SEMESTER HOURS 1 CONTACT HOURS LECTURE: 1 LAB: 1 PREREQUISITES: RNSG 2173, 2573, 2363 COREQUISITES: RNSG 2574, 2360 Course Description Integration of professional nursing concepts and exemplars within the professional nursing roles. Synthesizes concepts of clinical judgment, ethical-legal, evidenced-based practice, leadership and management, patient-centered care, professionalism, safety, and team/collaboration through exemplars presented in the HCC course. Emphasizes concept of quality improvement and introduces health policy. 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. Integrate the attributes and roles of the professional nurse into practice. 2. Uses clinical reasoning and evidenced-based practice outcomes as the basis for decision making and comprehensive, safe patient-centered care. 3. Integrate principles of quality improvement and safety into nursing practice. 4. Make decisions based on legal-ethical parameters for professional nursing practice. 5. Demonstrate professional comportment. 6. Engage in effective inter/intra- professional collaboration in the delivery of healthcare for quality patient outcomes. Course Notes and Instructor Recommendations: Supplemental and lecture notes may be posted to Blackboard at the discretion of the instructor. It is recommended that the student check Blackboard and student email often. Instructor Information: Instructor Name: S. Graham, RN, MS MCC E-mail: mgraham@mclennan.edu Office Phone Number: 254-299-8351 Office Location: HPN 111 Office/Teacher Conference Hours: will be posted 1
Instructor Name: R. Griffin, RN, MS MCC E-mail: rgriffin@mclennan.edu Office Phone Number: 254-299-8354 Office Location: HPN 221 Office/Teacher Conference Hours: will be posted Instructor Name: Cynthia McAdams, RN, PhD. MCC E-mail: cmcadams@mclennan.edu Office Phone Number: 254-299-8304 Office Location: HPN 110 Office/Teacher Conference Hours: will be posted Instructor Name: M. Pulliam, RN, MSN MCC E-mail: mpulliam@mclennan.edu Office Phone Number: 254-299-8394 Office Location: HPN 222 Office/Teacher Conference Hours: will be posted Course Outline Clinical Judgment Clinical Decision-Making o Recognize Sepsis o Medication Management o Prioritization of Care o Delegation o Contacting Healthcare Provider Professionalism Nursing Organizations & Unions Interviews and resumes Teamwork & Collaboration Working with Interdisciplinary Teams Ethics & Legal Precepts Whistle Blowing Safe Harbor 2
Obligation to Report Risk Management Advanced Directives Evidence-Based Practice Best Practices and Standards Develop a Question (PICO) Health Policy Regulatory Agencies (OSHA, Licensure, DHHS, DHSR, CMS) Types of Reimbursement (Medicare, Medicaid, Private) Professional Organizations Accrediting Bodies Leadership & Management Management and Change Theory Intro to Working in Healthcare Environments Care Coordination Patient-Centered Care Scenarios Related to Course Content Quality Improvement Quality Plans and Philosophies Total Quality Improvement Error Management Root Cause Analysis (RCA) Health Information Technology Computerized Physician Order Entry (CPOE) Electronic Medical Record (EMR) Medication Administration System Sentinel Events Required Textbooks & Equipment Assessment Technologies Institute (ATI) Learning modules/tutorials Carpenito-Moyet, L. Handbook of Nursing Diagnosis (2010). Handbook of Nursing Diagnosis, (13thed.) Philadelphia: Lippincott Williams & Wilkins 3
Craven, R., Hirnle, C., Jensen,S. (2013). Fundamentals of Nursing Human Health and Function (7 th ed.) Philadelphia: Lippincott Williams & Wilkins Zerwekh, J. & Claborn, J. (2012). Nursing today: Transitions and trends (7 th ed.). Philadelphia: Saunders. http://www.bon.state.tx.us/nursinglaw/npa.html MCC Semester syllabus (Available on-line Blackboard). Associate Degree Nursing Program student handbook (Available on-line Blackboard). STUDENT LEARNING OUTCOMES for MCLENNAN COMMUNITY COLLEGE NURSING GRADUATES The graduate will be able to: 1. Use clinical reasoning and knowledge based on the nursing program of study, evidencebased practice outcomes, and research-based policies and procedures as the basis for decisionmaking and comprehensive, safe patient-centered care. 2. Demonstrate skills in using patient care technologies and information systems that support safe nursing practice. 3. Promote safety and quality improvement as an advocate and manager of nursing care. 4. Coordinate, collaborate and communicate with diverse patients, families and the interdisciplinary health care team to plan, deliver, and evaluate care that promotes quality of life. 5. Adhere to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse. 6. Demonstrate knowledge of delegation, management, and leadership skills. 7. Demonstrate behavior that reflects the values and ethics of the nursing profession, including a spirit of inquiry. Course Outline or Schedule: Refer to the calendar and Blackboard for specific dates, times and assigned activities. Course Requirements The student is required to take the following which determines the course grade. 4 unit exams 1 Comprehensive final exam ATI Capstone Review 1 ATI Comprehensive Predictor Exam 4
The student is expected to participate in in-class, simulation and other lab activities, and complete assigned requirements on ATI by the due dates. At the end of the semester the grade will be determined and awarded for RNSG 2174 and 2574. Course Grading Information: A grade of "C" or better in theory courses and a grade of Credit in clinical is required to pass the course. The theory grade will be the same for RNSG 2574 and 2174. The student will take 4 concept exams, an ATI comprehensive predictor exam and a comprehensive final and is required to participate in assigned activities which include: class, simulation, and ATI assignments. The grading breakdown is as follows: Test 1-16% Test 2-16% Test 3-16 % Test 4-16 % ATI Capstone Content Review 8% ATI Comprehensive Predictor - 12% Final - 16% (Note Card Test) The grading system used follows: 90 100 = A 80 89 = B 75 79 = C 65 74 = D Below 65 = F The due dates and times for the ATI modules are firm. All ATI assignments are due by the date and time assigned on the calendar and are listed for your convenience below. Grade Calculations All unit exams are calculated by a percentage computed to two decimal places. Exam grades will be figured to the tenth. The final exam for the course will be computed to two decimal places. The final course grade will be rounded off to a whole number. Final Examinations A comprehensive exam will be given at the termination of the course. All critical skills for the course must be completed satisfactorily before the final exam can be taken. All regular 5
examination policies apply to the final exam. The final exam grade will not be rounded off. The final course grade will be rounded to a whole number. NOTE CARDS You will have the opportunity to use an Index card for the Final. These cards are a test aid and you may write whatever information you feel you need. Index cards will be issued prior to the test and will not be replaced for any reason. You may hand-write on the front and back on the card. No typing or cutting and pasting will be allowed. You may NOT exchange or use any other student s card. Use of issued index cards will only be allowed during the appropriate exam. Pre-Assignment Quiz Assessment Points for ATI Capstone Assignment Post- Assessment Assignment 4 points for all questions answered completely 4 points for answers given in own words, not copied and pasted 2 points for assignment completed and posted to educator on time Pharm II assessment Medical Surgical II Assessment Total points per week Nurse Logic & Comprehensive Practice Assessment A & B (10 points each) Total points for ATI Capstone Points 10 points per week 10 points per week 10 points per week (see breakdown of points) 30 points x 7 weeks = 210 points 10 points 10 points 30 points 260 points Complete 2013 Online Practice Comprehensive Assessment Form A prior to start of ATI Capstone. Complete ATI Focused Review for all areas. 1-28-2015 In class orientation to ATI Capstone Review 6
Week One 1/30-2/6: Fundamentals (1/30/15) Monday-2/2 Tuesday Wednesday Thursday Receive welcome email from ATI Capstone Educator and directions on logging into Online Capstone Content Review Classroom. Watch Orientation webinar and take Orientation quiz in the classroom. Review Tip of the Week Fundamentals pre-assignment quiz must be completed by Wednesday 8am CST. Take Fundamentals Assessment in class. Create a Focused Review and study all identified topics. Begin working on the individualized Fundamentals post-assignment and message answers using classroom messaging system to your Capstone Educator. Complete Pharmacology pre-assignment quiz found in the Capstone Classroom before taking assessment Wednesday. Week Two 2/9-2/13: Pharmacology Monday Tuesday Wednesday Thursday Fundamentals post assignment from previous week must be turned in by Monday 8am CST. Review Tip of the Week. Send progress report to school contact. Pharmacology pre-assignment quiz must be completed by Wednesday 8am CST. Take Pharmacology I Assessment in class. Create a Focused Review and study all identified topics. Begin working on the individualized Pharmacology post-assignment and message answers using classroom messaging system to your Capstone Educator. Complete Pharmacology II Assessment by Monday 8 AM CST. ID and Password will be posted in the Capstone classroom. Create a Focused Review and study all identified topics. Complete Medical Surgical preassignment quiz found in the Capstone Classroom before taking assessment Wednesday. 7
Week Three 2/16-2/20: Medical-Surgical Monday Tuesday Wednesday Thursday Pharmacology post assignment from previous week must be turned in by Monday 8am CST. Review Tip of the Week. Send progress report to school contact. Medical Surgical pre-assignment quiz must be completed by Wednesday 8am CST. Take Medical Surgical I Assessment in class. Create a Focused Review and study all identified topics. Begin working on the individualized Medical Surgical post-assignment and message answers using classroom messaging system to your Capstone Educator. Complete Medical Surgical II Assessment by Monday 8 AM CST. ID and Password will be posted in the Capstone classroom. Create a Focused Review and study all identified topics. Complete Maternal Newborn preassignment quiz found in the Capstone Classroom before taking assessment Wednesday. Week Four 2/23-2/27: Maternal Newborn Monday Tuesday Wednesday Thursday Medical-Surgical post assignment from previous week must be turned in by Monday 8am CST. Review Tip of the Week. Send progress report to school contact. Maternal Newborn pre-assignment quiz must be completed by Wednesday 8am CST. Take Maternal Newborn Assessment in class. Create a Focused Review and study all identified topics. Begin working on the individualized Maternal Newborn post-assignment and message answers using classroom messaging system to your Capstone Educator. 8
Complete Nursing Care of Children pre-assignment quiz found in the Capstone Classroom before taking assessment Wednesday. Week Five 3/2-3/6: Nursing Care of Children Monday Tuesday Wednesday Thursday Maternal Newborn post assignment from previous week must be turned in by Monday 8am CST. Review Tip of the Week. Send progress report to school contact. Nursing Care of Children pre-assignment quiz must be completed by Wednesday 8am CST. Take NCC Assessment in class. Create a Focused Review and study all identified topics. Begin working on the individualized Nursing Care of Children postassignment and message answers using classroom messaging system to your Capstone Educator. Complete Mental Health pre-assignment quiz found in the Capstone Classroom before taking assessment Wednesday. Spring Break- March 9-13 Week Six 3/16-3/20: Mental Health Monday Tuesday Wednesday Thursday Nursing Care of Children post assignment from previous week must be turned in by Monday 8am CST. Review Tip of the Week. Send progress report to school contact. Mental Health pre-assignment quiz must be completed by Wednesday 8am CST. Take Mental Health Assessment in class. Create a Focused Review and study all identified topics. 9
Begin working on the individualized Mental Health post-assignment and message answers using classroom messaging system to your Capstone Educator. Complete Community Health/Leadership pre-assignment quiz found in the Capstone Classroom before taking assessment Wednesday. Week Seven3/23-3/27: Community Health/Leadership Monday Tuesday Wednesday Thursday Mental Health post assignment from previous week must be turned in by Monday 8am CST. Review Tip of the Week. Send progress report to school contact. Leadership pre-assignment quiz must be completed by Wednesday 8am CST. Take Leadership Assessment in class. Create a Focused Review and study all identified topics. Begin working on the individualized Leadership post-assignment and message answers using classroom messaging system to your Capstone Educator. Receive Nurse Logic information from Capstone Educator in classroom and begin to work through tutorials. (Knowledge and Clinical Judgment, Nursing Concepts, Priority Setting, Testing and Remediation). Week Eight 3/30-4/3: Final review Monday Leadership post assignment from previous week must be turned in by Monday 8am CST. Complete 2013 Online Practice Comprehensive Assessment Form B by Thursday 8 AM CST. Complete ATI Focused Review for all areas. Tuesday- Thursday Review tip of the week. 10
Nurse Logic tutorials and assessments must be completed by Thursday 8am CST. Make sure you have filled out your Capstone evaluation Final progress report sent to school. ATI RN Comprehensive Predictor- post Capstone Proctored Assessment RN Comprehensive Predictor Focused Review Due: 04.27.2015 0845 95% or above Predicted probability of passing NCLEX-RN 90% or above Predicted probability of passing NCLEX-RN 85% or above Predicted probability of passing NCLEX-RN 84% or below Predicted probability of passing NCLEX-RN Complete focused review Complete focused review Complete focused review Complete focused review Total Possible % = 100% Total Possible % = 90% Total Possible % = 70% Total Possible % = 60% Live Review WRITTEN ASSIGNMENTS Students must demonstrate word processing competency in preparation of the appropriate document. They must demonstrate basic computer competency in Microsoft Office software and the use of Blackboard to access, read, and respond to various course components listed in the theory Blackboard. 11
All written work becomes the property of the program and may not be returned to the student. No correction fluid may be used on submitted work. USE OF PLAGIARISM DETECTION SERVICE BLACKBOARD SAFEASSIGN (www.mydropbox.com) 1. McLennan Community College (MCC) faculty members may adopt the plagiarism detection services offered by Blackboard SafeAssign, but they are not required to do so. 2. Faculty members choosing to adopt the plagiarism detection service offered by Blackboard SafeAssign shall publish in their syllabi the following statement: Blackboard SafeAssign: In order to help students learn proper composition skills and to promote academic honesty, this class will use the services provided by Blackboard SafeAssign (hereinafter, the Service ). The above URL contains information about the capabilities, services, terms and conditions, and privacy policy of the Service. The instructor may use the Service to review all submitted assignments. Students agree that by taking this course all required papers may be subject to submission for textual similarity review to SafeAssign for the detection of plagiarism. All submitted papers will be included as source documents in the SafeAssign reference database solely for the purpose of detecting plagiarism of such papers. Students further understand that if the results of the review support an allegation of academic dishonesty, the students work will be investigated and the student is subject to discipline according to policy. 3. Faculty members choosing to adopt the plagiarism detection service offered by the Service shall: a. treat all students equally, b. require submission of either all student papers or no student paper, for any particular assignment, and c. inform students which assignments will require submission to the Service. 4. In the event a student commits an act of plagiarism, faculty members are strongly encouraged to submit the name of the offending student to the Discipline Coordinator. This action is recommended without regard to other consequences a faculty member may choose to employ. It is imperative that the Discipline Coordinator be given the information so that the college can identify serial offenders. 5. Academic Dishonesty Policy: Students found to be guilty of acts of academic dishonesty are subject to college policy as found in http://www.mclennan.edu/students/hguide/. In addition, in this 12
class, students are subject to the following discipline: First Offense: failing grade on the assignment Second Offense: failing grade in the course BLACKBOARD Students are responsible for materials placed on Blackboard. Students are expected to check Blackboard regularly for announcements/postings. Many announcements are also sent out per students MCC email. Students are expected to check their MCC email as well as their Blackboard email. Posting of notes, lecture outlines, and other materials are at the discretion of each individual instructor. Email Policy Students are expected to read and, if needed, respond in a timely manner to college e-mails. It is suggested that students check college e-mail daily to avoid missing time-sensitive or important college messages. Students may forward college e-mails to alternate e-mail addresses; however, MCC will not be held responsible for e-mails forwarded to alternate addresses. A student s failure to receive or read official communications sent to the student s assigned e-mail address in a timely manner does not absolve the student from knowing and complying with the content of the official communication. The official college e-mail address assigned to students can be revoked if it is determined the student is utilizing it inappropriately. College e-mail must not be used to send offensive or disruptive messages nor to display messages that violate state or federal law. Late Work, Attendance, and Make Up Work Policies: Late work will have 10% of the total points deducted per each day it is late. Student Behavioral Expectations or Conduct Policy: Students are expected to maintain classroom decorum that includes: respect for other students; respect for the instructor; prompt and regular attendance; and an attitude that seeks to take full 13
advantage of the education opportunity. Student behavior in the Associate Degree Program can be found in the ADN Student Handbook. Communication with the advisor and other faculty members must be done in a professional manner. Electronic devices must be used for course and class work only while in any learning setting. Students who are found to be using social media sites, offensive sites, etc. while in class will be asked turn the device off, and may be asked to leave the learning environment. MCC Academic Integrity Statement: The Center for Academic Integrity defines academic integrity as a commitment, even in the face of adversity, to five fundamental values: honesty, trust, fairness, respect, and responsibility. From these values flow principles of behavior that enable academic communities to translate ideals into action. Individual faculty members determine their class policies and behavioral expectations for students. Students who commit violations of academic integrity should expect serious consequences. For further information about student responsibilities and rights, please consult the McLennan website and your Highlander Student Guide. MCC Attendance Policy: Regular and punctual attendance is expected of all students, and each instructor will maintain a complete record of attendance for the entire length of each course, including online and hybrid courses. Students will be counted absent from class meetings missed, beginning with the first official day of classes. Students, whether present or absent, are responsible for all material presented or assigned for a course and will be held accountable for such materials in the determination of course grades. Please refer to the Highlander Guide for the complete policy. More specific attendance information can be found under ADN Attendance Policy. 14
Theory Attendance/Absences (Includes Theory and SIM Lab) Absence from 25 percent (16 hours) of scheduled lecture meetings will be taken as evidence that a student does not intend to complete the course. Absence from 25% (4 hours) of scheduled SIM lab will be taken as evidence that a student does not intend to complete the course. Unless an instructor has reason to believe the student will complete the course, the student will be withdrawn from the course with a grade of W. The instructor may reinstate the student if satisfied that the student will resume regular attendance and will complete the course. If the student s 25 percent absences are reached after the official drop date (the 60 percent point in the semester or term), the instructor may assign a W if the student is passing and requests to be withdrawn. However, if a student who is not passing reaches the 25 percent point after the official drop date, the student will receive an F. In extenuating circumstances, the instructor may assign a W to a student who is not passing. Each absence will count toward attendance requirements in each course. Students will be permitted to make up class work and assignments missed due to absences caused by (1) authorized participation in official college functions, (2) personal illness, (3) an illness or a death in the immediate family, or (4) the observance of a religious holy day. Also, the instructor has the prerogative of determining whether a student may make up work missed due to absences for other reasons. It is the student s responsibility to inform the instructor of the reason for an absence and to do so in a timely fashion. A student not present during the taking of attendance at the beginning of class has the responsibility to notify the faculty/instructor BEFORE leaving the scheduled class period. If the student fails to notify the faculty/instructor BEFORE leaving the class period, the absence will remain and will count as part of the 25 per cent of theory absence. The student is the only one that may verify that he/she is present. At NO TIME may one student sign in for another student. Withdrawal from Nursing Courses 15
Due to the inter-relationship of nursing courses taught each semester, if a withdrawal from one nursing course is necessary, the student must withdraw from all nursing courses. A student with a failure in a nursing course who is granted re-admission to that semester will take all the courses for that specific semester even if they were successful in one or more courses for that semester previously. Each semester s nursing courses are concurrent courses. At no time may a student take only the theory course(s) or clinical course(s). ADA Statement: In accordance with the requirements of the Americans with Disabilities Act (ADA), and the regulations published by the United States Department of Justice 28 C.F.R. 35.107(a), MCC s designated ADA coordinators, Dr. Drew Canham Vice President, Student Success and Mr. Gene Gooch - Vice President, Finance and Administration shall be responsible for coordinating the College s efforts to comply with and carry out its responsibilities under ADA. Students with disabilities requiring physical, classroom, or testing accommodations should contact Renee Jacinto, Disabilities Specialist, Student Services Center, Student Development Department, Room 211 or at 299-8122 or disabilities@mclennan.edu. TITLE IX No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance. Legal Citation: Title IX of the Education Amendments of 1972, and its implementing regulation at 34 C. F. R. Part 106 (Title IX) In accordance with the requirements of the Title IX Education Amendments of 1972 MCC s designated Title IX Coordinator, Al Pollard Vice President, Program Development/EEO Officer and Deputy Coordinator, Drew Canham Vice President, Student Success shall be responsible for coordinating the College s effort to comply with and carry out its responsibilities under Title IX. Contact information Al Pollard, Title IX Coordinator Drew Canham,Title IX Deputy Coordinator 16
Vice President, Program Development Vice President, Student Success McLennan Community College McLennan Community College Administration Building, Room 417 Administration Building, Room 408 1400 College Drive 1400 College Drive 254-299-8669 254-299-8692 FAX 254-299-8654 FAX 254-299-8645 apollard@mclennan.edu dcanham@mclennan.edu Last Revised 01/6/15 17