Welcome to RNSG 1105
Nursing Skills I
Instructor
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Jeanie Ward RN,MSN, CNE
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Office:
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Cypress Creek campus – room 1138
223 - 2221
Eastview campus – room 8243
223-5721
Email: jeanward@austincc.edu
Roster
Calendar
Unit I
Orientation to RNSG 1105
Nursing Skills I
Course Description
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Study of concepts and principles essential
for demonstrating competencies in the
performance of nursing procedures.
Topics include knowledge, judgment, skills,
and professional values in a legal / ethical
framework.
Nursing Skills I – Course Objectives
1. Describe concepts and principles that are basic to the
safe performance of nursing skills
2. Demonstrate competence in performance of nursing
procedures
3. Communicate clearly the English language in speaking,
reading, and writing during performance and
evaluation of nursing procedures and simulated nursepatient interactions.
4. Demonstrate the values of the nursing profession.
Course Requirements
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Come to class prepared to participate in class
activities - practice all skills
Attendance – mandatory!! If you must be absent–
it is made up.
Be responsible for all materials presented in each
class.
Use lab time for independent study / practice, small
groups study / practice, and validating your
learning. You are expected to identify your
learning needs and take full advantage of the
opportunities in the learning lab.
Successful completion
1. Have a theory grade of 75% or above
from the exams and final
2. Satisfactory pass all mastery skill
demonstrations/ check-offs in
compliance with specifications of
passing
** Must pass each component—theory and
skill check-off to obtain a grade.
3. Attend class and comply with
requirements in the student handbook
Grading Policy
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60% grade comes from the exams
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Tests 1-3 count = 36%
Final exam counts double 24 %
40% grade comes from check-offs
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Check-off 1-3 =24%
Comprehensive mastery check-off = 16%
Grading Policy
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This course follows grade policy as described
in the ACC ADN student handbook.
A= 91-100
 B= 83-90
 C=75-82
 D=60-74
 F=below 60
** Note- this is different from other courses
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You must make a C in all nursing courses to
continue in nursing.
Textbooks and Supplements
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RNSG 1105 Syllabus
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Textbook:
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Fundamentals of Nursing Caring and
Clinical Judgment by Helen Harkreader
**Need to bring both to every class
Unit 1
Introduction to RNSG 1105
Preparation
Learning Objectives
Learning Supplement
Post Quiz
Professionalism
Nursing is not simply a collection of skills.
Nursing is a Profession
Professionalism
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Being Professional means being:
Accountable
Responsible
for your Own Actions
Professionalism
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Even though you will not be
performing skills on actual
patients, you are expected to
be professional in you manner
in performing the skills in this
lab.
Legal Standards
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As a nurse, your actions are guided by
legal standards of nursing practice.
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Nurse Practice Acts legally define and
regulate the scope of nursing practice.
Each nurse is held legally responsible /
accountable for meeting the standards of
nursing practice.
You should NEVER act beyond your
“Scope of Practice” (we will continue to
bring this up throughout the semester
National Patient Safety Goals
Ethical Standards
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All nurses must function within the nurses’ code
of ethics.
Nursing has a code of ethics and standards that
define the principles by which nurses should
function.
The ultimate responsibility for professional
practice/ performance of nursing skills lies with
YOU / each individual nurse.
Professionalism
An organization can provide
guidelines, but it is the individual
nurse who must maintain the
standards and take responsibility
and be accountable for own
nursing practice.
Organizing Framework
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The individual who is a part of a family
and or community is the center of the
framework.
Individual
Goal
Of
Nursing
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Assist the Individual to meet his / her
own Needs
Summarize
The Individual has Needs
Nursing assists the individual to
meet their needs
Nurses perform certain skills to assist in
meeting these needs.
Three Main Types of Skills
Cognitive / Intellectual Skills
Interpersonal Skills
Technical / Psychomotor Skills
Cognitive / Intellectual Skills
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Involve nursing knowledge and
critical thinking to provide safe,
intelligent nursing care.
Must be able to think critically in
order to problem solve and find
the best solution to meet a
patient’s needs.
Critical Thinking
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Process that challenges the nurse to
interpret and evaluate information /
data to derive judgments.
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Organizing information
Picking out relevant information
Judgments are made—based on reason
and rationale rather than on prejudice,
preference, self-interest, or fear.
Overtime, nurses expertise increases,
learning from successes and failures.
Nursing Process
Problem solving process that
enables the nurse to organize
and deliver nursing care
to meet patient needs.
Steps in the Nursing Process
Assessment
Evaluation
• Collect Data
• Validate Data
• Organize Data
•Goal achievement
•Reassess / Revise
•Terminate if goal
met
Implementation
•Carrying out the
plan/ perform
the skills
Diagnoses
•Analyze Data
•Formulate
diagnosis
Planning
•Establish goals
•Develop
outcome criteria
How do we know the
Needs of each individual?
Guide for Assessment
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P = Psychosocial Needs
E = Elimination Needs
R = Rest, Regulatory, Reproductive Needs
S = Safety Needs
O = Oxygenation Needs
N = Nutrition Needs
Assessment
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Collection of data, validation of data,
organization of data.
Kinds of data
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Subjective –
something that the
patient tells you about
Objective – data detectable by the nurse
ie. Hear, observe, smell, touch
Assessment is a very
important part of each skill
that the nurse performs
2. Diagnosis
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Analyzing and interpreting the
data to identify health needs and
formulate nursing diagnoses.
3. Planning
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Establishing goals and developing
outcomes
Getting ready to implement the skill
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Gather necessary equipment and making
preparations before beginning the skill
4. Implementation
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Carrying out the plan
Performance of the skills and care of
the patient
5. Evaluation
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The nurse evaluates:
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The goal– was it achieved / met?
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The patient’s response to the procedure
What do you do with the information
obtained?
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Document in the chart
Tell the appropriate staff, persons
INTERPERSONAL SKILLS
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Activities that people use when
communicating with each other
Nurse must communicate with
the patient, family and members
of the health care team.
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Assists the nurse to be perceptive to
the needs of the patient
TECHNICAL / PSYCHOMOTOR SKILLS
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Nursing Procedures that provide direct
care to the patient.
This will be our main focus this
semester.
Entering a Patient’s Room
1.
2.
3.
4.
5.
6.
7.
8.
Confirm medical orders
Obtain and check supplies for procedure
Knocks on door and enters room
Performs hand hygiene
Greets and introduces self to patient by name and
title such as:
Name, ACC Nursing Student
Identifies patient using 2 approved identifiers
Explain procedure. Tells the patient the reason for
being there.
Provides privacy
Exiting a Patients Room
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Tell Patient you are leaving
Place call bell/call light
within patients reach,
even if sitting in chair
at bedside
Make sure bed is in
position
Side rails are
Perform hand hygiene
What’s Wrong with this Picture?
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You are leaving the room
Answer
Call bell within reach? Yes
Side rails up
NO!
Bed in low
Position? Yes
Tips for Success
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Use Your Time Wisely
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You MUST PRACTICE
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Preparation
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Be Patient with Yourself
Take a Break