To Be Announced (TBA): Experiences are scheduled with assigned nurse preceptor on hospital units by individual students.
Application of theories and concepts across the span of adult life to include specific medical‑surgical conditions. Emphasis will be placed on integrating previously learned cognitive, psychomotor, and affective knowledge in the care of the individual client, her/his family, as well as groups and communities (IFGC) through application of the nursing process.
Credit Hours: Successful completion of both courses awards five (5) credit hours – NURS 3423 is comprised of three (3) lecture hours per week and NURS 3422 requires six (6) clinical hours per week to earn two (2) credit hours.
Placement: Second semester of junior year (BSN)
Learning Experiences: Lecture, discussion, audiovisual aids, assigned readings, and clinical experiences.
Upon completion of this course the student will be able to:
Apply professional knowledge and theories to the nursing care of persons and families throughout the life span.
Integrate effective communication, research and teaching-learning principles in providing care for persons and their families.
Utilize the nursing process in a systematic manner in the care of IFGC.
Utilize nursing knowledge when implementing affective, cognitive and psychomotor nursing skills.
Relate knowledge of higher education concepts in health to identify nursing interventions.
Demonstrate professional accountability in providing holistic care in a variety of settings.
Implement nursing interventions with individuals and their families who present for nursing care.
Examine the legal and ethical issues related to care of individuals and their families in a variety of settings.
Discuss the evolution of social, cultural, and historical aspects of health care and their influences on family health in nursing.
NURS 3422 Family Health Nursing I Clinical Requirements
The faculty requests that gifts NOT be given to clinical instructors. The faculty appreciates the thought, but a note or word of thanks is just as meaningful as a gift.
This course includes a total of 90 clinical hours. Students are required to satisfactorily complete 90 clinical hours in order to successfully complete the clinical component of Family Health Nursing I. Absences will be made up by the student.
Students are expected to attend/complete all clinical experiences. Clinical instructors need the information obtained during clinical experiences to appropriately evaluate student performance in the clinical component of this course.
Clinical expectations include the following:
Professional behavior is a requirement of the clinical component of this course. Students are expected to demonstrate professionalism during all of their clinical interactions. If a student is disrespectful or unprepared for a clinical experience, the student will be sent home and receive an absence for that experience, which must be made up by doing a hospital clinical experience.
Students are to complete a pre-clinical assignment prior to attending each of the four simulation experiences. Students will receive four hours of clinical time for completing this requirement. Failure to complete these assignments prior to attending the experience will result in the student being sent home and being considered absent from the experience. The student is to have the Simulation Center staff sign the pre-clinical assignment indicating the student arrived with the assignment completed. These assignments are then placed in the clinical folder and submitted to the student’s clinical instructor.
Students complete 12 hours (four 3-hour sessions) of clinical experiences in the Regional Simulation Center located at 917 Midwestern Parkway. There is ample parking available at this new SIMS location. Tardiness to a simulation experience will result in the student being sent home and receiving an absence for the experience. All four simulation experiences must be completed by Friday, April 11, 2014. Students must contact the simulation center at (940) 766-5362 (faculty recommend that you place this number in your cell phone directory) to make scheduling changes if they can be accommodated.
Each student is required to complete the facilities orientations for United Regional Health Care System (URHCS) and Kell West Regional hospitals. URHCS requires students to review their Journey to Excellence Power Point presentation before taking a competency test over it as a part of Clinical Orientation. Students MUST pass this multiple choice exam before they will be permitted to attend the first clinical experience. If a passing grade is not achieved, remediation will be required between the student and URHCS. As well, an online orientation, for both United Regional/Kell West, will be posted on Desire 2 Learn (D2L) web site and is due by Friday, February 14, 2014 and a cut-off score of at least 90% must be achieved on that quiz for satisfactory completion of this requirement. Students satisfy two (2) clinical hours by completing this on-line orientation. Each day the student is late completing this orientation will constitute absenteeism of two hours, which will need to be made up with an added clinical experience.
Students are responsible for completing a clinical orientation program. Students complete eight clinical hours by attending this initial orientation day. Failure to attend clinical orientation will result in a clinical absence and a make-up experience of eight hours will be required. It is the student’s responsibility to obtain information shared during this orientation in the event of an absence.
As a part of clinical orientation, students must also attend a four hour orientation to medication administration and dosage calculations. The date, time, and location of this class will be on Tuesday, January 14, 2014 at 1300-1715 hours in Dillard 101. Please bring drug books and calculator to this class.
Students complete 60 hours of clinical experiences in URHCS patient care areas as assigned by the course coordinator. Students MUST comply with hospital policies as instructed during clinical orientation (*parking, use of dining rooms, #building access, identification, computer training/usage, etc.) Tardiness of more than 15 minutes, for the experience, will result in the student being sent home and receiving an absence. ALL patient care experiences must be completed by Tuesday, April 29, 2014.
* Student vehicles MUST be parked only in the designated student parking lots provided by URHCS. Students may never park in any other lot owned or leased by United Regional. If students are found parking in lots, other than the designated student parking lots, their vehicles will be towed, without notice, a citation will be issued, and other disciplinary action may follow. Students may call URHCS Security at 764-8357 for a security escort during hours of darkness, or whenever needed. The Wilson School of Nursing secretary will distribute parking passes to students before clinical rotations begin. These parking passes must be displayed from your vehicle’s rear view mirror whenever you are at URHCS facilities and parking passes MUST be turned back in at the end of the semester when instructed.
# Before beginning clinical experiences, each student will report to URHCS Human Resources Department (Bethania Building) to be issued a URHCS hospital ID badge, along with a white access/proximity card, for use during the semester. If this white access card fails to open parking lot gates, or building doors, please contact URHCS Human Resources at (940) 764-7820. If the access/proximity card is lost or damaged, the student must notify hospital security and Human Resources immediately to protect the security of the hospital. The Wilson School of Nursing (WSON) secretary must also be notified promptly. At the end of the semester, students will be required to turn this white access badge back in to the WSON secretary, or pay a fee ($20) to replace it. In the event that the access card is not returned by the student at the end of the semester, the student will receive an unsatisfactory clinical evaluation, which would constitute a failing semester course grade.
Students may NOT attend hospital clinical experiences until the preceptor agreement is signed, the preceptor’s RN license is verified and on record with the course coordinator or other designated nursing program staff. Students may NOT be assigned to LVNs for precepted experiences. If that happens, the student must contact his/her clinical instructor immediately!
Students are expected to complete the Patient Care Documentation Form for each hospital experience. Much of the data on this form will be collected during clinical experiences, but research to give collected data meaning will be completed as homework after the conclusion of the experience. This completed form will be turned in to the student’s clinical instructor within one week after each clinical experience. Failure to submit clinical work by the due dates, as instructed by the clinical instructor, will result in a clinical infraction. All clinical work/folders will be due to assigned clinical instructors during the first week of March 2014 (mid-term) and after the student’s fifth clinical experience has been completed (end of semester). At these times, clinical work/folders will be reviewed by clinical faculty and students will receive a written mid-term and final clinical evaluation by his/her clinical faculty.
Students are NOT allowed to attend clinical experiences during class times or during night shifts before class days, unless approved by course faculty.
Students will be assigned to clinical experiences by the course coordinator. Schedule changes must be coordinated with the course coordinator and clinical faculty. Please do not take it upon yourself to make scheduling changes on your own because your faculty must be accountable for knowing who, when, where, and why each student is in the hospital at any given time. Students must complete at least two clinical experiences before mid-term (March 17, 2014). All clinical experiences must be completed by Tuesday, April 29, 2014. The clinical instructor, or other designated faculty, will be readily available to the student and the preceptor during the times the student is participating in a clinical experience. Therefore, any clinical experience completed without the knowledge and written approval of the clinical instructor will not be included in the calculation of achieved clinical hours.
Hours of absenteeism will be rescheduled, as available, or will be done as patient care experiences as assigned by the clinical instructor and/or course coordinator.
Written Clinical Requirements:
All students will maintain a clinical folder that will include each of the following components:
Remember: Clinical work/folders will be turned in to the clinical instructor and/or course/clinical coordinator for periodic reviews! It is the student’s responsibility to keep the clinical work/folder up-to-date throughout the semester.
The contents of the folder are to be placed in a pocketed three-ring binder with each section clearly delineated using labeled dividers. The contents should be divided in the following manner:
Care documentation forms
Preclinical simulation assignments
Additional assigned written assignments
Clinical evaluation tools
Student evaluation of preceptor
The front cover of the binder should be clearly labeled as such:
NURS 3422 Family Health Nursing I
<Clinical instructor’s name>
Clinical Dress Code (IAW current BSN Student Handbook):
1. School uniform of matching maroon pants or skirt and maroon tunic top is the required
uniform. No cuffed legs on pants are permitted. Undershirts, if worn should be plain and
2. Proper MSU identification (name tag and MSU patch). MSU SON patch (obtainable at
bookstore) is to be sewn on left sleeve, centered and 1" from shoulder seam. Students must
wear a Wilson SON name tag (burgundy in color with white lettering) as indicated in the BSN
3. If a student desires a cover, they may wear a matching maroon scrub jacket with the
appropriate name tag and MSU patch sewn on left sleeve, centered and 1" from shoulder
4. All uniforms must fit appropriately.
5. Hair must be self-contained and unadorned and must be a natural hair color. Any containing
articles (barrettes, bands, clips) must be same color as hair.
6. Short fingernails with NO polish (Center for Disease Control Guidelines).
7. No jewelry other than a plain ring (band) and a watch with a second hand is allowed.
8. If a clinical requires “professional dress” other than the Nursing Uniform, the student will be
asked to wear khaki slacks or a skirt and a maroon polo shirt with the appropriate name tag.
9. During clinicals, body piercings must be removed, and tattoos must be covered.
10. Shoes must be closed toe, closed heel flat shoes that are predominantly white or black.
1. Use the nursing process to provide optimum care for patients with a focus on the concepts of alterations in mobility and musculoskeletal disorders, endocrine production and associated disorders, fluid regulation and urinary elimination, and digestion and gastrointestinal elimination,
a. Collect comprehensive data on each assigned patient.
b. Interpret data in a meaningful way.
c. Establish meaningful and measurable goals.
d. Implement all nursing activities in a safe and therapeutic manner.
e. Evaluate nursing actions and modify the plan of care as needed.
2. Correctly and safely prepare and administer medications by oral and subcutaneous routes.
c. Correctly perform subcutaneous injections.
d. Correctly calculate drip rates and monitor all intravenous solutions.
e. Consistently use the six rights of medication administration and assess for
f. Accurately document medication administration.
g. Demonstrate knowledge of medication; therapeutic and non-therapeutic effects.
3. Effectively communicate. Document findings accurately in the medical record using appropriate terminology.
4. Display a professional attitude, appearance and behavior at all times.
a. Accept constructive feedback in a positive manner.
b. Actively seek individual learning opportunities.
c. Comply with the MSU-approved dress codes.
5. Describe the role of the professional nurse in each assigned setting and his/her ability to
contribute to optimal patient outcomes.
Tips to remember:
1. Administer medications and perform procedures ONLY under the direct supervision of the clinical instructor, preceptor, or designated staff RN.
2. If any condition of the clinical experience changes or it is necessary for you to leave the premises of the clinical experience, you MUST contact the clinical instructor and/or course coordinator.
3. Be specific when discussing with the staff nurse the patient care activities you will perform during your shift.
4. NEVER disconnect or adjust any piece of equipment unless instructed to do so by your clinical instructor, preceptor or staff nurse.
5. You may assist nurses with their nursing care; however, your assigned patient(s) should be your first priority.
6. As a student, you will NOT be allowed to initiate blood transfusions, administer chemotherapy, or to manipulate (unlock) pain control pumps. As well, you may not perform blood glucose monitoring on patients until URHCS training has been done. You are encouraged to observe these procedures and monitor patient responses.
7. Prior to administering any medication you are to know the action, safe dosages, appropriateness of the drug for this particular patient, therapeutic and side effects, interaction effects and nursing considerations. Do NOT administer a drug if you are unfamiliar with these aspects of the drug. Do NOT administer any medication unless a licensed RN is with you at the patient’s bedside.
8. NEVER give a medication prepared for administration by another nurse.
The organizing framework for clinical evaluation is the DEC competencies and represents the clinical objectives to be accomplished during the semester. A sample of the clinical evaluation tool which will be used in this course is located at the end of this syllabus. Individual clinical instructors’ comments stated on this evaluation form will be determined by utilizing various data collection tools during clinical components of the course including:
Observation of clinical performance
Review of student care documentation
Any additional assignments required by clinical instructor
Preceptor feedback/evaluations of students, whether verbal or written
Infractions constituting a clinical failure (Extracted from current BSN Student Handbook):
STUDENTS ARE NOT TO ADMINISTER MEDICATIONS UNLESS DIRECTLY SUPERVISED BY A FACULTY MEMBER OR NURSE PRECEPTOR
Failure of the clinical component of the course occurs when the student receives an unsatisfactory rating in any area of the evaluation tool or does not complete 90 hours of clinical. Absences will be rescheduled at the discretion of the course coordinator.
Certain behaviors result in an unsatisfactory rating in the professional behavior section of the evaluation rubric.
Three incidents of infractions to the standard of professional behavior to include but not limited to:
Two incidents of infractions to the standard of professional behavior to include but not limited to:
Infractions to the standard of professional behavior that results in immediate failure of the clinical component of the course to include by not limited to:
The clinical evaluation tool is based on the classifications in the DEC Competencies. It delineates the faculty's expectations of student performance in the clinical component of this course. Performance criteria are specified for each classification. The student should become familiar with each performance criteria. At mid-term and end-of-semester, faculty will evaluate whether or not the student has satisfactorily met the clinical requirements of this course. In order for the student to have met the clinical requirements of the course and receive a passing semester clinical grade, he/she must not receive, on the end-of-semester evaluation, an unsatisfactory (U) rating on any of the performance criteria.
The students semester grade for the clinical component of Family Health Nursing Care I will be the same letter grade as that earned in NURS 3423 (classroom didactics).
See Clinical Requirements above. As well, written clinical assignments must be turned in to the clinical instructor NLT one week after each clinical experience.
Late submissions (orientations; turning clinical folders; etc) are clinical hours lost and they must be made up so that student completes all 90 clinical hours by end of semester.
Attendance is mandatory. All absences must be made up so that total of 90 clinical hours are completed before end of semester.
Additional Course Requirements:
1. Students must maintain satisfactory health as determined by the total faculty consensus.
2. Students must complete all of the components of the course to pass.
3. Classroom and clinical performances (on campus, in the Simulation Center and/or during inpatient clinical experiences) will be evaluated. Students are expected to pass both clinical and classroom components of the course. Failure in either one will constitute failure in the course.
4. As stated in the BSN Student Handbook, students must maintain a current immunization record on file at the Vinson Health Clinic plus proof of a current health care provider CPR card, validated Health Insurance and paid Liability Insurance on file with the Nursing Programs secretary during the entire semester. In order to attend class or clinical experiences, each student MUST comply with each of these requirements.
5. If a student is to be absent from an exam, he/she must notify the course instructor at least two hours prior to the exam. Failure to comply with this policy will result in an "0" for the exam. Make-up exams may be constructed differently from the unit test. Make-up exams will be administered on the following Fridays: March 7, 2014 and May 2, 2014 (Bridwell 305 for both make-up sessions) beginning at 1300 hours.
6. Four function calculators are allowed for use during exams. The use of programmable calculators, statistical calculators and calculators stored on personal data assistant devices or cell phones are NOT allowed. Cell phones MUST be turned OFF and maintained away from the testing area during exams. In addition, sharing a calculator with another student is NOT allowed and calculators may not make a discernable noise during use.
7. Students will be held accountable for all communications sent by faculty via the course’s Desire 2 Learn (D2L) web site; therefore, you will be expected to check the site for announcements, assignments, messages, etc. DAILY. Faculty asks that students use the discussion board or clinical group sites as a means to make a specific request, ask for content clarification, to discuss clinical dates…and so forth…rather than using our school/work email addresses.
8. Students are expected to come to class dressed in an appropriate manner which reflects professionalism.
9. Faculty reserves the right to make changes to this syllabus at anytime.
The faculty reserves the right to recommend, to the BSN Program Chair and College Dean, withdrawal of a student from the nursing program for health, legal, or academic reasons, particularly if patient care is jeopardized. In addition, the student must perform within the American Nurses Association (ANA) standards of practice and code of ethics.
If student performance falls below acceptable standards of practice, then the student will NOT successfully complete the clinical component of this course. Certain aspects of these standards directly relate to safety in patient care and professionalism in practice. If student performance drops below the standard in these two areas, then the possibility of successful completion of the clinical component of the course is unlikely. The faculty recognizes that the issues of patient safety and professional standards cannot be compromised; therefore, any student who does not meet these standards will immediately receive a failing clinical evaluation. The severity of these infractions warrants immediate failure of the clinical component of this course. The ANA standards or practice and code of ethics are posted in the BSN Student Handbook.
Behaviors that detract from the learning process will NOT be tolerated. Pagers and cellular phones are to be muted during all class sessions and pre-clinical/clinical experiences so that others will not be disturbed. During administration of exams and any type of exam review, cell phones MUST be turned OFF and maintained AWAY from the testing location. Because class periods are 80 minutes in length, there will be no breaks scheduled. Disruptions occurring from students entering or leaving the classroom during class time are to be avoided. Children are not to be brought to class.
The BSN Program does not condone cheating in any form and considers it as a serious offense. Cheating is defined by the faculty to include dishonesty on examinations and plagiarism. Plagiarism is further defined as "the act of using source materials of other persons (either published or unpublished) without following the accepted techniques of crediting, or the submission for credit of work not the individual's to whom credit is given." (MSU Student Handbook, Standards of Conduct, Item 10.) Offending material that may constitute plagiarism includes, but is not limited to, the following: Bibliography cards, formal papers, book reports, written nursing care plans, etc.
For further information regarding cheating and any subsequent actions to be taken, please refer to the policy statement in the BSN Student Handbook.
By enrolling in this course, the student expressly grants MSU a “limited right” in all intellectual property created by the student for the purpose of this course. The “limited right” shall include but shall not be limited to the right to reproduce the student’s work product in order to verify originality, and for educational purposes.
“As an MSU Student, I pledge not to lie, cheat, steal, or help anyone else to 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, 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
(Please note: The student acknowledges this honor creed by writing his/her name on exam booklet during each testing session.)
Disability Support Services (DSS):
Midwestern State University does not discriminate on the basis of an individual's disability and complies with section 504 and the Americans with Disabilities Act in its admissions, accessibility, and employment of individuals in programs and activities.
MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by the law, who are otherwise qualified to meet academic employment requirements. Students with a disability must be registered with Disability Support Services (DSS) before classroom accommodations can be provided. For assistance, call the campus Disability Support Services office at (940) 397-4140.
It is the student's responsibility to declare any disabilities. After declaration with the DSS, preferably at the beginning of each semester, the student needs to contact their individual instructor to determine any reasonable accommodations that may be required.