University of Massachusetts, Amherst College of Nursing Clinical Makeup Policy PURPOSE: The University of Massachusetts (UMass), Amherst College of Nursing (CON) is committed to preparing student nurses who are caring, collaborative and innovative leaders. This policy informs faculty and students of the steps to follow in the event of an absence from clinical. I. POLICY STATEMENT The clinical experience (on campus lab and off campus clinical sites) is critical to prepare students for professional responsibilities. Missed clinical experiences represent a missed opportunity to meet clinical objectives. All clinical objectives must be met for successful completion of the nursing program. The completion of all clinical hours is essential to meeting the clinical objectives. Failure to complete these hours will require clinical makeup assignments in order to facilitate meeting the course objectives. II. PROCEDURE: A. Faculty, in conjunction with the course coordinator, will inform students at the start of the semester the process for reporting an absence. B. Any absence from clinical or lab must be reported by the student to the faculty member and the clinical site, as appropriate, one hour prior to the start of the clinical experience. C. The clinical and lab faculty will notify the course coordinator of all absences and makeup assignments within 48 hours. D. If the student s absence exceeds one clinical day, the clinical instructor and course coordinator will meet to determine the student s standing in the course. E. The clinical makeup assignment is developed by the clinical instructor to ensure that the course objectives are met. Due dates for the makeup assignments are determined by the clinical instructor and course coordinator. It is the student s responsibility to contact the clinical or lab faculty, as appropriate, to arrange the plan for the makeup assignment. Clinical and lab makeup assignments should be completed prior to the last day of class. Assignments may include, but are not limited to the following: 1. Clinical Makeup a. Nursing care plans (Appendix A) b. Kaplan case studies c. Virtual Clinical Excursions d. On campus clinical experiences in the Nursing Clinical Simulation Center e. Off campus clinical experiences 2. Lab Makeup a. Attendance at a lab tutoring session. (Appendix B) F. If the student is sent home from clinical for unsafe practice the clinical makeup policy is not in effect. See the Unsafe Practice Policy for guidelines.
Appendix A Student Name: Date: Clinical Date Missed: Ct. Initials: Date cared for client: Ct Age/Gender: Primary Diagnosis(es): Co-Morbidities: Past Medical/Surgical History: Pathophysiology what is happening related to the primary diagnosis (es) and how might the client s comorbidities affect the client s progress and outcomes. HEALTH PRECEPTION AND HEALTH MANAGEMENT: Cultural Assessment: (Ct goal for hospitalization, language, Ethnic background, Religion, Health care beliefs and effects on provision of care) Discharge Goals: Discharge Learning/Teaching Needs: Vital Signs: T P R BP (R or L) Pulse Ox (Oxygen delivery method )
ACTIVITY AND EXERCISE Respiratory Assessment: Cardiovascular Assessment: Musculoskeletal and Mobility Assessment: NUTRITION AND METABOLISM Nutritional Assessment: Integumentary Assessment: ELIMINATION
Gastrointestinal Assessment: Genitourinary Assessment: COGNITION AND PERCEPTION Neurological Assessment: Pain Assessment: ROLES and RELATIONSHIPS; SELF-PERCEPTION; SELF-CONCEPT Psychosocial Assessment/Issues:
Family/Significant Other/Partner Involvement: Other Diagnostic Tests and Findings: Identify at least two evidence-based nursing articles that support your care plan (in APA reference format) and briefly discuss how these articles support your nursing actions/interventions. Nursing Diagnoses based on Assessment data (minimum of three): Nursing Diagnosis Problem Related To Etiology As Evidenced By Defining Characteristics Care plan three Nursing Diagnoses using the format below: Priority Diagnosis Interventions Rationales Evaluation Revision Problem #1 *Long Term Goal:
*Short Term Goal(s): mec 9.11.14 Appendix B Faculty/Student Clinical Skills Tutoring Request Form Directions: Faculty/Student please complete this form at least 24 hours in advance and send to Faculty Electronic Signature: Date: Faculty Email: If faculty cannot have student sign electronically please state that student is aware that this request form has been submitted and you have discussed the clinical skills below with the student. Please make sure when sent by e-mail the student is cc or if the student sends the faculty is cc. Student Electronic Signature: Student Name Email Address Cell Phone Traditional or Second Degree Course Number/Name Faculty Member MUST Check Off Type of Referral: A. Skills Remediation Student ON Learning Contract: B. Skills Remediation NO Learning Contract: C. Students who did not Pass a Clinical Course in for Remediation while waiting to get back into the Program Must Have Referral from Advisor: D. Simulation Remediation: E. Clinical Make Up: F. Student Self-Referral: G. Student back in program continuing with remediation
H. Other; Specific Clinical Objectives (If needed please see skills list below for reference) If requesting Clinical Make Up please specify the objectives of the Clinical Make Up 1. 2. 3. 4. 5. 6. 7. 8. Communication and Clinical Skills Tutoring Notes (Below Information to be completed by NCSL personnel) Date/s Hours Communications and Clinical Skills Practiced and/or still need to Practice New Clinical Skills Practiced this session: OR Repeat Clinical Skills Practiced from last session: Clinical Skills to be Practiced next session: Assessment of the Student: Next Session Scheduled (if needed) for: Day Date Time Student signed appointment slip, aware of next tutoring session and signed up on Sim Lab electronic sign up she. Electronic Signature of faculty/tutor: Date emailed above to faculty and who sent referral and cc Lea Grippin grippinrn8@aol.com and Margaret Azzarro mazzaro@umass.edu. Other Notes: Please document if contacted student by e-mail or cell phone to sign up or if student signed up and did not attend a session or any other important information about the student New Clinical Skills Practiced this session: OR Repeat Clinical Skills Practiced from last session: Clinical Skills to be Practiced next session: Assessment of the Student: Next Session Scheduled (if needed) for: Day Date Time Student signed appointment slip, aware of next tutoring session and signed up on Sim Lab electronic sign up
she. Electronic Signature of faculty/tutor: Date emailed above to faculty who sent referral cc Mary Ellen and Helene : Other Notes: Please document if contacted student by e-mail or cell phone to sign up or if student signed up and did not attend a session or any other important information about the student New Clinical Skills Practiced this session: OR Repeat Clinical Skills Practiced from last session: Clinical Skills to be Practiced next session: Assessment of the Student: Next Session Scheduled (if needed) for: Day Date Time Student signed appointment slip, aware of next tutoring session and signed up on Sim Lab electronic sign up she. Electronic Signature of faculty/tutor: Date emailed above to faculty who sent referral cc Mary Ellen and Helene : Other Notes: Please document if contacted student by e-mail or cell phone to sign up or if student signed up and did not attend a session or any other important information about the student New Clinical Skills Practiced this session: OR Repeat Clinical Skills Practiced from last session: Clinical Skills to be Practiced next session: Assessment of the Student: Next Session Scheduled (if needed) for: Day Date Time Student signed appointment slip, aware of next tutoring session and signed up on Sim Lab electronic sign up she. Electronic Signature of faculty/tutor: Date emailed above to faculty who sent referral cc Mary Ellen and Helene : Other Notes: Please document if contacted student by e-mail or cell phone to sign up or if student signed up and did not attend a session or any other important information about the student New Clinical Skills Practiced this session: OR Repeat Clinical Skills Practiced from last session: Clinical Skills to be Practiced next session: Assessment of the Student:
Next Session Scheduled (if needed) for: Day Date Time Student signed appointment slip, aware of next tutoring session and signed up on Sim Lab electronic sign up she. Electronic Signature of faculty/tutor: Date emailed above to faculty who sent referral cc Mary Ellen and Helene : Other Notes: Please document if contacted student by e-mail or cell phone to sign up or if student signed up and did not attend a session or any other important information about the student Can continue to copy and paste more of the above if needed. Assessment of the Students: (what student is doing well and what student needs to continue to improve on OR if completed clinical skills as listed by faculty above would now need to be reassessed by their faculty in clinical area) 3.1.14 hc Clinical Skills List Skills List (Please check skills below student needs to practice in the lab) Skills Check all skills need to Practice Fundamentals Simulation: 10 Minute Assessment Medication Dosage Calculations: Fundamental Concepts Oxygenation 1. Administering Oxygen by Nasal Cannula or Mask 2. Monitoring with Pulse Oximetry 3. Promoting Deep Breathing with the Incentive Spirometer 4. Suctioning Secretions from Airways 5. Teaching Coughing And Deep Breathing Exercises Infection Control 1. Applying And Removing Sterile Gloves 2. Caring for a Client in Isolation 3. Donning a Sterile Gown 4. Donning And Removing Personal Protection Equipment 5. Hand Washing 6. Preparing And Maintaining A Sterile Field 7. Surgical Hand Scrub Hygiene 1. Applying a Sequential Compression Device (SCD) 2. Applying Antiembolism Stockings 3. Assisting an Adult with Feeding 4. Assisting With the Bath or Shower 5. Bathing a Client in Bed 6. Making an Occupied Bed 7. Making an Unoccupied Bed 8. Massaging the Back Date/s Actually Practiced in Lab and how many times Practiced
9. Performing Foot and Nail Care 10. Performing Oral Hygiene 11. Providing Perineal Care 12. Shampooing the Hair of a Bedridden Client Physical Mobility 1. Assisting with Ambulation 2. Helping Clients with Crutchwalking 3. Positioning a Client in Bed 4. Providing Range of Motion Exercises 5. Transferring a Client to a Stretcher 6. Transferring Client from Bed to Chair Using Hydraulic Lift 7. Transferring a Client to A Wheelchair 8. Using Body Mechanics to Move Clients 9. Using Protective Restraints Elimination-Urinary 1. Applying a Condom Catheter 2. Collecting Urine Specimens 3. Inserting a Straight or Indwelling Catheter Elimination-Bowel: 1. Administering an Enema Ostomy 1. Ostomy Application of a One- or Two-Piece Disposable Pouch 2. Ostomy Pouch Emptying Procedure Skin Integrity and Wound Care 1. Ankle-Brachial Index (ABI) Procedure 2. Applying a Hydrocolloid Dressing 3. Applying a Saline-Moistened Dressing 4. Dressing Procedure for Chronic Exudating Wound 5. Dry Sterile Dressing 6. Irrigating Wounds Wound Care Extra 1. Ace Wrapping 2. Applying Moist Hot Compresses 3. Applying Cold Compresses 4. Suture and/or Staple Remover 5. Emptying of Wound Drainage Systems Medication Administration Non Parenteral: 1. Administering a Medication via a Metered Dose Inhaler (MDI) 2. Administering Nasal Drops 3. Administering Opthalmic Medications 4. Administering Oral Medications 5. Administering Rectal Suppositories 6. Administering Vaginal Medications 7. Applying a Transdermal Patch 8. Instillation of Ear Drops Beginning IV Therapy 1. Changing Intravenous Solution and Tubing 2. Discontinuing Peripheral Intravenous Therapy 3. Monitoring an Intravenous Infusion Medications--Parenteral 1. Administering Intradermal Injections 2. Administering Intramuscular Injections
3. Administering Subcutaneous Injections 4. Drawing up Two Medications in a Syringe 5. Mixing Insulin in a Syringe 6. Withdrawing Medication from a Vial 7. Withdrawing Medication from an Ampule Glucometry 1. Measuring Blood Glucose by Skin Puncture NG Tubes, Enteral Feedings 1. Administering Enteral Nutrition via Nasogastric or Gastrostomy Tube 2. Administering Enteral Tube Medications 3. Nasogastric Tube Removal 4. Nursing Care of a PEG or PEJ Physical Assessment 1. Blood Pressure 2. Pulses 3. Respirations and Temperature 4. Lungs and Thorax 5. Heart including Apical Pulse 6. Abdomen 7. Peripheral Vascular 8. Neurological 9. Musculoskeletal 10. HEENT 11. Other: Please list
Maternity Pediatrics 1. Simulation: Maternity Simulation 2. Simulation: Pediatric Simulation 3. Medication Dosage Calculation: Maternity and Pediatric Concepts 4. Newborn Assessment and Bath 5. Post Partum Assessment 6. Pediatric Assessment 7. Infant and Pediatric Injections and Immunizations 8. Other: Advanced Medical Surgical 1. Initial Assess Simulation 2. Medication Dosage Calculation Advanced Med Surg Concepts including IV Push 3. Administering an Medication via IV Piggyback 4. Chest Tube Care 5. Intravenous Medication Reconstitution 6. IV Push Medication 7. Nasogastric Tube Insertion 8. Tracheostomy Cleaning and Care 9. Central Venous Catheter (CVC) Dressing Change 10. Flushing and Administering a Medication through a CVC 11. Tracheostomy Suctioning 12. Other: Clinical Internship 1. Simulation: Two Patient Simulation 2. Medication Dosage Calculation: Clinical Internship Concepts 3. Intravenous Over-the-Needle Catheter Insertion 4. Other: Other skills not listed above 1. 2. 3. 2.14.12 hc