NUR 114b Syllabus Spring 2019 final PDF

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1 FARMINGDALE STATE COLLEGE DEPARTMENT OF NURSING COURSE NUMBER:

NUR 114

COURSE TITLE:

Clinical and Theoretical Foundations of Baccalaureate Nursing Practice

COURSE CREDITS

7

135 Clinical hours

COURSE PRE-REQUISITES: BIO 170 and BIO 171 COURSE CO-REQUISITES: NUR 100T NUR100L COURSE DELIVERY:

Classroom with Blackboard Course Management System Nursing Skills Laboratory Clinical

TERM/YEAR

Spring 2019 Monday 10:50-12:40 Gleeson 326

FACULTY:

Lori Goodstone, DHEd., RN, Office – Gleeson 204 E-mail – [email protected] Telephone number - 631-420-2229

APPLIED LEARNING: CLINICAL PLACEMENT In this course you will spend time in a clinical health-care setting, interacting with individual patients or groups under the supervision of faculty. The goal is to master clinical concepts, improve clinical reasoning, and expand clinical skills.

COURSE DESCRIPTION: This course provides an introduction to nursing and patient care concepts, emphasizing the knowledge, skills and attitudes needed to provide safe, high quality care to individuals, families and communities within a multicultural environment. The theoretical foundation for professional nursing behaviors, evidence-based practice, and patient-centered care are explored within the context of various health care environments, delivery systems, and inter-disciplinary teams. Concepts of caring, critical thinking, communication, and the role of the professional nurse as provider of care, manager of care, and member of a profession are integrated throughout the

2 course as a framework for presentation of the essential components of generalist baccalaureate nursing practice. Students are given the opportunity to demonstrate beginning skills in the nursing and simulation laboratory and apply these skills in the clinical setting to provide holistic care that promotes optimum wellbeing to individuals and families. COURSE OUTCOMES: At the end of this course, the student will: 1. Incorporate knowledge from liberal arts and sciences, humanities, and nursing to provide holistic and patient-centered care that promotes empowerment and optimal wellbeing of individuals and families. (Essential I) 2. Begin to demonstrate professional nursing behaviors incorporating caring, diversity, nursing values, principles of quality and safety, ethics, and legal and regulatory frameworks, and the influences of human responses to illness, suffering and healing to assist individuals, families and communities to achieve maximal fulfillment. (Essentials II and VIII) 3. Develop nursing knowledge, critical thinking, and evidence-based clinical judgments to provide patient-centered nursing interventions for individuals and families with a variety of health stressors in clinical settings. (Essentials III, VII, IX) 4. Describe and begin to use effective communication in collaborating with patients, families, and other health care professionals. (Essentials II and VI) 5. Engage in self-reflection and begin to develop an identity of self as nurse by participating in activities that contribute to the development of nursing professionalism. (Essential VIII) 6. Describe principles of research, nursing and healthcare systems theory, and health information technology to provide safe, accessible, and fiscally responsible health care. (Essentials IV and V)

REQUIRED TEXTBOOKS AND LEARNING RESOURCES Buchholz, S., (2015). Henke’s med-math dosage calculation, preparation & administration (8th ed.). Lippincott Williams & Wilkins. Philadelphia. ISBN: 9781496302847 Lynn, P. (2014). Taylor’s clinical nursing skills: A nursing process approach. (4rd ed.). Lippincott Williams & Wilkins. Philadelphia. ISBN 9781451192711 Taylor, et al. (2014). Fundamentals of nursing: The art and science of nursing care (8th ed.). Lippincott Williams & Wilkins, Philadelphia. ISBN 978-1451185614

3 RECOMMENDED TEXTBOOKS AND LEARNING RESOURCES Haugen, N. & Galura, S. (2010). Ulrich & Canale's Nursing care planning guides: Prioritization, delegation, and critical thinking (7th ed.). Elsevier Health Sciences. ISBN 9781437701746 Schuster, P.M., (2015). Concept mapping: A critical thinking approach to care planning. (4rth ed.) F.A. Davis Company, Philadelphia. ISBN 9780803638488 Silvestri, L. (2016). Saunders comprehensive review for the NCLEX-RN examination (7th ed.). Elsevier Health Sciences. ISBN 9780323358514 The Essentials of Baccalaureate Education for Professional Nursing Practice http://www.aacn.nche.edu/education-resources/BaccEssentials08.pdf REQUIRED TECHNOLOGY TOOLS Internet connection WEB REQUIREMENTS Mozilla Firefox for ATI testing products Blackboard course management system – you are responsible for checking your Blackboard and Farmingdale email and announcements INSTRUCTIONAL METHODS 1. Class Discussions/ In Class Activities/ Lecture 2. Interactive activities a. Classroom, lab, clinic, simulation b. Electronic media c. Group work 3. Reading assignments 4. Nursing Skills Laboratory: Demonstrations, practice and testing of skills 5. Clinical rotations 6. Blackboard Course Management System 7. ATI Testing System 8. Human Patient Simulator/Connecting Conversations Lab Sessions 9. Weekly clinical journals via Farmingdale or Blackboard email account 10. Nursing concept maps 11. Student Nurses Association membership and participation COURSE SCHEDULE AND ASSIGNMENTS The course schedule and assignments may be found under the NUR114 Information tab in Blackboard

4 TIMELINE FOR FEEDBACK FROM FACULTY Students can expect feedback from faculty within seven days of assignment submission and unit exams. Exams may be reviewed by scheduling an appointment with your professor. This must be done within 2 weeks of grade postings. Bonus/extra points are not given. The professor will respond to emails within one to two days Monday through Friday while the College is open.

GRADING 1.

For all nursing courses in which exams are administered, the student must achieve a weighted average based only upon course exams of “C+” (77%) in order to pass the course. All other graded projects are added to the grade after the 77%.

2.

A grade of C+ is required to pass this course.

3.

Mid-semester notification will be given to any student whose grade is “C+” or less at mid-semester. In keeping with the College’s concern that all students be afforded every opportunity to reach their maximum potential, students are notified early each semester if their progress is less than a “C+”. This “early warning” allows a student sufficient time to meet with an advisor and develop a course of action aimed at improving their grades. A variety of support systems are available to assist students as they move toward the completion of their academic goals.

Grading Criteria: The following is the official college grading system: Minimum Grade Percentage Equivalent 93.0 90.0 87.0 83.0 80.0 77.0 73.0 70.0 67.0 60.0 0 0 0 0

Grade A AB+ B BC+ C CD+ D F I W UW

GPA Equivalent

Interpretation

4.00 3.67 3.33 3.00 2.67 2.33 2.00 1.67 1.33 1.00

Excellent

Good

Satisfactory

Minimum Passing Failure Incomplete Withdrawal Unofficial Withdrawal

5 Grading/Assignments: Your grade will be determined as follows: There will be 4 exams, totaling 80% of your theory grade Exam 1 (20%) Concepts related to health and wellness, safety, clinical reasoning/clinical judgment, nursing theory, communication, culture Exam 2 (20%) Concepts related to medication administration, infection, metabolism, inflammation Exam 3 (20%) Concepts related to fluid and electrolytes, oxygenation, elimination, Exam 4: (20%): Concepts related to pain, comfort, sleep, stress, legal and ethical issues, roles of the nurse, death and dying Assignments NCLEX style exams (1% each 3% total) Must present score sheet to receive credit ATI Practice Exams (4% each, total 8%) Must present score sheet to receive credit Inter-professional Outcome worksheet (2%) ATI Infection Control Module (2%) ATI Skills Module – Nutrition, Feeding and Eating (1%) ATI Communication Tutorial (1%) ATI Pain Tutorial (1%) Patient Centered Care Exercise (2%)

COURSE POLICIES/PROCEDURES Students are responsible for complying with the Department of Nursing policies found in the Nursing Student Handbook. Students are expected to be prepared for and actively participate in all class sessions. The following policies will apply to this class: All clinical objectives must be met in order to pass this course Practical examinations in the nursing skills laboratory will be given to evaluate nursing skills. Satisfactory performance of all critical elements is required to pass the lab examinations. The practical examinations for NUR 114 will be: a. Subcutaneous Injections b. Intramuscular Injections c. Enteral medication administration Each procedure will be evaluated according to the critical elements. Students who are unsuccessful in any portion of the practical exam will be retested. These students are expected to practice in the nursing skills laboratory prior to the scheduled retest. Two

6 opportunities for retesting will be offered. Any student who is unsuccessful in the performance of the practical exam will receive a failing grade in NUR 114. Students must achieve a grade of 90% or better on a drug calculation test. The student will have a total of three opportunities to achieve a grade of 90% on the drug calculation test; please refer to Math Policy in the Nursing Student Handbook. If a student does not achieve a grade of 90% or higher on the third dosage calculation test, he/she will fail NUR 114. Students must pass a simulated medication experience and the dosage calculation exam before administering medications in the clinical setting. Students must pass all components of NUR 114 (Theory, Lab, Clinical and Dosage Calculation Test) to pass the course. Students must maintain membership in the Student Nurses Association and attend meetings and activities as required. Failure to meet these requirements may result in a deduction of one half (1/2) letter grade from the final course grade. Students must have documented CPR Certification for Health Care Providers from the American Heart Association. Changes to the Syllabus: The professor reserves the right to make changes as necessary to this syllabus. If changes are necessary during the course, the professor will immediately notify students of such changes and provide a written syllabus revision. To meet the course outcomes, you are required to: 1.

Demonstrate accountability and responsibility for your own actions by: a. Exhibiting professional conduct. b. Performing in accordance with the accepted principles that govern the conduct of the nursing profession. c. Maintaining the confidentiality of patients at all times. d. Willingly accepting constructive feedback. e. Working cooperatively with peers, staff, and instructor. f. Adhering to the American Nurses Association Scope and Standards of Practice guidelines and Code of Ethics. g. Adhering to the Technical Standards for Admission and Retention as stated in the College Catalog and in the Nursing Student Handbook.

2.

Provide physical safety for patients at all times. Physical jeopardy is any action or inaction that threatens the safety of an individual.

3.

Provide emotional safety for patients at all times. Emotional jeopardy is any action or inaction that threatens the emotional well-being of any individual.

7 4.

Seek guidance and supervision when appropriate such as: a. With new and unfamiliar situations b. Following specific directions of your clinical instructor c. Medications may only be administered with the clinical instructor

5.

Complete assignments in the clinical area within the assigned time.

6.

Participate in pre-conference and post-conferences.

7.

Complete written assignments satisfactorily, including e-mail journals by dates assigned

CLINICAL EVALUATION *Please note student must have full health clearance, documented CPR certification for health care providers from the American Heart Association, and a background check to attend any clinical experience 1.

Grading in the clinical area is pass or fail.

2.

A satisfactory performance by a student in the clinical area is measured by the clinical evaluation tool which is based on the course outcomes. Nursing concept maps will be graded pass/fail and are part of the clinical grade. Failure to meet written work requirements satisfactorily constitutes a failure to meet course outcomes. This constitutes a clinical failure.

3.

Unsafe performance in either the lab or clinical laboratory will constitute failure of the course regardless of theoretical grade. Attendance

Classroom Attendance at exams is mandatory. If you are unable to take the exam as scheduled, you must notify the instructor prior to the start of the exam. At the discretion of the instructor, failure to notify of absence prior to the start of the exam may result in a grade of zero on the exam. Makeup exams will be considered on an individual basis and must be completed within 2 weeks of the original exam date. Make-up exams may be in any format including term paper. Clinical Students are required to attend all clinical experiences. Clinical absences must be avoided except in the case of illness or emergencies. At the discretion of your clinical instructor or course coordinator, documentation regarding your absence and/or clearance from your health care provider will be required. Since participation in clinical instruction is essential to your nursing education, the approved clinical absence must be made up with an 8-hour simulation experience at the end of the semester. Failure to complete this simulation makeup on the assigned day will result in ½ letter deduction from the final course grade. An

8 unapproved absence will result in a ½ letter deduction from the final course grade. Additional clinical absences will result in failure of the course; extenuating circumstances will be evaluated by the Chairperson of the Nursing Department. Students must be on time to all clinical rotations; being late to clinical three times constitutes a clinical absence which must be made up by the student. You must notify your clinical instructor when you will be unavoidably late or absent. Lab Students are required to attend all lab sessions. Missed lab sessions must be made up within two weeks of the missed lab experience. All students who have been assigned a lab make-up by their lab instructor must obtain a copy of the “Make-up Form” that is located in the Student Nursing Handbook. A copy of this form is also located in the Department of Nursing Blackboard account under “Course Documents.” The top of the form is to be completed by the student and the lab instructor. The student must then make an appointment with Mrs. Colgan in the Nursing Lab by calling 420-2662 or emailing [email protected]. Lateness Policy To meet the educational objectives of each clinical nursing course, students are required to attend each clinical and lab experience on time. The policy regarding lateness follows: Lateness constitutes a serious professional concern. Lateness is defined as arriving to the clinical setting or lab after the designated start time. In the event that a student anticipates being late, faculty MUST be notified PRIOR to the beginning of the clinical or lab. - The first late occurrence will result in verbal notification. - The second late occurrence will result in written notification. - The third late occurrence constitutes an unexcused absence resulting in a deduction of ½ letter grade from the student’s final grade. - Any subsequent lateness occurrence warrants failure of the clinical or lab and thus, theory course. FAILURE TO NOTIFY the clinical/lab faculty of a pending lateness will immediately result in written notification. - Any subsequent occurrence of lateness where there is a failure to notify faculty will result in deduction of ½ letter grade from the student’s final grade. - Any additional lateness occurrence without prior notification warrants failure of the clinical or lab and thus, theory course. Students with patterns of chronic lateness to clinical or lab will result in failure of the course. Extenuating circumstances will be evaluated by the chairperson of the Department of Nursing. This lateness policy also applies to ATI faculty review sessions with assigned nursing faculty. Video Recording As part of your course requirement you may be participating in simulation activities which will be video recorded. These recordings will be used for educational purposes only and will not be disseminated outside of Farmingdale State College. Confidentiality is expected from everyone participating in a simulation activity regarding scenario details and participants' performance during simulation, whether in real time or video.

9 Cancelation of Classes: Weather and other campus-wide cancellations will be listed on the home page, Facebook and Twitter and you can also sign up for RAVE and SUNY Alert. Go to www.getrave.com and use your Farmingdale user ID and password to enter the site. For SUNY-Alert, please visit the University Police web page at www.farmingdale.edu/university-police/. In the event of cancellation of classes for any other reason, the instructor will post an course announcement on BB. Religious Absences: If you are unable to attend class on certain days due to religious beliefs, please consult with your instructor well in advance of the absence so that appropriate accommodation can be made. Withdrawal Policy A student who wishes to withdraw from courses must do so officially, in a timely manner, according to the policy of Farmingdale State College. To be considered officially withdrawn from the college, the withdrawal form obtained at the Registrar’s Office must be completed and submitted to the Registrar’s Office before the last day of withdrawal. Consult the College Catalog or the Registrar’s Office for the last day of withdrawal. On-line Participation Guidelines: All electronic postings, emails and messages must be civil, respectful, and cordial at all times. Student Code of Conduct: The President of the College and the Vice President for Student Affairs recognize the rights of designees including University Police, to enforce all regulations, policies, license agreements, laws and codes on campus. If any individual allegedly violates the laws, Student Code of Conduct or campus policies, a President’s designee will institute proceedings against the offender (s). For more information on the student code of conduct see page 38 in the Student Handbook. http://www.farmingdale.edu/campus-life/pdf/handbook_2011_2012.pdf Campus Police 631-420-2111 Electronic Device Policy/ Social Media Policy All students must adhere to the social media policy and the electronic device policy. This is located in the Nursing Student Handbook. Use of Email: It is College policy that instructors and students use the Farmingdale email system or the Blackboard email system to contact one another.

Writing Requirements: All written work, including nursing concept maps and e-mail journals must meet the standards of the English Department. It must be intelligible, coherent and demonstrate good grammar, syntax and spelling. Written work should be legible and written in ink or preferably typed as directed

10 by the instructor. Appropriate medical terminology is required. Assistance is available at the Writing Center. Readings and Discussions: All assigned readings and review of voice over electronic slides should be completed prior to coming to class. Students are expected to participate in class discussions. Late Assignments: Late assignments will not be accepted. Students who are unable to complet...