COURSE SYLLABUS VNSG 1423 BASIC NURSING SKILLS FALL 2010 HOUSTON COMMUNITY COLLEGE SYSTEM Health Sciences Education Division Vocational Nursing Program Course Syllabus Fall 2010 Course Number & Title: VNSG 1423 Basic Nursing Skills Credit Hours: Four (4) Class Hours: Four (4) Lab Hours: One (1) Placement of Course: LEVEL I Faculty: Level I Instructors Prerequisites/ Corequisite: Admission to the Program. VNSG 1161 Clinical Practical Nurse I. A failure/withdrawal in VNSG 1161 will require repeating both VNSG 1161 and VNSG 1423. Catalog Course Description: Mastery of entry level nursing skills and competencies for a variety of health care settings. Utilization of the nursing process as the foundation for all nursing interventions. Learning Outcomes: The student will demonstrate competency in basic nursing skills; identify the steps in the nursing process and how each relates to nursing care; and discuss the delivery of basic nursing skills in a variety of health care settings. NOTICE: Students who enroll in most courses for a third or more times will be charged an additional tuition of $50 per semester credit hour and $3.00 per contact hour. SCANS COMPETENCY The VNSG 1423 course covers one SCANS Workplace Competency. Apply Thinking Skills #34 Exhibit Decision -Making Skill. SCANS OBJECTIVE Upon successful completion of VNSG 1423 the student shall be able to apply the decision making skills of setting goals, developing alternatives, considering risks and benefits, evaluating choices, and choosing the best alternative in any situation. . Students with Disabilities Any student with a documented disability (e.g. physical, learning, psychiatric, vision, hearing, etc.) who needs to arrange reasonable accommodations must contact the Disability Services Office at the respective college at the beginning of each semester. Faculty are authorized to provide only the accommodations requested by the Disability Support Services Office. If you have any questions, please contact Donna Price at 713-718-5165 or the Disability Counselor at Coleman College of Health Sciences Dr. Raj Gupta at 713-718-7631. Also visit the ADA web site at: http://www.hccs.edu/students/disability/index.htm COURSE OBJECTIVES: A. Provider of Patient-Centered Care 1. The student shall provide competent direct nursing care to selected adult clients/mannequins based on interpretation of health-related data collected in the simulated laboratory setting as referenced to Provide of Patient-Centered Care Competency #1A,C and SCANS #34. 2. The student shall explain the relationship between therapeutic written verbal and nonverbal communication techniques and data collection during physical assessment in the simulated laboratory setting as referenced to Provider of Patient-Centered CareCompetency #2B and SCANS #34. 3. The student shall demonstrate correct performance of basic nursing procedures and skills in the simulated laboratory setting as referenced to Provider of Patient-Centered Care Competency #3M and SCANS #34. COURSE OBJECTIVES 4. The student shall incorporate basic principles of the teaching /learning process in health teaching for clients with well defined learning needs during performance of nursing skill procedures on adult clients in the simulated laboratory setting as referenced to Provider of Patient- Centered Care Competency #4B and SCANS #34. 5. The student shall demonstrate evaluation of client’s responses and nursing care outcomes of therapeutic interventions for adult clients by documenting the client’s responses following nursing interventions in the simulated laboratory setting as referenced to Provider of Care Competency #5B and SCANS #34 6. The student shall identify the steps of the nursing process and relate them to performance of basic nursing skills while delivering competent care in a simulated laboratory setting as referenced to Provider of Care Competency #6C and SCANS #34 7. The student shall demonstrate decision making skills during problem-solving and critical thinking activities in the simulated laboratory setting as referenced to Provider of Care Competency #7A and SCANS #34. B. Member of the Health Care Team 1. The student shall demonstrate use of time management and problem solving techniques, which facilitate coordination of human and material resources for client care in the simulated laboratory setting as referenced to Coordinator of Care Competency # 1B and SCANS #34 2. The student shall collaborate with classmates and instructors in the simulated laboratory setting to develop effective communication skills needed to facilitate effective client care in a clinical setting as referenced to Coordinator of Care Competency #2B and SCANS #34 3. The student shall identify client needs that require community resources for referrals to assist with continuity of care during interactions in the simulated laboratory setting as referenced to Coordinator of Care Competency #3A and SCANS #34 4. The student shall identify methods for promoting safety and the organizational framework that promotes a healthy, safe, and comfortable work environment as COURSE OBJECTIVES: referenced to Coordinator of Care Competency #4C and SCANS #34 C. Member of the Profession 1. The student shall participate in self evaluation during practice of nursing care skills in the simulated laboratory setting and use this self critique to improve performance prior to instructor observation/evaluation as referenced to Member of the Profession Competency #1F and SCANS #34 2. The student shall participate in a role of advocate while performing activities that improve the quality of client’s health care within the simulated laboratory setting to accomplish goals for the client in a controlled environment as referenced to Member of the Profession Competency #2B, C and SCANS #34. D. METHODS OF INSTRUCTION: METHODS AND STANDARDS OF EVALUATION: Patient Safety Advocate 1. The student shall demonstrate behaviors that promote development and practice of vocational nursing and foster a positive image of nursing during performance of nursing skills in the simulated laboratory setting as referenced to Member of the Profession Competency # 3D and SCANS #34. Instruction in this course involves daily teacher and student dialogue, demonstrations, lectures, selected readings, hand-outs, multi-media/audio-visual aids, video-taping, critical thinking exercises, computer assisted instruction and laboratory practice. GRADING Theory grade is derived from four written examinations, one following each unit and one comprehensive, final examination. The unit examination grades will constitute 80% and the final examination grade will constitute 20% of the course grade. GRADING: Unit Examinations (4) – 20% Each Comprehensive Final 80% 20% 100% The simulated laboratory skills component is derived from performing Level I competencies. When the student has performed all competencies required with 100% accuracy in the presence of an HCCS instructor, he/she will receive a passing grade. Failure to complete the required competencies by the end of the semester results in failure and the student will not progress to the second semester. An overall 75% average must be achieved on all written examinations and other assignments to satisfactorily complete the course. TESTING: Examinations are administered on line. Any regularly scheduled examination will not be made up. If a student is absent on the day any exam is given a grade of 50% (fifty percent) will be given for that exam. The final examination must be taken on the scheduled date at the scheduled time only and will not be reviewed. There will be no exceptions. Any missed final exam will receive a grade of zero (0). If you are late to any exam, you must complete the exam within the class time allocated for the exam. You will not have additional time in which to complete the exam. For example, if the exam is scheduled from 12 p.m. to 1 p.m., you must complete the exam by 1 p.m. Once a testing session has begun, students will not be permitted to leave and return to the testing area. If a student has to be excused during a test, he/she must exit the exam at that point. On the day of the scheduled examination, leave all books, backpacks, purses, cell phones, and roller carts in assigned classroom or locker. Do not bring items to computer lab. Audible devices such as cell phones are not allowed in the testing room. Owner of any device that emits a sound during the exam will be dismissed from the testing room, a grade of “0” will be assigned, and a negative incident report will be written. The score that is exhibited at that time will be the grade the student will receive. Exam reviews will be announced. A Procedure Checklist is in the syllabus for VNSG 1423. Each student is required to accurately return all demonstrations according to the Skills Performance Checklist, as specified by the instructor. Before the instructor will sign the checklist, the student must answer all questions related to his/ her skill performances. The Skills Performances checklist must be available at the time of completion of each procedure for instructor's signature. You are permitted only one entry into any exam, and only one entry into the exam review. Any student leaving the testing area without the proctor’s permission will not be allowed to re-enter the testing area. Grade will be void or calculated on number of questions completed. When you complete the exam, and again when you complete the review, you must leave the computer lab by going outside of the glass door at the front of the lab until your instructor tells you that both the exam and review have been completed by the entire class. You are not allowed to remain anywhere inside the lab and work at another computer in the open work area, nor in an open lab, etc. METHODS AND STANDARDS OF EVALUATION: The Procedure checklist must also be available at the time of completion of each procedure for instructor's signature. All lab procedures are taught and/or demonstrated. The student must practice all returnable procedures before asking to be checked off. If a student attempts to be checked-off and fails to do so at the first attempt, that student must practice that procedure a second time. After practicing, the student may return to check off on that procedure or another practiced procedure within the same procedural skills group. A student must complete and check-off on all returnable skills before being allowed to progress to the next group of skills, and must complete all skills by the end of the fifteenth week. Procedure Check-Off. There will be no help or guidance from anyone during the return procedure and the student will answer all questions given by the instructor relating that procedure. All students must answer all questions and complete all Level I competencies (returnable procedures) with 100% accuracy before progressing to Level II. It is also the student's responsibility to keep procedure checklist, discussion/demonstration dates, etc., current. Please remember that there will be no procedure checkoffs after 4 p.m. on the last, scheduled class day of the week in which instruction ends. Any student who has not checked-off on all skill procedures with 100% accuracy by the end of class on this day will receive a grade of FAILURE for the course. ATTENDANCE Students who are absent more than 12.5% of the hours of instruction (that is a total of 14 hours, this includes theory and lab), from this course will be administratively withdrawn. Absences are defined as any time not in class at the scheduled time. If you arrive in class after the scheduled time or leave class early, the number of minutes not present will count towards the accumulation of absence hours. It is imperative that students sign the class roll in theory and laboratory classes (before and after break). Students’ failure to sign the class roll will result in an absence for any day the roll is not signed. METHODS AND STANDARDS OF EVALUATION: TARDIES: Three (3) tardies will be equivalent to one absence. LEAVING EARLY: Three (3) times leaving early will be equivalent to one absence. The student will be responsible for obtaining all materials, notes, handouts, and making up assignments missed during any absences. The instructor will not be responsible for any materials not obtained during a student’s absence. WITHDRAWAL POLICY Students who are absent more than 12.5% of the total hours of instruction from this course, will be administratively withdrawn. The State of Texas has begun to impose penalties on students who drop courses excessively. For example, if you repeat the same course more than twice, you have to pay extra tuition. In 2007, the Texas Legislature passed a law limiting new students (those starting college in Fall 2007) to no more than six total course withdrawals throughout their academic career in obtaining a baccalaureate degree (or certificate). There may be future penalties imposed. You MUST visit with a faculty advisor, a counselor, or on-line student services at http://studentservicesonline.hccs.edu/ prior to withdrawing (dropping) the class and this must be done prior to November 5, 2009 to receive a “W” on your transcript. After that deadline, you will receive the grade you are making in the class which will more than likely be an “F”. Statement of Academic Honesty: Any student participating in any form of scholastic dishonesty will be dismissed from the program immediately. “Scholastic Dishonesty” includes, but is not limited to cheating on a test, plagiarism, and collusion. 1. “Cheating on a test” includes: a. Copying from another student’s test paper or computer monitor, using during a test-materials not authorized by the person giving the test. b. Collaborating with another student during a test without permission. c. Knowingly using, buying, selling, transporting, or soliciting in whole or in part an unadministered test. 2. “Plagiarism” means the appropriation of another’s work and the unacknowledged incorporation of that work in one’s written work for credit. 3. “Collusion” means the unauthorized collaboration with another person in preparing written work offered for credit. Required Textbooks: Instructor Information: MAJOR CONTENT: Timby B. (2009). Fundamental Nursing Skills and Concepts, 9th ed. Philadelphia: Williams & Wilkins, Inc. Timby B. (2009). Study Guide for Timby’s Fundamental Nursing Skills and Concepts, 9th ed. Philadelphia: Williams & Wilkins, Inc Sharon McCowan , R.N., B.S.N. Coleman for Health Sciences 1900 Pressler, Ste. 319, Rm., 317 Office: (713) 718-7339 Pager: (281) 266-5651 Email: Sharon.McCowan@hccs.edu I. Skills I Procedures A. Care of Personal property B. Bedside Unit Preparation C. A.M. & P.M. Care D. Beds 1. Unoccupied a. Closed b. Open 2. Occupied 3. Surgical a. siderails b. IV pole E. Baths 1. Tub 2. Shower 3. Partial 4. Sitz 5. Cool Water 6. Bedbath a. special back care b. pericare c. care of hair and nails d. Foley care F. Admission, Discharge & Transfer G. Commode Chair, bed pan, urinal & emesis basin H. Medical & Surgical asepsis 1. Handwashing technique 2. Clean & Sterile Gloves I. Heights and weights J. Physical Examination & Body Positions K. Nursing Assessment (Adult Cephalocaudal) L. Vital Signs 1. Temperature 2. Pulses – Radial, Pedal, Apical/Radial and Apical 3. Respiration 4. Blood Pressure 5. Pain M. Lifting & Moving, Body Mechanics & Positioning II. Skills II Procedure A. Serving Trays & Feeding Patient B. Intake & Output C. Charting (Basic graphic forms, flow sheet, ADL or 24 hour record) D. Aqua K pad, Ice pack, Ice collar; hot & cold applications, humidification E. Enemas 1. Slush enema 2. Retention enema 3. Cleansing enema F. Rectal tube (Insertion & Removal) G. Specimen Collection: 1. Urine 2. Stool 3. Sputum H. Antiembolism stockings/SCD I. Decubitus Ulcer Care III Skills III Procedure A. Isolation B. Comfort Devices/Restraints C. Blood glucose testing IV. Skills I.V. Procedures A. Pre-operative B. Post operative care C. Types of shock D.. Pediculosis Treatment/Shampoo E. Binders and Bandages F. Care of the Dying Patient G. Special Mouth Care EXAMINATION & ASSIGNMENT DATES: Skills Exam #1 Skills Exam #2 Skills Exam #3 Skills Exam #4 Skills Final Exam ` LEVEL I COMPETENCIES IN SKILLS LAB: Successful completion of Level I Skills shall be evidenced by student performance with 100% proficiency in the presence of an HCCS instructor in the simulated skills laboratory using Skills Performance Checklist and aid of mannequins and classmates. The student shall be able to perform the following competencies: 1. Antiembolism hose application 2. Nursing Assessment of Adult Client a. Cephalocaudal b. Vital signs - temperature, radial pulse, respiration, and blood pressure, apical pulse, pedal pulse, apical/radial pulse 3. Measurement of height and weight of adult client 4. Bed Bath 5. Bed making a. Occupied - flat 6. Blood Glucose Testing 7. Enemas a. Cleansing b. Slush c. Retention 8. Hand washing Technique Lifting and Moving Clients/Patients 9. Sterile Gloves (Glove Technique) 10. Intake and Output 11. Isolation Technique 12. Lifting and Moving Clients/Patients 13. Hygiene a. Back care with bed bath b. Foley care c. Pericare with bed bath