Suffolk Community College

SUFFOLK COUNTY COMMUNITY COLLEGEAMMERMAN CAMPUSDEPARTMENT OF NURSINGADDENDUMCourse Title: Fundamentals of Nursing I Catalog Number: NR20Credits: 7Semester: Fall 2004 Lecture, Laboratory, and Clinical Course Coordinators: Marianne McAuley Room 354 Phone: 451-4269 Helen Wist Room 354 Phone: 451-4269 Lisa Aymong Room 109 Phone: 451-4256 Cheryl Shaffer Room 109 Phone: 451-4256EXPECTATIONS OF THE STUDENTThis is a seven-credit course. It is the expectation of the faculty that all students will commit to at least an additional 14 hours of outside independent work on this course every week. The additional work includes reading the textbooks, and researching and writing clinical assignments. Students are responsible for all that occurs in all classes (whether present or not). Students should be aware that numerous sources of data are used in the evaluation process, which is an ongoing process throughout the semester. This data includes but is not limited to: preceptor evaluations, patient comments, direct observations, written care plans and assignments, demonstration of technical skills, ability to articulate pathological disease processes, participation in clinical conferences, professional behavior and appearance.ESL students – ESL students (English as a Second Language) may use a bilingual phrase dictionary during exams during the first half of their nursing education. These students are encouraged to continue to improve their English proficiency. All students are expected to spend 10 hours over the course of the semester working on appropriate software programs in the nursing computer lab. A list of NR20 programs is attached with a statement the student must sign & submit by the end of the semester. ( see attached)STUDENT EVALUATIONSExaminations Four multiple-choice examinations of 50 questions. The examinations will cover the material given prior to the exam. Many questions will be patient situations, using critical thinking skills and similar to questions that will be on the NCLEX. All students who receive a score less than 75 on any examination MUST make an appointment to review their status, study habits and the examination with the faculty within one week following the examination. The student will sign a learning contract to increase their success in future examinations.Clinical Evaluations All students will receive two written evaluations of their performance, one at mid-semester and the other at end-semester. This consists of a written report and an individual interview with the clinical instructor.Final Grading Final grading in the course will be determined by averaging results on four unit examinations (95 %) and one laboratory theoretical 1 exam (5 %). There will be one makeup exam. If two unit exams are missed only one makeup exam may be taken. A grade of zero will be given for the second missed unit exam. Clinical experiences, written assignments and nursing care plans are graded pass/fail. Students must pass theory, clinical component, dosage calculation test and laboratory to progress to NR33. Students must receive a minimum grade of C in NR20 in order to progress to NR33.Computer Assisted Instruction Assignment Students are required to complete six (6) hours of computer assisted instruction in the Nursing and Allied Health Computer Laboratory in order to successfully complete the course. Please refer to the Guidelines For Computer Assisted Instruction Assignment.Completed forms must be submitted one week prior to the final examination. Students who have not completed the mandatory computer hours will be required to take a comprehensive final examination (date and time to be determined by faculty) after the requirement is successfully met.CLINICAL EXPERIENCES - Tuesday, Thursday or Friday 8:00 a.m. - 2:00 p.m. or Tuesday or Thursday 4:30 – 10:30 p.m. Facilities: Long Term Care Facilities, Hospitals and Community Agencies.Hospital Laboratory sessions begin at 8:00 a.m. for day students and 4:30 p.m. for evening students. Since the instructor plans for individual patient care assignments, it is expected that the student accept responsibility for notifying the hospital unit or faculty regarding the following before 7:30 a.m. (day students) or 4:00 p.m. (evening students) for:A. Absence from the clinical B. Late arrival at the clinicalStudents must be ready for pre-conferences at 8:00 a.m. for day students or 4:30 p.m. for evening students. Failure in any segment of the clinical area may result in failure of the entire course. CLINICAL ASSIGNMENTS Clinical written assignments include:2 1. Two Nursing Care Plans - A completed assessment form, including the Medication Data on the first page. The first nursing care plan should have a minimum of three nursing diagnoses; the second nursing care plan should be holistically developed with 4-5 diagnoses. Collaborative problems should be included where appropriate. The evaluation column must be completed, reflecting the effectiveness of the interventions. The Medication Sheet must be submitted with the second nursing care plan. Every clinical day the students need to complete the Daily Nursing Process Plan. 2. Well Elder Assessment3. Empathy Paper4. Neighborhood AssessmentSubmit assignments in a large envelope (10” x 13”) to your clinical instructor. List materials enclosed on the envelope. Due dates determined by clinical instructor. Assignments must be submitted on the dates specified by the instructor. A failing grade will be recorded for assignments received one week past the designated date.DRESS CODEAll students in the nursing program are expected to behave and dress in an appropriate and professional manner. White washable uniforms are required at hospitals, nursing homes and other agencies as specified. Uniforms should always be clean and pressed.Female students may wear either a uniform-style dress or pantsuit. Although there is not a specific style, good fit is required. (Ability to move, lift and stretch with ease in the uniform is essential). “Scrubs” are not appropriate. The uniform is worn with neutral undergarments 3 (tee shirts are not to be worn under the uniform top) and white hose or white uniform socks and uniform-style shoes. Laces and shoes should be clean. Sneakers or clogs are not permitted. Sweaters should be white or navy blue. A nursing cap is not worn.Male students wear white slacks and white zipper or button front shirt with collar, neutral undergarments, socks and uniform shoes are required. No sneakers are permitted.Accessories required are:SCCC patch to be worn on upper left chest (women) or left upper sleeve (men). The patch is available at the SCCC bookstore. 1. Name pin - white letters on blue background with name, e.g. Jane Brown, SCCC Nursing Student. (Can be ordered through any uniform store). 2. Bandage scissors. Stethoscope is optional. 3. Ballpoint pen with black ink. 4. GROOMING – Hair should be neat, off the face and collar, secured up or back. Hair ornaments/barrettes and make-up should be conservative. Nails must be kept short with neutral polish. No artificial nails are permitted as they have been found to be a reservoir for microorganisms. 5. No perfume or gum chewing will be allowed in the clinical setting. Jewelry should be limited to wedding band, watch with a sweep second hand, and single pair of small button-type earrings. Body pierced jewelry, with the exception of earrings, cannot be worn on the clinical unit. Necks chains should be worn inside uniform. Students who do not comply with these grooming guidelines will receive a clinical warning and will not be able to participate in clinical until compliance is achieved. 6. When you are representing the school and do not have to wear a uniform, students must wear professional-looking clothing with their student nurse name pin. Do not wear jeans, sweat pants, scrubs, suggestive or revealing clothing. 7. Students who do not adhere to the dress code, will be sent home and receive a clinical absence.GUIDELINES FOR RE-TESTING A FAILED CLINICAL SKILL When a student has failed a clinical skill, the student will be directed by the instructor to make a video so that the student can demonstrate mastery of the skill. It is the student’s responsibility to make an appointment immediately with the professional assistant in the nursing laboratory to arrange a date for filmmaking.4 • Student's must follow the department's guidelines when making the video. The video must be submitted to the instructor within one week of the failed clinical skill. The student must carefully and conscientiously practice the skill before producing the video to ensure accuracy. The student must bring his/her own videocassette. The student will perform the skill in the video room, without another student present and without reference to written materials. (The skill must be performed from memory.) Before submitting to the instructor, the student must review the video for accuracy to demonstrate mastery of the skill. The student will then deliver the video to the instructor with the student name, title of the skill, date and name of the instructor on the videocassette label. If the video does not demonstrate mastery of the skill, the student will fail the course in which the skill is required. This policy applies to all skills except vital signs. Students must demonstrate mastery of vital signs to their instructor. 5 SUFFOLK COUNTY COMMUNITY COLLEGE NURSING DEPARTMENT GUIDELINES FOR COMPUTER ASSISTED INSTRUCTION (CAI) ASSIGNMENT INSTRUCTIONS:  Students are required to complete 6 hours of CAI per 7-8 credit clinical course per semester or 3 hours per 4-5 hour clinical course per semester and maintain a log throughout the semester of the hours that they have spent in the computer lab.  The log is to be returned to the classroom faculty one week prior to the final exam, or the student will not be permitted to take the exam and will be required to take a comprehensive makeup exam.  Senior students are required to periodically use the RN Challenge or other nursing review programs in preparation for NCLEX. At least two hours of NCLEX preparation must be documented.  Printer paper will not be supplied. If you must print, bring your own paper.Name of Program Date and Hours Spent CommentsTOTALStudents are expected to accurately and honestly record computer hours on this form. Failure to do so will jeopardize your placement in the program. I verify that I have completed the above CAI work.Print Name ______Sign Name ______Student ID Number ______Date ______Semester ______FM/DP 8/03 Disk#1ComputerRoom SUFFOLK COUNTY COMMUNITY COLLEGE6 Nursing ProgramName: ______# of Clinical Experiences: Course: NR20 Fundamentals of Nursing I # of Written Assignments Required: Clinical Agency: ______# of Written Assignments Submitted: Date: From ______To ______# of Absences: ______Faculty:______EVALUATION CRITERIA - NR20 NURSING I All areas are critical. A minimum rating of 2 or better in each category must be achieved on the final evaluation to receive a passing grade. I. PERFORMANCE OBJECTIVES FOR CLINICAL EVALUATION A. ASSESSMENT: NA/ 1 2 3 NO 1. Identifies sources of information containing personal data and history. 2. Assesses patient needs for common health problems. 3. Collects data to identify patient’s problems. 4. Verifies data. 5. Recognizes overt obstacles to need satisfaction. B. PLANNING: NA/ 1 2 3 NO 1. Organizes data. 2. Establishes Nursing Diagnoses using NANDA terminology. 3. Describes a plan of care which allows the patient to assist in meeting basic needs. 4. Utilizes objective and subjective data in formulating a patient care plan. 5. Utilizes Maslow’s Theory when organizing patient care. 6. Plans nursing interventions based on assessment of patient’s needs. 7. Identifies cultural, religious, psychosocial & environmental aspects when formulating plan. 8. Plans to meet patient needs in a designated period of time. C. IMPLEMENTATION: NA/ 1 2 3 NO 1. Applies basic techniques of communication. 2. Exhibits caring attitude toward patient. 3. Interacts appropriately with patients. 4. Identifies the nurse’s role in managing patient care. 5. Identifies the nurse’s role in establishing interpersonal relationships. 6. Applies scientific principles and critical thinking skills to provide competent care. I. PERFORMANCE OBJECTIVES FOR CLINICAL EVALUATION NA/ 1 2 3 NO 7. Implements appropriate nursing action based on patient needs. 8. Provides care according to the predetermined plan to promote positive patient outcomes. 9. Administers medications accurately and in accordance with agency protocol. 10. Consults with instructor and/or staff when implementing nursing care plan. 11. Reports patient status to instructor and/or nursing staff. D. EVALUATION: NA/ 1 2 3 NO 1. Reports and records the effects of selected therapeutic measures.7 2. Reports and records the response of the patient to selected nursing interventions. II. CRITERIA FOR EVALUATING PROFESSIONAL DEVELOPMENT A. SAFETY: 1 2 3 1. Verifies identity of patient. 2. Interprets information and directions correctly. 3. Maintains patient safety incorporating developmental level. 4. Reports own errors. 5. Uses aseptic technique correctly. B. SKILLS IN COMMUNICATION: 1 2 3 1. Speaks clearly and effectively in performing nursing role. 2. Expresses ideas clearly in writing. 3. Interacts professionally with nursing staff. 4. Asks relevant and appropriate questions. C. PROFESSIONAL STANDARDS: 1 2 3 1. Maintains ethical standards of practice. 2. States legal responsibilities in nursing practice. 3. Accepts responsibility for and maintains accountability for own nursing practice. D. CRITICAL THINKING: 1 2 3 1. Organizes information effectively. 2. Analyzes data using the steps of the nursing process. 3. Identifies and utilizes interventions appropriately. 4. Identifies problems in a timely manner. II. CRITERIA FOR EVALUATING PROFESSIONAL DEVELOPMENT E. INTERPERSONAL RELATIONSHIPS: 1 2 3 1. Participates effectively as a member of a group. 2. Collaborates effectively with health team members. 3. Utilizes constructive criticism and changes behavior accordingly. F. RESPONSIBILITY FOR LEARNING: 1 2 3 1. Identifies own nursing competencies. 2. Shows initiative in seeking additional information. G. PERSONAL RESPONSIBILITY: 1 2 3 1. Reports to clinical facility on time. 2. Submits written assignments on time. 3. Clinical absences do not exceed policy limit. 4. Presents a professional appearance.8 Instructor’s Comments:Instructor’s Signature ______Date ______Student’s Comments:Students’s Signature ______Date ______9 +++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ +++KEY TO PERFORMANCE APPRAISAL3 = Performance meets clinical objectives and exceeds requirements 2 = Performance meets clinical objectives 1 = Performance does not meet clinical objectives N/A = Not applicable N/O = Not observedStudent Responsibility for Safe Clinical PracticeGUIDELINES IN DETERMINING STUDENT CLINICAL GRADEThe clinical component of each nursing course provides nursing students with the opportunity to apply nursing principles in a practice setting. This is an essential skill for every competent practitioner of nursing.The four overriding criteria for a satisfactory passing grade in the clinical area are:1. Using the steps of the nursing process for scientific problem solving. 2. Maintaining medical and surgical asepsis. 3. Maintaining physical safety. 4. Maintaining psychological safety.The critical behavior for evaluating student performance is the student’s ability to make clinical decisions for safe patient care. Such decision making reflects the ability of nursing students to apply nursing principles in a variety of situations. Meeting these criteria constitutes competent performance and a satisfactory passing grade.When a student jeopardizes patient care by violating one of these principles, it shall constitute a failure for that clinical day.* A student fails a course when repeated failures occur. The specific standard for failure in each course is:1. NR20 – Four (4) failed clinical days 2. NR33 – Two (2) failed clinical days 3. NR36 – Two (2) failed clinical days 4. NR40 – Three (3) failed clinical days 5. NR46 – Two (2) failed clinical days 6. NR48 – Two (2) failed clinical days*Please note that a failed clinical evaluation will constitute a failed clinical day.Student’s responsibilities in this situation include:1. Taking responsibility for one’s own actions. 10 2. Identify own error. Ask for assistance. 3. Develop and utilize strategies to assist in clinical decision making. 4. Please refer to document entitled “Guidelines for student written report for student incident resulting in student warning or failed clinical day.”Faculty responsibilities in this situation include:1. Counseling the student. 2. Providing a written notification regarding the failure. 3. Provide recommendations for corrective action.Disk Evaluation ToolsGuidelines for Student Written Report of Clinical Incident Resulting in clinical warning or Failed Clinical DaySharon Kelsch, MS, RN-C, FNPExplanationThis is an additional assignment that is given when the faculty identifies student decisions and/or actions that fail to meet the course objectives or standards of nursing practice during a given clinical class. The assignment is made in the spirit of student-centered learning and continued professional development. It provides a framework that assists the student to analyze clinical events, to consult the nursing literature, and to plan future nursing goals for themselves that are in keeping with professional standards.Instructions to FacultyThe student’s written report should be submitted on the clinical day following the critical incident. The faculty must discuss the critical incident with the student before making this assignment. The completion of the written assignment provides tangible evidence of the student’s perspective regarding the incident. Further discussion with the student or further action may/may not be necessary depending upon the insight demonstrated in the written report as well as the student’s subsequent clinical practice.Instructions to Students1. Provide a written report of the critical incident to the clinical instructor. 2. The report is due on the next clinical day following the critical incident. 3. The report should consist of your answers to three basic questions.A. What happened? Describe the details of the incident. What were your nursing actions? What was the patient’s response? What were the actual and the potential consequences for the patient? Include any and all details you deem pertinent.B. What should have happened? Based upon your meeting with your clinical instructor after the incident, and based upon the research you have done since the incident, what should have happened in this clinical circumstances? 11 C. What Nursing Practices will you implement in the future to prevent the recurrence of similar incidents?4. The report should include a bibliography of at least one pertinent nursing reference.Disk: Evaluation ToolsDAILY NURSING PROCESS PLANDATE______PATIENT’S INITIALS______AGE______DX______DR’S ORDERSASSESSMENT: SUBJECTIVE OBJECTIVENSG. DX NURSING INTERVENTION EVAL.NURSE’S NOTES:12 USE BACK OF SHEET FOR REPORT, ETC.13 SUFFOLK COUNTY COMMUNITY COLLEGE NURSING DEPARTMENT NURSING CARE PLANSTUDENT’S NAME:______RESOURCES & REFERENCES______DATE:______DATE OF CARE:______PATIENT’S INITIALS:______AGE:_____MEDICAL DX:______SURG. PROCEDURE:______DATE:______DOCTOR’S ORDERS:______Supporting Date Nursing Diagnosis Goal/Outcome Nursing Scientific Rationale Evaluation For Nursing DX Collaborative Criteria Intervention for Nursing Problems InterventionsSupporting Data Nursing Diagnosis Goal/Outcome Nursing Scientific Rationale Evaluation14 Collaborative Criteria Intervention for Nursing Problems InterventionsComplete Drug Generic Action of Drug Why Is This Client Nursing Patient Education Order/Usual Dose ▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪ Therapeutic Receiving the Responsibilities15 Classification Effects Drug? Adverse EffectsDisk#7McAuley16

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