COURSE SYLLABUS AND INSTRUCTOR PLAN Professional Nursing Concepts IV Sue Graham, Rebecca Griffin, Cynthia McAdams, Miley Pulliam AN EQUAL OPPORTUNITY INSTITUTION 1
SEMESTER HOURS 3 CONTACT HOURS CLINICAL: 12 PREREQUISITES: RNSG 2173, 2573, 2363 COREQUISITES: RNSG 2174, 2574 WECM 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 student must pass both RNSG 2174, 2574 and 2360 concurrently in order to be able to graduate from the nursing program. WECM Course Learning Outcomes As outlined in the learning plan, apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry and will demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry. Key Concepts and General Course Plan This course builds on the competencies learned in RNSG 2363. Specific learning objectives guide the student s integrated clinical experiences, focusing on application of concepts and skills learned in RNSG 2174 and 2574. Clinical rotations through ICU and a variety of community-based health agencies, including a psychiatric setting and home health care, give the student an opportunity to apply integrated patient care management. A preceptorship during the course allows the student to integrate technical skills, nursing concepts, and basic workplace competencies learned throughout the program in the integrated care management of patients in an assigned setting. Student Learning Outcomes By the end of this course, the student will be able to: 1. Apply knowledge of selected advanced concepts to a variety of clinical situations. 2. Utilize clinical reasoning and knowledge based on the nursing program of study to date, evidence based practice outcomes, and research based policies and procedures as the basis for 2
decision making and safe patient-centered care for groups of patients in a variety of clinical settings. 3. Utilize a systematic process to develop comprehensive analysis diagrams for patient priority concept problem to provide patient-centered care to complex patients across the life span. 4. Promote safety and quality improvement as an advocate and manager of nursing care. 5. Coordinate, collaborate, and communicate with diverse patients, families and the interdisciplinary team to plan, deliver and evaluate care. 6. Demonstrate skills in using patient care technologies and information systems that support safe nursing practice. 7. Adhere to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse. 8. Demonstrate behavior that reflects the values and ethics of the nursing profession. 9. Demonstrate knowledge of delegation, management and leadership skills. 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 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 3
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 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 Craven, R., Hirnle, C., Jensen,S. (2013). Fundamentals of Nursing Human Health and Function (7 th ed.) Philadelphia: Lippincott Williams & Wilkins Gahart, B., and Nazareno, A. (2013). 2014 Intravenous Medications (30 th ed.) St. Louis: Elsevier Kee, J. (2011). Laboratory and Diagnostic Tests with Nursing Implications (9 th ed.) Upper Saddle River: Pearson McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013). Maternal-child nursing (4 th ed.). St. Louis: Elsevier Saunders. Smeltzer, S., Bare, B., Hinkle, J., Cheever, K. (2010). Medical-Surgical Nursing (12 th ed.) Philadelphia: Lippincott Williams & Wilkins Varcarolis, E., Carson, V., & Shoemaker, N. (2010). Foundations of psychiatric-mental health nursing (6 th ed.). St. Louis: Saunders. Vallerand, A., Sanoski, C., Deglin, J., (2014). Davis s Drug Guide for Nurses (14 th ed.) Philadelphia: F. A. Davis Company Zerwekh, J. & Garneau, A. (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). Specifically dosage calculation and clinical guidelines. 4
REQUIRED SUPPLIES Stethoscope, Watch with second hand, Bandage scissors. Course Requirements The student will be required to attend and complete assignments dealing with a variety of clinical sites and situations. The student will be required to take and pass a dosage calculation exam with a minimum score of 90%. In the psychiatric care setting, the student will be required to satisfactorily: 1. Attend sessions at an approved psychiatric clinical treatment facility. 2. Complete a formal paper associated with a complex psychosocial patient dynamic. 3. Complete an Analysis Diagram for Patient Priority Concept Problem for a patient with a psychiatric disorder. Diagram posted on Bb. 4. Review a movie illustrating a patient with a common psychiatric disorder. Choose one of the following movies A Beautiful Mind, The Soloist, Shine, Girl, Interrupted, Betty Blue. Assignment information that is to be completed is located on course Blackboard. In the community and acute care setting, the student will be required to satisfactorily: 1. Attend as assigned a variety of clinical placements to include, but not limited to both outpatient and inpatient treatment sites. 2. Complete assignments as listed and outlined on Blackboard associated with above clinical activities. 3. Complete a site specific project as outlined by faculty. TBA at a later date. In the acute care hospital or outpatient setting, the student will be required to satisfactorily: 1. Attend two scheduled shifts in an acute intensive care unit and complete assignments associated with that setting. 2. Attend two scheduled shifts in an emergency department and complete assignments associated with that setting. 3. Complete a scheduled 132 hour preceptorship. 5
All assignments and portions of assignments are mandatory and must be completed to receive a grade for the course. Failure to complete the assignments by the due date may result in a loss of up to 10% of the total points per day late and the student will receive an incomplete "I" for the course until all requirements have been successfully completed. Grade Calculations A. Students will be evaluated based upon 10 elements outlined in the Clinical Evaluation Tool for Level IV during the transition practicum. 50% of clinical grade. The 10 elements include: Nursing Care Concept Safety Clinical Judgment/Patient Centered Care Informatics Team Work and Collaboration Communication with patients Patient Education Professional Comportment Leadership & Management Quality Improvement/Evidence Based Practice B. Clinical success will be evaluated as follows: a. Completion of Psychiatric Clinical Assignments which will equal 10% of the total grade. b. Completion of Community and Acute Care Clinical Assignments which will equal 10% of the total grade. c. Students are required to successfully complete, as a component of the clinical grade, a formal paper associated with a complex psychosocial patient dynamic, a review of a movie about a patient with a common psychiatric disorder and a site specific project. The average grade of the three special assignments will equal 30% of the total clinical grade. 6
Clinical Assignments will be posted on Blackboard with grading rubrics. 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 decision- making 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. WRITTEN ASSIGNMENTS Students must demonstrate word processing competency in preparation of the appropriate document. They must demonstrate basic computer competency in the use of Microsoft Office software and Blackboard to access, read, and respond to various course components listed in the theory Blackboard.. Because instructors frequently use PowerPoint, students must demonstrate computer competency with presentation software. 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. 7
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 class, students are subject to the following discipline: First Offense: failing grade on the assignment Second Offense: failing grade in the course 8
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 announcement. 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: Missed clinical time for assigned clinical on Mondays and Tuesdays, i.e. ICU, ER, DePaul, Wesley Woods, School Nursing will be made up with an additional 12 hour shift with the assigned preceptor. Late work may 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 9
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. Email may be sent at any time. 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 to 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. 10
See the Attendance Policy in the student handbook for attendance requirements. The student is expected to have regular and punctual attendance to all clinical experiences as scheduled and is responsible for travel to the clinical experience. The student may miss (be absent) for no more than 12 hours of clinical time which is 1 clinical day. For a student to progress in the nursing program all clinical objectives must be satisfactorily met. If a student has extenuating circumstances on a clinical day, the student must notify their clinical instructor at least one hour prior to the scheduled clinical start time. The student may not ask a family member or a friend to report the absence and the nursing faculty will determine what qualifies as an extenuated circumstance. (Examples of extenuating circumstance are acute illness of self or death of immediate family. Documentation of extenuating circumstance may be required.) A student who misses a clinical day will make up that day as soon as possible within the preceptor s schedule if it is during the practicum or with the clinical coordinator s input for any other missed clinical time. 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. Withdrawal from Nursing Courses 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). 11
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 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 1/9/15 12