NRSG 115 Syllabus - Fall 2018 PDF

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Nursing Lab Syllabus...

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IVY TECH COMMUNITY COLLEGE OF INDIANA –Anderson SCHOOL OF NURSING COURSE SYLLABUS Fall 2018 NRSG 115, NURSING LAB

COURSE TITLE: Nursing Lab COURSE NUMBER: NRSG 115 Sections 20F, 21F and 22F PREREQUISITES: Admission to a Nursing Program COREQUISITES: NRSG 100 Fundamentals of Nursing SCHOOL: Nursing PROGRAM: Nursing CREDIT HOURS: 3 CONTACT HOURS: Lab: 6 DATE OF LAST REVISION: Summer, 2015 EFFECTIVE DATE OF THIS REVISION: Fall, 2015 COURSE FACILITATORS: Denise Renna, MSN, RN Nursing Faculty Office: Room 509 765-643-7133 Ext. 2361 E-mail: [email protected]

Sara Madren Nursing Faculty Office: Room 504 765-643-7133 Ext. 2357 E-mail: [email protected]

Jill Hunt, MSN, RN Nursing Facuty/Dept. Chair Office: Room 103G 765-643-7133 Ext. 2364 E-mail: [email protected]

Rebecca McClimans, MSN, RN Nursing Faculty Office: Room 508 765-643-7133, ext. 2359 E-mail: [email protected]

For appointment please contact the School of Nursing Office at 765-643-7133 ext. 2312 or utilize IVY Advising on Blackboard to set up an appointment. CLASS DAY/TIME: W 1p-4:50p R 830a-450p CATALOG DESCRIPTION: Simulated patient care provides an opportunity to develop the psychomotor skills necessary to provide nursing care to meet basic patient needs. Emphasis is placed on the use of standard precautions, provision of a safe care environment, and maintenance of patient privacy and basic principles of documentation. Through the use of additional simulated patient care activities and mastery of basic care principles, students are provided the opportunity to develop progressively complex nursing skills to include sterile technique, airway maintenance, nutritional and fluid support, elimination devices, specimen collection, medication Ivy Tech Community College Academic Affairs

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administration, drug dosage calculations, and more advanced principles of nursing documentation. MAJOR COURSE LEARNING OBJECTIVES: Upon successful completion of this course the student will be expected to: 1.

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Demonstrate nursing skills utilized in meeting basic needs of patients through the effective use of technology and standardized practices that support safety and quality and reduce risk of harm to self or others. (SLO 1, 2, 3) Demonstrate competencies in techniques necessary to maintain a safe patient care environment to minimize risk of harm to patients and providers through both system effectiveness and individual performance. (SLO 1, 2) Demonstrate awareness of the need to protect patient privacy, explore ethical and legal implications of patient-centered care, facilitate informed patient consent for care, and appreciate shared decision-making with patients and families. (SLO 1, 5, 6) Demonstrate knowledge of basic scientific methods, utilization of infection control principles and standard precaution measures, and integration of evidence-based practices when performing psychomotor skills and processes integral to clinical practice. (SLO 2, 4, 7) Apply fundamental principles of handwritten and computerized documentation to record basic patient care. (SLO 3) Safely demonstrate progressively complex nursing skills, substantiated with evidence, that integrate nursing science in the provision of safe, quality care and promote the health of patients. (SLO 1, 4, 5) Demonstrate competencies in techniques necessary to create a safe patient care environment, communicate hazardous conditions and the nurse’s role in preventing injuries in the health care environment. (SLO 1, 4, 5) Demonstrate therapeutic communication techniques and inter/intraprofessional teamwork and collaboration that displays a culture of care and promotes patient and family advocacy, self-determination, and integrity. (SLO 5, 6) Demonstrate proficiency in drug dosage calculations and medication administration. (SLO 1) Describe how technology and information management are related to the quality and safety of patient care and support clinical decision-making, error prevention, and care coordination. (SLO 1, 3, 5)

COURSE CONTENT: Topical areas of study include – Philosophical concepts related to individuals, environment, nursing, health, and the nursing education process. Assessment/Managing Care Physical assessment Vital signs Height/weight/measurements I&O Drug dosage calculation Ivy Tech Community College Academic Affairs

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Introduction to care planning Therapeutic communication Nursing documentation Information management Safety Hand washing Standard precautions Medication administration Restraints Reporting/continuity of care/safe patient handoff Inflammation and Infection Sterile technique Personal Protective Equipment Mobility Mobility/positioning/transfers/devices ROM Tissue Integrity Hygiene Wound Care Bed making Urinary and Bowel Elimination Elimination devices Specimen Collection BSC/urinals/catheter care/bedpans Metabolism Oral feedings Nutritional and fluid support Fluid and Electrolytes IV Therapy Oxygenation and Perfusion Oxygen and airway maintenance Sensory Perception/Intracranial Regulation Perioperative Care ELIGIBILITY TO TAKE THE NURSE AIDE COMPETENCY EVALUATION (CNA) OR MEDICATION AIDE (QMA) FINAL EXAMINATION Ivy Tech Community College administers Nurse Aide Competency Evaluation and Medication Aide Final Examination for qualified candidates in compliance with Indiana State Department of Health regulations. If you are currently enrolled in the nursing program and have successfully completed NRSG 100 Fundamentals of Nursing and NRSG 115 Nursing Lab with a “C”, you may be eligible for the CNA evaluation. Students currently enrolled in the nursing program and have successfully completed NRSG 106 Pharmacology for Nursing with a “C” or higher may eligible to take the QMA final examination. Ivy Tech Community College Academic Affairs

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 

For the CNA exam: For the QMA exam:

NRSG 100 Fundamentals of Nursing & NRSG 115 Nursing Lab NRSG 106 Pharmacology of Nursing

If you have any questions, or need more information, please contact Ivy Tech Community College at (317) 917-5948 or [email protected] or visit the following websites for additional information: http://www.ivytech.edu/cna/ or http://www.ivytech.edu/qma/ HOW TO ACCESS THE IVY TECH COMMUNITY COLLEGE LIBRARY: The Ivy Tech Library is available to students’ on- and off-campus, offering full text journals and books and other resources essential for course assignments. Go to http://www.ivytech.edu/library/ and choose the link for your campus. 

The most current MLA & APA Citation Guide can be found under Feature Resources on the Library’s website.

ONLINE LEARNING TECHNOLOGIES Anna Blankenbaker [email protected] Online Technology Coordinator 815 E. 60th Street Anderson, IN 46013 (765) 643-7133 x 2046 TEXTS/CURRICULUM MATERIALS: REQUIRED TEXTS: Taylor, C., Lillis, C., Lynn, P., & LeMone, P. (2015). Fundamentals of nursing: the art and science of person-centered care. (8thed.) Philadelphia, PA: Wolters Kluwer. REQUIRED RESOURCES: Lippincott Williams & Wilkins. (nd). Lippincott DocuCare. Retrieved from http://www.lwwdocucare.com/ Ogden, S.J. & Fluharty, L. (2016). Calculation of drug dosages: a work text. (10th ed.). St. Louis, MO: Mosby ***Nursing Lab Pack: purchased from Anderson Ivy Tech Bookstore** ACADEMIC HONESTY STATEMENT: Ivy Tech Community College Academic Affairs

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The College is committed to academic integrity in all its practices. The faculty value intellectual integrity and a high standard of academic conduct. Activities that violate academic integrity undermine the quality and diminish the value of educational achievement. Cheating on papers, tests or other academic works is a violation of College rules. No student shall engage in behavior that, in the judgment of the instructor of the class, may be construed as cheating. This may include, but is not limited to, plagiarism or other forms of academic dishonesty such as the acquisition without permission of tests or other academic materials and/or distribution of these materials and other academic work. This includes students who aid and abet as well as those who attempt such behavior. Students who are caught cheating or sharing academic work with other students will receive a score of ZERO on the assignment in question and will be reprimanded accordingly. COPYRIGHT STATEMENT: Students shall adhere to the laws governing the use of copyrighted materials. They must insure that their activities comply with fair use and in no way infringe on the copyright or other proprietary rights of others and that the materials used and developed at Ivy Tech Community College contain nothing unlawful, unethical, or libelous and do not constitute any violation of any right of privacy. ADA STATEMENT: Ivy Tech Community College seeks to provide reasonable accommodations for qualified individuals with documented disabilities. If you need an accommodation because of a documented disability, please contact the Office of Disability Support Services, Pat Toombs at 765-643-7133 Ext. 2076. If you will require assistance during an emergency evacuation, notify your instructor immediately. Look for evacuation procedures posted in your classroom. Students having any special needs that may affect their performance in class/clinical or require special instructional strategies should make these needs known to the instructor during the FIRST WEEK of the course. You will also need to contact the Office of Disability Support Services, Pat Toombs at 765-643-7133 Ext. 2076. TITLE IX STATEMENT: Ivy Tech Community College is committed to providing all members of the College community with a learning and work environment free from sexual harassment and assault. Ivy Tech students have options for getting help if they have experienced sexual assault, relationship violence, sexual harassment or stalking. This information can be found at https://www.ivytech.edu/prevent-sexual-violence/index.html. If students write or speak about having survived sexual violence, including rape, sexual assault, dating violence, domestic violence, or stalking, federal law and Ivy Tech policies require that instructors share this information with the Campus Title IX Coordinator. The Campus Title IX Coordinator will contact students to let them know about accommodations and support services at the College and in the community as well as

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options for holding accountable the person who harmed them. When contacted, students are not required to speak with the Campus Title IX Coordinator. If students do not want the Title IX Coordinator notified, instead of disclosing this information to their instructor, students can speak confidentially with certain individuals at the College or in the community. A list of these individuals can be found at https://www.ivytech.edu/prevent-sexual-violence/index.html under Confidential Employees and/or Community Resources.

ATTENDANCE POLICY: Regional Attendance Policy: Student attendance is reported to the Registrar for auditing purposes. “Federal financial aid recipients who withdraw or stop attending all classes before the 60 percent point in the term will owe money back to the federal government and/or Ivy Tech” from http://www.ivytech.edu/financial-aid/SAP/ Classroom Attendance Statement: Students are expected to attend all lab sessions. Attendance is necessary to maximize student-learning opportunities. Students who are absent are responsible for missed material. METHODS OF DELIVERY: It is my expectation that you come to class having reviewed the chapter readings and DVD’s so that we can discuss the information.  Didactic presentations  Discussions  Small group work  Examinations  Handouts  Audiovisuals  Case study reviews  Collaborative and independent study  Power Point presentations  Skill Performance/ Check-off MATH Math will be presented throughout the curriculum beginning in NRSG 100. Please refer to the IVY TECH COMMUNITY COLLEGE Region 6 East Central NURSING PROGRAM STUDENT HANDBOOK for the Math Policy.  You will have a Dosage Calculation assignment for this course and math may also appear on quizzes. METHODS OF EVALUATION: 1. Demonstration: Skills will be evaluated on the following principles: accuracy, efficiency, safety, asepsis, and organization. The student must demonstrate proficiently each skill in the time allotted. Skills not performed at the assigned evaluation time will be scored as an unsuccessful attempt. Skills will be evaluated on a pass/fail basis. There will be three attempts allowed to pass a skill demonstration. Point deductions will be taken for second and third attempt. Assigned remediation following a failed second Ivy Tech Community College Academic Affairs

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attempt must be completed prior to a student’s third and final attempt. Failure to pass any one of the skills listed below by the third attempt will result in course failure. Competency of the following skills will be assessed via demonstration and/or written quiz or assignment: Introduction to Care Planning Hand washing Height/Weight measurements Hygiene Bedmaking Mobility/Positioning/Transfers/Devices Passive ROM Restraints Intake and Output Oral Feedings Oxygen and Airway Maintenance BSC/Urinals/Cather Care/Bedpans Physical Assessment Sterile procedure Wound Care Nasogastric tube insertion/removal Instillation of an enema Urinary catheterization Specimen collection Colostomy/Ileostomy Care Elimination Devices Drainage Systems Devices Tracheostomy care Tracheostomy suctioning Central line dressing change and care Nutrition and Fluid Support – Including IV’s Intravenous Therapy (Fluid Set-up/Rate Calculations) Injections (subcutaneous, intradermal, intramuscular) Set-up for medication administration Reporting/Continuity of Care/Safe Patient Handoff Skills Demonstration Scoring: You will need to refer to the Check-Off Schedule provided to you to see the date and time of each check-off Donning & Doffing PPE Central Line Dressing Change (Sterile Technique) Vital Signs Nasogastric tube insertion Anchored catheter insertion (Sterile Technique) Anchored catheter removal Physical Assessment Trach Suctioning (Sterile Technique) Oral Medication Administration

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10 points 10 points 10 points 10 points 10 points 10 points 15 points 10 points 10 points NRSG 115

10 points 10 points

Administering SQ Injections Administering IM Injections

Total points possible for check offs _______/ 115 points **Sterile gloving and technique is evaluated during Anchored catheter, Trach suctioning, and central line dressing change. 

Additional Skills Demonstration for Credit Only: Additional skills will be practiced and demonstrated during lab hours. Verification of practice and skill demonstration will be witnessed by peers or faculty members for credit only. Failure to practice these skills and have their demonstration witnessed for accuracy and completion will result in a grade of “Incomplete” for this course until such time they are completed. A list of these skills will be provided by the course facilitator.

2. Assignments:  All Homework is due at the beginning of class or when the instructor specifies. A deduction of 10% per day will be subtracted from the score for each day it is late up to 50%. After 5 business days, a score of ZERO will be recorded.  Additional homework assignments may be added at the instructor’s discretion, but the scheduled homework assignments are: Due Thurs. 9/6 Due Wed. 9/19 Due Thurs. 10/4

Vital Sign Record: History and Physical Assessment Dosage & Calculation Assignment

20 points 25 points 18 points

3. Docucare Skills Documentation  There are SIX Skills that you will need to document in Docucare. You are expected to document these skills IMMEDIATELY AFTER you perform your check-off. This is the expectation for documentation in the world of nursing, so it will also be the expectation here. The Docucare Assignments will close at 6 pm the day the check-offs are scheduled. If you did not document your care, then it was not done and you will receive a score of ZERO for the documentation portion of the check-off. Below are the Skills that require documentation in Docucare and are worth 5 Points each. o o o o o o

Central Line Dressing: Vital Signs Nasogastric Tube Insertion Anchored Catheter Insertion Anchored Catheter Removal Tracheostomy Suctioning

Due Thurs. 8/30 Due Thurs. 9/13 Due Wed. 9/19 Due Thurs. 9/27 Due Thurs. 9/27 Due Wed. 10/10

Docucare Class Code: 3565A861 o This code is needed to access Docucare and complete all assignments assigned through this resource Ivy Tech Community College Academic Affairs

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4. Quizzes:  A quiz will be given every Thursday at the beginning of class for weeks 1-7 and will cover any material that is assigned for that week. Points for quizzes will vary depending on the amount of material that has been assigned. Quiz answers will not be reviewed until every student has taken the quiz. If you are not present during the scheduled quiz time, you will be deducted 10% per day until the quiz is taken. Extenuating circumstances may be reviewed at the discretion of the instructor. 4. Grading scale: o 92 - 100 A o 83 – 91.99 B o 75 – 82.99 C o 70 – 74.99 D o 0 – 69.99 F  Overall grading will be calculated as follows o 80% skills check-offs o 20% quizzes and assignments  Documentation is considered part of the skills check-off and will be included in the 80%  To successfully pass this course, an average of 75% must be achieved at the end of the Course LAST DATE TO DROP COURSE WITHOUT A GRADE: Saturday, September 29th, 2018  Ivy Tech Faculty perform administrative drops for students who do not attend class early in the semester by submitting a no-show withdrawal (NW) during the 100 percent refund period of a course (two weeks for the 16-week session; one week for eight week session). This applies to all class formats. Attendance Drop Deadline: August 24th , 2018. MAKE-UP POLICY: It is very difficult to make up missed practice time for lab. It is important that you are present to practice the skills on your scheduled lab day. There may be some open lab hours (based on room availability) that students may come in and practice skills on their own. If you are required to repeat a check-off because of a failed 1st or 2nd attempt, then you are responsible for scheduling a time with the instructor in order to practice, remediate, and checkoff. RIGHT OF REVISION: This syllabus is provided as a learning guide for students. It serves the purpose of letting students know what is expected of them during and by the completion of this course. It is not meant to be, nor should it be construed as a contract. This syllabus is only a learning guide. As such, it may be adjusted by the instructor as deemed necessary to facilitate student learning. ELECTRONIC EQUIPMENT: Cell phones and pagers must be out of sight and on silent while in the lab. Tape recorders are not allowed in the lab unless prior approval is obtained from the instructor. SAFETY STATEMENT: Ivy Tech Community College Academic Affairs

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Ivy Tech programs require adherence to safety regulations and use of safety equipment. Your instructor will advise you of any safety regulations applicable to this course. Any safety equipment and/or materials required are listed as an attachment to this course outline. Violations of any regulations or equipment can result in dismissal from the class. Each student is responsible for implementing universal precautions at all times in the lab and clinical settings. Students are respons...