Associate Degree Nursing Program Coleman College for Health Sciences

Associate Degree Nursing Program Coleman College for Health Sciences Course Level - Advanced National Council Licensure Preparation RNSG 2130 Fall 2016 CRN 18495, 18496, 19558, 19559 Location: Coleman Campus Rm # 368 on Tuesdays, 366 on Wednesday 3p-4p, 368 on Wednesday 4p-5p Times: 12.00pm-01.00pm & 01.00pm-02.00pm Tuesdays 03.00pm-04.00pm & 04.00pm-05.00pm Wednesdays Course Semester Credit Hours 1.0 16 Contact Hours Course Length 16 weeks Type of Instruction Web enhanced Instructors Contact Information Charlet Jose, MSN, RN, OCN Office Suite 326, Room # 323 Office phone: (713) 718-7232 Coleman Campus Email: charlet.jose@hccs.edu Office Hours: As posted Penelope Williams, EdD, MSN, RN Suite 359, Office # 356 Office phone: (713) 718-7341 Coleman Campus Email: penelope.williams@hccs.edu Office Hours: As posted Please feel free to contact your instructor at any time concerning any problems that you are experiencing in this course. You do not need to wait until you have received a poor grade before asking assistance. Your performance in this class is very important to your instructor. The instructors are available to hear your concerns and discuss course topics. Feel free to contact the instructor by phone or email. 1

COURSE DESCRIPTION Review of concepts required for licensure examination and entry into the practice of Professional Nursing. This includes application of National Council Licensure Examination for Registered Nurse (NCLEX-RN) test plan, assessment of knowledge deficit, and remediation. This course lends itself to being a block or integrated approach. This course is a Web-Enhanced course and will include classroom interaction and the utilization of an online learning management system. PRE-REQUISITES RNSG 1341 Common Concepts of Adult Health, RNSG 2360 Clinical, RNSG 1160 Clinical, RNSG 1251 Care of Childbearing Family, RNSG 2213 Mental Health Nursing, RNSG 2160 Clinical CO-REQUISITES RNSG 2221 Professional Nursing: Leadership and Management, RNSG 2361 Clinical, RNSG 1343 Complex Concepts of Adult Health, RNSG 1144 Nursing Skills II RNSG 2130, capstone course for the ADN program, must be taken as one of the final courses for the program. Program Student Learning Outcomes Upon Graduation the student will be able to: 1. Communicate effectively with patients, families, and members of the health care team. 2. Utilize a systematic problem-solving approach in caring for patients with common and complex needs 3. Demonstrate appropriate entry level Associate Degree Nursing Program didactic competencies to pass the NCLEX licensure exam 4. Demonstrate safe entry level nursing practice as defined in the four roles of the Differentiated Essential Competencies of Graduate of Texas Nursing Programs. Course Student Learning Outcomes 1. Apply cognitive knowledge in the successful completion of the exit exams. 2. Apply a cognitive knowledge (i.e. analysis, evaluation, synthesis) in the successful completion of defined content of the NCLEX-RN Exam. 3. Provide patient-centered holistic nursing care using evidence-based outcomes and the nursing process in a culturally congruent manner, collaborating with co-members of the health care team. 4. Establish continued competency of critical thinking in a systematic, problem-solving process in providing patient-centered holistic nursing care 5. Identify the legal and ethical parameters of professional nursing practice. Learning Objectives 1.1) Identify weakness in nursing content 1.2) Participate in customized remediation plans to improve knowledge deficit 2

2.1) Utilize available resources in taking the NCLEX-RN Test 2.2) Identify test-taking strategies to utilize while taking the National Council Licensure Examination for the Registered Nurse 3.1) Demonstrate the ability to critically think, consider the multiple needs of the patients and prioritize care 3.2) Identify health promotion needs for diverse clients across the life span 4.1) Demonstrate knowledge in using evidence-based outcomes and the nursing process in a culturally congruent manner, collaborating with co-members of the health care team. 4.2) Act as a patient safety advocate in order to provide a physically and psychologically safe environment and establishing compassionate, caring, and therapeutic relationships. 4.3) Serve to enhance health care access for the patient and family and foster continuity of health care promotion 5.1) Discuss the legal and ethical parameters of professional nursing practice including the Nursing Practice Act. 5.2) Respect the rights of patients and encourage the patients to participate in making appropriate clinical decisions. 5.3) Demonstrate professional nursing responsibility as a registered nurse and accountability for quality nursing care, and adherence to ethical and legal standards of nursing practice. Differentiated Essential Competencies (DEC S) Member of the Profession Participate in activities that promote the development and practice of professional nursing. Provider of Patient Care Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based upon interpretation of comprehensive health assessment findings compared with evidence-based health data derived from the diploma or associate degree nursing program of study. Patient Safety Advocate Demonstrate knowledge of the Texas Nursing Practice Act (NPA) and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards. Comply with mandatory reporting requirements of the Texas NPA. Member of the Health Care Team Communicate and manage information using technology to support decision-making to improve patient care. QSEN Competencies Using the institute of Medicine (2003) competencies for nursing, QSEN faculty have defined prelicensure and graduate quality and safety competencies for nursing and proposed targets for the knowledge, skills, and attitudes to be developed in nursing pre-licensure programs for each competency as follows: Patient centered care Teamwork and Collaboration Evidence Based Practice Quality improvement 3

Safety Informatics QSEN pursues strategies to build will and develop effective teaching approaches to assure that future graduates develop competencies in patient-centered care, teamwork and collaboration, evidence-based practice, quality improvement, safety, and informatics. http://qsen.org/competencies SCANS or Core Curriculum Statement and Other Standards The Secretary's Commission on Achieving Necessary Skills (SCANS) was appointed by the Secretary of Labor to determine the skills our young people need to succeed in the world of work. The Commission's fundamental purpose is to encourage a high-performance economy characterized by high-skill, high-wage employment. The primary objective is to help teachers understand how curriculum and instruction must change to enable students to develop those high performance skills needed to succeed in the high performance workplace. SCANS have focused on one important aspect of schooling: what they called "learning a living" system. In 1991, they issued their initial report, What Work Requires of Schools. As outlined in that report, a high-performance workplace requires workers who have a solid foundation in the basic literacy and computational skills, in the thinking skills necessary to put knowledge to work, and in the personal qualities that make workers dedicated and trustworthy. High-performance workplaces also require other competencies: the ability to manage resources, to work amicably and productively with others. Use Information Skills/Acquire information A. Acquires and Evaluates Information B. Organizes and Maintains Information C. Interprets and Communicates Information D. Uses Computers to Process Information Organize Information Able to assign acquired data to correct categories within the nursing process: a. Practice Exams b. Hesi Specialty Exams c. HESI Exit Exams Enhance Basic Skills Reads, writes, performs arithmetic and mathematical operations, listens and speaks A. Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules B. Writing--communicates thoughts, ideas, information, and messages in writing; and creates documents such as letters, directions, manuals, reports, graphs, and flow charts C. Arithmetic/Mathematics--performs basic computations and approaches practical problems by choosing appropriately from a variety of mathematical techniques D. Listening--receives, attends to, interprets, and responds to verbal messages and other cues E. Speaking--organizes ideas and communicates orally 4

Class Schedule Course Calendar (Also Available via Eagle Online) is reviewed during course orientation. Changes are sometimes necessary and will be announced in class and/or via Eagle Online. 16 weeks Course Calendar Date Practice / Assignment Test Questions Week 1 8/22/16 8/28/16 Week 2 8/29/16 9/04/16 Course Orientation/Syllabus/Course Calendar NCLEX Test Plan - NCSBN Website Introduction to NCLEX-RN TBON NCLEX-RN Requirements Pre-Test (Assessment) Exam Review Test-Taking Strategies Success Coach NA Week 3 9/5/16 9/11/16 1 Developmental Stages and Transitions 2 Health Promotion and Disease Prevention Remediation Week 4 9/12/16 9/18/16 Week 5 9/19/16 9/25/16 Week 6 9/26/16 10/02/16 Week 7 10/03/16 10/09/16 Week 8 10/10/16 10/16/16 Week 9 10/17/16 10/23/16 Week 10 10/24/16 10/30/16 Specialty Exam 1 - Foundation Wed 9/14/16 1p-3p Review Specialty Exam / Remediation 3 Mental Health Concepts 4 Psychosocial Alterations Remediation Class by Evolve Rep 5 Management of Care 6 Basic Care and Comfort Remediation 7 Safety and Infection Control 8 Pharmacology and Intravenous Therapies Remediation Specialty Exam 2 - Pharmacology Wed 10/12/16 1p-3p Remediation and specialty exam Review HURST REVIEW 3 Days Oct 20, 21, 22. 9 Monitoring Health Problems 10 Physiological Health Problems Remediation exam exam 5

Week 11 10/31/16 11/06/16 Week 12 11/07/16 11/13/16 Week 13 11/14/16 11/20/16 Week 14 11/21/16 11/27/16 Week 15 11/28/16 12/04/16 Week 16 12/05/16 12/11/16 HESI EXIT EXAM #1 Wed 11/02/16 12.30p-4.30p Exam Review Remediation Practice tests Crossing the Finish Line Practice Tests Comprehensive Exam Online Remediation Practice tests HESI EXIT EXAM #2 Wed 11/30/16 12.30p-4.30p Final Evaluation Exam Exam NA Instructional Methods 1. Classroom Instruction/Discussions 2. Computer Assisted Instruction 3. Practice s online 4. Remediation with faculty Student Assignments Practice s in HESI/Saunders Online Review Course ID: 154454_cjose23_1001 Student Assessment Progress assessment and grading will be used to evaluate satisfactory performance in this course. A Pre-Test (assessment test) will be given on the second week of the course to evaluate baseline competency and knowledge. However, this grade will not be counted towards the final course grade. 1. Specialty Exam 1: 20% Specialty exam 1 will be administered as scheduled in the calendar, which will be 20% of the total grade for the course. A non-conversion score will be utilized to evaluate student s grades for the specialty exams. 2. Specialty Exam 2: 20% Specialty exam 2 will be administered as scheduled in the calendar, which will be 20% of the total grade for the course. A non-conversion score will be utilized to evaluate student s grades for the specialty exams. 3. s: 20% The student will be required to complete each module of the HESI Saunders Online Review, which includes, but not limited to pre-test, post-test, case studies, practice tests, and a comprehensive exam. Each online module exam will provide students with remediation that they will be required to complete. The Pre-Test is mandatory as a comprehensive assessment exam and students will complete the study calendar, which will 6

provide an individualized study plan for completion of required modules. Students will provide evidence of completion on the dates assigned by the instructor. The online activities will be monitored by the instructors and appropriate feedback will be given to the student(s). The average of the grades on the modules will be tabulated for 20% of the course grade. 4. Standardized Hesi Exit Exam: 40% A non-conversion score of less than 900 will require successful completion of online HESI remediation. Second Exit Exam is not mandatory if first Exit Exam non-conversion score is 900 or greater; if second Exit Exam is taken, the highest of the two scores will be used toward 40% of course grade. Only two Exit Exams will be provided. HESI Grading Scale for Hesi Exit and Specialty Exams Score Grade > 1200 100 1101 1200 95 1000-1100 90 950-999 85 900 949 80 850 899 75 800 849 70 750 799 65 < 750 60 5. Hurst Review attendance is mandatory. Students are required to attend a 3 days live review provided in the program. Exams/Assignments 1. Specialty Exam 1 20% 2. Specialty Exam 2 20% 3. s 20% 4. Standardized Hesi Exit Exam 40% NCLEX-RN Test Plan https://www.ncsbn.org/rn_test_plan_2016_final.pdf Client Needs Percentage of Items from Each Category/Subcategory Safe and Effective Care Environment Management of Care 17-23% Safety and Infection Control 9-15% Health Promotion and Maintenance 6-12% 7

Psychosocial Integrity 6-12% Physiological Integrity Basic Care and Comfort 6-12% Pharmacological and Parenteral Therapies 12-18% Reduction of Risk Potential 9-15% Physiological Adaptation 11-17% Instructor s Requirements As your instructor, it is my responsibility to: Provide the grading scale and detailed grading formula explaining how student grades are to be derived Facilitate an effective learning environment Description of any special projects or assignments Inform students of policies such as attendance, withdrawal, tardiness and make up procedures Provide the course outline and class calendar which will include a description of any special projects or assignments Arrange to meet with individual students before and after class as needed To be successful in this class, it is the student s responsibility to: Read and comprehend the textbook Participate and complete practice s and Exams Ask for help when there is a question or problem Complete the course with a 75% passing score Program Requirements a) STUDENT NEEDS C (75% OR GREATER) TO SUCCESSFULLY COMPLETE THIS COURSE. b) Grading Criteria SCALE: A = 90-100 B = 80-89 C = 75-79 D = 60-74 F = Below 60 8

If a student has a disability or needs instructional accommodation due to a disability, please meet with the instructor at the beginning of the course. Documentation must be provided at this time with an official letter of accommodation. PREGNANCY A pregnant student must submit written documentation from her physician that, medically, she can continue participating in classroom and clinical activities. In the event that the student is pregnant while enrolled in the ADN program, documentation must be submitted from the health care provider that states that the student s health status will not be in jeopardy from enrollment in the program. Although faculty will attempt to make clinical assignments to avoid potentially hazardous situations, it remains the student s responsibility to maintain her own wellness and demonstrate responsible behavior with respect to her fetus. HCC Coleman College assumes no responsibility for problems or exposures that occur during pregnancy or delivery. Faculty will not limit how long the pregnant student may be enrolled provided it is understood that the student is expected to meet the same standards of clinical and classroom performance as are all students enrolled in the ADN program. Remediation, Testing Protocol, and Computer Based Testing A. Remediation Policy and Procedure: Policy: Remediation will be available to any student enrolled in RNSG 2130 who expresses the need for this service, and who are experiencing difficulties with the course work, and course requirements. Mandatory remediation will be given based on the following: Failure to successfully pass the specialty exam (non-conversion score of less than 900) Failure to successfully pass the exit exam (non-conversion score of less than 900) Failure to meet course requirements and course work (completing the practice modules) As recommended by faculty Procedure: To remediate is to remedy the deficiencies. Remediation procedure is as follows 1. Upon the initial failure the instructor shall submit an early alert notification 2. Student will meet with the instructor / the retention specialist 3. The student will schedule and attend a meeting with the advisor if recommended by the instructor 4. The student will meet with the retention remediation coach to review the test 5. Student will attend a remediation session for study skills, time management, and test taking skills for nursing students. 6. No student shall be allowed to sit for a subsequent exam until remediation has been completed. HESI Remediation is mandatory prior to taking the second HESI exam. 7. Student shall be required to repeat the above steps for each exam failure 8. Faculty/peer tutoring will be provided if requested by the student or if deemed necessary by the retention remediation coach. 9. Remediation and Retention Coach, Lori Evans is also available in Suite 359. Please contact Lori Evans:lori.evans@hccs.edu. Student responsibilities include bringing textbook, questions or topics for discussion and following through with all instructor- 9

made assignments. Student may receive extra assignments to facilitate his/her learning. (NOT FOR EXTRA CREDIT). Success Coach is also available on the 5 th floor in Rm. #540. 10. It is expected that students will make an appointment with the faculty or designated member of the faculty and come to the sessions prepared for remediation sessions. Students may receive extra assignments to facilitate their learning (NOT FOR EXTRA CREDIT). B. Testing Protocol: Practice module exams, pre-assessment test, HESI Specialty exams and HESI exit exams are available online for students, are mandatory. Inability to complete these requirements may result in failure of the course. Repeated incompletion of practice modules and exams may result in counseling. HESI Specialty exams and HESI exit exams will be conducted in computer lab on the first floor. HESI Specialty exams will be allowed 2 hours and HESI exit exams will be allowed 4 hours. HCC picture ID is required for entrance into all exams. The instructor controls the options of seating arrangement, movement, leaving the room, and stopping of exam for violation of scholastic dishonesty. Late entry will not be permitted. In extenuating circumstances with proper notification and/or documentation, and at the sole discretion of the instructor, makeup exams may be administered during the Finals week. A different exam will be administered for makeup. Final test grades will be distributed within one week after the exam. Students will be able to review the exam immediately following completion of the exams. Books, papers, notebooks, etc. should NOT be brought into the testing area. No personal belongings will be allowed. Cell phones, watches, electronic devices, and hats are prohibited in the testing area. Any verbal or nonverbal communication between students during testing will be grounds for the termination of testing. A grade of zero (0) will be recorded and averaged into the final grade. Should a student need to communicate with the instructor, remain seated and raise your hand. Any infraction of scholastic dishonesty is grounds for dismissal from the program. ADN Handbook Students are responsible for reading within 7 days of start of semester and complying with the policies and procedures listed in the current Associate Degree Nursing Program Student Handbook to be certain that they understand HCCS policies/procedures, which also includes refunds and withdrawals from a course. Academic Information Students who repeat a course three or more times may soon face significant tuition/fee increases at HCC and other Texas public colleges and universities. Please ask your instructor/counselor about opportunities for tutoring/other assistance prior to considering course withdrawal, or if you are not receiving passing grades. Computer Based Testing: All Houston Community College System ADN program exams will be computer based to prepare the student for and meet the NCLEX testing requirements. Paper-pencil versions of exams would constitute a security risk and is not available for standardized exams. This is an intentional design of the exams so that our computerized exams more closely emulate the NCLEX exams. Keep in mind that the NCLEX is a CAT (Computer Adaptive Test) and is not delivered in paper form. 10

The HCC Grading Scale A = 100 90; 4 points per semester hour B = 89 80:.3 points per semester hour C = 79 70:.2 points per semester hour D = 69 60:.1 point per semester hour 59 and below = F..0 points per semester hour IP (In Progress) 0 points per semester hour W(Withdrawn)..0 points per semester hour I (Incomplete) 0 points per semester hour AUD (Audit).0 points per semester hour IP (In Progress) is given only in certain developmental courses. The student must re-enroll to receive credit. COM (Completed) is given in non-credit and continuing education courses. To compute grade point average (GPA), divide the total grade points by the total number of semester hours attempted. The grades IP, COM and I do not affect GPA. Academic Dishonesty: A student who is academically dishonest is, by definition, not showing that the coursework has been learned, and that student is claiming an advantage not available to other students. The instructor is responsible for measuring each student's individual achievements and also for ensuring that all students compete on a level playing field. Thus, in our system the instructor has teaching, grading, and enforcement roles. You are expected to be familiar with Houston Community College s Policy on Academic Honesty, found in the catalog. What that means is: If you are charged with an offense, pleading ignorance of the rules will not help you. Students are responsible for conducting themselves with honor and integrity in fulfilling course requirements. Penalties and/or disciplinary proceedings may be initiated by College System officials against a student accused of scholastic dishonesty. Scholastic dishonesty includes, but is not limited to, cheating on a test, plagiarism, and collusion. Cheating includes: Copying from another students test paper or assignments; Using materials not authorized by the person giving the test; Collaborating with another student during a test without authorization; Knowingly using, buying, selling, stealing, transporting, or soliciting in whole or part the contents of a test that has not been administered; Bribing another person to obtain a test that is to be administered. Plagiarism means the appropriation of another s work and the unacknowledged incorporation of that work in one s own written work offered for credit. Collusion mean the unauthorized collaboration with another person in preparing written work offered for credit. Possible punishments for academic dishonesty may include a grade of 0 or F in the particular assignment, failure in the course, and/or recommendation for probation or dismissal from the College System (See Student Handbook). Professional Behavior As your instructor and as a student in this class, it is our shared responsibility to develop and maintain a positive learning environment for everyone. Your instructor takes this responsibility very seriously and will inform members of the class if their behavior makes it difficult for him/her to carry out this task. As a fellow learner, you are asked to respect the learning needs of your classmates and assist your instructor in achieving this critical goal. 11

Password Security: Students will not share log in information with other students for the practice modules and exams, which is a violation of the Honesty Policy. Instructional Materials HESI/Saunders Online Review for the NCLEX-RN Examination Additional Practice s to be assigned by Instructor. Recommended Textbook: Saunders Comprehensive Review for the NCLEX-RN Examination 6th Edition by Linda Anne Silvestri HCC Policy Statement: To read information related to ADA, Academic Honesty, Student attendance, 3-repeaters, and Withdrawal deadline - Access Student Services Policies on their Web site: http://www.hccs.edu/district/students/student-handbook/ HCC Policy Statement: Sex/Gender Discrimination Title IX of the Education Amendments of 1972 requires that institutions have policies and procedures that protect students' rights with regard to sex/gender discrimination. Information regarding these rights are on the HCC website under Students-Anti-discrimination. Students who are pregnant and require accommodations should contact any of the ADA Counselors for assistance. It is important that every student understands and conforms to respectful behavior while at HCC. Sexual misconduct is not condoned and will be addressed promptly. Know your rights and how to avoid these difficult situations. Log in to www.edurisksolutions.org Sign in using your HCC student email account, then go to the button at the top right that says Login and enter your student number. EGLS3 -- Evaluation for Greater Learning Student Survey System At Houston Community College, professors believe that thoughtful student feedback is necessary to improve teaching and learning. During a designated time near the end of the term, you will be asked to answer a short online survey of research-based questions related to instruction. The anonymous results of the survey will be made available to your professors and department chairs for continual improvement of instruction. Look for the survey as part of the Houston Community College Student System online near the end of the term. HCC Online and/or Continuing Education Policies All students are responsible for reading and understanding the HCC Online Student Handbook, which contains policies, information about conduct, and other important information. For the HCC Online Student Handbook click on the link below or go to the HCC Online page on the HCC website. The HCC Online Student Handbook contains policies and procedures unique to the online student. Students should have reviewed the handbook as part of the mandatory orientation. It is the student's responsibility to be familiar with the handbook's contents. The handbook contains valuable information, answers, and resources, such as HCC Online contacts, policies and procedures (how to drop, attendance requirements, etc.), student services (ADA, financial aid, degree planning, etc.), 12

course information, testing procedures, technical support, and academic calendars. Refer to the HCC Online Student Handbook by visiting this link: http://www.hccs.edu/media/houston-community-college/distance-education/studentservices/hcc-online-student-handbook.pdf Access CE Policies on their Web site: http://www.hccs.edu/continuing-education/ Practice test bank may be purchased on following: 1. NCSBN 2. U World 3. Passpoint EMPLOYMENT OF ASSOCIATE DEGREE NURSING STUDENTS IN HOSPITALS OR AGENCIES The Houston Community College Associate Degree Nursing Program supports the Nursing Practice Act of the State of Texas and is committed to excellence in nursing by nurses appropriately prepared for the service they are rendering. Therefore, the position of the Associate Degree Nursing Program regarding nursing students accepting employment in hospitals or health agencies is as follows: 1. Houston Community College nursing students who accept positions, for which they receive compensation for client care, do so as unlicensed individuals and will not wear the school uniform, laboratory coat with insignia or other indications of their student status, inasmuch as they are not functioning as nursing students but as paid employees. 2. Students are advised to familiarize themselves with the State of Texas Nursing Practice Act so that they will recognize the full scope and responsibility of nursing as being more than just a collection of skills. Nursing students who accept positions for pay as Nurses Aides or Professional Student Nurses must recognize that they may be held legally liable for their actions; they should not accept responsibilities nor perform nursing actions beyond their knowledge and skills, or those within the responsibilities of the professional nurse as defined in the Nursing Practice Act. 13

HOUSTON COMMUNITY COLLEGE SYSTEM RNSG 2130 National Council Licensure Preparation COURSE EXPECTATIONS CONTRACTUAL AGREEMENT I,, have read the RNSG 2130 syllabus and fully understand the expectations of me as a student in this course. I acknowledge that I am aware that the Houston Community College A.D.N. Student Handbook is on the course website and that I am accountable for following the policies and procedures discussed in the handbook. In addition, I agree to uphold the honesty policy by neither giving nor receiving any information about test content in this course as well as signing in for another student in class. Failure to submit a signed agreement will be considered a breach of contract and I may be administratively dropped. My signature below signifies my willingness to comply with the course requirements and I don t have any questions regarding the syllabus. SIGNATURE PRINTED NAME DATE