HOUSTON COMMUNITY COLLEGE SYSTEM
ASSOCIATE DEGREE NURSING PROGRAM
RNSG 2361
CLINICAL NURSING - ADULT HEALTH II
CRN 41695
Spring 2015
INSTRUCTOR INFORMATION
Contact number:713-882-0598
Email:kathleen.wilson@hccs.edu
COURSE DESCRIPTION
“A health-related work-based learning experience that enables the student to apply specialized
occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.”
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HOUSTON COMMUNITY COLLEGE SYSTEM
RNSG 2361 Clinical Nursing - Adult Health II
TABLE OF CONTENTS
Course Description. ................................................................................................... 1
Prerequisites............................................................................................................... 3
Co-Requisite .............................................................................................................. 3
Course Goal ............................................................................................................... 3
Student Learning Outcomes ...................................................................................... 3
Learning Objectives................................................................................................... 4
SCANS ...................................................................................................................... 4
Course Calendar ........................................................................................................ 5
Methods of Accomplishing Learning Outcomes…………………………………5
Student Assessment ................................................................................................ 5-8
Required Textbooks .................................................................................................. 8
Special Needs ............................................................................................................ 8
Attendance and Tardiness ......................................................................................... 8
Scholastic Dishonesty Policy .................................................................................... 9
Remediation ............................................................................................................... 9
Early Alert Statement ................................................................................................ 9
Policies ....................................................................................................................... 9
Immunization Status & CPR Certification ............................................................. 10
Grade Sheet.............................................................................................................. 11
Reportable Negative Clinical Behaviors ................................................................. 12
Employment of ADN Students ............................................................................... 13
Accident and/or Injury in the Clinical Setting ........................................................ 13
Student-Faculty Clinical Expectations .................................................................... 14
Professional Appearance ......................................................................................... 14
Professional Behavior......................................................................................... 15-16
Clinical Skills .......................................................................................................... 17
Clinical Weekly Formative Evaluation Tool...………………………………… 18
Writing the Nursing Process………………………………………………….. 19
Grading form for Care Plan ……………………………………………… 21-22
Weekly Evaluation Tool …………………………………………………… 23
Critique Weekly Performance………………………………………………… 24
.
Clinical Instructor’s Evaluation Tool ...................................................................... 25
Course Contract ....................................................................................................... 26
Note: Care Plan/Map available under separate heading
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PRE-REQUISITES
RNSG 1412 Nursing Care of the Childbearing and Childrearing Family
RNSG 1160 Clinical Nursing –Childbearing and Childrearing
RNSG 2213 & 2263 Mental Health
RNSG Concepts of Clinical Decision Making
CO-REQUISITE(S)
RNSG 2121 Management of Client Care
RNSG 1144 Nursing Skills II
RNSG 2361 Clinical Nursing Adult Health
RNSG 2130 Professional Nursing Review and
Licensure Preparation
RNSG 1343 Complex Concepts of Adult Health
COURSE GOAL
Application of the theory, concepts, and skills involving specialized materials, equipment,
procedures, regulations, laws, and interactions within and among political, economic,
environmental, social, and legal systems associated with the particular occupation and the
business/industry; and will demonstrate legal and ethical behavior, safety practices, interpersonal
and team work skills, and appropriate written and verbal communication skills using the
terminology of the occupation and the business/ industry.
STUDENT LEARNING OUTCOMES
1.
2.
3.
4.
5.
6.
7.
Determine the health status and health needs of clients and their families with complex
health problems based upon interpretation of health data in collaboration with clients,
families, and other health care professionals.
Formulate goals and plan of care for clients and their families with complex health problems
based upon analysis of the data in collaboration with clients, families, and other health care
professionals.
Implement the plan of care within the legal and ethical parameters in collaboration with
clients, families and other members of the health care professions to assist clients and their
families meet health care needs safely.
Apply principles of teaching and learning to develop and implement a teaching plan for
clients and their families concerning health promotion, health maintenance, disease
prevention, restoration, and rehabilitation.
Use various methods to evaluate client and family responses to therapeutic interventions for
complex health problems.
Demonstrate professional behavior in the clinical setting.
Investigate how management principles are applied in the clinical setting.
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LEARNING OBJECTIVES
Appropriate learning objectives, with criteria, are listed on weekly formative evaluation tool.
SCANS – AREAS OF COMPETENCY
The U.S. Department of Labor Secretary’s Commission on Achieving Necessary Skills (SCANS)
has determined that to enter the workplace a total of 43 competencies must be addressed and
method(s) of determining competency listed.
Four competencies are assigned to RNSG 2361:
Use Information Skills:
# 6 – Evaluate Information
Obtains data regarding client’s current medical/surgical history, physical assessment, diagnostic /
lab tests and evaluates their relevance (assessment). Competently performing the tasks of
acquiring data and evaluating the information includes posing analytic statements (nursing
diagnoses) to determine specific information needs; selecting possible information (nursing
interventions) and evaluating its appropriateness; and determining when new information must
be created (evaluation).
a. Nursing Process / Nursing Care Plan
# 9 – Interpret and Communicate Information
Analyzes information and communicates the results to others using oral and written methods.
Competently performing the tasks of communicating and interpreting information to others
which includes determining information to be communicated and identifying the best methods to
present the information.
a. Formative Evaluation Tool
b. Summative Evaluation Tool
c. Nursing Process / Nursing Care Plan
Use Technology
# 26 – Maintains and Troubleshoots Technology
Prevents, identifies, or solves problems in machines, computers, and other technologies.
Demonstrating competence in selecting technology includes determining desired outcomes and
applicable constraints; visualizing the necessary methods and applicable technology; evaluating
specifications; judging which machine will produce the desired results.
a. Clinical Skills Practicum
b. Formative Evaluation Tool
c. Summative Evaluation Tool
Display Appropriate Personal Qualities
# 39 – Exhibit Responsibility
Exerts a high level of effort and perseverance toward goal attainment; works hard to become
excellent at doing tasks by setting high standards, paying attention to details, working well and
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displaying a high level of concentration even when assigned an unpleasant task; and displays
high standards of attendance, punctuality, enthusiasm, vitality, and optimism in approaching and
completing tasks.
a. Weekly Formative Evaluation Tool
b. Summative Evaluation Tool
c. Student Self-Evaluation Form in Nursing Process / Nursing Care Plan
COURSE CALENDAR
Clinical schedule will be based on clinical site assigned.
METHODS OF ACCOMPLISHING LEARNING OUTCOMES
A. Contemporary Technology
1. Computer Assisted Instruction (explanatory and interactive)
2. Internet Access
3. Medline Access
B. Concept Reinforcement
1. Critical thinking scenarios (endocrine, gastrointestinal, oxygenation, cardiovascular,
reproductive, renal, neurological, integumentary, hematological, oncology)
2. Seminar activities
3. Study Guide exercises
4. Current research findings and literature discussion
5. Individual faculty-student conferences
6. Math calculation
C. Clinical Instruction
1. Learning through simulation
2. Psychomotor skill development
STUDENT ASSESSMENT
Criteria:
The student must complete the following requirements (1 – 8) in order to receive a
satisfactory clinical grade for RNSG 2361.
1. Clinical preparation:
a) Pre-clinical assessment must show evidence of accurate assessment of clients
assigned as caseload. Subjective data from client and chart information can be
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obtained. Student is not to perform a physical assessment on the client until
clinical day when the instructor is present.
b) For each selected patient, a plan of care must be submitted to the instructor at the
beginning of the clinical day. The care plan, when submitted, must have all elements
completed with the exception of:
 Student’s physical (hands on) examination of client (the student will
use the charts to complete the assessment section pre-clinical).
 Patient response to each interventions column
 student conclusions
A complete care plan must contain a minimum of three nursing diagnoses and
minimum of three interventions for each nursing diagnosis.
c) Failure to submit a plan of care as specified in 1. b. will result in a clinical
absence for that day and the student will be sent home.
d) When the student turns in the care plan, the Criteria for Nursing Process
Implementation (Grading tool) form must be included. Satisfactory is considered
75% or greater on the Criteria for Nursing Process Implementation form. Care plans
will comprise 30% of the clinical grade. Scores from all of the care plans will be
averaged to achieve this portion of the grade. Failure to obtain at least two
satisfactory care plans will result in an automatic failure in this course.
e) If a student turns in a care plan late, five points will be deducted for each day
late.
2.
Selection of Clinical Experiences:
Students are required to participate in the selection of their learning experiences such as in the
selection of client caseload for clinical practice.
3.
Facility requirements and guidelines:
To insure clients' safety, students are required to work with faculty and staff of the institution
within established rules or guidelines and according to nursing policy and procedures for
students' clinical practice.
Note: Students who demonstrate behaviors endangering the clients, other people, or
self will be removed from the clinical facility.
4.
Client Care Evaluation.
Students are expected to monitor client’s response to nursing care and treatment and report these
responses to the appropriate member of the health team. All data reported and recorded
concerning clients must be accurate and complete. Students are expected to participate in group
conferences with staff, peers, and faculty to coordinate client care management and to share
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information regarding clients’ progress and the need for client teaching and discharge planning.
Clinical skills practicum will be available throughout the semester.
5. Administration of Medication.
Administration of medications in incorrect doses endangers the lives of clients who receive the
medication. It is an absolute necessity for the student to have adequate knowledge of dosage
calculation. Medication administration is a requirement for this course.
The student must pass one dosage calculation test with a score of 90% or better by the end
of the 3rd clinical week, February 6th. The student will have a total of three (3) test-taking
opportunities to meet this requirement. If the student is unsuccessful after three (3) attempts
he/she will not be allowed to come to clinical until the 90% is achieved.
The student can give medications only after passing the math test.
6. Clinical Evaluation.
Clinical evaluation will be conducted twice during the semester; a midterm and a final
evaluation. Student clinical performance will be graded according to established criteria
stated on the Weekly Formative Evaluation Tool. Critical elements (accountability,
confidentiality, and safety) are noted with an asterisk and indicate that the behavior is
critical to performance and the student must receive a satisfactory rating to achieve a
passing clinical performance grade. Scores from the weekly formative evaluation tool will
be added and than divided by the number of weeks attended. This total score will be 50%
of the total clinical grade. A student who achieves an unsatisfactory midterm clinical
evaluation (grade below 75% average) will be counseled by the faculty. A student who receives
an Unsatisfactory clinical grade in the final evaluation (grade below 75%) will receive a failing
grade for this course.
7. Clinical case study will be based on competency skills associated with patient care.
REQUIRED TEXTBOOKS
A.
Required: Textbooks already required in the co-requisite courses RNSG 1343, RNSG 1144 and
RNSG 2121.
B.
Recommended Reading:
Any supplemental reading materials or learning tools that are listed
in each syllabus or will be announced by the instructor of the course.
1. Current nursing professional journal/periodicals within the last five years
2. A nursing medication handbook and. a drug calculations book
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3. Nursing Diagnosis Reference Manual
SPECIAL NEEDS – COMPLIANCE WITH AMERICAN WITH DISABILITIES
ACT (ADA)
Any student with a documented disability (e.g. physical, learning, psychiatric, visual, hearing, etc.) who
needs to arrange reasonable accommodations must contact the Disability Services Office at their
respective college at the beginning of each semester. The faculty is authorized to provide only the
accommodations requested by the Disability Support Services Office.
If a student has a disability or needs instructional accommodation due to a disability, please meet with the
instructor at the beginning of the course. Documentation must be provided at this time with an official
letter of accommodation. The information in this publication will be made available in large print, taped or
computer –based format upon request.
Students with special needs should refer to the procedure identified in the HCCS Student Handbook.
The procedure may be started with a phone call to the Coleman College Disabilities counselor.
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VII. ATTENDANCE AND TARDINESS
1. Attendance
Strict attendance is required for all clinical experiences and clinical facility orientation. For RNSG
2360, students must complete 144 hours of clinical rotation requirements. Failure to complete the
required hours may result in the student receiving an incomplete or failure for the clinical course and
may not progress in the program.
a.) Students are responsible for notifying faculty of absences from the required clinical day prior
to the scheduled clinical time. Students are expected to follow guidelines provided by individual
courses or levels. Discussion with your clinical faculty member should occur prior to any
anticipated absence, such as illness or crisis in the family.
b.) Students who are either pregnant or have become pregnant during their clinical rotation must
submit documentation from their physician to assume full duty in clinical.
c.) Any absence must be accompanied by valid documentation. Students who fail to notify their
clinical instructor of a clinical absence will receive a zero (0) for this behavior on the weekly
performance evaluation. Undocumented absences will result in a deduction of 10% per
occurrence to the final grade.
2. Tardiness
A student who does not arrive at the assigned clinical facility and designated place at the appointed
time will be considered tardy.
a.)After two clinical "tardies", the student will be counseled for unprofessional conduct.
b.)A student who is thirty (30) or more minutes late will be marked absent for the clinical day, and
it is the faculty’s discretion and clinical facility requirements that will determine if student is
allowed to stay for clinical day.
A student who has excessive absences may be administratively dropped from the course.
3. Make-Up Policy
If a student misses a RNSG 2360 related activity, he/she will have to make-up hours by
completing three (3) case studies and a 3-5 page paper detailing the Nursing Process using the
APA format. If the make-up activity is not completed by the assigned date, the student will
receive an unexcused absence resulting in a 10% deduction in the course grade.
SCHOLASTIC DISHONESTY POLICY - SEE HCCS STUDENT HANDBOOK CURRENT
EDITION.
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See Associate Degree Nursing Program Student Handbook, section on Clinical Code of Conduct. Any
infractions of scholastic dishonesty or unprofessional clinical behavior will be grounds for dismissal from
the program.
REMEDIATION
If a student needs remediation, an appointment may be made with an instructor during their designated
office hours. Faculty office hours will be posted on classroom bulletin boards.
Remediation will be available to any student enrolled in RNSG 2361 who expresses the need for this
service. It is expected that the student will make an appointment at least one week ahead of time and come
to the session prepared. Student responsibilities include bringing textbook, questions or topics for
discussion and are to follow through with all instructor-made lab assignments. Students may receive extra
assignments to facilitate their learning. Successful remediation necessitates an active role for both students
and faculty.
EARLY ALERT STATEMENT
The Houston Community College Early Alert program has been established to assist in the
overall effort to retain students who are at risk of failing, withdrawing, or dropping a course.
This process requires instructional faculty and student support staff to identify students who
are performing poorly as early as possible and provide relevant support services to help
students overcome their deficiencies. A student is identified when an instructor notices academic
or personal difficulties that affect student’s academic performance. The possible problem (s)
could be tardiness, missed/failed test scores, excessive absences, or a number of
other circumstances. Once a referral is made counselors will then contact students to discuss
the issues and possible solutions to their academic difficulties.
POLICIES
All students will adhere to HCCS policies as delineated in the HCCS and ADN handbooks.
IMMUNIZATION STATUS and CARDIO-PULMONARY RESUSITATION CERTIFICATION
Students must be current on all immunizations including influenza vaccine. A current CPR
card/documentation must also be in your file.
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RNSG 2361 – Clinical Nursing - Adult Health II
Student Last Name: ____________________ Student First Name: ___________________
SCALE:
A=
B=
C=
D=
F=
90 – 100
80 - 89
75 - 79
60 - 74
Below 60
DOSAGE CALCULATION EXAM
PASS/FAIL
CARE PLANS Grades
30% OF GRADE
CLINICAL Evaluation
50% OF GRADE
CLINICAL CASE STUDY
20% OF GRADE
Calculate each grade to the hundredth place - ex. 87.47
Calculate Subtotal to the hundredth place.
Round off at total.
Care Plan Grades
( must pass at three (3))
_________
x
30%
_________
Clinical Evaluation
_________
x
50%
_________
Clinical Case Study
_________
x
20%
_________
Subtotal
Excessive clinical absences(-) 10%
Per day
Minus %(if applicable)
_________
_________
TOTAL
COURSE FINAL GRADE
_________
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REPORTABLE NEGATIVE CRITICAL INCIDENT ON CLINICAL BEHAVIORS
INTRODUCTION/ PURPOSE
The A.D.N. clinical courses utilize a summative tool at the end of each clinical rotation. The purpose of the statement is to
identify the procedure and consequences for unsatisfactory behaviors. These procedures should be initiated upon the
occurrence of the unsatisfactory
behavior or action rather than at the conclusion of the clinical rotation.
A onetime violation of any starred (*) item on the clinical evaluation tool will result in clinical failure.
There are three categories of unacceptable clinical behaviors that are normally considered. The first level identified as BNI
(behaviors needing improvement) involve incidents such as uniform infractions and misunderstanding of care-plan
assignments. The second level, RNI (reportable negative incidents), is for more serious infractions that necessitate more
serious recognition and remediation. An example might be failure to report vital signs not within the normal range or
repeated failure to report to the clinical area with the appropriate preparation. The third level identified as RNCI (reportable
negative critical incidents) indicates a very serious infraction that has endangered or impaired a life. These behaviors
related to the Critical Elements that the faculty has identified as Safety, Accountability, and Confidentiality. An example
might be a medication error that impaired a life or a side rail left down resulting in a patient injury. Student behaviors related
to the Critical Elements are starred on the Clinical Evaluation Tools. Three RNI’s or the occurrence of 1 RNCI may result
in a student being dismissed for the A.D.N. program upon recommendation of 3-member faculty committee.
Level I – BNI (Behaviors Needing Improvement)
1.
Identify the behavior to the student and counsel as needed.
2.
Document behavior or action via the HCCS Contact Action form.
3.
Observe and document correction of behavior or action
Level II – RNI
1.
2.
3.
4.
(Reportable Negative Incident) – May be a more serious offense as described above or repetition of a
particular BNI.
Identify the behavior or action to the student.
Fill out a Contact Action Form and designate the incident as a RNI and submit it to the Department Chair.
The Department Chair will then activate a 3-member faculty hearing committee to determine if the offense warrants
elements being one of the three RNI’s.
Three RNI’s approved by a 3-member faculty hearing committee may result in the student being dismissed
from the A.D.N. program at any point during the course of study.
If the RNI was not approved, the incident is filed only as a BNI and the student will be required to do remediation
designated by the committee.
Level III – RNCI
Reportable Negative Critical Incident – One in which life is impaired or endangered
1.
Steps 1 and 2 as above, however, the behavior must be identified as a RNCI (reportable negative critical incident.)
2.
Step # 3 as above, however, the Faculty Committee must now determine if this behavior warrants removal of the
student from the program or decide if this is one of the three RNI’s.
3.
If the committee accepts the Reportable Negative Critical Incident report, then institutional policy is followed to
remove the student from the program.
4.
If an RNI status is granted, then the student must perform assigned remediation.
Student Signature______________________________________________Date________________________
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EMPLOYMENT OF ASSOCIATE DEGREE NURSING STUDENTS IN HOSPITALS OR
AGENCIES
The Houston Community College Associate Degree Nursing Program supports the Nursing Practice Act of
the State of Texas and is committed to excellence in nursing by nurses appropriately prepared for the
service they are rendering. Therefore, the position of the Associate Degree Nursing Program regarding
nursing students accepting employment in hospitals or health agencies is as follows:
1. Houston Community College nursing students who accept positions for which they receive
compensation for client care, do so as unlicensed individuals and will not wear the school uniform,
laboratory coat with insignia or other indications of their student status, inasmuch as they are not
functioning as nursing students but as paid employees.
2. Students are advised to familiarize themselves with the State of Texas Nursing Practice Act so they will
recognize the full scope and responsibility of nursing as being more than just a collection of skills.
Nursing students who accept positions for pay as Nurses Aides or Professional Student Nurses must
recognize that they may be held legally liable for their actions; they should not accept responsibilities
nor perform nursing actions beyond their knowledge and skills, or those within the responsibilities of
the professional nurse as defined in the Nursing Practice Act.
3. The student is responsible for maintaining the required grade point average and should consider the
demands of employment upon the student's time and energy.
ACCIDENTS AND/OR INJURY IN THE CLINICAL SETTING
1. A student injured in the clinical setting should immediately notify clinical instructor.
2. A written summary of the occurrence and care rendered will be submitted by the instructor to the
Director of the ADN Program, of Houston Community College.
3. A student is responsible for all expenses charged by the clinical facility in rendering medical care.
4. The Houston Community College is not responsible for any claims for expenses that result from an
action of a student in the clinical setting.
5. Students are strongly urged to carry a personal health insurance policy. Student assumes all
responsibility.
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STUDENT-FACULTY CLINICAL EXPECTATIONS
1. Students will:
a. Be prepared for clinical experience, which includes care plans, drug cards, skills lab
practice as needed, and knowledge of pharmacology.
b. Be prompt.
c. Ask for supervision as needed for course-permitted skills.
d. Ask for supervision for all procedures never before performed in the clinical area.
e. Turn in all work on time.
f. Behave in a professional manner toward clients, staff, instructors and fellow students.
g. Observe confidentiality.
2. Students can expect faculty to:
a. Be prompt (on time) to the clinical area and remain along with the student group for the
entire posted clinical time.
b. Return care plans in a timely manner, usually within 7 days.
c. Supervise students directly for each new procedure, or assist them to locate appropriate
staff supervision.
d. Provide concurrent and on-going feedback concerning identified clinical weaknesses.
e. Behave in a professional manner toward clients, staff and students.
PROFESSIONAL APPEARANCE
1. We will always adhere to the policies of the affiliated institution.
2. Attire when in the hospital for any pre-clinical activity is street clothes and lab coat. A HCCS
Health Career Patch must be on left sleeve of lab coat. No blue jeans to be worn.
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3. Students are expected to appear for duty in the clinical area in full student uniform.
4. Student uniform must be clean and without torn or ripped areas.
5. Students in uniform must wear appropriately colored under clothing.
6. At times students may feel the need to wear a sweater on the unit. The sweater purchased should
be white. Sweaters are discouraged during client care.
7. Hair styles and beards (if applicable) must be in accordance with hospital and school policy. Hair
must be off the collar; beard must be trimmed.
8. Fingernails must be kept neat, short and well groomed. No nail polish is acceptable.
9. Jewelry is to be kept at minimum. This is to include: wedding band only; no class rings;
earrings—small studs only; no bracelets; no necklaces.
10. No use of aromatic fragrances will be allowed.
11. Students in uniform must have a watch with a second hand (no digital watches)--watch band
must be plain; bandage scissors, stethoscope, black pen, red pen, pencil and a small note pad.
12. FEMALE and Male STUDENTS must wear a two piece pantsuit, black pants and white top,
white hose/socks and white duty shoes. A HCCS Health Career patch is to be affixed to the left
upper arm at the top.
13. An official HCCS name tag must be worn on the left chest
Students who are inappropriately dressed may be sent home from the clinical at the discretion of
the instructor.
PROFESSIONAL BEHAVIOR
1.
Students are to treat all clients with courtesy and insure the client's dignity and privacy at all times.
2.
Students must refrain from discussing a client's history or information contained in the chart with
another client or friend or in any public place. Client records are confidential and should be kept
out of reach of unauthorized persons.
3.
Students must not converse within a client's hearing unless the conversation is meant to be heard by
the client.
4.
No payment will be accepted for services rendered to the client or family.
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5.
No smoking is allowed in the clinical area except during a break in a designated area.
6. Breaks are limited to 15 minutes and are not taken with a meal break. Report to the instructor or
assigned nurse when leaving and upon returning to the assigned unit.
7.
Students are not to make personal telephone calls while in the clinical area. In case of an emergency,
use a pay telephone.
8.
Students are not to consume food or beverages around clients. Gum chewing is not allowed during
clinical.
9.
A student is not to go to units other than the one assigned unless it involves transfer of clients or
obtaining supplies or equipment.
10.
The student is not permitted to take a doctor's verbal order.
11.
The student is not permitted to give information over the telephone concerning a client's condition.
12.
No part of the client's record or duplicate record should be duplicated, removed or taken from the
hospital.
13.
In consideration of others and of safety, no children are to be brought to the clinical area.
14.
The student must complete client assignments and additional duties within specified intervals.
15.
The student must notify the clinical instructor before performing any new skills/procedures.
16.
The student is expected to cooperate and volunteer to assist other health care members.
17.
Students must abide by the appropriate standards of conduct identified in the student handbook
including language and professional demeanor.
18.
The student must conduct himself or herself in an appropriate manner when given constructive
criticism and demonstrate that the behavior(s) has been corrected.
19.
The student will consistently dress according to program policy including full uniform, cleanliness
and personal hygiene.
20.
The student at this level should be able to plan, schedule and complete work with minimal
assistance.
21.
The student will demonstrate independent problem solving skills within own limitations.
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The student must receive a satisfactory rating for all of the Professional
Behaviors to achieve a passing Clinical Performance Evaluation.
Instances of conduct inappropriate to the profession are subject to
further disciplinary action.
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CLINICAL SKILLS
INTRODUCTION TO NURSING
COMMON HEALTH NEEDS
Admission/Discharge
Urinary Catheterization
Personal hygiene
NG/NI tubes-insertion and care
Handwashing
Intro to pt. unit
Interpret laboratory findings
Intravenous therapy
Administration of Medication
IV-interrupts- fluid-math, monitor, hang bags
Bed making
Venipuncture
Bed bath
Blood glucose monitor and fingersticks
Vital signs
Trach care
Enemas
Suctioning-oral, pharyngeal, tracheostomy
Isolation techniques
COMPLEX HEALTY CARE NEEDS
Lifting and moving
TPN - hang
Application of heat and cold
PCA – Monitor ONLY
Taking / giving report
Volume ventilator-observation
Intake and output
Transcribe orders- post conference/lab ONLY
Specimen collection
Multidisciplinary referrals- may attend patient
conference
Foley catheter care
Blood transfusion-lab/clinical observation ONLY
Charting-documentation
Arterial line-observation ONLY
Physical assessment
CVP - measurements
Pre-post op
Central lines - dressing changes ONLY
Wound care
Suctioning endotracheal tubes
(Sterile technique)
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XXIX RNSG 2361 Weekly Formative
Evaluation Tool Criteria
I. Determine the health status and health needs of clients and
their families with complex health problems based upon
interpretation of health data in collaboration with clients,
families, and other health care providers:
(20 points)
II. Formulate goals and plan of care for clients and their
families with complex health problems based upon analysis of
data in collaboration with clients, families, and other health care
professionals.
(10 points)
III. Implement the plan of care within the legal and ethical
parameters in collaboration with clients, families and other
members of the health care profession to assist clients and their
families to meet complex health care needs safely.
(30 points)
Criteria
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IV. Apply principles of teaching and learning to develop and
implement a teaching plan for clients and their families
concerning health promotion, health maintenance, disease
prevention, restoration, and rehabilitation.
(10 points)
V. Use various methods to evaluate client and family responses
to therapeutic interventions for complex health problems.
(10 points)
VI. **Demonstrate professional behavior in the clinical setting
(20 points)
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Prepared with pre-clinical assessment using nursing
process
Collects pertinent health history data.
Receives report on client.
Collects pertinent laboratory data.
Accurately performs physical exam.
Collaborates with staff on significant findings.
Documents appropriate data.
Analyzes and interprets data.
Identifies client/family problems.
Selects appropriate nursing diagnoses.
Documents appropriate nursing diagnoses
Prioritizes and organizes care
Collaborates with health team members.
Identifies client goals and expected outcomes.
Selects individualized nursing actions.
Consults with client and family regarding goals
Reviews client data to ensure proper care for the day.
Performs appropriate nursing actions.
Knows medications to be given and allergies.
Identifies and implements measures to meet the client's
nutritional needs
*Safely performs all clinical skills and procedures
according to policy of assigned affiliate agency.
Incorporates skills from previous courses.
*Administers medications safely including calculation,
administration and evaluation.
Documents care accurately.
Identifies client learning needs.
Identifies client's readiness to learn.
Provides individualized teaching instruction..
Reassesses client
Compares client response to criteria.
Analyzes reasons for results and conclusions.
Reviews and modifies existing care plan.
*Demonstrates confidentiality of client information.
Adheres to professional appearance and behavior
guidelines.
Reports to appropriate personnel when leaving the unit.
Seeks and uses feedback from instructor or nursing staff.
Seeks clarification of assignments and role responsibility
when in doubt.
Maintains punctuality.
Maintains standard of performance under stress.
Reports to clinical on time or notifies instructor of tardiness
or absences.
Practices according to expected level of competence for
this course.
* Items indicate the behavior is critical to performance and must receive a satisfactory rating for the student to achieve a passing Clinical Performance
Grade.
**students must receive a satisfactory rating in Professional Conduct Behaviors to achieve a passing Clinical Performance Grade. Instances of conduct
inappropriate to the profession are subject to further disciplinary action.
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RNSG 2361 GRADING FORM FOR CARE PLAN/
CRITERIA FOR GRADING NURSING PROCESS
Student Name __________________________________________ Date __________
Patient’s Initials _____________________ Medical Diagnosis __________________
NCP # ______________________Date Due_________On time_____late_____
Grade______________ Corrections Due (non-graded)_______________________
I. Assessment – 20%
S
5-4
pts
NI
3-1
pts
U
0
pts
Data Collection
A.
Assessment guide is complete and pertinent
including lab and diagnostic test data.
B.
Relevant data is documented.
C.
All pertinent data that leads to the formulation of the
nursing diagnosis are correlated in both the
assessment and care plan sections.
Assesses client’s readiness to learn:
1. support findings
2. identify learning needs
D.
II. Analysis/Nursing Diagnosis - 16%
S
4–3
pts
NI
2–1
pts
U
0
pts
A.
Each diagnosis has three parts and is correctly
identified.
B.
Minimum of five (5) appropriate nursing diagnoses
for the client are listed.
Each nursing diagnosis is supported by the data.
C.
D.
Each nursing diagnosis is prioritized and a minimum
of 3 nursing diagnoses are required for each nursing
care plan.
Legend:
20
S
NI
U
S
5-4
Satisfactory
Needs Improvement
Unsatisfactory
NI
3-1
U
0
III. Planning - 10%
A. The goal is clearly stated and relates to the nursing
diagnosis.
B. The outcome criteria are clearly stated, measurable
and related to the goal.[SMART]
IV. Implementation - 20 %
S
5–4
pts
NI
3–1
pts
U
0
pts
Nursing Interventions
A.
B.
C.
D.
Sufficient and appropriate nursing actions are
planned to meet the client goals are listed.
Nursing actions are supported by an appropriate
scientific rationale with documentation.
Interventions are individualized by including
medications, treatments, diet, developmental and
cultural aspects and resources.
Client teaching, or potential teaching, is appropriate
to the learning needs that were identified.
V. Evaluation - 34%
S
15-10
pts
NI
9-5
pts
U
4-0
pts
A.
Observations of Patient Response
1. Appropriately identifies results of nursing
interventions.
2. Analyzes nursing interventions, client responses,
and adaptations to care given. Was this an
appropriate nursing diagnosis?
S
2
pts
NI
1
pts
U
0
pts
B.
Conclusions
1. It is correctly documented whether or not the goal
was met, not met, or partially met.
2. An appropriate revision is identified for each
unmet nursing goal.
Please note: The care plan is typed or written in ink and is neat and legible. An illegible care plan will
not be graded. The student will be required to resubmit the care plan in a readable condition.
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RNSG 2361 Weekly Formative Evaluation Tool
Print Last Name__________________________________
Clinical Facility: _________________________________
Course Outcomes
I. Determine the health status and health needs of
clients and their families with common health problems
based upon interpretation of health data in collaboration
with clients, families, and other health care providers:
II. Formulate goals and plan of care for clients and
their families with common health problems based upon
analysis of data in collaboration with clients, families,
and other health care professionals.
III. Implement the plan of care within the legal and
ethical parameters in collaboration with clients, families
and other members of the health care profession to assist
clients and their families to meet health care needs
safely.
IV. Apply principles of teaching and learning to
develop and implement a teaching plan for clients and
their families concerning health promotion, health
maintenance, disease prevention, restoration, and
rehabilitation.
V. Use various methods to evaluate client and family
responses to therapeutic interventions for common
health problems.
VI. Demonstrate professional behavior in the clinical
setting**
Print First Name: ______________________________________
Date:
_____________________________________________
Possible
Points
20
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
Date
10
30
10
10
20
Student
Initials
Total
Asterisk items on the weekly formative evaluation too
criteria indicate behaviors critical to performance and
must receive a satisfactory rating for the student to
achieve a passing Clinical Performance Grade.
100
22
Student Weekly Self Evaluation
Print Last Name:______________________ Print First Name: ____________________
Skills Performed:
Learning Experiences / Clinical Issues Identified:
Areas of Accomplishment:
Areas for Improvement:
Student Signature ____________________
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HOUSTON COMMUNITY COLLEGE SYSTEM
RNSG 2361 Clinical Mid Semester and Final Evaluation Tool
Student Last Name ______________________________________________
Student First Name:_______________________________________
Clinical Facility:__________________________________________________
Date: ______________________________
COURSE LEARNING OUTCOMES
CLINICAL COURSE OUTCOMES
MID-SEMESTER EVALUATION
Grade
COMMENTS
FINAL EVALUATION
Grade
COMMENTS
I. Determine the health status and health needs of clients and their
Families with complex health problems based upon interpretation
Of health data in collaboration with clients, families, and other
Health care providers:
II. Formulate goals and plan of care for clients and their families
With complex health problems based upon analysis of data in
Collaboration with clients, families, and other health care
Professionals.
III. Implement the plan of care within the legal and ethical
Parameters in collaboration with clients, families and other
Members of the health care professions to assist clients and their
Families to meet complex health care needs safely.
IV. Apply principles of teaching and learning to develop and
Implement a teaching plan for clients and their families
Concerning health promotion, health maintenance, disease
Prevention, restoration, and rehabilitation.
V. Use various methods to evaluate client and family responses to
Therapeutic interventions for complex health problems.
VI. Demonstrate professional behavior in the clinical setting**
AVERAGE GRADE FOR CLINICAL
Grading Scale: Clinical Course Outcomes I - VI
Outstanding performance - 90 to 100.
Satisfactory performance - 80 to 89.
Minimal performance - 75 to 79.
Unsatisfactory performance - below 75
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RNSG 2361
Mid-semester and Final Clinical Evaluation
Instructor's comments:
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Faculty's Signature________________________________ Date __________________
Student Comments:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Student's Signature________________________________ Date _________________
Final Evaluation
Instructor's comments:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Faculty Signature________________________
Date__________________
Student's comments:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Student's signature ________________________
Date_______________________
25
COURSE EXPECTATIONS CONTRACTUAL AGREEMENT
Spring 2015
Student Signature______________________________________________Date________________________
Associate Degree Nursing Program




I understand that Clinical Placement takes precedence over employment commitments, and that
my current employment or any academic scheduling cannot interfere with my clinical
assignment.
I understand that orientation to the clinical facility is mandatory; failure to attend a scheduled
clinical facility orientation is a violation of the clinical affiliation agreement and will result in
immediate withdrawal from the clinical course. Students are not allowed to change clinical
assignments with other students or to attend a clinical to which they are not assigned.
If a student attends a clinical, to which they are not assigned, the student will not receive credit
for that clinical day and is subject to withdrawal from the current clinical course.
I understand that clinical placements are final and fully agree to the above requirements and
mandates.
I, _______________________________________, have read the syllabus and fully understand the
expectations of me as a student in this clinical course.
I acknowledge that I am aware that the A.D.N. Student Handbook is on the website and I am accountable
for following the policies and procedures discussed in the handbook.
I understand that I will be removed from the clinical area if my behavior endangers my life or the lives of
clients, client’s families or other health care workers.
My signature below signifies my willingness to comply with the course requirements. I also understand
that the syllabus is online and it is my responsibility to get a printed copy.
___________________
Student Signature/Date
___________________
Faculty Signature/Date
26