Foundations in Clinical Concepts and Competencies Clinical

Course Details

Course Number: NURS 3843  Section Number: 401; 402; 403

Summer II 2013

Location: Off-Campus

Course Attachments

Textbooks

MSU Faculty Member
Mary  Jo Distel   
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Course Objectives

 

Objectives

1. Apply the nursing process in the care of individuals.

 

2. Demonstrate competence in performing basic nursing skills throughout the life span.

 

3. Integrate concepts of the NANDA taxonomy ii when planning nursing care for individuals from diverse cultures.

 

4. Integrate teaching-learning concepts when planning nursing care for individuals from diverse cultures.

5. Apply verbal, non-verbal and written communication skills when providing nursing care for  individuals from diverse cultures.

 

 

Course Expectations

2. Clinical (NURS 3843): A total of 135 clinical hours will be completed with

            a.         45 hours in the Simulation Center

            b.         72 hours in the patient care setting

            c.         18 hours in service learning

 

 

Each student must complete the 135 clinical hours to successfully pass this course. Clinical hours are calculated as follows:

 

 

Type of Clinical Experience

Total Number of Hours

Clinical Orientation (First Thursday afternoon)

5

SIMS preclinical preparation

10

SIMS experiences

30

Service Learning Experiences

18

Thursday clinical experiences

15

Friday patient care experiences, written assignments & post-conferences

48

Clinical practicum at SIMS Center

5

Nursing Process (Care plan) assignment

3

Clinical evaluation

1

 

 

Total # of clinical hours for the semester

135

 

a) Clinical orientation, lasting five hours (1310-1810 hrs), will be held on Thursday, July 11, 2013 in Bridwell, room 108.

 

b) Simulated experiences will be conducted at the Regional Simulation Center at 917 Midwestern Parkway.  SIMS lab times will be 1310-1810 hrs on Monday, Tuesday and/or Wednesday afternoons.  Depending on the group the student is assigned to, students will attend simulation experiences on alternate days for a total of six experiences. Students must complete a pre-clinical assignment prior to each SIMS experience.  Pre-clinical worksheets, for each SIMS experience, will be posted on D2L for student completion.

 

c) Students will participate in 18 hours of service learning opportunities within the local community.  The intent of these hours is to orient students to assuming the role of the community volunteer/advocate and NOT that of nursing! (The role of nurse in the community will be experienced during future semesters.)  For purposes of providing continuity into an introduction to service learning this semester, students will volunteer at only two locations during this course:   The Wichita Falls Food Bank and Faith Mission.  (You will be permitted to self schedule service learning in agencies of your choice in later semesters.)  Although these hours have been indicated as six three- hour sessions on the clinical schedules, student hours may be done on Monday, Tuesday, Wednesday afternoons, and/or on Saturdays if desirable.

 

d)  Four twelve-hour patient care experiences at the assigned extended care facility will be completed.  These experiences will be scheduled from 0645 until 1700 hrs. Students will meet with their clinical instructor for two hours after the experience (1715-1915 hrs) to complete the post-conference experience. This totals 48 clinical hours (includes time for completing written assignments).

 

e) The Clinical practicum competency assessment, during the last week of the semester, will consist of two skills and a clinical scenario. This will be scheduled by the clinical instructor, on either August 5th  or Aug 6th,  and will be completed in the SIMS Center.  This totals 5 hours of clinical time.

 

f) A care plan assignment, implementing the nursing process, will be completed on D2L. Students are provided with 3 clinical hours of credit for completion of this assignment.  It involves reading a case scenario and answering a question exam.

 

 

Simulation Experiences:

 

  • SIMS experiences begin at 1310 hrs on scheduled dates for each student group.  Arrive

                  promptly and be ready to participate.

  • Students are to wear the approved MSU BSN clinical uniform to the simulation experiences
  • Students must BRING their stethoscope, watch, box of gloves, pen, clinical notebook

                  with competency transcript, textbook and skills supply kit to each SIMS experience.

  • Students are to complete the pre-clinical SIMS assignment prior to attending each SIMS session.
  • Clinical instructors and simulation lab staff have the right to require students to demonstrate proficiency in a skill if a student fails to display competency in any clinical setting.

 

Clinicals in Long-Term Care Facilities:

 

  • Long-Term Care agency clinical times are on Fridays at 0645 hrs until 1915 hrs.  These time frames include a two-hour post-conference at the end of each experience. 
  • Students must wear the MSU-approved clinical uniform and  have their stethoscope, B/P cuff, watch, pen, clinical notebook with competency transcript and bandage scissors during each clinical experience.
  • Clinical instructors have the right to require students demonstrate proficiency in a skill if a student fails to display competency in any clinical setting.

 

Dress Code for Nursing 3843

 

Anything that compromises communication, safety, and infection control will not be allowed.

 

Uniform Requirements are stated in the MSU BSN Handbook 2011-2012, p. 8

 

Clinical Uniform:

 

  • 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 white.
  • Proper MSU identification (name tag and MSU patch).  MSU patch (obtainable at bookstore) is to be sewn on left sleeve, centered and 1" from shoulder seam.
  • If a student desires a cover, he/she may wear a matching maroon scrub jacket with the appropriate name tag and MSU patch sewn on left sleeve, centered and 1" from shoulder seam.
  • All uniforms must fit appropriately.
  • 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.
  • Short fingernails with NO polish (Center for Disease Control Guidelines).
  • No jewelry other than a plain ring (band) and a watch with a second hand is allowed.
  • 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.
  • During clinical, body piercings must be removed, and tattoos must be covered.
  • Shoes must be closed toe, closed heel flat shoes that are predominantly white or black.

 

 

 

  • Students must wear a name tag that is burgundy in color with white lettering and which has pertinent information as follows:

 

JANE DOE

BSN NURSING STUDENT

MIDWESTERN STATE UNIVERSITY

 

Name tags can be ordered from BJD Engraving, 2515 10th Street (at the corner of 10th

Street and Kemp Blvd), Wichita Falls, TX 76301, phone 940-322-1014.

 

Additionally the dress code policy is:

 

1. Clean and pressed maroon uniform. Pant legs must not touch the ground.

2. No cologne or perfume; makeup in moderation.

3. Artificial nails are NOT permitted in the clinical areas.

 

Infractions constituting clinical failure:

 

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:

  • Arriving to a clinical experience without completing the pre-clinical assignment even if allowed to stay in the clinical
  • Not conforming to the dress code even if allowed to stay in the clinical
  • Not bringing appropriate supplies to the clinical experience even if allowed to stay in the clinical
  • Unprofessional/inappropriate language or gestures
  • Unprofessional/inappropriate behavior such as disrespectful behavior, chewing gum, using tobacco products in non-smoking areas, disruptive behavior, or failure to comply with a written or verbal instruction including reminders to update immunizations and other clinical requirements
  • Arriving late to any clinical site even if allowed to stay in the clinical
  • Non-compliance with the policy to notify the instructor and the agency of a clinical absence prior to the absence or as soon as possible if immediate notification is not possible
  • Non-compliance with the policy to receive written prior approval before attending the clinical and/or the policy to notify the clinical instructor of absences prior to attending the clinical or as soon as the student realizes he/she must leave the clinical experience.
  • Leaving the premises without permission from the clinical instructor
  • Failure to complete assignments by the due dates
  • Failure to return from meals or breaks at the assigned time
  • Falsification, omissions, and/or lying about a non-patient care situation
  • Use of a cell phone or other electronic devices in the clinical area unless given permission by the clinical instructor

 

Two incidents of infractions to the standard of professional behavior to include but not limited to:

  • Disregarding patient confidentiality without malice or intent to disclose
  • Patient negligence that does not result in patient injury
  • An error in care that does not harm a patient
  • Committing two infractions from the list above as well as one in this list

 

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:

  • Administering medications without the direct supervision of a faculty member or preceptor
  • Failing to check two patient identifiers prior to administering medications.
  • Testing positive for illicit drugs or alcohol
  • An error in care or patient negligence that harms a patient
  • Falsification, omissions, and/or lying about a patient care situation
  • Intentionally revealing confidential information
  • Placing self, staff or patient at risk of harm due to abandonment of duties and/or sleeping during clinical experiences
  • Cheating, collusion, plagiarism, or stealing. Cheating/collusion/plagiarism – cheating means intentionally using or attempting to use unauthorized materials, information, or study aids in any academic exercise; collusion means the unauthorized collaboration with another person in preparing work offered for credit; plagiarism means intentionally representing the words or ideas of another as one’s own in any academic exercise.
  • Performing in an unsafe manner.
  • Failure to report a patient care error or incident.
  • Physical or verbal abuse of patients, patient’s family members, faculty or staff

 

 

 


Grading Standards

Clinical experiences, skills practicum will be graded as pass/fail.  For progression, students must pass both components.

Successful completion of the dosage calculation exam requires the grade of at least 74%.  A failing grade on this exam constitutes failure in both this course and in NURS 3833.


Submission Format Policy

N/A



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

Late submission of written clinical assignments will not be accepted and clinical infraction will be administered.


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 is MANDATORY for all clinical requirements totaling 135 clinical hours.


Other Policies

Failure Policy/Cheating Policy:

 

Students must meet all course requirements, or a grade of "F" will be assigned for the semester.  Students are expected to pass both classroom (NURS 3833) and clinical (NURS 3843) components of the course. Failure in clinical performance, theory component, or competency evaluations will result in the grade of “F” for the semester.

 

 A student who receives a "D" or lower in an ACCEL-RN course will not be permitted to continue in the accelerated BSN program.  In the event of course failure, the student may contact the BSN coordinator for consideration in enrolling in the 28-month prelicensure BSN program.

 

 

The faculty reserves the right to recommend to the Wilson School of Nursing Program Chair/BSN Coordinator 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 of Practice and Code of  Ethics are posted in the MSU BSN Student Handbook.

Behaviors that detract from the learning process will not be tolerated. Tardiness will not be tolerated. Excessive talking to classmates during class time will not be tolerated. Beepers and cellular phones should be turned off during all class sessions. Text messaging during lectures is considered unacceptable behavior.  Children are not to be brought to class per University policy. Students who demonstrate distracting behaviors will be asked to leave the classroom. If a student demonstrates continuing behaviors that are distracting to his/her classmates, the student will be administratively dropped from the course IAW the 2010-2012 MSU undergraduate catalog, page 7, which reads:

 

            Instructor Drop. An instructor may drop a student any time during the semester for

            excessive absences, for consistently failing to meet class assignments, for an indifferent

            attitude, or for disruptive conduct. The instructor must give the student a verbal or written

            warning prior to being dropped from the class. An instructor’s drop of a student takes

            precedence over the student-initiated course drop of a later date. The instructor will assign

            a grade of either WF or F through the 8th week of a long semester, the 6th week of

            a 10 week summer term, or the 11th class day of a 4 or 5 week summer term consisting

            of 20 days. After these periods the grade will be an F. The date the instructor drop form

            is received in the Office of the Registrar is the official drop date

 The Americans with Disabilities Act (ADA) Statement

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 admission, accessibility, and employment of individuals in programs and activities.

MSU provides academic accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic employment requirements. For assistance, call (940) 397-4140 or come by Disability Support Services in Clark Student Center room 168. Please see the instructor outside of class to make any arrangements involving special accommodations.

It is the student’s responsibility to declare any disabilities. After declaration, preferably at the beginning of each semester, the student needs to contact individual instructors to determine any reasonable accommodations that may be required.

Cheating policy

The Wilson School of Nursing and Midwestern State University do not condone cheating in any form and considers it a serious offense. Cheating is defined by the faculty to include dishonesty on examinations, providing testing information that would advantage another student, and plagiarism. Specifics are to be found in the Undergraduate and Graduate Student Handbooks and the MSU Student Handbook. 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. Cheating may include, but is not limited to: removing quiz or exam content, disseminating quiz/exam content, sharing quiz/exam information, being in possession of or using electronics during testing.

For further information regarding cheating and any subsequent actions to be taken, please refer to the policy statement in the MSU 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.

 

University Student Honor Creed

MIDWESTERN STATE UNIVERSITY STUDENT HONOR CREED

“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


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.