Advanced Clinical Practice Skills

Course Details

Course Number: RADS 3213 Section Number: X10

Fall 2012

Location: Bridwell Hall

Classroom Number: Internet

Days & Times:

Internet course- no on campus requirement

Course Attachments

Textbooks

MSU Faculty Member

Vicki Sanders MSRS, RRA, RT(R)(CV)
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Course Objectives

Course Overview:

This course focuses on the current healthcare delivery environment including patient assessment, monitoring, and management. It includes working with multicultural patients, managing problem patients, infection control, and patient education. Additional topics include an overview of considerations when working in an increasingly digital imaging environment.

Course Objectives: Upon completion of this course, a student will:

• Obtain and evaluate vital signs and EKG strips

• Identify normal and abnormal diagnostic laboratory values

• Properly chart actions and observations pertaining to a patient.

• Demonstrate familiarity with Pharmacology to include drugs, contrast media and applicable regulations.

• Apply learned communication skills and techniques.

• Identify factors influencing communication.

• Demonstrate familiarity with concepts and methods of infection control

Teaching Strategies:

Independent reading assignments, Desire2Learn (D2L) open book module quizzes, Clinical assignments, Internet searches, and Desire2Learn (D2L) CLOSED book Final Exam are used in this course

Course Expectations

Textbook:

Required:

Perry, A. G., Potter, P.A. & Elkin, M. K. (2012). Nursing interventions & clinical skills (5h ed.). St Louis: Mosby. ISBN 978-0-323-06968-7. (or newest edition)

Jensen, S.C. & Peppers, M.P. (2006). Pharmacology & drug administration for imaging technologists (2^nd. Ed.). St. Louis: Mosby. ISBN 978-0-323-03075-5 (or newest edition)

Recommended:

American Psychological Association (2010). Publication Manual of the American Psychological Association (6^th ed). Washington, DC: American Psychological Association. [IBSN13: 978-1-4338-0561-5] LASS ACTIVITIES AND ASSIGNMENTS

CLASS ACTIVITIES AND ASSIGNMENTS

Students can proceed through the course content at their own pace within the boundaries set by the Course Schedule and the MSU Academic Calendar. See the Course Schedule for specific information about activities and due dates. Late work is not accepted and a zero (0) will be recorded after the due date.

HIPAA requirement: Do not place ANY patient name on your assignments. Any proper name that appears on an assignment, other than yours will be considered a HIPAA violation and the assignment will automatically drop one letter grade.

Unit Quizzes (15%)

When a student has reviewed a module and is ready for the quiz, he or she will log on to Desire2Learn (D2L) and receive a customized timed module quiz consisting of randomized multiple choice questions. See the course schedule for the open and close dates for the quizzes.

It is important to know the module content before attempting the module quizzes because they are timed and the student will have only 30 min to complete the exam. Quiz scores will be available immediately after a student submits his or her quiz for grading.

All quizzes are open the day that classes begin, so you can work ahead. Quizzes must be completed and submitted by the completion date as indicated on the course schedule. Quizzes not completed by the indicated due dates will be graded as zero (0). Students should contact the instructor in extenuating circumstances; such cases will be dealt with on an individual basis.

If students have technical difficulties during a quiz, they should use the "Help" link at the top toolbar in Desire2Learn (D2L), contact the MSU Information Systems Support Staff, and send an email to the course instructor explaining what happened.

If a student finds a faulty quiz test item or believes that a quiz question has been scored incorrectly, he or she should send an email to

the course instructor that includes the following:

Module Quiz Number (I –VI)
Answer the Student Thinks Should be Correct
Rationale Supporting Why the Student's Answer is Correct
Page numbers must be included when referencing the textbook in a rationale

After reviewing the case, if the course instructor thinks a revision is justified, the student's quiz score will be revised to reflect the additional points and the test bank will be updated. It may take several weeks for the student to receive a response because the instructor works on batches of questions for a particular quiz at a time.

Patient Assessment (15%)

On a volunteer or patient, using information found in Chapter 6 and 7 of Nursing Interventions and Clinical Skills and any other sources needed, perform the portions of a patient assessment. The requirements and instructions are found in the unit notes. You are to address every item listed in the list of required items, recording your observations and the clinical implications/significance of each. Please note that "normal" is an impression (the examiner's diagnosis or assessment of a problem, disease or condition) and NOT an implication (what may be causing what it is you are observing). DO NOT use Normal or Within Normal Limits. DESCRIBE the implications/significance of what you observe for the "implications/significance" section. Be thorough and complete.
The assignment is to be typed as a single WORD document only with a cover page. Submit the assignment to the area in the Unit 1 module as one attachment.
The assignment is due by the deadline listed in the syllabus.

ECG and Lab Values Learning Activity (15%)

The student will watch the ECGs made easy video found in the Unit 2 learning module and review the course notes on ECG and lab values. The students will perform the ECG and Lab values learning activity also found in the Unit 2 learning module. The student should put their full name and email in the opening page. After completion of the ECG and Lab values learning activity the score should automatically be sent to the instructors email address. Please print the score for your records. If the instructor does not receive the score the student will have the printed score for verification and might be asked to fax or scan the score to your instructor. The activity will be complete before the date in the course syllabus or a score of "0" will be recorded.

Charting Exercise and Pharmaceutical Assessment (15%)

There are two parts to the assignment for this unit.

Part 1 (Hand-written Assignment): Using one of the formats found in Box 3.1, page 30-31 (5^th ed.) or the format of the facility in which you work and the supplemental notes above, chart ANY FOUR PATIENT RELATED procedures YOU perform at your workplace (EX CT chest w/contrast, ankle x-ray, IVU, US abdomen, Radiation therapy brain, etc).

NOTE: This is a hand-written assignment, regardless of your facilities protocol; you must follow the criteria as specified by the instructor for this assignment. Follow the criteria as mentioned prior to and after the assignment. The assignment must be written legibly (illegible is assumed incorrect). If not hand written, this portion of the assignment will be dropped 1 letter grade.

Part 2 (Medication Information): Find one medication listed in any patient chart, you may even use the package insert from a medication. Locate a Physician's Desk Reference (PDR), or any suitable reference and provide the following information in the clearly labeled sections seen below. You can also access package information from the following link: http://www.pdr.net/

Trade/Brand Name (If more than one type, injection liquid, tablet, specify which one you are using).
Drug Manufacturer
Generic Name
Designated Chemical Name (chemically known as) or Empirical Formula
Drug Usage
Indications (what is it used for)
Contraindications
Adverse reaction (summarize if needed)
Dosages
Methods of drug administered

NOTE: If you are using a source other than the PDR for the medication portion of this assignment, please state the package insert or the URL of the website where you got your information. The medication information section of the assignment can be typed or handwritten.

HIPAA requirement: Do not place ANY patient name or other identifying information on your assignment. Any information that appears on an assignment, other than yours will be considered a HIPAA violation and the assignment will receive a grade reduction equivalent to one letter grade.

Submitting the assignment:

There are several ways to submit this assignment.

1).The student can scan the work and submit it as ONE file to the assignment drop box (preferred).

2).The student can mail the assignment to your professor for grading. The mailed assignment must be POSTMARKED by the date in the syllabus. If an assignment is no postmarked by the date in the syllabus, it will not be graded and a "0" will be recorded.

3). You can fax it to the instructor. This is the least preferred method as some fax machines do not print quality copies. The fax number is: 940-397-4845

Note: Assignments turned in are considered completed assignments and will be graded accordingly. Review your work to that of the assignment criteria prior to handing in the assignment.

Cultural Communication Exercise (15%)

The goal of this assignment is to research a culture that is unfamiliar to you. You are to describe how you would communicate to someone of that culture when performing a diagnostic examination.

Although the Hispanic culture is an interesting culture to research, this culture constitutes the majority minority of this area and region of Texas and perhaps other areas of the country. To avoid replication of this assignment, I am limiting research of the Hispanic culture or any other culture to five (5) reports.

Please note: Do not choose a culture that you may be a part of or know a great deal about. This defeats the purpose of the assignment.

All cultural topics must be approved before you begin to start your research. Students must get the topic of their cultural report approved by the instructor prior to beginning this assignment. Post topic on the Discussion Board under correct category. Place the culture you have chosen in the subject area. Instructor will respond with approval or disapproval. Please check the calendar and the course schedule for the due dates for posting of the culture and assignment.

With the information you find and information from your textbook and internet websites (not Wikipedia), address the following: All Bullet Points Must Be Addressed.

Give a brief introduction of your culture and demonstrate awareness of cultural taboos, norms, and culturally competent communication skills regarding the culture you choose.
Describe verbal and non-verbal communication that will aid you in developing trust between you and your patient.
Describe how you would obtain an allergic history (or other type of history). Include obstacles you may encounter if the patient was of the opposite sex as you. With the information you researched, especially the cultural taboos, what methods would you use if you did not have the luxury of using any form of translator?
Explain a diagnostic procedure of your choosing to a patient of this culture using the information you have just researched. With the information you researched, especially the cultural taboos, what methods would you use if you did not have the luxury of using any form of a translator?

Format

The paper should follow guidelines of the American Psychological Association. It is recommended that you obtain a copy of the APA publication manual. You can also find helpful tips in the APA Help folder on the course homepage.

The paper:

must have a MSU cover page
is to be a single Word document only
1-2 pages,
double spaced,
1" margins
Times New Roman, Arial or Calibri 12 point font
References appropriately cited in the text of the paper according to APA guidlines see APA 6^th ed chapter 6.
A minimum of two references submitted on a separate references page

Submit the assignment in the Unit Four Dropbox area of the Unit 4 Module by attaching the assignment as a single WORD document. Assignment is due by the deadline listed in the syllabus.

The paper will be graded on correct APA usage, content (make sure to complete the four instructions above), grammar, and tone (informal or formal) and format (including cover page).

Note: Assignments turned in are considered completed assignments and will be graded accordingly. Review your work to that of the assignment criteria prior to handing in the assignment.

Desire2Learn (D2L) Closed Book Final Exam – (25%)

The final examination is a proctored, "closed book", comprehensive examination of multiple-choice format. The final exam is a timed, ninety (90) minute test. Students must complete the final (and all course work) by the dates published in the course schedule.All final examinations will be administered during the designated date(s) and time(s) listed in the calendar and/or syllabus. There will be NO alteration of any type to this schedule.

Extenuating circumstances may be discussed and an alternative arrangement may be made at the discretion of the instructor.

Note:Any decision by the instructor is final and there will be no further changes made.

Please schedule the time for the final with your proctor when completing the required Proctor Application form and returning the application by the due date in the course schedule. You are encouraged to try accessing the course from the proctor's computer prior to showing up for your Final so that access issues (such as pop-up blockers & firewall) can be remedied prior to your scheduled test time.

The unit objectives, study guides, and examinations can be utilized to review for the final.

Typically acceptable proctor sites and candidates include:

College or University Testing Centers
http://www.ncta-testing.org/cctc/find.php
Officials at military base education offices
Commercial testing services such as Sylvan, Thomson-Prometric, or Pearson VUE Testing Centers are NOT accepted as testing centers.

The exam site must have reliable Internet connections and should have at least two Internet browsers available (Netscape Navigator and Microsoft Explorer). Sites with extensive firewalls and high security mechanisms may not work for testing. Please test to be sure you can connect to Desire2Learn (D2L) before committing to a proctor site. High speed connections are more desirable than traditional phone line connections. The site must support an independent phone line in addition to the computer connection so that calls can be made while the student is connected online. The proctor must have moderate computer expertise including the ability and authorization to reboot the remote computer. The student is responsible for any fees proctors charge for their services.

Even if someone has served as a proctor in previous courses, he or she will not be accepted as a proctor for this course if he or she does not meet these criteria. Proctor emails will only be sent to commercial or educational email addresses. Proctor approval is at the discretion of the course instructor.

The proctor form is available in .pdf format from Desire2Learn (D2L). The proctor forms for this course have been redesigned so please use the appropriate proctor forms. Students should review the form and get the proctor information ahead of time. Students should then open the Adobe PDF file and type the required information in the boxes on the forms. Students should print the forms and have the proctor sign the forms. The students should then fax the forms to the course instructor (Fax Number 940-397-4845).

Each student can set his/her exam appointment anytime between 9am and 9pm. It is better to take the exam during normal working hours to be sure that MSU Technical Support will be available. The course instructor will provide the examination password to the proctor by email.

The instructor may be available by phone and email during the exam time in case there are technical difficulties with the electronic version of the exam. If there are any problems during the exam, the proctor should call the course instructor (Toll Free 866-575-4305, Direct 940-397-4083, Cell 940-249-0100) If the instructor is not available, contact MSU Technical Support through MSU Desire2Learn (D2L), and send an email to the instructor explaining what happened. The exam may have to be rescheduled.

Grading Standards

Evaluation:

Unit Quizzes = 15%
Patient Assessment = 15%
EKG learning excercise = 15%
Charting Exercise and Pharmaceutical Assessment = 15%
Cultural Communication Exercise = 15%
Comprehensive Final Exam = 25%

Grade Scale:

A = 100 - 90

B = 89 - 80

C = 79 - 70

D = 69 – 60

F = 59 and below

Refer to the Undergraduate Bulletin for details about receiving a grade of "Incomplete" in a course. In an emergency or extenuating circumstance, a student may request a grade of "Incomplete" in a course before grades are submitted. If the instructor grants the "Incomplete," the student has until thirty (30) days after the beginning of the next long semester to complete the course requirements. If the student does not complete the course requirements within the deadline, the grade of "Incomplete" will automatically convert into a grade of "F."

Submission Format Policy

CLASS ACTIVITIES AND ASSIGNMENTS

Unit Quizzes (15%)

If a student finds a faulty quiz test item or believes that a quiz question has been scored incorrectly, he or she should send an email to

the course instructor that includes the following:

Module Quiz Number (I –VI)
Answer the Student Thinks Should be Correct
Rationale Supporting Why the Student's Answer is Correct
Page numbers must be included when referencing the textbook in a rationale

Patient Assessment (15%)

On a volunteer or patient, using information found in Chapter 6 and 7 of Nursing Interventions and Clinical Skills and any other sources needed, perform the portions of a patient assessment. The requirements and instructions are found in the unit notes. You are to address every item listed in the list of required items, recording your observations and the clinical implications/significance of each. Please note that "normal" is an impression (the examiner's diagnosis or assessment of a problem, disease or condition) and NOT an implication (what may be causing what it is you are observing). DO NOT use Normal or Within Normal Limits. DESCRIBE the implications/significance of what you observe for the "implications/significance" section. Be thorough and complete.
The assignment is to be typed as a single WORD document only with a cover page. Submit the assignment to the area in the Unit 1 module as one attachment.
The assignment is due by the deadline listed in the syllabus.

ECG and Lab Values Learning Activity (15%)

Charting Exercise and Pharmaceutical Assessment (15%)

There are two parts to the assignment for this unit.

Trade/Brand Name (If more than one type, injection liquid, tablet, specify which one you are using).
Drug Manufacturer
Generic Name
Designated Chemical Name (chemically known as) or Empirical Formula
Drug Usage
Indications (what is it used for)
Contraindications
Adverse reaction (summarize if needed)
Dosages
Methods of drug administered

Submitting the assignment:

There are several ways to submit this assignment.

1).The student can scan the work and submit it as ONE file to the assignment drop box (preferred).

3). You can fax it to the instructor. This is the least preferred method as some fax machines do not print quality copies. The fax number is: 940-397-4845

Note: Assignments turned in are considered completed assignments and will be graded accordingly. Review your work to that of the assignment criteria prior to handing in the assignment.

Cultural Communication Exercise (15%)

The goal of this assignment is to research a culture that is unfamiliar to you. You are to describe how you would communicate to someone of that culture when performing a diagnostic examination.

Please note: Do not choose a culture that you may be a part of or know a great deal about. This defeats the purpose of the assignment.

With the information you find and information from your textbook and internet websites (not Wikipedia), address the following: All Bullet Points Must Be Addressed.

Give a brief introduction of your culture and demonstrate awareness of cultural taboos, norms, and culturally competent communication skills regarding the culture you choose.
Describe verbal and non-verbal communication that will aid you in developing trust between you and your patient.
Describe how you would obtain an allergic history (or other type of history). Include obstacles you may encounter if the patient was of the opposite sex as you. With the information you researched, especially the cultural taboos, what methods would you use if you did not have the luxury of using any form of translator?
Explain a diagnostic procedure of your choosing to a patient of this culture using the information you have just researched. With the information you researched, especially the cultural taboos, what methods would you use if you did not have the luxury of using any form of a translator?

Format

The paper:

must have a MSU cover page
is to be a single Word document only
1-2 pages,
double spaced,
1" margins
Times New Roman, Arial or Calibri 12 point font
References appropriately cited in the text of the paper according to APA guidlines see APA 6^th ed chapter 6.
A minimum of two references submitted on a separate references page

Submit the assignment in the Unit Four Dropbox area of the Unit 4 Module by attaching the assignment as a single WORD document. Assignment is due by the deadline listed in the syllabus.

The paper will be graded on correct APA usage, content (make sure to complete the four instructions above), grammar, and tone (informal or formal) and format (including cover page).

Note: Assignments turned in are considered completed assignments and will be graded accordingly. Review your work to that of the assignment criteria prior to handing in the assignment.

Desire2Learn (D2L) Closed Book Final Exam – (25%)

Extenuating circumstances may be discussed and an alternative arrangement may be made at the discretion of the instructor.

Note:Any decision by the instructor is final and there will be no further changes made.

The unit objectives, study guides, and examinations can be utilized to review for the final.

Typically acceptable proctor sites and candidates include:

College or University Testing Centers
http://www.ncta-testing.org/cctc/find.php
Officials at military base education offices
Commercial testing services such as Sylvan, Thomson-Prometric, or Pearson VUE Testing Centers are NOT accepted as testing centers.

Note: You may not submit a paper for a grade in this class that already has been (or will be) submitted for a grade in another course, unless you obtain the explicit written permission of me and the other instructor involved in advance.

Late Paper Policy

Students can proceed through the course content at their own pace within the boundaries set by the Course Schedule and the MSU Academic Calendar. See the Course Schedule for specific information about activities and due dates. Late work is not accepted and a zero (0) will be recorded after the due date.

Fall 2012 COURSE SCHEDULE

Date	Activity * Note: These are Central Times
August 25	First day of class, All quizzes are opened
September 6	Patient assessment due by midnight
September 6	Cultural Communication Topic due to Discussion Board by midnight
September 13	Unit 1 Quiz due by midnight
September 27	ECG learning activity due by midnight
October 4	Unit 2 Quiz due by midnight
October 18	Charting and Pharmacology due by midnight
October 25	Unit 3 Quiz due by midnight
November 8	Cultural communication due by midnight
November 15	Unit 4 Quiz due by midnight
November 27	Proctor Applications due by 5:00pm
November 29	Unit 5 Quiz due by midnight
December 3- December 13	Final Exams must be completed by 5:00pm CST on 12/13/12

Plagiarism Policy Plagiarism is the use of someone else's thoughts, words, ideas, or lines of argument in your own work without appropriate documentation (a parenthetical citation at the end and a listing in "Works Cited")-whether you use that material in a quote, paraphrase, or summary. It is a theft of intellectual property and will not be tolerated, whether intentional or not.

Student Honor Creed

As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else do so."

As students at MSU, we recognize that any great society must be composed of empowered, responsible citizens. We also recognize universities play an important role in helping mold these responsible citizens. We believe students themselves play an important part in developing responsible citizenship by maintaining a community where integrity and honorable character are the norm, not the exception. Thus, We, the Students of Midwestern State University, resolve to uphold the honor of the University by affirming our commitment to complete academic honesty. We resolve not only to be honest but also to hold our peers accountable for complete honesty in all university matters. We consider it dishonest to ask for, give, or receive help in examinations or quizzes, to use any unauthorized material in examinations, or to present, as one's own, work or ideas which are not entirely one's own. We recognize that any instructor has the right to expect that all student work is honest, original work. We accept and acknowledge that responsibility for lying, cheating, stealing, plagiarism, and other forms of academic dishonesty fundamentally rests within each individual student. We expect of ourselves academic integrity, personal professionalism, and ethical character. We appreciate steps taken by University officials to protect the honor of the University against any who would disgrace the MSU student body by violating the spirit of this creed. Written and adopted by the 2002-2003 MSU Student Senate.

Students with Disabilities The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights protection for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Disability Support Services in Room 168 of the Clark Student Center, 397-4140.

Safe Zones Statement The professor considers this classroom to be a place where you will be treated with respect as a human being - regardless of gender, race, ethnicity, national origin, religious affiliation, sexual orientation, political beliefs, age, or ability. Additionally, diversity of thought is appreciated and encouraged, provided you can agree to disagree. It is the professor's expectation that ALL students consider the classroom a safe environment.

Contacting your Instructor All instructors in the Department have voicemail in their offices and MWSU e-mail addresses. Make sure you add your instructor's phone number and e-mail address to both email and cell phone lists of contacts.

Attendance Requirements

Attendance:

This is an online course and there are no mandatory sessions. However, the student should be vigilant in logging onto Desire2Learn (D2L). Regular checks will insure that messages from the instructor are received in a timely manner.

Other Policies

Administrative Process:

Unresolved issues related to this course should be first addressed between the student and the course instructor. If there is no resolution, students must follow this sequence:

Department Chair – Dr. Donna Wright (940-397-4615)

College Dean – Dr. James Johnston (940-397-4594)

Dean of Students – Dail Neely (940-397-6273)

Communication with Instructor:

Contact information for the instructor is listed at the beginning of this syllabus. Email is the preferred mode of communication. Students must use their standardized MSU Student email for correspondence about this course.

Faculty members will not be responsible for keeping up with other email addresses for students. If you have not established this account, do so as soon as possible by going to: http://infosys.mwsu.edu/email.asp

The instructor will respond or at least acknowledge email messages from students within a maximum of five (5) business days when MSU is in session. Beyond standard university holidays and breaks, the instructor will notify students of any extended periods of time when email contact is not practical (professional meetings, etc)

When there is a need to contact students, the instructor will use the students’ "students.mwsu.edu" email account. The instructor is not responsible for sending emails to any other email account.

Writing Proficiency Requirement All students seeking a Bachelor's degree from Midwestern State University must satisfy a writing proficiency requirement once they've 1) passed English 1113 and English 1123 and 2) earned 60 hours. You may meet this requirement by passing either the Writing Proficiency Exam or English 2113. Please keep in mind that, once you've earned over 90 hours, you lose the opportunity to take the $25 exam and have no option but to enroll in the three-credit hour course. If you have any questions about the exam, visit the Writing Proficiency Office website at http://academics.mwsu.edu/wpr, or call 397-4131.