diversity) Marquis & Huston Leadership Roles Textbook 8 th ed. Pps (Fiscal Planning) Pps (Quality Control) Access Healthy People & review the following topics: About Healthy People, Access to Healthcare & Public Health Infrastructure. Access to Care: (5.34 minutes) What is Obamacare: IWZfTAjsPM (3.26 min) Health Care Reform: 1.Access:

91 San Antonio College Department of Nursing Education RNSG 2173 Professional Nursing Concepts III (Level 2 Online Career Mobility) Grade Summary Sheet Name: Semester: Fall Spring Sum 201 Student Banner #: Phone number: Instructor of Record: Midterm Exam Discussion 25% Online Presentation Peer Review 10% Final Exam 30% Total 100% Final Grade Percentage Score Points Remediation Final Grade 35% Date: Fac/Initial: Stud/Initial: Final Course Letter Grade: *** Students accumulating more than two weeks of absence may be dropped from the course. ***Students achieving less than 70% on midterm exam are responsible for scheduling remediation with their instructor of record.

92 SAN ANTONIO COLLEGE ASSOCIATE DEGREE NURSING PROGRAM RNSG 2363 CL: Healthcare Concepts III TEXAS CONCEPT-BASED CURRICULUM

93 Texas Concept-Based Curriculum San Antonio College Online Career Mobility RNSG 2363: CL: Healthcare Concepts III SEMESTER HOURS: 3 PREREQUISITES: RNSG 1170, 1172, 1163, 2371 COREQUISITES: RNSG 2573 & 2173 Instructor: Michelle Justis RN, MSN Phone: (cell), (office) mjustis@alamo.edu Office: NAHC346 Office Hours (onsite): Thursday Virtual Office Hours: Tuesday and Wednesdays & (via phone or discussion) Instructor-Student Communication: There are three ways that we can communicate directly in this course without having to meet on campus: 1) Text message between the hours of 8am and 9pm, please leave your name along with the message 2) Canvas mail (preferred) 3) Phone call leave a message along with your name and phone number (repeat your number twice) Course Description A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. The transitional clinical will be through simulated and hospital clinical experiences. The student will be provided opportunities to practice procedural, assessment, and communication skills with patients. The student continues to apply knowledge of concepts and developing clinical judgment skills in direct patient care. Specific learning objectives guide the student s clinical experiences, focusing on application of concepts and skills learned in RNSG 2173 and The following are the concepts that will be covered this semester. The professional nursing concepts are clinical judgment, ethical-legal, evidenced-based practice, patient-centered care, professionalism, safety, and team/collaboration. New concepts introduced this level are quality improvement and health care organizations. The health care nursing concepts include end of life, immunity, human development, comfort, sexuality, mobility, and reproduction. New concepts introduced this level are interpersonal.

94 Course Objectives Upon completion of this course the student will: Member of the Profession 1. Demonstrates the interrelatedness between healthcare concepts that reflect the values and ethics of the nurse as a member of the profession and safe, quality patient-centered care. Provider of Patient-Centered Care 2. Use a systematic process, evidenced-based practice outcomes, and research based policies in clinical reasoning in the provision of competent, safe patient- centered care. 3. Demonstrate skills in patient care technologies and information systems that support safe patient-centered nursing practice. Patient Safety Advocate 4. Discuss knowledge of delegation, management, and leadership skills to promote safe patient-centered care as an advocate and manager of nursing care. Member of the Health Care Team 5. Apply the standards of practice within a legal, ethical, and regulatory framework when coordinating, collaborating, and communicating with diverse patients, families, and the interdisciplinary healthcare team to plan, deliver, and evaluate care. Course Topics The following are the concepts will be applied to clinical and simulation situations this semester. The professional nursing concepts are clinical judgment, ethical-legal, evidenced-based practice, patient-centered care, professionalism, safety, and team/collaboration. New concepts introduced this level are quality improvement and health care organizations. The health care nursing concepts include end of life, immunity, human development, comfort, sexuality, mobility, and reproduction. New concepts introduced this level are interpersonal relationships, intracranial regulation, cellular regulation, sexuality, and reproduction and mood/affect. Required Textbooks and Equipment: Adaptive Learning Powered by PrepU for Brunner & Suddarth s Textbook of Medical-Surgical Nursing, 13th ed. Philadelphia: Lippincott Williams & Wilkins. LWW DocuCare (Online Educational Medical Records, Online Charting) Lippincott CoursePoint ATI modules, tutorials, proctored and practice assessments, learning resources (Available on-line at Hinkle & Cheever: Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th Edition for CoursePoint for Nursing Concepts. Karch: Focus on Nursing Pharmacology, Sixth Edition, for CoursePoint for Nursing Concepts. Marquis & Huston: Leadership Roles and Management Functions in Nursing: Theory and Application, Eighth Edition, for CoursePoint for Nursing Concepts. Porth: Essentials of Pathophysiology: Concepts of Altered Health States, Third Edition, for CoursePoint for Nursing Concepts.

95 Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Second Edition, for CoursePoint for Nursing Concepts. Taylor, Lillis, LeMone & Lynn: Fundamentals of Nursing: The Art and Science of Nursing Care, Seventh Edition, for CoursePoint for Nursing Concepts. Videbeck: Psychiatric-Mental Health Nursing, Sixth Edition, for CoursePoint for Nursing Concepts. Weber & Kelley: Health Assessment in Nursing, Fifth Edition, for CoursePoint for Nursing Concepts. Semester syllabus (Available online) San Antonio College Nursing Education Nursing Student Handbook (Available online) San Antonio College Student Handbook (Available online) Recommended Titles: Handbook for Brunner & Suddarth's Textbook of Medical-Surgical Nursing, 13th ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Brunner and Suddarth's Handbook of Laboratory and Diagnostic Tests, 2nd ed. (2014). Philadelphia: Lippincott Williams & Wilkins. Student Evaluation/Grading Policies: Grading Scale - per the SAC Department of Nursing Education Grade A Points B C D F < 60 Methods of Measurement (grade requirement): A student must earn a minimum grade of 70% to pass this course. The student s grade will be determined based on performance on the following assignments: Course Grade Breakdown Clinical Performance = 75% - (See below for information) Weekly Quizzes= 15% - ATI Weekly quizzes list is on Canvas. Student will be given the 1st quiz weekly grade. It consists of tutorial and quiz (graded). It is due each week starting week 3. grade as their Teaching Project = 10% - Content will be based on the exemplars from the theory and clinical settings. Total: 100% *Dosage Calculations Mastery Exam and Clinical Skills check off = pass or fail (see below for more information). Required Equipment: Stethoscope Watch with second hand Bandage scissors Student Uniform Pen light

96 SAC Scrub uniform Course Requirements: 1. Each must participate in class and lab times (discussion/learning activities) and follow all minimum safe standards or will be given a zero for the day. 2. Each student must attend clinical and be dressed according to the dress code as indicated in your San Antonio College Nursing Program Student Handbook. 3. Each student must have a clinical evaluation average of at least 70%. 4. The student must be currently enrolled in RNSG 2573, Each course carries its own grade. All three courses must be passed with a grade of C or better in order to progress to the next semester. 5. In the event that a student should withdraw from RNSG 2363, the student must also withdraw from RNSG 2573, If the student fails RNSG 2173, RNSG 2362, or RNSG 2573, the student must repeat all three courses. The student must make application for readmission. Additional Clinical Requirements: I. Clinical Activities A. In an acute or long term care setting, the student is required to satisfactorily complete: 1. A patient assessment using DocuCare. 2. A Documented daily shift assessment using DocuCare 3. An SBAR report (verbal or written) 4. Concept maps or nursing care plan for assigned patients using DocuCare 5. Direct patient care activities 6. Criteria as outlined in the clinical evaluation tool B. In the clinical setting or in a simulated clinical setting, the student is required to satisfactorily complete focused clinical activities as outline by concepts and identified in this clinical supplement (IF APPLICABLE). 1. In performing clinical activities, it is up to the discretion of the instructor whether the activities will be performed in a group or individually. 2. The instructor will determine how many of the activities will be performed throughout the semester based on time allowance, opportunities available, number of patients, clinical setting, etc. 3. Each student will maintain a student folder which will contain all of the activities done throughout the semester (IF APPLICABLE) C. In a simulated clinical setting, the student is expected to performed activities, assessments, care plans, etc., as if in a real clinical setting. The student will be graded on the clinical evaluation tool as if in a real clinical environment. II. Clinical Outcomes for Simulation A. Upon completion of the simulation, the learner will: i. Apply the nursing process while performing patient care

97 ii. Collect and Identify assessment data iii. Organize and plan nursing care for identified patient(s) based on assessment findings iv. Demonstrate care in a safe manner and within the legal and ethical framework of the Texas Nurse Practice Act v. Demonstrate therapeutic communication vi. Demonstrate a professional demeanor, attitude and behaviors in the simulated clinical setting. vii. Clarify self-learning through reflection viii. Identify what learning has occurred during debriefing x. Identify mistakes as part of the learning process during debriefing x. Compare and contrast the simulation experience to real life situations xi. Demonstrate knowledge, skill performance, critical thinking and self-confidence while participating in simulation activities. D. Prior to coming participating in the simulation experience, the student will: ` i. Complete all simulation prep material including review of medical diagnosis and associated nursing interventions. ii. Review physical assessment principles and basic skills (through textbook=prepare medication cards on any medications listed in the prep material (IF APPLICABLE). iv. Review documentation principles III. Clinical Performance Expectations A. In the clinical settings, the student will be required to satisfactorily demonstrate clinical competency according to Level I criteria as outlined in the clinical evaluation tool. B. Failure to complete written activities (or focused clinical activities) by the stated date and time as delineated by the clinical instructor will result in a deduction of 5 points per day. Any work not turned in after 2 days will not be accepted and the student will receive a zero for the assignment. C. Papers graded on a Pass/Fail basis which do not meet the stated criteria, will result in a f ailure. Completion of activities will be required for successful completion of the course. The Clinical Evaluation is a comprehensive assessment of the quality of completed clinical behaviors/competencies necessary to meet the outcomes required in the course. It involves evaluating the student s ability to perform at an expected level to meet course objectives and advancing to the next level. Each clinical nursing course has a corequisite didactic course. The clinical objectives are a reflection of the content in the co-requisite didactic course. They provides students an opportunity to learn and practice skills as well as apply theory content necessary to address patient problems and perform safely in the clinical area. Students have the opportunity to evaluate their own strengths, weaknesses, learning needs, etc., through weekly clinical evaluations. A student who is having difficulty is encouraged to request a student/faculty conference. The weekly evaluations by the clinical instructor represents the feedback to the learner regarding the progress or lack thereof in meeting the course outcomes and objectives. Formative evaluation is diagnostic in nature providing feedback in areas needing improvement and/or promoting continued areas of strength. The summative evaluation (end of rotation evaluation), provides information to the extent in which the learner has achieved the course objectives.

98 Student must achieve a minimal score of 70 % in both clinical performance and clinical activities in order to advance to the next level. Clinical activities are designed to help the student integrate and synthesize concepts learned in theory with clinical practice. Additionally, students must pass a math proficiency exam with an 80% or better in order to pass the course. You are allowed two attempts to pass the math proficiency exam. If after the first attempt, you are unsuccessful, you are required to attend remediation. If after the second attempt you are unsuccessful you must either withdraw from the course (if still within the withdrawal date) or receive an F for the course. Each clinical action will be graded based on the following scale: Numerical Scale 5 Demonstrates outstanding clinical performance in a self-directed manner; seeks guidance or assistance when necessary to meet established criteria. 4 Demonstrates above average clinical performance with minimum guidance or assistance and seeks assistance when necessary to meet established criteria. 3 Demonstrates deficiencies in clinical performance and must be reminded and assisted to meet established criteria. 2 Demonstrates below average clinical performance and needs frequent guidance and assistance to meet established criteria. 1 Demonstrates poor clinical performance needing constant guidance and assistance to meet established criteria. 0 Fails to meet established criteria. N/A Non-applicable or no opportunity Total possible points per clinical day equals = 100 Minimum Safe Nursing Standards (MSS) One of the department s goals is to foster professionalism in the nursing student. Some of those ideals are inherit in Safe Nursing Standards for student nurses. For grading purposes, the following applies to clinical. A violation of minimum safe standards occurs if a student fails to: 1. Demonstrate respect for and maintenance of the nursing chain of authority. 2. Maintain confidentiality with regard to information received about patients during the clinical assignment. 3. Make decisions about patient care when failure to make that decision would endanger the Patient. 4. Maintain communication that promotes continuity of patient care. 5. Ensure that correct performance of skills is validated by each clinical instructor. 6. Recognize own limitations. 7. Recognize that previously learned knowledge is required to properly implement nursing care in the clinical setting. 8. Recognize that specific information about the assigned patient(s) is required to provide safe patient care. 9. Maintain vigilance toward patient, agency, and/or staff needs. 10. Demonstrate professional comportment in demeanor, dress and language. Violation of one of the above minimum safe nursing standards reflects failure of the student to meet safe nursing practice and the student will receive a zero 0 for that clinical day s performance. IV. Dosage Calculations Mastery Exam A. By the end of this skill, the student will: 1. Achieve an 80% mastery on a 20- item pharmacology math exam (two attempts only) 2. Calculate dosages across the lifespan for oral, subcutaneous, intramuscular, intravenous, and topical medications.

99 3. Perform metric conversions related to weights and volumes B. If after two attempts to achieve an 80% on the pharmacology math exam and still unsuccessful, the student will receive an F for the course or the student must drop the course if still within the allowable drop date. C. The student should complete the following activities prior to attempting the Math Mastery exam on the prescheduled dates: 1. Review conversion factors 2. Review dosage calculations for oral, subcutaneous, intramuscular, intravenous, and topical medications 3. Complete the ATI Modules under tutorials: Dosage Calculation and Pharmacology made easy. 4. If the student is unsuccessful with Math Mastery attempt #1, they MUST attend mandatory remediation sessions scheduled by the faculty before attempting exam #2. Per SAC Nursing program policies. Clinical Grading Criteria 4. Students will be expected to review Canvas tutorials to learn how to communicate and manage assignments through Canvas. 5. All communication is expected to be conducted through Canvas. 6. s and announcements should be checked in Canvas minimally every 48 hours. 7. Students should review the syllabus to ensure timely and correctly completed assignments. 8. Course discussions are confidential and should not be shared with anyone outside of the course. 9. Students should notify faculty if they are unable to complete the course. 10. Class discussions are intended to share thoughts and ideas to enhance the learning process. Computer Skills Needed: You should know how to access a Web site when given an address (URL) or link, use the features of your Web browser, download files, attach files to s, and use MS Word processing software. You will also need to use MS Excel. Technical Support: You may contact technical support at District Helpdesk (210) or SAC Helpdesk (210) Minimum Student Skills: Students should expect to spend an average of extra 10 hours weekly in order to complete basic course requirements. Students must complete all assignments, including exams, as scheduled. Students are expected to monitor ACES and Course and announcements several times weekly. If you experience personal computer or problems, you are expected to find another computer to use. If necessary, you may use computers located at campus libraries or Nursing Allied Health Complex computer lab. In other words, personal computer or problems are no excuse for failing to communicate or submit course work. Netiquette (Internet Etiquette Guidelines): online communication can be difficult to interpret at times, especially if you re not adhering to good netiquette principals. All contributions should be made in a respectful manner. Disrespect to classmates or faculty will be tolerated. The principles of Netiquette should be followed,

100 Expectations for online class involvement: 1. Please refer to the following website for Internet Etiquette Guidelines: 2. Do not post inflammatory remarks. 3. Do not type messages in all capital letters. 4. Standards of courtesy and respect must be maintained at all times in our online classroom. 5. Join in to the discussion, but remember that this is still a classroom setting and that respect and Consideration are crucial for any intellectual discussion. Personal attacks are not permitted. 6. Allow a professor 48 hours to respond to all questions and inquiries during the work week. Instructors are not expected to work weekends; therefore, response time will be extended. Please plan your time accordingly. Requesting to turn in an assignment late, because you are waiting on a reply from your instructor will not be considered an acceptable excuse. Deadlines are deadlines and it is imperative you plan your time accordingly. 7. When communicating with instructors, state the problem concisely, as well as how you would like them to help. Instructors should always be addressed in a respectful and professional manner. Making demands, criticizing, and yelling (writing in a bold font and in all capital letters) are not acceptable forms of communication. 8. If the student has an issue with the class, the teacher should be contacted individually. It is not astudent s position to appoint themselves spokesperson for the class. 9. It is in good faith that faculty and students engage in the learning process. It is expected that students perform in class with that philosophy in mind. Students are expected to make a good faith effort to read and understand the material and to engage in learning activities provided by the instructor. 10. All writing and communication in this course should be conducted in an academic fashion. Texting shortcuts and abbreviations should not be used. 11. Any violation of these expectations of behavior online will be reported to the Dean of Students and appropriate disciplinary action will be taken by the college. Instructor Responsibilities 1. Instructors will regularly monitor Canvas and discussion board. Unless posted on Friday, students will receive a response to s within 48 hours of posting. 2. Instructors will provide regular communication through discussion board feedback, announcements, and Students will receive feedback on assignments within 5 days of assignment due dates unless notified by the course faculty. Student Responsibilities Attendance: the student is responsible for as per the following: 1. Effective Spring Term 2010, student absences will be recorded from the first day the class meets. 2. Regular and punctual attendance in all classes and laboratories, day and evening, is required. Students who are absent for any reason should always consult with their instructors. 3. Course syllabi must provide specific information regarding attendance, including, for courses involving the Internet, online activity that constitutes attendance. Also, both tardiness and earlydeparture from class may be considered

101 forms of absenteeism. In all cases, students will be held responsible for completion of course requirements covered in their absence. Additionally, it is the student s responsibility to drop a course for nonattendance. Course instructors establish policy with regard to attendance in their respective syllabi and may drop a student for excessive absences. 4. Absences are considered excessive when more than 12.5 percent of the total contact hours of instruction in a semester, including lecture and lab, are missed. For example, in a three-credit hour lecture class, students may be dropped after more than six contact hours of absences. In a four- credit-hour lecture/lab class, students may be dropped after more than eight contact hours of absences. Absences are counted regardless of whether they occur consecutively. In special programs with additional accreditation or certification standards, additional attendance requirements may be enforced but faculty must clearly explain these policies in their syllabi. 5. Students who stop attending class for any reason should contact the instructor and the college registrar to officially withdraw from the class. Students may be required to consult with an advisor or designee before dropping. Failure to officially withdraw may result in a failing grade for the course. It is the student s responsibility to withdraw officially from a class by submitting a completed Withdrawal Form to the Admissions and Records Office. Withdrawal Policy: See Associate Degree Nursing Student Handbook, Adding or Dropping Courses, regarding withdrawing procedures, and the current San Antonio College Academic Calendar for last day to withdraw. Failure to drop or withdraw on or before the last day to withdraw will result in a performance grade. Texas Education Code Course Drop Limit Provisions Students who enroll as an entering freshman or a first-time college student in undergraduate courses at any Texas public community college, technical institute, health sciences institution, or any public university offering undergraduate courses must comply with the legislation of TEC TEC states that students who enroll for the first time during the fall 2007 semester or any subsequent semester are subject to the course drop limit of six course drops. San Antonio College Academic Policies: See the current San Antonio College Student Handbook. Student Responsibility for Success (Alamo Colleges Policy F.6.2): Students are responsible for success as follows: 1. As members of the Alamo Colleges learning community, students, faculty, staff and administrators all share the responsibility to create an atmosphere where knowledge, integrity, truth, and academic honesty are valued and expected. A clear acknowledgment of the mutual obligations of all members of the academic community emphasizes this implicit partnership in fostering the conditions necessary for student success. In this relationship, the Alamo Colleges provides institutional policies, procedures, and opportunities to facilitate student learning that encourage interaction, involvement and responsible participation. 2. Inherent in the academic climate is the expectation that students will assume responsibility for contributing to their own development and learning. Academic success is directly tied to the effort students put into their studies, the degree to which they interact with faculty and peers, and the extent to which students integrate into the campus life. Engagement: Engagement is critical for your success as a student. Be aware of the following, which will enhance your engagement. 1. Create connections and build relationships with faculty, staff and students (visit during office hours, join clubs and organizations, participate in student activities, etc.).

102 2. Stay informed of policies, procedures, deadlines and events for academic and co-curricular activities. 3. Complete all requirements for admission, registration, and payment by deadlines. 4. Apply for financial assistance, if needed, complying with all federal, state and local regulations and procedures. 5. Meet all federal, state and local health care regulations. Communication: Communication (good communication) is the foundation of engagement. 1. Seek guidance from faculty, advisors or counselors for questions and concerns in regards to degree plans, major selection, academic status, grades, and issues impacting college success. 2. Develop a peer support system to identify student contacts for questions, group assignments, etc. regarding academic and co-curricular activities. 3. Communicate with College personnel promptly regarding academic or co-curricular concerns and assistance requests. 4. Carefully consider the information provided by College personnel and make decisions using that information. 5. Check the Alamo Colleges Web Services regularly for s, holds, student records, financial aid status and announcements. 6. Submit disability documents if service/accommodation is required. Request academic accommodation before each semester begins. Academic Success: The following are noted to be associated with academic success. 1. Complete courses with passing grades and maintain in good academic standing (2.0 GPA) status. 2. Read and follow the syllabi. 3. Purchase textbooks and required supplies in a timely manner. 4. Attend classes regularly and on time, with as few absences, late arrivals, and early exits as possible. 5. Prepare for each week by completing all needed materials and completed assignments for that class period. 6. Be attentive in class and actively participate as appropriate. 7. Devote sufficient time for studying. 8. Ensure integrity in all aspects of academic and career development. 9. Accurately represent one s own work and that of others used in creating academic assignments. Use information ethically and exercise appropriate caution to avoid plagiarism on all assignments. 10. Notify faculty in advance or as soon as possible about absences and provide documentation as appropriate. 11. Consult faculty members in advance when unable to complete projects, assignments, or take examinations as scheduled. Self-Responsibility and Responsibility to Others: Being a student comes with responsibilities for yourself, and for others. 1. Maintain accurate and complete degree/certificate major selection and contact information including name, address, phone number and emergency contact.

103 2. Balance personal obligations and educational pursuits. Work with a counselor / advisor to design a realistic schedule that dedicates adequate effort to be successful in college studies. 3. Know and follow the regulations and guidelines outlined in the Student Code of Conduct and Student Handbook. 4. Maintain respectful and appropriate behavior within and outside the classroom. 5. Ask for help when needed. Use all available resources and facilities provided by the College to enhance the learning experience. 6. Attend scheduled advising sessions, tutorials, and other appointments. Cancel or reschedule only with good reasons as early as possible. 7. Arrive prepared for tutorial sessions, bringing all needed materials (books, syllabi, rough drafts, calculators, assignment sheets, etc.). Academic Integrity Honesty in completing assignments is essential to the mission of the university and to the development of the personal integrity of the student. Cheating, plagiarism, or other kinds of academic dishonesty will not be tolerated and will result in appropriate sanctions that may include failing an assignment, failing the class, or being suspended or expelled. The specific disciplinary process for academic dishonesty is found in the SAC/ Student Handbook. In an effort to ensure theintegrity of the academic process, San Antonio College Department of Nursing Education vigorously affirms the importance of academic honesty as defined by the Student Handbook. Administrators may initiate disciplinary proceedings against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, Academic Misconduct, Cheating, Plagiarism, Fabrication and Collusion. Definitions The following definitions shall apply in the Code of Student Conduct: Academic Misconduct - the intentional violation of college policies, such as tampering withgrades, misrepresenting one's identity, or taking part in obtaining or distributing any part of a test or assessment, or any information regarding the content of such an instrument. Cheating - the use or attempted use of unauthorized materials, information, or study aids; or an act of deceit by which a student attempts to misrepresent academic skills or knowledge; or unauthorized copying or collaboration. Collusion - assisting another to commit an act of academic dishonesty, such as paying or bribing someone to acquire a test or assignment, taking a test or doing an assignment for someone else, or allowing someone to do these things for one's own benefit. Fabrication - intentional misrepresentation or invention of any information, such as falsifying research, inventing or exaggerating data, or listing incorrect or fictitious references. Plagiarism - the unauthorized or undocumented use or close imitation of the language and thoughts of another author and the representation of them as one's own original work. F (Procedure) Student Code of Conduct. Procedure.pdf In the event I believe academic dishonesty has occurred, I will delay posting a grade until the Dean of Students Office renders an administrative decision. If you are found guilty of scholastic dishonesty in this course, you will receive a zero for the assignment.

104 College Requirements A comprehensive final evaluation, not to exceed three hours in length, shall be given at the end of each course at the official scheduled final exam time. The appropriate Dean must approve any exceptions to this requirement. Other evaluations are given at the discretion of the instructor. A student who must be absent from a final evaluation should petition that instructor for permission to postpone the evaluation. A student absent without permission from a final evaluation is graded "0" on the exam. College Policies Students are expected to be mindful of and adhere to all San Antonio College rules and policies. College policies are included as a separate file with electronic course materials, which can also be found in the Nursing Student Handbook. 1. All of the Alamo Colleges are tobacco free. 2. Alamo Colleges DPS Emergency Phone Numbers: Emergency Phone (210) General Phone (210) Weather Phone (210) (For information on college closures) 3. A Rapid Response Team exists for the purpose of responding to emergencies. If you have a Disability that will require assistance in the event of a building evacuation, notify San Antonio College disability Support Services, Chance Academic Center 124C, (210) Students are required to silence all electronic devices (e.g., pagers, cellular phones, etc.) when in classrooms, laboratories and the library. 5. Students must abide by the policies, procedures and rules set forth in the Student Code of Conduct and all other policies set forth in the San Antonio E-Catalog: Disability Access Statement In accordance with the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act, it is the responsibility of the student to self-identify with the campus Disability Services office. Only those students with appropriate documentation will receive a letter of accommodation from the Disability Services office. Instructors are required to follow only those accommodation and/or services outlined in the letter of accommodation. For further information, please contact the San Antonio College disability Support Services office at (210) or visit the office located in the Chance Academic Center building, Rm. 124C. If you have specific needs; please discuss them privately with your instructor. BACK UP AND SAVE ALL YOUR COURSE ASSIGNMENTS, CORRESPONDENCE, AND WORK. Syllabus Changes While every attempt has been made to prepare this syllabus in final form, it will be the instructor's prerogative to make any changes as may be deemed necessary in order to meet the learning outcomes of the class. Students will be notified of any changes by and through postings at the course website.

105 RNSG 2363 Clinical in Level III Health Care Concepts Weekly Clinical Evaluation Grading Tool Student Name: Banner ID: Program Outcomes Semester: Flex: Year: Role of the Nurse/Outcomes Course Outcomes WKS Member of the Profession 3,4,5 Demonstrates the interrelatedness between healthcare concepts that reflect the values and ethics of the nurse as a member of the profession and safe, quality patient-centered care. Performance Indicator/Criteria Points (Bulleted items are examples) Practices according to facility policies and procedures. 5 Performs within the ethical and legal parameters of nursing practice. Care is nonjudgmental and nondiscriminatory Maintains patient confidentiality Recognizes patient s right to self determination Appropriate delegation of tasks to others. 5 Self-directed in the organization and delivery of care: Obtains assistance when unfamiliar with nursing care. Initiates discussion with instructor, staff, or appropriate others regarding organization and delivery of care. Complies with professional appearance requirement and behaviors according to organizational and school standards and policies. 5 5 Provider of Patient-Centered Care 1 Use a systematic process, evidenced-based practice outcomes, and research based policies in clinical reasoning in the provision of competent, safe patient- centered care. Performance Indicator/Criteria Applies didactic knowledge of selected concepts to the interpretation of physiological, pathophysiological, psychological, & sociocultural assessment data with a focus on assigned weekly concepts. 5 1

106 Plans nursing interventions using evidence-based practice for best patient outcomes. Nursing interventions are based on outcomes that are realistic and obtainable Nursing interventions are planned with input from patient, family, and healthcare team. Nursing interventions are addressing priority needs. Nursing interventions are individualized to the patient s physical, psychosocial, developmental, cultural, and spiritual needs.. Observes and reports changes in health status of patient and/or negative outcomes to patient response to care to appropriate staff. Responds to abnormal findings appropriately Communicates change in a clear concise manner. Performs follow up assessments as needed. Documentation skills demonstrated in clinical or simulation Evaluates and communicates quality and effectiveness of therapeutic interventions. Evaluates patient response to interventions Obtains input from patient/family regarding effects of interventions Communicates patient response in a clear concise manner. Revises plan of care if needed. Evaluates patient data to compare desired versus achieved outcomes for the patient and family. Analyzes if patient problems requiring hospitalization are resolving Determines when changes in outcomes are needed because of change in patient condition. Collaborates with the others on the healthcare team if multidisciplinary outcomes are needed

107 2 Demonstrate skills in patient care technologies and information systems that support safe patient-centered nursing practice. Completes a physical assessment. Assessment is systematic and orderly Assessment includes pertinent subjective and objective data Assessment findings are correctly interpreted. 5 Identifies scientific rationale for medications, procedures, and interventions. 5 Administers medications using the 10 rights and the age appropriate age approaches. Demonstrates performance of nursing skills related to the care of patients that support safe-patient-centered nursing practice. Demonstrates aseptic technique Applies rationale for fluid volume needs when administering parenteral fluids. Evaluates patient response during skill performance. Use best practice standards and evidence based findings in developing and modifying teaching and discharge plans for patients and their families. Teaching is appropriate to patient/family needs. Teaching is appropriate to level of patient/family health literacy. Discharge planning is specific to the individual patient, to include diet, activity, medications & treatments, follow up needs, and problems to report. Discharge planning includes transfers, referrals, and other needs related to continuity of care. Demonstrates caring behaviors with patients: compassion, competence, confidence, commitment, comportment Spends time with patients Assists patients with questions and requests Initiates independent nursing functions related to comfort, hygiene, nutrition, mobility, and rest. Provides an environment that respects a patient/family s cultural and spiritual beliefs. Demonstrates cultural competence and culturally sensitive health care to patients and their families

108 Patient Safety Advocate 3, 6,7 Safety Discuss knowledge of delegation, management, and leadership skills to promote safe patient-centered care as an advocate and manager of nursing care. Prepares clinical assignments according to instructor requirements to provide safe patient-centered care. 5 Maintains a safe environment for the patient to include infection control measures. 5 Makes nursing decisions that are commensurate with educational level and advocate for the patient. Organizes care to address priority needs of the patient Uses instructor/staff recommendations for improvement Assumes responsibility for own actions. 5 4

109 Member of the Health Care Team 4, Communication Apply the standards of practice within a legal, ethical, and regulatory framework when coordinating, collaborating, and communicating with diverse patients, families, and the interdisciplinary healthcare team to plan, deliver, and evaluate care. Uses communication techniques appropriate to the needs of the patient/family. 5 Verbally reports on patient to the healthcare team using the SBAR guidelines. 5 Total points possible Weekly Grade Final Grade: Midterm Evaluation Comments: Final Evaluation Comments: 5

110 San Antonio College Department of Nursing Education RNSG 2363 CLINICALS for Health Care Concepts III (Level 2 Career Mobility) Grade Summary Sheet Name: Semester: Fall Spring Sum 201 Student Banner #: Phone number: Instructor of Record: REQUIREMENTS FOR CLINICAL ORIENTATION Prework Assignment Complete/ EXPIRES CPR CARD (front and back) (5%) FLU SHOT (Fall and Spring only, current season) (5%) PPD Test (Yearly) (5%) On time and dressed in uniform. (10%) School Orientation (5%) CSR and SWG Hospital Orientation (5%) Hepatitis B (3%) Practice Math (15%) TDAP (3%) ATI REVIEW (TBD) (20%) MMR or titer (3%) Varicella or titer (3%) Personal Insurance (3%) DOCUCARE Student Orientation Video (15%) Total % for % grade for Orientation Day week one All requirements must be completed by start of clinical orientation day for full credit. *** Students accumulating more than two weeks of absence may be dropped from the course. ***Students achieving less than 70% in the course are responsible for scheduling remediation with their instructor of record. CLINICAL GRADE RECORD SCORE POINTS COMMENTS (include date, time) 75% Clinical Performance Weekly Quizzes 15% Teaching Project Medication Calculations Proficiency (must have 80% or >) Skills Proficiency (pass or fail) FINAL COURSE GRADE Date: 10% Diagnostic % 1 st Attempt PASS FAIL 100% Date: 1 st Attempt PASS FAIL % 2 nd Attempt PASS FAIL Date: Remediation (If needed) See comments Date: Remediation (If needed) Date: 2 nd Attempt PASS FAIL % Instructor Signature: Date: Student Signature: Date: