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