Department of Nursing Nursing 220: Professional Clinical Nursing Practice Five Course Credits Spring: 12 Week 2012 Tuesday 2-4 (Classroom Learning) 24 total hours Wednesday 8:30-11:30 or 1-4 (Lab Learning) 36 total hours Monday or Friday: 6 hours (Clinical Learning) 72 total hours Instructor: Emily L. McClung MSN, RN Office Location: Teachout-Price: 217 Office Hours: Tuesday and Thursday 12-2 and by appointment Telephone: 330.569.6133 Email: McclungEL@hiram.edu Course Description: This course will introduce the student to the clinical practice of nursing in a patient care setting. A major focus is the application of the nursing process, as well as the use of therapeutic communication and interpersonal relationship skills. Students will be introduced to beginning concepts of interventions for the medical and surgical patients, including the administration of medication. Prerequisite: Nursing 210, Math 210 (or currently enrolled in) Course Objectives: 1) Apply the interpersonal process to peer and patient relationships a. Categorize interpersonal process skills b. Integrate therapeutic communication skills with the patient and family c. Implement culturally sensitive communication when interacting with patients and families d. Analyze interpersonal communication 2) Implement the nursing process a. Conduct a systematic and holistic health assessment i. Obtain a complete health history ii. Demonstrate proficiency in conducting a physical assessment b. Identify appropriate nursing diagnosis (NANDA) for the patient and family c. Identify outcome (NOC) and interventions (NIC) together with the patient and family to promote health i. Incorporate EBP in the nursing process and practice d. Organize assessment findings and evaluation systematically i. Demonstrate writing proficiency using Gordon s Health Pattern and institutional documentation system ii. Compliances with ethical and legal implication for nursing documentation
3) Apply selected physiological principles in promoting health a. Implements appropriate interventions to maintain and promote individual and family health. b. Apply principles of basic medication administration 4) Exhibit professional nursing behavior a. Perform selected skill in caring for patients b. Provide for patient safety c. Demonstrate responsibility and accountability d. Demonstrate ethical and legal behaviors e. Identify principles of caring in all nursing actions Clinical Objectives 1) Applies the Interpersonal Process a. Therapeutically interacts with patient and families b. Therapeutically interacts with peers c. Therapeutically interacts with staff and faculty d. Analyze interpersonal communication (ICA) 2) Implements the Nursing Process a. Obtains a complete health history b. Demonstrates proficiency in conducting a head to toe assessment c. Identifies appropriate NANDA for patient and family d. Identifies appropriate NOC and NIC for patient and family e. Implements appropriate interventions to maintain and promote individual and family health f. Organizes assessment findings and evaluations systematically. (NCP) g. Complies with ethical and legal implications for nursing documentation 3) Applies Principles of Basic Medication Administration a. Verifies patient identity b. Administers all medication demonstrating the 6 rights of medication administration c. Accurately calculates correct medication dosage d. Verbalizes safe dosage, desired effects, interactions, adverse reactions, contraindications and nursing implications for drugs administered e. Administers oral and topical medication using principles of medical asepsis f. Correctly identifies sites for parenteral injections g. Administers parenteral medications using principles of surgical asepsis 4) Implements Selected Nursing Skills a. Uses medical and surgical aseptic techniques b. Provides for patient safety c. Provides for patient s comfort and hygiene d. Carries out selected skills as assigned e. Accurately translates written and verbal information for chart, kardex and report into specific nursing actions
5) Exhibits Professional Nursing Behavior a. Evaluates own ability and progresses with minimal help b. Accepts and uses correction constructively c. Uses sources of help which are appropriate to the situation d. Demonstrates adequate preparation for clinical e. Makes contributions in pre and post conference f. Attends clinical in a timely fashion g. Follows Hiram uniform code h. Demonstrates ethical and legal behavior i. Demonstrates professional behavior j. Demonstrates civil behavior is all learning environments and relationships. Course Expectations Attendance is strongly recommended for classroom learning. Attendance is mandatory for laboratory and clinical learning. o Make up will be required Completion of all reading and writing assignments prior to class. Accept personal responsibility for academic success. No cell phones, ear pieces or I-Pods in the classroom or lab. o Usage will result in a loss of participation points o In the event of emergency, please use the department number 569.6132 Professionalism o Professionalism is defined as the consistent [application of] principles of altruism, excellence, caring, ethics, respect, communication, and accountability and also, inherent in accountability is responsibility for individual actions and behaviors, including civility. (AACN Baccalaureate Essentials 2008) o Incivility is defined as any intentional or unintentional acts of aggression, disrespect, or unprofessionalism in all learning environments and relationships. Hiram College Nursing Program does not tolerate any incidents of incivility. Your procrastination is not my emergency! Required Textbooks Potter, P., & Perry, A. (2009) Fundamentals of nursing (7 th ed.) St. Louis: Mosby. ISBN 978-0-323-04828-6 (2009) Basic, intermediate and advanced skills 3.0. ISBN 978-0-323-05292-4 (These are /-ROM) Johnson, M., Bulechek, G., Swanson, E. (2006) NANDA, NOC, and NIC linkages (2 nd ed.) St. Louis: Mosby. ISBN 978-0-323-03194-3 North American Nursing Diagnosis Association. (2007) NANDA nursing diagnosis: Definitions and classifications 2007-2008. Philadelphia: North American Nursing Diagnosis Association. ISBN 0-9788924-0-2
Moorhead, S., Johnson, M., (2008) Nursing outcomes classification (NOC). (4 th ed.) St. Louis: Mosby. ISBN 978-0-323-05408-9 Bulechek, G. M., Butcher, H. K., (2008) Nursing interventions classifications (NIC). (5 th ed.) St. Louis: Mosby. ISBN 978-0-323-05340-2 Butts, J., & Rich, K. (2008) Nursing ethics: Across the curriculum and into practice. Sudbury: Jones and Bartlett. ISBN 0-7637-4898-6 PDA or ITouch with Nursing Constellation Plus from SkyScape Turning Point Clicker Suggested Textbook Potter, P., & Perry, A. (2009) Fundamentals of nursing: Study guide and skills performance checklists. (7 th ed.) St. Louis: Mosby. ISBN 978-0-323-05251-1 Nugent, P., & Vitale, B. (2008) Test success: Test-taking techniques for beginning nursing students. (5 th ed.) Philadelphia: F.A. Davis. ISNB 978-0-8036-1894-7 Hogan, M., & Bowles, D. (2003) Nursing fundamentals: Reviews and rationales. Upper Saddle River: Prentice Hall. ISBN 0-13-030455-7 Opportunities Exams o Students must earn a 72% average on exams/quizzes to pass the course. 4 50 point exams 1 75 exam 5 10 point pop-quizzes (clickers required) 1 100 point final Completion of all ATI tutorials (by April 6, 2012 @ 11:59 pm) o Learning Systems Fundamentals o Nurse Logic o Failure complete all modules may result in failure of the course. Completion of ATI On-Line Practice Exams o Learning Systems Fundamentals A and B GRADING 92-100 = A 90-91 = A- 88-89 = B+ 82-87 = B 80-81 = B- 78-79 = C+ 72-77 = C 70-71 = C- Product Code CDN00241841 9 You must complete the focused review. o Failure to complete this practice exam and focused review may result in failure of the course.
Complete ATI Testing (Level II) o Learning Systems Fundamentals o Failure to complete exam may result in failure of the course o Achievement of Levels Level I: nothing Level II: 5 test/quiz bonus points Level III: 10 test/quiz bonus points Satisfactory completion in lab. o Skills check off Satisfactory completion of clinical experience o Five (5) Interpersonal Communication Analysis (ICA) 15 points each o Five (5) Reflective Journaling Entries o Nursing Care Plan 50 points Participation and preparation o 10 points Resources Open lab is an excellent way to practice assessment skills, intervention skills, the nursing process and documentation. Emily McClung is available for one on one and small group sessions for review, assistance and extra practice. Schedule Week Of Tuesday Class Wednesday Lab January 9 Health Wellness and Safety P&P Chapters 6, 38, 42 Butts Chapters 8 Personal Care P&P Chapter 39 Basic Infection Control Bathing Bedmaking Elimination Assistance Nutrition and Fluids Personal Hygiene Vital Signs
January 16 January 23 January 30 Mobility and Immobility P&P Chapter 47 TAKE HOME EXAM 1 Due FRIDAY (1/20) 4:00PM Skin Integrity and Wound Healing P&P Chapter 48 Infection Control P&P Chapter 34 February 6 EXAM 2 Cognitive and Sensory Alterations P&P Chapter 49 February 13 February 20 Surgical Care I P&P Chapter 50 Preoperative Nursing Surgical Care II P&P Chapter 50 : Postoperative Nursing TAKE HOME EXAM 3 Due FRIDAY (3/24) 4:00PM Pain Control P&P Chapters 36 & 43 SPH/Mobility P&P Chapter 47 Safe Patient Handling Sterile Technique I P&P Chapters 34 & 48 Wound & Pressure Ulcer Infection Control Sterile Technique II P&P Chapter 34 & 48 Restraints & Alternative Medication Administration Safe Med Administration Oral Medication : Nonparenteral Meds SQ Medication Injections February 27 IM Medication Injections March 5 Spring Break Spring Break March 12 March 19 Fluid & Electrolytes P&P Chapter 41 Urinary Elimination P&P Chapter 45 Specimen Collection Urinary Catheter Bowel Elimination
March 26 EXAM 4 Monday Clinical Group Make Up Friday March 23 9-3 Oxygenation P&P Chapter 40 April 2 EXAM 5 Death and Dying P&P Chapter 30 Butts Chapter 12 P&P Chapter 46 Ostomy Care Specimen Collection Oxygenation P&P Chapter 40 Respiratory Care Nutrition P&P Chapter 44 Enteral Nutrition Finals Final Exam Skills Check Off ATI: Fundamentals **I reserve the right to alter or add any information in this syllabus and will provide you the changes in writing***