Division of Science and Health
Course: VNSG 1260 Clinical I
Credit Hours: 2
Semester Spring 2009
Office Location: Clarendon: 313 Kearney, Clarendon, Texas 79226
Pampa: 1601 W. Kentucky, Pampa, Texas 79065
Instructors: Phyllis Norton RN BSN, Peggy Stewart RN
E-mail: Phyllis.Norton @clarendoncollege.edu: Peggy.stewart@clarendoncollege.edu
Phone: 806-665-8801 ext. 2018 or 806-874-3571 ext. 157
Fax: 806-874-5080 & 806-665-0444
Office Hours: as posted and by appointment
COURSE DESCRIPTION: VNSG 1260 Clinical I is a study of delivery of safe and effective care to chronically and acutely ill as well as surgical adults. Topics of Clinical I include: care of client with acute and chronic adult illness, having surgery, dressing changes, medication administration, P.O., Topical, IM, SC, or ID, physical assessments and documentation. A method of instruction providing detailed education, training and work-based experience, and direct patient-care, generally at clinical sites of Long Term Facilities and Hospital setting. On site clinical instruction, supervision, evaluation and placement are the responsibility of the college faculty. Clinical experiences are unpaid learning experiences.
Purpose: This course partially satisfies the requirement for the vocational nursing certificate at Clarendon College.
Required instructional materials: Textbook:
Dewitt, Susan MSN, RNCS. FUNDAMENTAL CONCEPTS AND SKILLS FOR NURSING (2nd Edition): W.B. Saunders Company, Philadelphia, PA Copyright 2005;
Skidmore-Roth, Linda RN, MSN, NP MOSBY’S NURSING DRUG REFERENCE (20th Ed.); Mosby, St. Louis, MO; 2007.
Pagana, Kathleen Deska, PhD, RN and Timothy J Pagana, MD, FACS MOSBY’S DIAGNOSTIC AND LABORATORY TEST REFERENCE (8th Ed.) Pagana, Kathleen Deska, PhD, RN and Timothy J Pagana, MD, FACS; Mosby, St. Louis, MO; 2007.
Medical Dosage Calculations (8th ed.) Upper Saddle River: NewJersey:Pearson.
Edmunds, Marilyn Winterton. Introduction to Clinical Pharmacology (5th ed.); St Louis, MO, Mosby. (2006)
Other Relevant Materials: pens, paper, penlight, watch with a second hand, and stethoscope.
Student Requirements: General Clinical Rules
· Students are permitted one 15-minute break and one half-hour lung period per clinical day. No Smoking is allowed except during break.
· Breaks are limited to 15 minutes. Report to the instructor or staff nurse when leaving and upon returning to the unit.
· Students are not to make personal telephone calls while in clinical area, no cell phones allowed.
· The student should notify his/her family that in case of emergency, they should page the instructor and the instructor will notify the student.
· No gum chewing is allowed during clinical.
· A student is not to go to units other than the one assigned unless it involves transfer of patients or obtaining supplies or equipment.
· Students are not to leave the clinical site for meals, unless specified at the site.
· It is the student’s responsibility to follow hospital policy and procedures. A policy and procedure manual is available on every unit.
· Students may not perform any procedures not taught in the VN Program. All procedures must be performed under direct supervision of the clinical instructor until clearance has been granted by the clinical instructor to perform the procedure independently.
· The student is not permitted to take a doctor’s verbal order. Instruct the doctor that he/she is not permitted to do so and locate a qualified person to take the order. The student is not permitted to give information over the phone concerning a patient’s condition.
· STUDENTS ARE NOT PERMITTED TO WITNESS ANY LEGAL DOCUMENT.
DRESS CODE
Uniforms: Uniforms are to be professional in appearance, well-fitting, of non-transparent material, non-stained, and well-kept. Students are required to purchase uniform through the bookstore.
Shoes: White professional nursing closed toe and heel shoes or white solid leather athletic shoes may be worn. Shoelaces are to be clean and white. Any symbols or writing on shoes must be minimal. They are to be clean and in good repair.
Hosiery: Women are to wear white hose without runs or white socks. Men are to wear white socks. This does not include sport, pom-pom, or other decorative socks.
Identification/Patches: Name tags must be worn on uniforms and lab coats. The name tag should be on the left side of the chest at the top pocket level. A patch signifying the program is to be worn on the 1 ¼” below the left shoulder of all uniforms and lab coats. These patches are to be sewn on the sleeve, not pinned or otherwise fastened. Patches are available at the college bookstore, and name tags will be ordered in class.
Lab Coats: White lab coats may be worn in the clinical setting with a school patch on the left shoulder as with the uniforms.
In the event that the hospital code differs from the Clarendon College Policy, the student at that facility may be asked to adhere to additional regulations stipulated by the hospital.
Nursing faculty and/or administrators reserve the right to disapprove a student’s uniform on the basis of its appropriateness and professional appearance.
GENERAL APPEARANCE
· Appropriate general hygiene measure should be followed. These measures include daily bathing/showering and use of an effective deodorant or antiperspirant. Breath mints or breath fresheners should be used after smoking.
· No fragrances (colognes, perfumes) should be worn in clinical setting.
· Hair should be clean and neat, and off the collar or tied back (applies to males and females). Men should be clean shaven or have a neatly trimmed beard and/or moustache. Hair must not violate principles of asepsis.
· One ring may be worn. No necklaces or bracelets should be worn. One pair of stud earrings may be worn in the ears. All tattoos or body piercing including tongue bars or studs should be covered appropriately. A professional watch, with sweep second hand, and bandage scissors are required for clinical area.
· Nails should be neatly manicured and not excessively long. If polish is worn, it should be one clear color and not chipped. Artificial nails are not acceptable.
Upon completion of patient care assignments, maximize the time available by working on nursing care plans or looking up drugs; spend extra time sitting and talking with (or listening to) your patients; assists others on the unit who need help with their patients; do research about the assigned patient or topic for the clinical objective of the day.
Methods of Instruction
Lecture
Discussion
Audio-Visual Aids
Quiz & Written Assignments
Demonstration
Return Demonstration
No late assignments will be accepted. All homework assignments to be handed in to instructor at the beginning of class on the date that the assignment if due.
Student Learning Objectives: The learner shall:
· Provider of Care:
1. Assist in determining the health status health needs of clients based on interpretation of health related data and preventative health practices, in collaboration with the clients, their families, and other members of the immediate health care team.
Knowledge: A, B, D; Clinical Behavior: E
2. Assist in the formulation of goals/outcomes and a plan of care in collaboration with the client, their families, and interdisciplinary team members.
Knowledge: A, C, and D;
3. Implement plan of care within legal and ethical parameters, including scope of education, in collaboration with the client and interdisciplinary healthcare team to assist client in meeting health care needs.
Knowledge: A, D, G, I, J,
4. Provide direct basic care to assigned multiple clients in structured settings.
Knowledge: B, C
5. Use the Problem solving approach as the basis for decision making in practice.
Knowledge: A, B
· Coordinator of Care
1. Assist in the coordination of human and material resources for the provision of care for assigned clients.
Knowledge: B, D
3. Participate in the identification of client needs for referral to resources that facilitate continuity of care.
Knowledge: A, B
2. Participate as an advocate in activities that focus on improving the health care of clients.
Knowledge: A, D
3. Demonstrate behaviors that promote the development and practice of vocational nursing.
Knowledge: D
· SCANS: C1, C3, C4, C5, C9, C10, C11, C13, C14, C18, C19, F6, F7, F8, F9, F10, F11, F12, F13, F14, F15, F17
A letter grade will be earned in Clinical I.
Clinical Evaluation/ Non Performance Tool/ Counseling 100%
Grading Scale: A 93 - 100
B 85 – 92
C 76 – 84
D 75 – 68 (failing)
STUDENTS MUST ACHIEVE AT LEAST A GRADE OF “C” TO SUCCESSFULLY COMPLETE THE COURSE. THE STUDENTS MUST RECEIVE A SATISFACTORY RATING ON ALL CRITICAL CLINICAL EVALUATION CRITERIA.
A student’s final grade will be made available through Campus Connect at Clarendon College’s website
American
with Disabilities Act Statement:
Clarendon College provides reasonable accommodations for persons with temporary
or permanent disabilities. Should you require special accommodations, notify
the Office of Student Services (806-874-3571 or 800-687- 9737). We will work
with you to make whatever accommodations we need to make.
Dropping a Course:
A student who is enrolled in a developmental course for TSI purposes may not drop his/her only developmental course unless the student completely withdraws from the college. A student may drop any other course with a grade of “W” any time after the census date for the semester and on or before the end of the 12th week of a long semester, or on or before the last ay to drop a class of a term as designated in the college calendar. The request for permission to drop a course is initiated by the student by procuring a drop form from the Office of Student Services. (Refer to other policies concerning this issue in the current college catalog online.)
Withdrawal: If you decide that you are unable to complete this course or that it will be impossible to complete the course with a passing grade, you may drop the course and receive a “W” on your transcript instead. Withdrawal from a course is a formal procedure that you must initiate. If you do not go through the formal withdrawal procedure, you will receive a grade of "F" on your transcript.
A student is permitted to drop a course if he/she obtains an official drop slip from the office and has the instructor sign the slip before the 12th class week.
Remember, a student is only allowed to drop the same class twice before he/she will be charged triple the tuition amount for taking the class a third time or more. Furthermore, beginning with the Fall 2007 semester, students in Texas may only drop a total of 6 courses throughout their entire undergraduate career. After the 6, he/she will no longer be able to withdraw from any classes.
Attendance, Cell Phone Policy, Classroom Etiquette, and Academic Honesty: See Vocational Nursing Handbook for policies.
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Clinical Week |
Learning Activity |
Expected Behavior Outcome |
|
Week 1 |
Patient Assignment Post Conference Homework assignment |
1. Basic care of patient to include: a. Use of all Infection Control Mechanisms as appropriate for situation encountered. b. Vital signs on patient/residents as assigned. c. Safely Lifting and transferring residents/patients as needed. d. Bathing residents/patients as assigned. (2 students/week) e. HOMEWORK; Documentation of nursing care in narrative format. 2. Clinical satisfactory evaluation for week. |
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Week 2 |
Patient Assignment Post Conference Homework assignment |
1. In addition to tasks of previous week, the student will: a. Perform a Head to Toe Physical assessment on his/her assigned patient. b. Document the head to toe assessment in narrative form. c. Assist Staff to provide nutritional supplements and meal trays as ordered by physician. d. HOMEWORK: Documentation of Head to Toe assessment and Nursing care in narrative form. 2. Clinical satisfactory evaluation for the week |
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Week 3 |
Patient Assignment Post Conference Homework assignment |
1. In addition to the tasks of the previous week the student will : a. Care Plan with at least 2 nursing diagnosis (Patient/resident problems). b. HOMEWORK: documentation of the nursing assessment and Care Plan with 2 nursing diagnosis. And 2 measurable goals 2. Clinical satisfactory evaluation for week |
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Week 4 |
Clinical situations in the classroom |
1. Clinical assignments as directed |
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Week 5 |
Patient Assignment Post Conference Homework assignment |
1. In addition to the tasks of the previous week the student will : a. Administer medications to include those medications given by mouth (PO), Intramuscular injections (IM), Subcutaneous (SC), Intradermally (ID), and Topically. b. HOMEWORK: Journal entry of medication andministration times of routine medications and any special considerations observed before giving specific medication. c. Identify 2 nursing plans of action on the patient/resident’s care plan. d. Feed resident by tube e. Document care of assigned resident. 2. Clinical satisfactory evaluation for week. |
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Week 6 |
Patient Assignment Post Conference Homework assignment |
1. In addition to the tasks of the previous week the student will : a. Provide wound care for the patient with a wound. b. Evaluate 2 plans of action on the patient/resident’s care plan. c. HOMEWORK: Document in narrative form the wound care, and also complete plans of care outlining Ns dx, goals, plans, and evaluation on the assigned patient. 2. Clinical satisfactory evaluation for week. |
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Week 7 |
Patient Assignment Post Conference , Homework assignment
|
1. In addition to the tasks of the previous week the student will : a. Care Planning: Write a plan of care for the patient/resident using a walker, cane, crutches, wheel chair, brace or prosthesis. Identifying 2 Nursing diagnosis, 2 measurable goals, 2 plans, and evaluation of each plan. b. HOMEWORK: documentation of the assessment of the patient/resident using a walker, cane, crutches, wheel chair, brace or prosthesis. Care plan as listed above. 2. Clinical satisfactory evaluation for week. |
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Week 8 |
Patient Assignment Post Conference, Homework assignment |
1. In addition to the tasks of the previous week the student will : a. Care Planning: Write a plan of care outlining the psychological needs of the alert immobile patient/resident. b. HOMEWORK: Narrative note of the assessment of the alert immobile patient/resident, and the Care plan as listed above. 2. Clinical satisfactory evaluation for week. |
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Week 9 |
Patient Assignment Post Conference Homework assignment |
1. In addition to the tasks of the previous week the student will : a. Care Planning: Write a plan of care outlining the psychological needs of the patient/resident with a wound. b. HOMEWORK: Narrative note of the assessment of the patient/resident with a wound, and the Care plan as listed above. 2. Clinical satisfactory evaluation for week. |