Chabot College
Fall 2005
Course Outline for Nursing 72
WORK-STUDY CLINICAL PRACTICUM
Catalog Description
72 - Work-Study Clinical Practicum
2 – 6 units
Application of theory and nursing skills in the health care setting, under the supervision of a
licensed registered nurse and nursing faculty member while being employed by a cooperating
hospital. The student will perform nursing skills mastered in previous nursing program courses,
under the supervision of the staff registered nurse mentor/facilitator. Additional clinical practice in:
communicating with the client, family and health care team; developing time management skills
with a group of clients; prioritizing problems; and developing and implementing nursing care plans.
Course will be conducted in a cooperative work environment in which the student, the registered
nurse mentor/preceptor and the nurse faculty member collaborate to enhance the student’s
experience, while promoting quality client care. Prerequisite: Nursing 55, with a “C” or better.
Satisfactory completion of or concurrent enrollment in Nursing 59 or 60A. 1.5 to 6 hours
laboratory.
[Typical contact hours: 26.25 – 105]
Prerequisite Skills:
Before entering the course, the student should be able to:
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demonstrate appropriate handwashing techniques;
correctly assess, document, and report vital signs in a timely manner;
correctly measure, document, and report height and weight in a timely manner;
correctly position/lift/transfer the client to or from bed/chair;
correctly make occupied and unoccupied beds;
apply principles of standard precautions;
transfer/ambulate clients safely;
apply of principles of aseptic technique;
safely implement use of mechanical lifts;
demonstrate ability to assess and implement prescribed nutritional care;
provide oral care;
correctly place a client on the bedpan;
correctly calculate medication doses and I.V. drip rate;
correctly regulate intravenous fluid administration;
safely administer medications by oral, intramuscular, subcutaneous, topical and enteral
routes;
correctly collect specimens for laboratory diagnosis;
identify abnormal laboratory findings;
safely implement principles of body mechanics;
observe and document intake and output;
complete an assessment of thorax, skin, abdomen, oral cavity, and peripheral vascular
systems;
safely administer oxygen;
correctly apply ace wraps;
correctly perform fingerstick blood sugar test;
correctly prepare and safely administer insulin;
develop a nursing care plan;
legibly document and promptly report all pertinent observations about a client to
the registered nurse mentor/preceptor;
maintain client confidentiality;
Chabot College
Course Outline for Nursing 72, Page 2
Fall 2005
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apply basic organization skills in the delivery of client care;
apply principles of professionalism;
implement actions based on scientific rationale when care for the client receiving one or
more of the following special diets: low-sodium, low calorie, low fate, peptic ulcer,
diabetic, renal, hepatic, gallbladder, and post-surgical diet;
use the nursing process in assessing and evaluating the special nutritional needs for the
hospitalized adult;
adapt physical assessment skills to the elderly client;
implement nursing interventions that assist the elderly client with adaptation to sensory
losses;
implement reality orientation;
apply restraints safely;
inspect intravenous sites and promptly report untoward symptoms to the registered nurse
mentor/preceptor.
Expected Outcomes for Students:
Upon completion of the course, the student should be able to:
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consistently deliver safe and effective nursing care to assigned client(s);
correctly analyze laboratory data and incorporate its significance in the nursing process;
identify critical developmental and cultural factors influencing client responses;
prioritize client care;
implement psychomotor and psychosocial skills in the realistic work setting;
implement effective communication skills in the health care setting through
a.
application of therapeutic communication skills when interacting with clients and
members of the health care team;
b.
timely and accurate written documentation of all client assessments and
interventions;
c.
timely and accurate verbal reporting of relevant observations pertaining to the
client and client’s family to the registered nurse mentor/preceptor;
d.
use of assertive communication skills in relating with members of the health care
team.
effectively collaborate with the registered nurse mentor/preceptor in achieving
competence in the delivery of patient care;
safely perform basic pre/post operative care;
scrub, gown, and glove for a surgical procedure;
utilize aseptic principles in catheterizing and adult;
use the nursing process in assessing and evaluating the special nutritional needs for the
person who is pregnant, an infant, or a child.
Course Content:
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Application of selected nursing skills in the health care setting
a.
scrubbing, gowning, gloving for a surgical procedure
b.
urinary catheterization
c.
pre-and postoperative care principles
Prioritization of client care
Collaborating with mentor/preceptors in the delivery of client care
Methods of Presentation:
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Seminar
Skills Lab practice
Chabot College
Course Outline for Nursing 72, Page 3
Fall 2005
Assignments and Methods of Evaluating Student Progress:
1.
Typical assignments:
a.
Demonstrate critical thinking assignments in seminar
b.
Choose client care assignments for groups of clients as determined by the
registered nurse mentor/preceptor
2.
Methods of Evaluating Student Progress
a.
Student/instructor/mentor/preceptor conference at midterm and end of semester.
b.
Observation of clinical performance
c.
Final examination
Textbook(s) (typical):
Fundamentals of Nursing, Potter and Perry, 5th ed. Mosby. 2005
Medical-Surgical Nursing, Phipps, et . al., 7th ed. Mosby, 2003
Special Student Materials:
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Stethoscope
Watch with sweep second-hand
NcN72courseotl05
revised 2/05