Pediatric Nursing Care

Course Details

Course Number: NURS4053  Section Number: 101

Fall 2013

Location: Bridwell Hall

Classroom Number: 108

Days & Times:

Tuesday and Thursday             3:00-4:20 p.m.



Course Attachments

Textbooks

Wong's Essentials of Pediatric Nursing
Hockenberry, M. a. (2013). Wong's Essentials of Pediatric Nursing. (9th Ed.) St. Louis: Mosby. ISBN: 9780323083430
  ISBN: 9780323083430

MSU Faculty Member
Anne-Marie Williamson   
view Profile »

Course Objectives

Objectives

AACN Essentials

DEC Competencies

1. Integrate developmental concepts in providing holistic care to children / child-rearing families

I,III, VII, VIII, IX

I: D

II: B, D, E, F, G

III: C

IV: A, D

2. Use the nursing process to assist children / child-rearing families to achieve optimal health and wellness

I,III, VII, IX

I: D

II: B, C, D, E, F, G

III: C

 

3. Integrate trans-cultural nursing concepts and principles in delivery of health care to children and child-rearing families

I, VII, IX

I: B,C, D

II: A, B, C, D, E, F, G

III: C

IV: A

4. Apply current research findings in caring for children / child-rearing families

I,III, VII, IX

I: B,C, D

II: A, B, C, F, G

III: C

IV: A, B, C, D

5. Apply teaching-learning theories that optimize the child / child-rearing family’s potential for wellness

I, II,III, VII, IX

I: C

II: A, B, C, F, G

III: B

IV: A

6. Examine the role of the nurse specific to the child / child-rearing family

I, VII, VIII, IX

I: A, C

II: A, B, C

IV: A, B, C, D

7. Evaluate professional accountability in light of trends in pediatric nursing

I, VII, VIII, IX

I:A, B,C

II: A, C

III: D

IV: B, C, D

Clinical Objectives:

  1. Holistically assess the pediatric patient and their support system(s)
  2. Analyze assessment data in formulating and prioritizing holistic nursing care needs of pediatric patients and their support system(s)
  3. Discuss evidence-based rationale for selection / modification of nursing interventions in the care of pediatric patients and their support system(s)
  4. Safely administer and monitor pediatric medications, intravenous fluids and nutrition
  5. Competently perform common pediatric nursing care procedures
  6. Recognize and respond appropriately to ethical dilemmas in pediatric nursing care
  7. Accurately evaluate the effectiveness of pediatric nursing care
  8. Integrate knowledge of child and family development in providing pediatric nursing care.
  9. Demonstrate professional interaction / communication with children, family members, and health care team.

Course Expectations
  1. Students must maintain satisfactory health as determined by the total faculty consensus.
  2. Clinical performance, campus and/or clinical laboratory, are evaluated. Students are expected to pass both clinical and classroom components of the course. Failure in either one will constitute failure in the course. A course average of at least 74% is required to successfully complete this course.
  3. Students must maintain a current immunization record on file at the Vinson Health Clinic plus proof of a current CPR card, validated Health Insurance and paid Liability Insurance on file with the Wilson School of Nursing secretary during the entire semester. In order to attend class or clinical experiences, each student MUST comply with each of these requirements.
  4. Four function calculators are allowed during exams. The use of programmable calculators, statistical or graphing calculators and calculators stored on personal data assistant devices are NOT allowed. In addition, sharing a calculator with another student is NOT allowed. Calculators may not make a discernable noise during use.
  5. Students will be held accountable for all communications sent by faculty via the course’s learning management system (D2L); 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 submit clinical dates…and so forth…rather than using our school/work email addresses.
  6. Faculty reserves the right to make changes at any time to this syllabus.

 

Quizzes/ Exams: Four assessments will be administered during the semester. These may include several different question formats. Quizzes and exams are to reflect the student’s individual effort, therefore collaboration, talking during the quiz/exam, or having any physical or digital materials or equipment other than those specifically approved for the exam will be considered academic dishonesty.

 

Clinical Simulation:

1. Students will complete clinical simulations at the Regional Simulation.

2. Students will sign up for seventeen separate visits to the simulation center.

3. Students will complete assigned readings for each.

4. Students are expected to bring equipment needed to provide patient care and to have the resources they would normally use during a clinical experience.

5. Students who are late to the simulation lab will be considered absent. Absences may be rescheduled depending on space availability. If it is not possible to reschedule a simulation experience, the student must make arrangements with clinical faculty to obtain clinical hours.

 

Clinical documentation: These forms may be accessed within the learning management system

  1. The Student Care Assessment & Documentation must be completed and submitted to clinical faculty within 72 hours of the completion of each clinical shift. The document will be submitted via dropbox in D2L.
  2. The Student Evaluation of Preceptor form must be completed and submitted to clinical faculty within 72 hours of the completion of each clinical shift. The document will be submitted via dropbox in D2L.

Failure to satisfactorily complete and submit these forms may result in a clinical failure.


Grading Standards

Grades Scale:

Letter Grade

Numerical Grade

A

90-100

B

80-89

C

74-79

D

65-73

F

<65

 

* N.B. Grades will not be rounded

* N.B. Students must pass both the content knowledge and clinical components to pass the course.


Submission Format PolicyNote: 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.

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

Students are encouraged to attend all lectures. Students may be dropped from the course for excessive absences per University policy.

Note! Missed quizzes will be made-up within 1 week of the original quiz date. The highest score that a student can recieve on a make up is 90%. The format will be unlike the in-class quiz and it will be harder.


Other Policies

Disruptive Behaviors:

Behaviors that detract from the learning process will NOT be tolerated. Beepers and cellular phones are to be muted during all class sessions and pre-clinical/clinical experiences so that others will not be disturbed. Do not use cell phones in the classroom. In addition, disruptions occurring from students entering or leaving the classroom during class time will not be tolerated. If you arrive after class begins you must sit in the last row of seats.

The Provost has received a number of complaints from students saying that when their peers are allowed to bring children into class it is disruptive, is not appreciated, and is considered inappropriate for a learning environment and is something they should not have to tolerate. Given these complaints, children are not to be brought to class.

Integrity Policy:

NURS 4053 adheres to the MSU Code of Conduct. In particular, academic dishonesty, however small, creates a breach in academic integrity. A student’s participation in this course comes with the expectation that his or her work will be completed in full observance of the MSU Code of Student Conduct. A student should consult the current Student Handbook for answers to any questions about the code.

Students are encouraged to take full advantage of many resources available including online Blackboard course resources, Internet sites, other textbooks and journals, faculty, and peers when accomplishing objectives. This interactive collegial learning environment is conducive for life-long learning.

However, all components of NURS 4053 are designed to represent the efforts of each student individually and are not to be shared, copied, or plagiarized from other sources. When students submit their efforts for grading, they are attesting they abided by this rule. 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.

Academic dishonesty includes cheating, collusion, plagiarism or the acquisition of tests and other academic materials such as test banks without the permission of the faculty. Cheating, collusion, or plagiarism is defined as: (1) cheating - intentionally using or attempting to use unauthorized materials, information, equipment, or study aids in any academic exercise; (2) collusion - the unauthorized collaboration with another person in preparing work offered for credit; (3) plagiarism - intentionally representing the words or ideas of another as one’s own in any academic exercise.

Academic dishonesty (cheating, collusion, plagiarism, etc.) will not be tolerated in this class. Whenever a student is unsure of whether a particular situation will be interpreted as academic dishonesty, he/she should ask the instructor for clarification. Any student found to be academically dishonest as defined above and under each assignment will automatically receive a grade of “F” for both the classroom and clinical components of the course.

American Disabilities Act:

Midwestern State University (MSU) 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, physical accommodations and auxiliary aids to individuals with disabilities, as defined by law, who are otherwise qualified to meet academic and employment requirements. A student requiring academic or physical accommodations should call the office for assistance at (904) 397- 4618.  A student requiring physical accommodations that will impact their ability to perform tasks in the clinical areas (i.e. like lifting patients) must  provide a written accommodation plan to the course faculty  2 weeks prior to their first clinical day.  The student may not attend clinical until the course faculty has provided them a response in writing that the clinical facility has determined that they are able to meet the students need for physical accommodations.  A student may not request physical accommodations at the clinical site if a plan has not been filed.

N.B. The faculty reserves the right to recommend to the Chair, Wilson School of Nursing and the Dean, College of Health Sciences & Human Services withdrawal of a student from the nursing program for health, legal, professional, or academic reasons, particularly if patient care is jeopardized.  In addition, the student must perform within the ANA Standards of Practice and Code of Ethics.

Course Content

Dosage Calculation Quizzes: Students must achieve an 85% average on four medication tests (in addition to other clinical requirements) in order to pass the clinical component of this course. Class time will be provided for the exams. Dosage calculation quizzes are to reflect the student’s individual effort, therefore collaboration, talking during the quiz, or having any physical or digital materials or equipment other than a four function calculator during the quiz will be considered academic dishonesty.

Quizzes/ Exams: Four assessments will be administered during the semester. These may include several different question formats. Quizzes and exams are to reflect the student’s individual effort, therefore collaboration, talking during the quiz/exam, or having any physical or digital materials or equipment other than those specifically approved for the exam will be considered academic dishonesty.

Clinical Simulation:

1. Students will complete clinical simulations at the Regional Simulation.

2. Students will sign up for seventeen separate visits to the simulation center.

3. Students will complete assigned readings for each.

4. Students are expected to bring equipment needed to provide patient care and to have the resources they would normally use during a clinical experience.

5. Students who are late to the simulation lab will be considered absent. Absences may be rescheduled depending on space availability. If it is not possible to reschedule a simulation experience, the student must make arrangements with clinical faculty to obtain clinical hours.

Clinical documentation: These forms may be accessed within the learning management system

  1. The Medication Orientation document must be completed during the first clinical shift and submitted via dropbox within 24 hours of the completion of the shift.
  2. The Student Care Assessment & Documentation must be completed and submitted to clinical faculty within 72 hours of the completion of each clinical shift. The document will be submitted via dropbox in D2L.
  3. The Student Evaluation of Preceptor form must be completed and submitted to clinical faculty within 72 hours of the completion of each clinical shift. The document will be submitted via dropbox in D2L.

Failure to satisfactorily complete and submit these forms may result in a clinical failure.

Failure Policy

Students must meet all course requirements, or a grade of "F" will be assigned.

Students are expected to pass NURS 4042 and classroom components of the course. 

Failure in either clinical performance or theory components will result in failure “F” of the course and the clinical.

Clinical Failure:

Clinical failures are awarded students who fail to meet the objectives of the clinical experience, students who fail to uphold the ANA Practice Standards and the ANA Code of ethics, students who fail to maintain patient safety, and students who fail to complete all of their clinical hours.

Infractions constituting clinical failure:

STUDENTS ARE NOT TO ADMINISTER MEDICATIONS UNLESS DIRECTLY SUPERVISED BY A FACULTY MEMBER OR RN 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 clinical 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
  • Use of a cell phone for calling, texting, e-mailing or receiving calls, texts or e-mails 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 RN preceptor
  • Failing to check two patient identifiers prior to administering medications.
  • The smell of alcohol on the breath
  • Testing positive for illicit drugs or alcohol
  • An error in care or patient negligence that harms a patient
  • Falsification, omissions, and/or lying
  • Intentionally revealing confidential information
  • Patient abandonment
  • 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

Course Attendance

Students are encouraged to attend all lectures. Students may be dropped from the course for excessive absences per University policy.

Board of Nursing (BON) Requirements

Students are expected to be compliant with current CPR certification, immunizations, TB testing, health and liability insurance, drug screen and criminal background checks, throughout the semester.

 

Standards for Student Conduct in Nursing 4052/4042

Students enrolled in Pediatric Nursing are expected to conduct themselves as health care professionals. The minimum expected standards are outlined below.

Student Responsibilities:

  1. Professional Behavior in preparation for and completion of all clinical experiences (ambulatory, inpatient and simulation laboratory)
    1. Accomplish reading relevant to the clinical assignment in advance
    2. Present 15-minutes before the start of any clinical experience
    3. Appearance: Clean, pressed, correctly sized MSU or “kid friendly” scrubs; clean white shoes (exclusive of decoration); MSU student name tag; Hair off the face, off the collar and under control; Finger nails clean, colorless, not longer than the length of the finger; No artificial nails. Post earrings only (No dangling of any length)
    4. Well Equipped: “Nurse Pack” (pen, penlight, scissors, etc.); watch with second hand; stethoscope; pocket-size notebook;
    5. Accept all patient care assignments made by Simulation Lab staff, preceptors or faculty.
  2. Use the nursing process to provide optimum care for pediatric patients and their support systems
    1. Collect comprehensive patient data (historical, psychosocial, physical, and developmental)
    2. Interpret data in a meaningful way.
    3. Establish meaningful and measurable goals.
    4. Implement all nursing activities in a safe and therapeutic manner.
    5. Evaluate nursing actions and modify the plan of care as needed.
  3. Correctly and safely administer medications
    1. Consistently use the six rights of medication administration and assess for medication allergies
    2. Correctly calculate medication dosages
    3. Correctly perform subcutaneous and intramuscular injections
    4. Correctly administer intravenous medications
    5. Accurately document medication administration
    6. Demonstrate knowledge of medication therapeutic, non-therapeutic and adverse effects
  4. Effective professional communication both in accuracy of written documentation in medical records, using correct terminology, as well as oral communication with patients, parents and members of the health care team
  5. Display a professional attitude at all times
    1. Accept constructive feedback in a positive manner
    2. Actively seek individual learning opportunities 
  6. Administer medication or perform procedures ONLY under the direct supervision of the clinical instructor or RN preceptor.  Students are not allowed to administer medications alone.

Tips to remember:  

1.      Introduce yourself to your patient(s) and his/her nurse. Be specific when discussing with the staff nurse the patient care activities you will perform during your shift.

2.      NEVER disconnect or adjust any piece of equipment unless instructed to do so by your clinical instructor or staff nurse.

3.      You may assist nurses with their nursing care; however, your primary patient(s) should be your first priority.

4.      Students will NOT be allowed to initiate blood transfusions or chemotherapy, or to manipulate pain control pumps.

5.      Prior to administering any medication you are to know the action, safe dosages, and 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.

  1. NEVER give a medication prepared for administration by another nurse.
  2. When not sure, ask!

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.