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____________________________________North Seattle Community College_________
Health/Medical Division
RN Program Fall Quarter 2011
COURSE INFORMATION
Course:
Course Title:
Course Credits:
Concurrent enrollment:
Course Location:
Course Dates:
Course Time:
NUR 231
Nursing Management of Family Health Clinical Practice
4 (44 hours Obstetric & 44 hours Pediatric Clinical)
NUR 225 is required
Students will be assigned to various hospitals, clinics, &
schools.
September 27 – December 15, 2011
See schedule for details.
Required text books:
Perry, S. E., Hockenberry, M. J., Lowdermilk, D. L., & Wilson, D. (2010).
Maternal Child Nursing Care (4th Ed.). Maryland Heights, MO: Mosby Elsevier
Documents used in NUR 231 pediatric review lab from: Bowden, V.R., & SmithGreenberg, C. (2008). Pediatric Nursing Procedures: (2nd Ed.). Philadelphia, PA:
Lippincott Williams & Williams
INSTRUCTOR INFORMATION
Marti Rickel RN, MSN, BC
Office: Instruction Bldg. 2404B
Office Hours: By appointment only
Phone: (office) 206-934-4562, (cell) 512-565-2468
Email: mrickel@sccd.ctc.edu
Margaret Johnston, RN-BC, M.Ed.
Phone: (cell) 206-265-9907
Office Hours: By appointment only
Email: johnstonmm@earthlink.net
margaret.johnston@seattlecolleges.edu
Wivina Lee MN, RNC-MNN
Phone: 206-769-4513
Office: IB – 2405A
Office Hours: By appointment only
Email: wivina.lee@seattlecolleges.edu
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N231 TEACHING/LEARNING STRATEGIES:
Direct care of clients
Group discussion
Individual discussion
Peer sharing
Question and answer
Written goals and reflections
Nursing care plans
Written teaching projects
General Disclaimer: There are many internal and external factors that influence the
development of a course. Assignments and forms are used with permission from
NSCC faculty and staff. If there is a discrepancy between the course syllabi and the
NSCC Nursing Handbook, the Handbook supersedes any and all documents. The
instructors may modify the terms of this syllabus in the event the instructor believes
such modification will improve the student’s learning experience. Any changes will be
highlighted in yellow and announced in writing to the students on the website or by
email as soon as possible. Students are responsible for all changes once they have
been communicated in writing. NSCC and the instructors are not responsible or liable
for any claim, loss or damage arising from the use, misuse or loss of this health care
information.
Course Description:
This course is designed to apply the concepts discussed in NUR 223 and 225 in
caring for families. A portion of the clinical hours will focus on family nursing and
on promoting normal growth and development and adaptation of children and
families to illness. Experience in pediatric assessment and planning and
implementing care is gained in a supervised pediatric setting. Childbearing
clinical experience is also provided.
Course Goals:
1. Appreciate the variety of health care settings.
2. Appreciate the variety of health care concerns throughout the lifespan
3. Experience the unique aspects of pediatric assessment.
NSCC General Education Learning Outcomes and/or Related Instructional
Outcomes (for technical courses) Met by Course:
Outcome 2. Use quantitative reasoning processes to understand, analyze,
interpret, and solve quantitative problems.
Outcome 4. Access, evaluate, and apply information from a variety of sources
and a variety of contexts.
Outcome 5. Apply computer competency appropriate to general education and
occupational goals.
Outcome 7. Deal constructively with information, ideas, and emotions associated
with such issues of diversity and conflict culture, ethnicity, race, gender, religion,
age sexual orientation, and abilities.
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Topical Outline and/or Major Divisions:
1. Use nursing process in clinical practice for childbearing family/pediatric patient
2. Integrate prioritizing, critical thinking, and collaborative care in clinical practice
for childbearing family/pediatric patient
3. Effective professional communication with peers, instructors and other
members of the health care team.
4. Write nursing care plans for childbearing families and pediatric patients
Course Outcomes/Learning Objectives:
Upon successful completion of this course, the student should be able to:
1. Begin development of safe holistic nursing care to members of the
childbearing family/pediatric patient within the scope of practice of the RN.
2. Begin demonstration of educating and communicating with child bearing family
and pediatric patients, patient’s families, healthcare team, system administration
and wider community with focus on health promotion.
3. Begin demonstration of competency in assessment and planning, analysis,
implementing child bearing family and pediatric patient care and comprehensive
evaluation of outcomes within a variety of settings utilizing appropriate
technology.
4. Begin to synthesize child bearing family and pediatric patient assessment of
data and anatomy, physiology, pathophysiology, and pharmacology using critical
thinking in order to safely manage rapidly changing complex patient problems.
Americans with Disabilities Act: If you need course adaptations or accommodation
because of a disability; if you have emergency medical information to share with your
instructor; or if you need special arrangements in case the building must be evacuated;
please make an appointment with your instructor as soon as possible.
An amplified stethoscope is recommended for students that are hard of hearing.
NSCC disability services
Website: http://www.northseattle.edu/services/disability/
Nursing Clinical Policies
Guidelines for Student Conduct: Students are expected to comply with student
conduct policy and procedures. Information on student responsibilities and rights is
available at the following websites: http://www.seattlecolleges.com/studentrules.aspx or
Intranet site: http://www.seattlecolleges.com/studentrules.aspx
Cell Phone Etiquette: To avoid disruption of the learning environment, students are
expected to turn off or silence cell phones. Do not answer phone calls while on the unit.
Please use scheduled breaks to return calls.
Classroom Diversity Statement: Respect for diversity is a core value of NSCC. Our
college community fosters an optimal learning climate and an environment of mutual
respect. We, the college community, recognize individual differences. Therefore, we
are responsible for the content and tone of our statements and are empathetic speakers
and listeners.
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Respectful and Inclusive Environment: The instructor and student share the
responsibility to foster a learning environment that is welcoming, supportive, and
respectful of cultural and individual differences. Open and respectful communication
that allows for the expression of varied opinions and multicultural perspectives
encourages us to learn freely from each other.
Fragrance Policy: Students are encouraged to refrain from wearing heavily scented
products during class sessions, since some individuals may experience chemical
sensitivities to fragrances that interfere with their learning. Do not wear any scents,
perfumes, strong smelling deodorants or lotions.
Transportation: Clinical instruction and experience are provided throughout the
program in long-term care facilities, acute care hospitals, and clinics. It is the
student’s responsibility to arrange transportation to and from these facilities.
Student Ratios: Clinical placements are made to ensure that all students
receive the appropriate variety of experiences. Long term care facilities and
acute care facilities generally have a ratio of 6-8 students per instructor and
clinics, 1:1 utilizing the agency’s nurses as preceptors.
Dress Code: Students are to adhere to the standards, policies, and regulations
of the clinical sites during their clinical education program. These standards
include wearing appropriate attire, including nametags, and patches ironed on
the left upper arm at the shoulder, and conforming to the standards and practices
of the site. Nametags and patches must remain visible at all times and must not
be covered by a sweater while on the floor. A sweater or T-shirt may be worn
under the scrubs. Students should wear casual business attire (no jeans, tennis
shoes, short skirts, low cut tops, or clothing with words/advertisements) with
facility ID badge while in public school settings.
Facility Orientation: If the clinical site requires a special orientation of
students, students MUST attend or they will be unable to attend clinical.
Each facility has unique policies, procedures, and documentation practices.
Students must attend the orientation in order to be prepared to attend clinical
and provide safe care for patients within these facilities. Students who do not
attend the orientation will meet with the Nursing Faculty and the Program
Director and referred to the VP of Student Services.
Leaving the Unit: Students are to remain at the site during the clinical
assignment. Leaving the floor, unit, school, clinic, etc. without notifying the
instructor and staff/preceptor where patients are assigned is considered
abandonment of patients. If a student is found to have abandoned his/her
patients, the student may be referred to the VP of Student Services, which may
lead to dismissal from the program. If the student needs to leave the floor for any
reason he/she must let the nurse in charge and the instructor/preceptor know.
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Attendance, Absences or Tardiness:
All students must attend all laboratory and clinical sessions, arrive on time, not leave
early and be prepared to actively participate. Any scheduled lab, or clinical time missed
will be considered an absence. All theory course instructors expect full attendance to
each class, who may implement this individually.
Students are expected to attend all orientation classes.
Guidelines:
1.
Absences will jeopardize meeting daily objectives and therefore success.
2.
A student is allowed one medical or family emergency absence from clinical each
quarter not to exceed 33% of that clinical experience (for example, if OB is 3 days, a
student can not miss more than 1 day for emergency purposes and pass the course ).
Any additional absences OR a tardy greater than 45 minutes OR absences that are not
a medical emergency (unexcused) will result in a 0 for the day which in clinical may
result in failing the course.
3.
Two tardies of greater than 5 minutes in clinical will constitute an absence and a
zero for the day which may result in failing the clinical course.
4.
There is no scheduled “make up” laboratory or clinical days.
5.
In the case of an absence, the student must
a. Call their instructor a minimum of 1 hour before the start of clinical and report
the absence and why. Sending a message with a fellow student will not be accepted.
b. provide a note in writing to the Director of Nursing explaining the reason for the
absence.
c. Any injuries or change in health status requires a providers release to attend
clinical and lab.
A “No Call, No Show” is a serious offense and not permitted in the facilities by
students. Not calling or showing may be grounds for dismissal and will be
referred to the Director of Nursing, Dean of Health and Human Services and/or
the Vice President of Student Services.
Standard Precautions: Students are expected to follow the Standard
Precautions with ALL patients regardless of whether they have a communicable
disease or not.
Procedures and Treatments: Students should NOT perform any
procedure/treatment independently (i.e. giving meds, dressing changes,
catheters etc) without first obtaining permission from the instructor/preceptor.
Failure to do so may result in immediate dismissal for the day followed by
disciplinary action.
Clinical Errors: Clinical errors must be reported immediately to the charge
nurse and the clinical instructor. An NSCC Nursing Program Student Incident
Report must be filled out, even if the instructor catches the error before the
student administers the medicine or treatment. In the event that the student
does give the wrong med or perform the wrong procedure, a facility incident
report must also be made out. The student incident report will be placed in the
student’s file until graduation. Serious errors will be reviewed by the faculty and
administration and may be referred to the VP of Student Services. (See Student
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Clinical Incident Report in Section VII.)
Injuries and Accidents: Any injuries sustained during the clinical day should
be reported to the nursing instructor immediately.
Student Support Services:
Students are encouraged to seek campus support services when necessary to support
their learning and academic progress. Refer to student handbook, brochures/flyers, or
college website for information about: Disability Services, Advising Center, Tutoring
Services, Student Leadership Programs, Library, Financial Aid Office, LOFT Writing
Center Plus, Admission/Registration/Records/Credentials (ARRC), Counseling,
Women’s Center, Multicultural Services Office, and/or Wellness Center
http://www.northseattle.edu/services/tutor/
The role of the clinical instructor is one of instruction and evaluation. It is the
student’s responsibility to seek instructor guidance and support in performing
nursing care.
For a positive clinical experience, we recommend that you bring a nursing drug
reference as well as nursing care plan reference and templates. Come to clinical
prepared. This means being able to develop a plan of care for your assigned patient and
to answer questions about your client's diagnosis, medications, and therapy with your
instructor each day. It also means having the appropriate equipment and the ability to
research or provide the appropriate data. Course expectations are the following:
Ask for help. Use each other as resources. Seek out learning opportunites.
Actively participate in post-conference discussion.
Communicate information clearly to staff, instructor, team, patients and families.
Use your critical thinking skills to the best of your ability when making decisions
about patient care. Check in with instructor/preceptor prior to meal breaks.
CLINICAL EVALUATION OF STUDENTS
1. Clinical Evaluation Grading is based on the attached form with the point
scale of 1-4 for each category each clinical day.
a.
Each student receives a formal, written clinical performance
evaluation from the instructor at midterm and at the end of the
quarter. (One evaluation after each peds/OB rotation). The written
clinical evaluation measures the student’s performance of the
course objectives, outlines strengths and weakness, and makes
appropriate recommendations for improvement if necessary.
Students in danger of failing will receive a Learning Agreement,
which remains in the student file until graduation from the program.
(See Section VII for the Learning Agreement)
b.
The student must sign the evaluation to show that he/she
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has read the evaluation. If the student does not agree with the
instructor’s evaluation he/she may make comments on the
document. A copy will be given to the student. (See Clinical
Evaluation Objectives/Clinical Evaluation in Appendix)
c.
Clinical performance will be evaluated on a weekly basis
and discussed with the student. If the student is deemed unsafe, a
Learning Agreement will be issued and the student will plan for
improvement with the instructor. If the safety issue continues the
student will meet with the faculty and administration to discuss the
student’s ability to progress in the program. Mid-term performance
evaluations will be written by the instructor, reviewed by the
student, and MUST be signed as evidence of having been read.
The student will receive a copy. Students may write a response to
instructor’s anecdotal notes. Final evaluations are written, shared
with the student, and must be signed by both parties before they
are placed in the student’s file.
Course Grading: The clinical evaluation tool in this syllabus is used for
grading each portion (obstetric and pediatric) of this clinical course. The
student must pass the course with a score of 77% or higher (37 clinical
points or higher). This course score is then converted to a pass/fail grade
and is documented as satisfactory or unsatisfactory on the transcript.
Criteria for Course Participation: This course unit strives to maintain an
enthusiastic student/instructor team-like, partnership. Equitable student
participation is an expectation. Contribute ideas, interact with peers and
instructor, engage in class activities, maintain attention on class work, and
come prepared for class (completed reading and assignments). Expect to
be called upon at any time during the course to respond to thoughtprovoking questions.
Policy on Late Work: There is a total of 60 points on a given clinical day.
Papers may be submitted early. Late work is not accepted. Papers are to
be submitted electronically to the instructor by e-mail or turned into
instructor’s mailbox in the Health and Human Services Department. In
extenuating circumstances students can provide substantiating
documentation to reduce the points deducted on the assignment.
Policy on Course Withdrawal: The student is responsible for an official withdrawal
from the course. Please refer to the Academic Calendar on NSCC’s home page for
withdrawal deadlines. http://www.northseattle.edu/
Incomplete: Indicates that the student performed at a passing level, completed
most of the course requirements, and intends to make up the missing
work. Incomplete is given only at the discretion of the instructor when the student
has attended regularly, done satisfactory work, and furnished satisfactory proof
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to the instructor that the work cannot be completed because of illness or other
circumstances beyond the student’s control. Coursework must be completed
during the following quarter, excluding summer quarter. If the student fails to
remove the “I” by completing the coursework in the specified time period, the “I”
will remain on the transcript. If the student elects to repeat a course rather than
make up the work, the “I” will remain on the transcript. The grade earned will
compute in the GPA; after receiving an “I” in a course, a student may repeat that
course only once.
Information for Providence Medical Center, Everett Clinical (Group B, C, D)

Student Orientation – Tuesday, September 27 0800- 1500 (Group B and D only)

Student Orientation – Thursday, October 20 0800-1500 (Group C)

Security Badge Forms should be completed and turned in to Kimberly Gilbert, NSCC
office staff, by September 7. Please bring a copy of your syllabus to orientation.

Review and complete orientation portal and sign forms in the Providence Training Portal:
http://www.providence.org/everett/prep_portal/default.htm . Forms should be placed in
your instructor’s mailbox no later than noon, Friday, September 23, 2011. (except for
Group C – due date for forms will be 12 noon, Friday, October 14th)
Clinical Days

We will meet in the 4th floor lounge of the Pavilion for Women & Children at 0615, to
review goals and receive assignments. You will receive your assignment and then report
to the appropriate nursing pod to find your preceptor nurse and receive report from her.
Staff report starts promptly at 0630 in the 3rd floor classroom but students will not be
attending this report due to space limitations.

We will meet for post-clinical conference 1700-1830; locations will be posted each day.

You will need to obtain PRMCE security badges on orientation day, prior to your first
clinical day.

You can find directions to the Pavilion for Women and Children by using the link above.
Parking is available in the parking garage off of Nassau St. on the north side of the
Pacific Campus. There is no charge for using the PRMCE parking garage.
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Please do not bring valuables to clinical with you - no lockers are provided for students.
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Information for Swedish Clinical (Group A)
Labor and Delivery is on the First Hill campus of Swedish. It’s located at 747 Broadway,
Seattle. Please look at directions/parking on the Infoport site noted below. Parking is
$15/day in the Minor and Cherry garage or in the garage located under the hospital’s front
entrance.
Please read this carefully. Action is required for both new and returning to Swedish
nursing students. Preparing for clinical requires a lot of work so please plan
accordingly and come to the orientation day prepared.
Students who show up to orientation unprepared or have uncompleted paperwork
will be asked to leave and graded at a zero for the first day of clinical.
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
Infoport is the online Swedish orientation site. Please follow all instructions
on the website regarding orientation to OB areas. The orientation web site can
be found at https://ehealth.swedish.org/infoport . The address needs to be
entered directly into a browser window. It can't be found through a "search".
ID and password are case sensitive.
ID: stUDEnt .

Password: YeaNP$CPCl .

Go to the Blue menu bar on the left and the link titled "Orientation"

The site contains Swedish’s procedures and protocols so you can have access
to them from home or the library, not just when you are on the clinical site.
The "basic" content is to be completed prior to going to the patient care units.
Check out the other links on the blue menu bar to see what other
information (standards, parking, maps) is available. The standards link gives the
students access to Swedish's policies and procedures

Please review the Infoport site and complete all the necessary items before your
first clinical day. Print and bring the pertinent forms. In addition, please review the
following protocols in the OB specific section:

Labor Patient Management
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Vaginal Delivery
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C/Section Delivery
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Fetal monitoring
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Postpartum management
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Postpartum Discharge
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Normal Newborn Management
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Newborn Assessment
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Best Practice recovery- Vaginal and C/S deliveries
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Breastfeeding
The other protocols are linked for your review for specific clinical situations.
Please complete the following before the group orientation day on 10/7:
 You must complete the “documentation” content prior to Epic class, and bring
Epic Self learning Completion Record to class/orientation on 10/7.
 Complete the blood glucose meter self learning module prior to blood glucose
meter class, on 10/7. Keep your Blood Glucose Meter Assessment form and
bring it with you. Bring completed form with you.
 Please print out, sign and bring :
 Information Confidentiality Agreement
 HIPAA Privacy and Security Regulations, Acknowledgement
 Proof for OSHA training, print a copy of your test
Complete OSHA
training on http://www.free-training.com/OSHA/hazcom/hazmenu.htm

Proof of a flu shot or a signed waiver

Info Port Completion Record. Please date all the sections that you have
completed.

Blood borne pathogens training. Do not submit your test just print your
certification of completion and bring it with you on the first day of clinical.
Blood-borne pathogens: http://www.usg.edu/ehs/training/pathogens/

The syllabus for NUR 231( will be posted on Angel)

Please wear your uniforms and badges.

Make sure your immunization record and CPR card are up to date.
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Orientation
Your assigned day is 10/7 from 0800-1430 at the First Hill campus of Swedish, 747
Broadway.
0800-1100: Epic Training, Nordstrom Tower, Fifth floor, classroom # 525
1100-1200: Blood Glucose Meter, B-floor #2
1200-1230: Lunch on your own
1230-1400: OB Department welcome and tour, 6E
Clinical Days
 We will meet in the 4 South lobby at 6:45 am, review your clinical goals, and
proceed to the various units for report. Post-conference will be from 1700-1800.
Our clinical day will end at 1800 pm.
 Questions? Please feel free to e-mail Wivina Lee MN, RNC on ANGEL website
Please make sure that you have the following items in your file:
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Up- to- date immunization record and a CPR
Healthcare insurance coverage proof
Flu shot proof
Students will not be allowed on the clinical site if any of these items are outdated or
missing.
OB Clinical Assignments: Fall 2011
1) Weekly Goals/Reflection Worksheets: They are to be completed and turned in at the
following times. Email your Weekly Goals to your instructor before 5 pm the evening
prior to your clinical day. We will review the goals and give you feedback that evening.
Bring your Weekly Goals with you to each clinical along with your OB Skills Checklist
(posted on Angel). This will assist you, your nursing instructor and nursing staff in
obtaining your clinical goals. Your Goals should relate directly to your OB clinical and
should reflect your Course Objectives. After completion of each clinical day, you should
turn in your Reflection and Goals with your OB Nursing Care Plans (see below schedule
for due dates).
2) OB Nursing Care Plans (NCPs): There are three different OB Care Plans for your OB
clinical. You are expected to complete two NCPs during the three shifts you will be doing
clinical at Providence Regional Medical Center or Swedish Medical Center: one Labor &
Delivery and one Postpartum/Neonatal (you may substitute an antepartum NCP
instead of a postpartum NCP; in that case you will still need to include the neonatal
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portion with your L&D NCP). In addition, when you have a rotation in Lactation
Services, you are expected to complete the OB Summary designated for that area.
All Care Plans should be emailed or posted on Angel (instructor preference) to your
instructor by 5pm on the day specified after clinical. All OB NCPs should be submitted in
the template format provided in the syllabus.
Clinical Group
Due by 5pm on these days following
clinical:
PRMCE – Group B
Thursday
Swedish – Group A, PRMCE – Groups D, C
Tuesday
3. Weekly Feedback Forms: The feedback forms indicate your level of proficiency in the
clinical setting (1-4) will be completed daily. These will be based on observations of your
clinical performance and level of proficiency demonstrated on your written work.
4) OB Medication Information: You are expected to have completed your OB Medication
information, and bring it with you on each clinical day. On your first day of clinical rotation,
your instructor will review your medication cards and we will discuss medications in postconference as a group so be prepared with all the information completed. This will count
as part of your written work for clinical evaluation.
You may give medications on the OB Unit to neonates, but with instructor observation,
and you may give medications to postpartum patients, if you are familiar with the
medication and again, with instructor or preceptor observation. Remember, NO
medications are to be administered to pregnant patients (antepartum and labor). Your
OB clinical experience will focus on observation as well as practicing clinical skills. You will
be assigned to work with a staff nurse and will be expected to participate in caring for
mothers and infants, doing assessments, teaching, and practicing any skills that are within
your scope of practice as RN students. Your goal should be to provide most of the care and
teaching needs for mother/neonate dyads, applying knowledge from previous OB clinicals.
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________________NORTH SEATTLE COMMUNITY COLLEGE_____________
NUR 231 DAILY CLINICAL PERSONAL/PROFESSIONAL GOALS
Personal/Professional
Goals
(filled out prior to clinical with
specific clinical focus to the area
you’re assigned)
Goal 1
Goal 2
Goal 3
How to Meet Goals
Evaluation
(filled out prior to clinical)
(due with OB Care Plans and
Pediatric Experience)
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________________NORTH SEATTLE COMMUNITY COLLEGE_____________
NUR 231
DAILY REFLECTION: Complete after each clinical day and hand in with OB Care Plan. Also
complete during each day of Pediatric Clinical.
Description of Clinical Experience (What
happened in clinical today? Use professional terms
in your narrative)
Reflection on Clinical Experience
(How did you feel about what happened today in
clinical? What did you know? What didn’t you
know? What did you learn? What are your next
steps?)
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North Seattle Community College
NUR 231
Labor and Delivery Nursing Care Plan
Student: ____________________________________________________________
Date: _________________
Date of Patient Admission: ___________________
PATIENT INFORMATION
Pt initials/identification:
Age:
Gravida:
Ab:
Para:
LC:
EDD:
Allergies:
Delivery date:
Time:
Type of delivery:
EBL:
Complications of
labor/del:
Total length of labor:
Pain management in
labor:
Infant’s age at time of
exam:
Infant Sex:
Apgars:
Birth Weight:___lbs./
___gms
Feeding Method:
Maternal V.S.
LABS AND DIAGNOSTIC TESTING (Include dates; indicate if abnormal value; discuss potential
implications if abnormal)
Rh and type:
Rubella:
HBsAG:
GBS:
HIV:
Antibody Screen:
Other: (STDs, Hep C, UA, etc)
Prenatal Labs:
Hgb:
Hct:
GDM Screening:
Other:
Ultrasounds:
Post Partum Labs:
Hct:
Hgb:
CBC:
MEDICATIONS (Include all medications during current hospitalization)
Name of Drug Dosage/Route/Frequency Indication
Generic &Trade
Other:
Effectiveness/
Side effects
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North Seattle Community College
NUR 231
Signs of labor prior to admission: (bloody show, SROM, U/Cs, mucous plug)
Discuss any prenatal diagnosis/es and implications (for both Cesarean and vaginal
deliveries):
Pain management: (non-pharmacologic comfort measures, narcotics, epidural/spinal)
Stages and phases of labor: (describe each in detail)
Fetal monitoring: (describe contractions, FHR baseline, variability, accelerations, deceleration, use NICHD
terminology; discuss interventions and rationale)
Care of neonate and rationale in delivery room and during recovery: (drying,
tactile stimulation, any resuscitation measures, vital signs, Apgars, medications, bonding, feeding)
Maternal care during recovery: (BUBBLE, vital signs, comfort measures)
Parent/infant attachment after delivery and during recovery:
Summary/other:
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North Seattle Community College
NUR 231
L&D NURSING DIAGNOSIS/ PROBLEM LIST IN PRIORITY ORDER:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
COMMENTS/HISTORY/REVIEW (Include a review of any significant medical history, prenatal diagnoses,
delivery complications, family adjustment, involvement of partner/father, support system, developmental phase of
postpartum family)
DISCHARGE NEEDS/PLAN: (Are there identified problems or barriers to discharge? What are the needs at home
after discharge? Resources? Discuss involvement of social work, home visits or referrals, developmental phase of family)
NAME:
North Seattle Community College
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North Seattle Community College
NUR 231
Post Partum Nursing Care Plan:
Student: ____________________________________________________________
Date: _________________ Date of Patient Admission:____________
PATIENT INFORMATION
Pt initials/identification:
Age:
Gravida:
Ab:
Para:
LC:
EDD:
Allergies:
Delivery date:
Time:
Type of delivery:
EBL:
Complications of
labor/del:
Total length of labor:
Pain Management in
labor:
Infant’s age at time of
exam:
Infant Sex:
Apgars:
Birth Weight: ___lbs./
____ gms
Feeding Method:
Maternal V.S.
LABS AND DIAGNOSTIC TESTING (Include dates; indicate if abnormal value; discuss potential
implications if abnormal)
Rh and type:
Rubella:
HBsAG:
GBS:
HIV:
Antibody Screen:
Other: : (STDs, Hep C, UA, etc)
Prenatal Labs:
Hgb:
Hct:
GDM Screening:
Other:
Ultrasounds:
Post Partum Labs:
Hct:
Hgb:
CBC:
MEDICATIONS (Include all medications during current hospitalization)
Name of Drug Dosage/Route/Frequency Indication
Generic &Trade
Other:
Effectiveness/
Side Effects
19
North Seattle Community College
NUR 231
SYSTEMS/MATERNAL ASSESSMENT
Cardiovascular: (include VS, heart rhythm, postruals prn, edema, pulses, Homan’s sign, activity tolerance, hx c/v
problems, HTN)
Respiratory: (RR, breath sounds, O2 sats, cough, Hx asthma, smoking in household?)
Neurologic:
(Pain Status, Sleep/Rest Patterns; also consider communication barriers, sensory deficits)
Breastfeeding: (include nipples, breasts, colostrum/milk, knowledge & preparation, past experience or concerns,
your observations, lactation interventions)
GI : (include wt. or BMI, wt gain through pregnancy. bowel sounds, diet progression and appetite, hx eating disorders,
dietary restrictions?, last BM, hemorrhoids, usual bowel habits)
GU: (include fundus, lochia amount and character, I&O prn, ability to void after anesthesia/birth, dysuria, discharge, pp
diuresis)
Integument: (include hygiene, perineum, incision, IVs, rashes)
Endocrine: (consider thyroid, diabetes, hx infertility)
Psychosocial/Cultural: (include bonding, parent-infant attachment, role adaptations, family interaction,
emotional state & perceptions, cultural/religious practices/traditions, language barriers, alternative or complimentary
health practices, home environment, support, resources):
Infant Care: (participation in newborn care, assess learning needs, bonding, challenges)
Other:
20
North Seattle Community College
NUR 231
NEONATAL ASSESSMENT
Skin: (color, acrocyanosis, turgor, mucous membranes, jaundice, mottling, rashes, lanugo, vernix, Mongolian
spots, birth marks, echymosis, lesions)
Head/Neck: (symmetry,
caput, cephalohematoma, lesions, echymosis, types/ description of fontanels)
Eyes/Ears/Nose/Mouth/Face: (symmetry, position, abnormalities, epicanthal folds, sclera, drainage,
edema, ear pinna, nasal patency, palate, mucous membranes, tongue)
Chest/Lungs: (RR, bilateral breath sounds, grunting/retracting, nasal flaring, rales, rhonchi, nipple buds,
clavicle, symmetry)
Cardiac: (heart rate and rhythm, murmurs, color changes, peripheral pulses, cap refill)
Abdomen: (shape, tone, umbilical cord, bowel tones, palpation)
Genitals: (uretheral opening, penis, scrotal rugue, testes, labia majora, pseudo menses)
Extremities: (ROM, equal size, length, gluteal folds, symmetry, digits, webbing, color, cap refill, palmar &
plantar creases, reflexes)
Back: (spine curvature, sacral dimple, anal patency)
Neurologic: (all reflexes, deficits, hips)
Behavioral State: (feeding cues, crying, visual)
Feeding/ Elimination: (breast, bottle, frequency, suck, latch, Lactation Consult; void, anal patency, stool,
frequency)
Attachment/Bonding: (maternal, family, bonding, skin-to-skin)
Labs/tests: List all labs during hospitalization or labs
you anticipate prior to discharge (bilirubin, glucose,
CBC, hematocrit, Rh, hearing screen: include dates, normal or abnormal value, if abnormal discuss implications)
21
NEONATAL MEDICATIONS (Include all medications during current hospitalization)
Name of Drug Dosage/Route/Frequency Indication
Effectiveness/
Generic &Trade
Side Effects
NURSING DIAGNOSIS/ PROBLEM LIST IN PRIORITY ORDER (INCLUDES MOTHER/INFANT
DYAD):
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
COMMENTS/HISTORY/REVIEW (Include a review of any significant medical history, prenatal diagnoses,
delivery complications, family adjustment, involvement of partner/father, support system, developmental phase of family)
DISCHARGE NEEDS/PLAN: (Are there identified problems or barriers to discharge? What are the needs at home
after discharge? Resources? Discuss involvement of social work, home visits or referrals)
22
North Seattle Community College
NUR 231
Antepartum Nursing Care Plan:
Student: ____________________________________________________________
Date: _________________
Date of Patient Admission:_______________
PATIENT INFORMATION
Pt initials/identification:
Age:
Gravida:
Para:
Ab:
LC:
Allergies:
EDD:
Current Gestational Age:
Birth Plan:
Anticipated Feeding Method:
V.S.
LABS AND DIAGNOSTIC TESTING (Include dates; indicate if abnormal values, implications)
Rh and type:
Hct:
Rubella:
Hgb:
HBsAG:
GDM Screening:
GBS:
HIV:
Ultrasounds:
Antibody Screen:
Other:
MEDICATIONS (Include all medications during current hospitalization)
Name of Drug Dosage/Route/Frequency Indication
Generic &Trade
Effectiveness/
Side effects
23
North Seattle Community College
NUR 231
SYSTEMS/MATERNAL ASSESSMENT ANTEPARTUM
Cardiovascular:(include VS, heart rhythm, postruals prn, edema, pulses, Homan’s sign, activity tolerance hx
c/v problems, HTN)
Respiratory: (RR, breath sounds,O2 sats, ?cough, Hx asthma, smoking in household?)
Neurologic: Pain Status, Sleep/Rest Patterns (also consider communication barriers, sensory deficits)
GI: (include wt. or BMI, wt gain through pregnancy, bowel sounds, appetite, hx eating disorders, dietary
restrictions?, last BM, hemorrhoids, usual bowel habits)
GU: (include bleeding, bladder, dysuria, discharge)
Integument: (include hygiene, perineum, IVs, rashes)
Endocrine: (consider thyroid, diabetes, hx.infertility)
Psychosocial/Cultural: (role adaptations, family interaction, emotional state & perceptions,
cultural/religious practices/traditions, language barriers, alternative or complimentary health practices, home
environment, support, resources):
Other:
24
North Seattle Community College
NUR 231
1. Describe past medical/obstetrical history and prenatal diagnoses that may have
contributed to present risk factors for antepartum hospitalization.
2. What interventions have taken place? Also provide rationale for each intervention.
3. What information did you gain by reviewing the fetal monitor? (Use NICHD
terminology for baseline, variability, acceleration, decelerations). If early gestation, ultrasound monitor may not be used for
FHTs, describe the uterine contraction pattern.
4. Review implications of lab work, ultrasound reports, and/or any other diagnostic
modalities for this client.
5. What teaching needs does this client have and how would you present this
information to her?
6. Summarize the care you gave to this client during her hospitalization.
25
North Seattle Community College
NUR 231
ANTEPARTUM NURSING DIAGNOSIS/ PROBLEM LIST IN PRIORITY ORDER:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
PRIORITY#____ (Identify by number and provide brief rationale for your decision)
Nursing Diagnosis: (Identify problem, etiology & defining characteristics (signs & symptoms)




Assessments:
Interventions:
Outcomes:
Evaluations:
COMMENTS/HISTORY/REVIEW (Include a review of any significant medical history, prenatal diagnoses, family
adjustment, involvement of partner/father, support system, developmental phase of family)
DISCHARGE NEEDS/PLAN: (Are there identified problems or barriers to discharge? What are the needs at home
after discharge? Resources? Discuss involvement of social work, home visits or referrals)
CLINICAL EVALUATION OF STUDEN
26
North Seattle Community College
NUR 231
NAME:__________________________
NSCC OB CLINICAL
Lactation Service
PATIENT INFORMATION
Pt initials/identification:
Age:
Gravida:
Para:
Ab:
LC:
Maternal V.S.
EDD:
Allergies:
Delivery Date:
Time:
Type of delivery:
EBL:
Delivery complications:
Gestational age at birth:
Age of infant during observation:
Infant Sex:
Apgars:
Birth Weight:
Current Wt.
Feeding Method(s):
Additional patient information pertinent to situation (prenatal/perinatal events):
Breastfeeding problem(s):
Interventions used and rationale:
Additional patient teaching:
Evaluation: (Were the interventions effective?)
Reflections: (Write a summary of your experience with Lactation Services)
27
1. Clinical Evaluation Grading is based on the attached form with the point scale of 1-4 for
each category each clinical day.
a. Each student receives a formal, written clinical performance evaluation from
the instructor. The written clinical evaluation measures the student’s
performance of the course objectives, outlines strengths and weakness, and
makes appropriate recommendations for improvement if necessary.
Students in danger of failing will receive a Learning Agreement, which
remains in the student file until graduation from the program. (See Section
VII for the Learning Agreement)
b. The student must sign the evaluation to show that he/she has read the
evaluation. If the student does not agree with the instructor’s evaluation
he/she may make comments on the document. A copy will be given to the
student. (See Clinical Evaluation Objectives/Clinical Evaluation in Appendix)
c. Clinical performance will be evaluated on a daily basis. If the student is
deemed unsafe, a Learning Agreement will be issued and the student will
plan for improvement with the instructor. If the safety issue continues, the
student will meet with the faculty and administration to discuss the student’s
ability to progress in the program. Performance evaluations will be written
by the instructor, reviewed by the student, and MUST be signed as evidence
of having been read. The student will receive a copy. Students may write a
response to instructor’s anecdotal notes.
28
EDUCATIONAL OBJECTIVES
Educational Objective: To develop a basic level of understanding and communication for
different obstetrical patients
Definitions: Mastery = student is able to complete a skill with minimal cueing from the
instructor.
Competency = student is able to complete skill with some cueing (no more
than 1-2 reminders) from the instructor
=Student needs > 2 reminders from the instructor
=Student is unable to perform skill or unable to perform skills at
mastery level with mastery requirement (skills designated with *)
The student demonstrates
1. Application of the nursing process in skills demonstrations:
a. Verbalizes necessary assessment prior to skill
b. Verbalizes the goal and /or rationale for the skill
c. Accurately identifies the client and introduces self
d. Implements the plan of care by performing the skill with proficiency
e. Evaluating the outcome of care plan
f. Modifying the plan of care to reflect the diverse needs of the client
g. Reports outcomes and findings to the appropriate person
h. Documents care given according to standards
2. Ability to organize client care and self by:
a. Completing all care within allotted time
b. Establishing appropriate priorities for care
c. Conserving supplies
3. Ability to adapt to change by:
a. Adapting to new clinical scenarios
b. Adapting care for individual client needs
c. Responding in a positive way to constructive criticism
4. Professional and therapeutic communication skills by:
a. Using correct medical terminology in all verbal and written communication
b. Demonstrating legible handwriting, correct spelling and grammar in all
written work
c. Protecting client confidentiality at all times
d. Demonstrating the ability to interact professionally with peers and
instructors
e. Demonstrating the ability to interact with diverse populations
29
5. * Demonstrate application of microbiological principles by:
a. Following infection control procedures
b. Hand washing
c. Using surgical and medical asepsis correctly
d. Following standard and transmission based precautions
e. Following disinfection and cleaning techniques
f. Safely collecting specimens for testing
6. Demonstrates knowledge of NANDA Nursing Diagnoses
7. Demonstrates knowledge of and ability to obtain a thorough physical assessment in
the clinical setting
8. Demonstrates knowledge and understanding of a variety of medications, the
medication classification, what symptoms or disorders each medication is commonly
used to treat, the intended medication effect, common and serious side effects and
contraindications.
9. Demonstrates knowledge of the Nursing Process in planning the care of client’s
labor and delivery and postpartum patients from a variety of diverse cultures.
10. Demonstrates knowledge of the Nursing Process in formulating appropriate
discharge goals/discharge plans for labor and delivery and postpartum clients in the
clinical setting.
30
Pediatric Clinical Sites
This quarter, students will have clinicals in the Seattle, Highline, and Shoreline Public
Schools. Students will participate in care only as guided by their nurse preceptor and
according to their own skill level. Students will not engage in patient care alone or in any
way exceed their student role. The instructor visits each student a minimum of once
during the quarter. Written work is graded by the instructor and returned to the student.
Nurse preceptors share their feedback with the instructor via preceptor feedback sheets
and this information is taken into account when grading each student.
Pediatric Clinical Assignments:
i.
Clinical Paperwork will be used to grade/evaluate students on a weekly
basis.
a. Each clinical day, students will write personal/professional daily goals and
e-mail to their clinical instructor. Following the clinical day, students will
evaluate how well they met the goals and write a summary reflection of
that day’s experience. They will e-mail the finished product to their
instructor before the next clinical day begins.
i. Personal/professional goals e-mailed on or before the start of the
clinical day.
ii. Evaluation of daily goals and summary reflection of the day’s
experience is then added and e-mailed again to the instructor.
b. Your clinical instructor will use the NUR 231 Clinical Evaluation Tool to
grade your clinical process packet weekly.
c. Preceptor Feedback sheet from School Nurse will be done once at the
end of the rotation
d. Student evaluation of the clinical instructor/preceptor will be done once at
the end of the rotation
ii.
Clinical Projects will be used to grade/evaluate students during the quarter.
a. Pediatric assessment (Completed once during the rotation) —Answer the
following questions about 1 pediatric case that you were involved this
rotation. Due by week 3 of clinical rotation.
i. What was the chief complaint of the child/adolescent (i.e.-sore
throat)?
ii. How did the child describe their complaint when you assessed the
following?
1. Onset
2. Location
3. Duration
4. Characteristics
5. Aggravating/alleviating factors
6. Related symptoms
7. Treatments tried
31
iii. What diagnoses were you considering in this case (both nursing
diagnoses and medical diagnoses)?
iv. What physical assessments did you perform and what information
did you obtain from them?
v. What physical assessments would you like to have done but were
not able to in the school setting. Why would this information have
been helpful?
vi. What was your final impression of the issue?
vii. How did you manage this child based on your final impression?
viii. Would you have done anything differently as you reflect on this
case?
iii.
iv.
v.
vi.
vii.
b. A teaching project developed for the rotation.
Use the nursing process to address a need in the school(s) you are placed in for
clinical. Due by week 4 of the clinical rotation.
Develop a plan for the implementation of a project that will address this need
Implement your teaching project
Write a 2-3 page summary of the project using the nursing process (assessment,
diagnosis, planning, implementation, and evaluation) as a guide.
Address the following questions in your summary.
1. What assessments did you make that led to your
identification of a need in this school(s)?
2. What steps did you have to take to prepare for the
implementation of this project?
3. How did you implement your project?
4. Why did you choose to implement your project in the way
that you did?
5. How effective was your project?
6. What outcome criteria did (or could) you use to evaluate the
effectiveness of your project?
7. How was your project developmentally appropriate?
8. What would you do differently in the future if you were to
implement this project again?
32
____NORTH SEATTLE COMMUNITY COLLEGE________________________
NUR 231: FAMILY NURSING CLINICAL PRACTICE
OB CLINICAL EVALUATION SUMMARY
STUDENT _________________
INSTRUCTOR____________________
LOCATION _PRMCE__________________ DATES: FROM:____ TO:_____
ABSENCES ____________
TARDIES
_________
AVERAGE:
Clinical Day:
1
2
3
4
5
6
I. PROVIDER OF CARE:
A. PREPARATION
B. ASSESSMENT
C. DIAGNOSIS/ANALYSIS
D. PLANNING
E. IMPLEMENTATION OF PATIENT CARE
(INTERVENTIONS)
F. COMPREHENSIVE EVALUATION
II. MANAGER OF CARE:
A. SAFELY MANAGES PATIENT PROBLEMS
(DECISION MAKING, CRITICAL THINKING,
ORGANIZATION, PRIORITIZATION)
B. EDUCATION & HEALTH PROMOTION
C. ROLE IN HEALTH CARE TEAM (DELEGATION,
COLLABORATION, LEADERSHIP)
III. MEMBER OF THE DISCIPLINE:
A. LEGAL/ETHICAL/POLICY ISSUES
B. KNOWLEDGE BASE & EVIDENCE BASED
PRACTICE
C. COMMUNICATION
D. SELF IMPROVEMENT
E. PROFESSIONAL VALUES & BEHAVIORS
IV.CDS/ASSIGNMENTS:
A. CLINICAL DAILY SHEETS/ASSIGNMENTS
TOTAL POINTS: _____
53-60= MEETS EXPECTATIONS CONSISTENTLY WITHOUT PROMPTS/REMINDERS
45-52= MEETS EXPECTATIONS CONSISTENTLY WITH PROMPTS/REMINDERS
37-44= MEETS EXPECTATIONS INCONSISTENTLY WITH PROMPTS/REMINDERS
<37 = DOES NOT MEET EXPECTATIONS <77% (FAIL)
33
____NORTH SEATTLE COMMUNITY COLLEGE________________________
NUR 231: FAMILY NURSING CLINICAL PRACTICE
PEDIATRIC CLINICAL EVALUATION SUMMARY
STUDENT _________________
INSTRUCTOR____________________
LOCATION ___________________
DATES: FROM:____ TO:_____
ABSENCES ____________
TARDIES
_________
AVERAGE:
Clinical Day:
1
2
3
4
5
6
I. PROVIDER OF CARE:
A. PREPARATION
B. ASSESSMENT
C. DIAGNOSIS/ANALYSIS
D. PLANNING
E. IMPLEMENTATION OF PATIENT CARE
(INTERVENTIONS)
F. COMPREHENSIVE EVALUATION
II. MANAGER OF CARE:
A. SAFELY MANAGES PATIENT PROBLEMS
(DECISION MAKING, CRITICAL THINKING,
ORGANIZATION, PRIORITIZATION)
B. EDUCATION & HEALTH PROMOTION
C. ROLE IN HEALTH CARE TEAM (DELEGATION,
COLLABORATION, LEADERSHIP)
III. MEMBER OF THE DISCIPLINE:
A. LEGAL/ETHICAL/POLICY ISSUES
B. KNOWLEDGE BASE & EVIDENCE BASED
PRACTICE
C. COMMUNICATION
D. SELF IMPROVEMENT
E. PROFESSIONAL VALUES & BEHAVIORS
IV.CDS/ASSIGNMENTS:
A. CLINICAL DAILY SHEETS/ASSIGNMENTS
TOTAL POINTS: _____
53-60= MEETS EXPECTATIONS CONSISTENTLY WITHOUT PROMPTS/REMINDERS
45-52= MEETS EXPECTATIONS CONSISTENTLY WITH PROMPTS/REMINDERS
37-44= MEETS EXPECTATIONS INCONSISTENTLY WITH PROMPTS/REMINDERS
<37 = DOES NOT MEET EXPECTATIONS <77% (FAIL)
34
_________________NORTH SEATTLE COMMUNITY COLLEGE____________
NUR 231: CLINICAL EVALUATION OBJECTIVES
EVALUATION OBJECTIVES
I. PROVIDER OF CARE:
A. PREPARATION
B. ASSESSMENT
C. DIAGNOSIS/ANALYSIS
D. PLANNING
E. IMPLEMENTATION OF
PATIENT CARE
(INTERVENTIONS)
F. COMPREHENSIVE
EVALUATION
DESCRIPTION
Preparation for care is evident. Review patient medical
record: diagnoses, medication record, labs, diagnostic
tests & procedures, treatments. Identify and access
appropriate & relevant data sources.
Demonstrate competence in assessment of the
childbearing family and pediatric patient. Complete
physical assessment w/ attention to systems relevant to
patient condition/diagnosis; history collection; psychosocial
status; review of lab work & diagnostic test results;
compare actual to baseline.
Integrate sources of information and analyze data to
identify and formulate at least two significant & relevant
nursing diagnoses for assigned patients.
Perform a review plan of care & revise as needed; set
realistic, measurable goals, identify appropriate nursing
interventions and give text referenced rationales for them.
Identify modifications needed to individualize care.
Develop safe holistic nursing care to members of
childbearing families and pediatric patients. Implement
interventions with attention to safety and infection control.
Demonstrate competency in performance of skills &
interventions. Nursing care & interventions provided by
student reflects an understanding of the significant patient
problems.
Evaluate effectiveness of interventions. Compare to patient
goals and outcomes and revise as needed. Follow up with
abnormal assessment findings; follow up with patients’
responses to treatments and interventions.
II. MANAGER OF CARE:
A. SAFELY MANAGES PATIENT
PROBLEMS
(DECISION MAKING, CRITICAL
THINKING, ORGANIZATION,
PRIORITIZATION)
B. EDUCATION & HEALTH
PROMOTION
C. ROLE IN HEALTH CARE
Demonstrate ability to plan, organize and prioritize care for
the shift. Synthesize data using critical thinking and adjust
plan of care as needed in order to safely manage rapidly
changing complex patient problems and care for the
childbearing family and pediatric patient. Timely
completion of care for assigned patients. Organized & safe
environment.
Demonstrate competency in educating the childbearing
family and pediatric patients, patient’s families, the
healthcare team, system administrators and the wider
community with focus on health promotion. Identify
patients’ health beliefs, knowledge level and learning
styles and incorporate these into the provision of
education.
Identify role in health care team. Demonstrate leadership
35
TEAM
(DELEGATION,
COLLABORATION,
LEADERSHIP)
by modeling problem solving and critical thinking skills.
Effectively and appropriately delegate tasks/care.
Supervise and follow up with delegated tasks/care.
Collaborate with childbearing families, the pediatric patient,
patients’ families, and members of the health care team.
Encourage team work and provide support and assistance
to members of the health care team.
III. MEMBER OF THE
DISCIPLINE:
A. LEGAL/ETHICAL/POLICY
ISSUES
B. KNOWLEDGE BASE &
EVIDENCE BASED PRACTICE
C. COMMUNICATION
D. SELF IMPROVEMENT
E. PROFESSIONAL VALUES &
BEHAVIORS
Holistically care for self, others and community within an
ethical, legal and diverse framework within the scope of
practice of the RN. Follow school/agency policies;
Document according to legal/agency policies; Review
agency policies/procedures. Develop strategies for
resolving legal & ethical dilemmas. HIPPA.
Apply concurrent and previous theory to clinical practice.
Identify rationales for interventions and significance of data
with regard to patient diagnoses and treatments. Show
awareness of implications of current research, trends, and
issues affecting nursing practice and patient care.
Demonstrate competency in communicating with the
childbearing family and pediatric patients, patients’ family,
and members of the health care team, system
administrators and the wider communty. Communicate in a
clear and respectful manner. Accurate & objective in oral
reports and documentation. Initiate conflict resolution;
actively participate in group discussions; Provide
constructive & positive feedback to other team members;
Respond positively and exhibit recommended behaviors
when receiving feedback.
Holistically care for self. Perform self assessments. Set
personal learning goals and evaluate weekly. Seek
feedback. Develop strategies for improvement.
Comply with NSCC and clinical facility policies.
Professional work behaviors- honesty, integrity, patient
advocate. Attendance & punctuality- begin work on time,
notify instructor of absence or illness per NSCC policy.
Comply with NSCC dress code. Accept responsibility for
own behavior and actions.
IV.CDS/ASSIGNMENTS:
A. CLINICAL DAILY
SHEETS/ASSIGNMENTS
CDS show evidence of understanding client condition,
medications, treatments, labs and nursing care. CDS are
detailed and thorough. Assigned research and papers are
completed according to instructions. Assignments are
turned in by due date.
36
____NORTH SEATTLE COMMUNITY COLLEGE_________________________
NUR 231 EVALUATION TOOL SCORING
Directions: Each of the clinical objectives is scored on each clinical day using
the following point scale*
4- Student meets expectations (objectives) consistently by performing previously
learned tasks and providing client care with no prompting or reminders and
performing newly learned tasks and client care with 1 reminder or prompting
given throughout the shift.
3- Student meets expectations (objectives) consistently by performing previously
learned tasks and providing client care with no prompting or reminders and
performing newly learned tasks and client care with 2 occasional reminders or
prompting given throughout the shift.
2- Student meets expectations (objectives) inconsistently by performing previously
and newly learned tasks and client care with 3 reminders or prompting given
throughout the shift.
1- Student does not meet expectations (objectives). Student is unable to perform
previous or newly learned tasks and provide client care unless provided with
more than 3 reminders and/or step-by-step instruction from instructor.
N/A- No opportunity to observe
*Note: Partial points (ie. 0.5 or 0.25) may be given.
Any score of <2 requires a separate anecdotal note to be written and placed with
the student’s evaluation. The instructor should meet with the student to discuss the
anecdotal note & inform the student of inconsistency in meeting the clinical
objectives. The clinical expectations and objectives should be reinforced and the
student assisted in forming a plan to meet those objectives.
If during any clinical day or week the student receives a total of <37 points, the
student may be dismissed immediately from the clinical rotation. This indicates that
the student is not safe in the clinical setting.
37
___NORTH SEATTLE COMMUNITY COLLEGE__________________________
NUR 231 OB CLINICAL EVALUATION
This is the final evaluation for the OB portion of NUR 231.
NUR 231 FINAL OB CLINICAL GRADE: ______________________
________________________________
INSTRUCTOR SIGNATURE
________________
DATE
(Signature indicates that you have reviewed this document with the student and provided an
opportunity for the student to read the document and ask questions)
________________________________
STUDENT SIGNATURE
________________
DATE
(Signature indicates that you have read this document and been offered the opportunity to ask
questions)
COMMENTS:
38
____NORTH SEATTLE COMMUNITY COLLEGE___
NUR 231 PEDIATRIC CLINICAL EVALUATION
This is the final evaluation for the Pediatric portion of NUR 231.
NUR 231 CLINICAL GRADE: ______________________
________________________________
INSTRUCTOR SIGNATURE
________________
DATE
(Signature indicates that you have reviewed this document with the student and
provided an opportunity for the student to read the document and ask questions)
________________________________
STUDENT SIGNATURE
________________
DATE
(Signature indicates that you have read this document and been offered the opportunity
to ask questions)
COMMENTS:
39
________NORTH SEATTLE COMMUNITY COLLEGE_________________________
Grading scale: Please read the current RN Student Handbook.
Review the clinical evaluation tool and scoring system.
Assignments will be graded using the same scoring system (0-4).
Scoring system
Percentages
Decimal grades
Letter grade Equivalent
60
100%
4.0
A+
59
99%
4.0
A+
58
98%
4.0
A+
57
97%
4.0
A+
56
96%
3.9
A
55
95%
3.8
A54
94%
3.7
A53
93%
3.6
A52
92%
3.5
A51
91%
3.4
B+
50
90%
3.3
B+
49
89%
3.2
B+
48
88%
3.1
B
47
87%
3.0
B
46
86%
2.9
B
45
85%
2.8
B44
84%
2.7
B43
83%
2.6
B42
82%
2.5
B41
81%
2.4
C+
40
80%
2.3
C+
39
79%
2.2
C+
38
78%
2.1
C
37
77%
2.0
C