COURSE SYLLABUS
RNSG 2260 (2:0:6)
CLINICAL NURSING (RN TRAINING) TRANSITION
**********
ASSOCIATE DEGREE NURSING PROGRAM
DEPARTMENT OF NURSING
HEALTH OCCUPATION DIVISION
LEVELLAND CAMPUS
SOUTH PLAINS COLLEGE
FALL 2011
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SCANS COMPETENCIES
RESOURCES: Identifies, organizes, plans and allocates resources.
TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules.
MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives
MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently.
HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and provides feedback.
INFORMATION--Acquires and Uses Information
C-5
Acquires and evaluates information.
C-6
Organizes and maintains information.
C-7
Interprets and communicates information.
C-8
Uses computers to Process information.
INTERPERSONAL--Works With Others
C-9
Participates as members of a team and contributes to group effort.
C-10
Teaches others new skills.
C-11
Serves clients/customers--works to satisfy customer's expectations.
C-12
Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly challenges existing
procedures and policies.
C-13
Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests.
C-14
Works with Diversity-Works well with men and women from diverse backgrounds.
SYSTEMS--Understands Complex Interrelationships
C-15
Understands Systems--Knows how social, organizational, and technological systems work and operates effectively with them
C-16
Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses systems' performance and
corrects malfunctions.
C-17
Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative systems to improve
performance.
TECHNOLOGY--Works with a variety of technologies
C-18
Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies.
C-19
Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of equipment.
C-20
Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including computers and other
technologies.
C-1
C-2
C-3
C-4
FOUNDATION SKILLS
BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks
F-1
Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules.
F-2
Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as letters, directions,
manuals, reports, graphs, and flow charts.
F-3
Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc.
F-4
Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical techniques.
F-5
Listening--Receives, attends to, interprets, and responds to verbal messages and other cues.
F-6
Speaking--Organizes ideas and communicates orally.
THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn and reason
F-7
Creative Thinking--Generates new ideas.
F-8
Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternative.
F-9
Problem Solving--Recognizes problems and devises and implements plan of action.
F-10
Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other information.
F-11
Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills.
F-12
Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a
problem.
PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and honesty
F-13
Responsibility--Exerts a high level of effort and preservers towards goal attainment.
F-14
Self-Esteem--Believes in own self-worth and maintains a positive view of self.
F-15
Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings.
F-16
Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control.
F-17
Integrity/Honesty--Chooses ethical courses of action.
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COURSE SYLLABUS
COURSE TITLE:
RNSG 2260 Clinical Nursing (RN Training)-Transition
INSTRUCTORS:
Reva Lynn Baldwin, RN, MSN Course Leader
Jan Buxkemper, RN, MSN
Julie Mosley, RN, MSN
OFFICE LOCATION, PHONE/ E-MAIL:
Reva Lynn Baldwin TA 106C, 716- 2392, lbaldwin@southplainscollege.edu
Jan Buxkemper
TA 107, 716-2387, jbuxkemper@southplainscollege.edu
Julie Mosley
TA 226, 716-2515, jmosley@southplainscollege.edu
OFFICE HOURS:
Posted on instructor’s door.
SOUTH PLAINS COLLEGE IMPROVES EACH STUDENT’S LIFE
I.
GENERAL COURSE INFORMATION
A. COURSE DESCRIPTION
A method of instruction providing detailed education, practice and work-based experience and
direct patient care, generally at a clinical site. Specific detailed learning outcomes are developed
for each course by the faculty. On site clinical instruction, supervision, evaluation and placement
are the responsibility of the college faculty. Clinical experiences are unpaid external learning
experiences. Course may be repeated if topics and learning outcomes vary.
College laboratory and clinical agency experiences offer opportunities for nursing skill practice
and application of classroom learning applied to the adult client experiencing bio-psycho-sociospiritual stressors of illness.
Through classroom and laboratory/clinical experiences the student explores basic concepts and
skill related to nursing process, communication, teaching/learning, pharmacology, nutrition,
safety, problem solving, critical thinking, collaboration, delegating, referrals, cost effectiveness,
quality care, ethical/legal practice, self awareness/self monitoring and client advocacy.
B. COURSE LEARNING OUTCOMES (LEVEL II)
Upon satisfactory completion of RNSG 2307, RNSG 2260 and RNSG 1115, the student will meet
all Level II course educational outcomes (designated by numbers within the column headings) as
specifically applied to Medical-Surgical nursing. In addition, competencies and foundation skills
of SCANS (designated by letters and numbers under the unit title) and NEAC (designated by
numbers within each role column) are found throughout the unit content within the syllabus.
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PROVIDER OF CARE:
1. Integrate theoretical concepts with nursing knowledge and skills to meet the basic needs of
clients, families, and/or groups throughout the life span in a variety of settings.
2. Integrate the five steps of the nursing process into nursing practice.
3. Use effective skills of communication and collaboration with clients, families, and/or groups
in a variety of settings.
4. Apply safe, cost effective nursing care in collaboration with members of the health care team
using critical thinking, problem solving, and the nursing process in a variety of settings
through direct care, assignment, or delegation of care.
5. Apply principles of teaching-learning in providing information to clients, families, and/or
groups regarding promotion, maintenance, and restoration of health or the process of death
and dying.
6. Employ clinical data, current literature, and responses and outcomes to therapeutic
interventions to make appropriate nursing practice decisions.
MANAGER/COORDINATOR OF CARE:
1. Analyze the function within the organizational framework of various healthcare settings.
2. Relate the effectiveness of community resources in the delivery of health care to clients,
families, and/or groups.
3. Recognize the health care team in delivering care to clients, families, and/or groups.
4. Select appropriate referral sources to meet the needs of clients, families, and/or groups.
5. Develop critical thinking and problem solving skills in prioritizing, management and
coordination of all aspects of care.
MEMBER OF THE PROFESSION:
1. Employ the responsibility for professional and personal growth and development.
2. Apply ethical and legal responsibility and accountability for one's nursing practice.
3. Recognize the actions of a health care advocate to provide quality health care for clients,
families and/or groups.
4. Analyze one's own caring behavior when interacting with clients, families, and members of
the health care profession.
C. COURSE COMPETENCIES
Successful completion of this course requires a grade of “C” or better; satisfactory total grade
point average on examination; satisfactory achievement of unit and clinical outcomes; satisfactory
completion of math competence. Completion of standardized tests as applicable to the
curriculum; validation of selected nursing skills and regular classroom/clinical attendance. Upon
successful completion of this course each student will have demonstrated accomplishment of the
level outcomes for the course clinical performance.
D. ACADEMIC INTEGRITY.
Refer to the SPC college catalog, page 22. Refer to the SPC ADN Nursing Student Handbook
“Honesty Policy.”
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E. SCANS AND FOUNDATION SKILL
Scans and foundation skills found within this course, are listed below the unit line (and above the
content column) of each unit presented.
F. VERIFICATION OF WORKPLACE COMPETENCIES
External learning experiences (clinicals) provide workplace setting in which students apply
content and strategies related to program theory and management of the workflow. Successful
completion of the Differineated Entry Level Competencies (DELC's) of graduates of Texas
Nursing Programs statements at the level specified by the course (Level Objectives) will allow
the student to continue to advance within the program. Upon successful completion of the
program students will be eligible to apply to take the state board exam (NCLEX) for registered
nurse licensure.
G. ATTENDANCE POLICY
The SPC ADNP policy must be followed. Refer to the SPC ADNP Student Nurse Handbook to
review this policy. In addition, refer to the attendance policy found in the South Plains College
Catalog.
Punctual and regular clinical attendance, as stated in the SPC Handbook, is required of all
students attending South Plains College. There are no excused absences.
1. Clinical
a. Students are expected to attend all scheduled days of clinical experience. In the event of
illness, it is the student’s responsibility to notify his/her instructor prior to the beginning
of the shift. He/she is also responsible for notifying the clinical unit or off rotation unit of
the absence. The student cannot have any clinical absence.
b. Should an absence occur, the student will be referred to the ADNP
Admission/Academic Standards Committee with the instructor’s recommendations. The
student’s right of appeal is through the ADNP Admission/Academic Standards
Committee. The instructor has the prerogative of dropping the student from the course. If
the student is in good standing clinically, has properly notified the instructor when absent,
and resolved the problem causing the absence, the instructor has the option to allow the
student to continue in the course. Make-up assignments for missed clinical experiences
will be determined by the instructor. Make-up assignments must be completed within one
week of the date of the absence. If the student fails to complete the assignment during the
specified time, a Formal Learning Contract will be written. This contract will become
part of the student’s permanent record. Failure to complete the make-up assignment by
the date specified in the Formal Learning Contract will result in the student failing RNSG
2260. The student may be brought before the ADNP Admission/Academic Standards
Committee.
H. ASSIGNMENT POLICY:
1. All required work must be in on time in order that the student may benefit from the
corrections. Assigned outside work is due on the dates specified by the instructor.
Assignments turned in later than the due date will not be accepted unless the instructor clears
the circumstance with the student. Regardless of the circumstance, late work will be added
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penalty points by the instructor. The assignment will be docked one (1) point per day for each
late day.
2. Lab prescriptions are considered student assignments and documentation of completion must
be returned to the assigning instructor. All lab prescriptions must be successfully completed
before the student can return to clinical.
3. Students should retain a copy of all assignments turned in. If an assignment turns up missing,
the student is responsible for turning in the copy or redoing the entire assignment if a copy
was not retained.
4. Each student must pass the math competency exam prior to the specified date or the student
will fail RNSG 2260.
I. GRADING POLICY:
1. Nursing Care Plains must be 2 or 77% or better to pass RNSG 2260.
2. A student must receive a minimum course grade “C” and a “P” in skills/clinical to progress to
the next nursing level (III).
3. A math competency exam with a grade of 95 or above must be accomplished by the specified
date. See Appendix C.
4. Grading Scale: Didactic Portion
A = 90% - 100%
B = 80% - 89.99%
C = 77% - 79.99%
D = 60% - 76.99%
F = Below 60%
Failure of either theory or clinical will necessitate repeating RNSG 2307 & 2260 courses.
When repeating any course, the student is required to retake all aspects of the course
including the required written work.
J. SPECIAL REQUIREMENTS:
1.
2.
3.
4.
5.
6.
7.
Completion of Student Contract for RNSG 2260
Meet all requirements for admission into the Associate Degree Nursing Program
Prerequisites: Chem. 1406, Biol. 2401, Psyc. 2301 and Eng. 1301.
Satisfactory grade average on written assignments (2 or 77% or above).
Satisfactory achievement of behavioral course outcomes (see unit outcomes).
Regular lab/clinical attendance.
Completion of all assigned student presentations, self study Modules and assigned computer
programs.
8. Validation of required skills.
9. Concurrent enrollment in RNSG 2307 and RNSG 1115.
10. Accomplishment of math competency exam.
11. Skill Lab
a. Skills Lab will be graded on a Pass/Fail (P/F)
b. Prior to clinical experiences in RNSG 2260, the student must validate his/her skills.
Failure to validate skills will prevent the student from attending clinical and thus failure of
RNSG 2260.
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c. All required skills listed in this syllabus must be completed satisfactorily before going to
the clinical setting.
Required Skills:
1. IV Insertion/Care/Nursing Responsibilities/CVC
Dressing Change
2. Sterile Procedures
3. Medication Administration
4. Tracheal Suction and Tracheostomy Care
5. Health Assessment
d. It is the student’s responsibility to seek opportunities during his/her skill lab experience to
perform the required physical/psychomotor skills.
e. The instructor is responsible for the evaluation of RNSG 2260 students in the skill lab
setting.
f. The instructor has the right to retain any video tape the student presents for grading.
g. Lab prescriptions - a prescription will be assigned by the instructor for any specific skill
that he/she decides needs further practice. The student must perform the prescribed task
in the Skills Lab until the learning outcomes are safely met before the skill is performed in
RNSG 2260.
h. The student may have only three (3) opportunities to pass the required skills listed in c.
12. Modules:
Modules are the responsibility of the student and all information contained therein.
II.
13.
Skills Lab
Students are expected to attend all scheduled skills lab experiences. Since completion of
the skills covered in the lab is part of the requirement to successfully pass RNSG 2307,
make-up for that missed lab must be done within 2 days of the absence. (Any extenuating
circumstances should be handled by the student and the course instructor.) Failure to
complete this make-up within 2 days will result in a written contract outlining specific
dates of completion or the result will be course failure. The student cannot attend the
clinical experiences until successful completions of required skills have been
demonstrated to the instructor.
14.
Lab prescriptions are considered student assignments and documentation of
Completion must be returned to the assigning instructor
COURSE OUTLINE
UNIT I – INTRODUCTION TO PROFESSIONAL NURSING
III.
ACCOMMODATIONS
South Plains College strives to accommodate the individual needs of all students in order to enhance
their opportunities for success in the context of a comprehensive community college setting. It is the
policy of South Plains College to offer all educational and employment opportunities without regard
to race, color, national origin, religion, gender, disability or age (SPC Equal Opportunity Policy –
General Catalog). Students with disabilities, including but not limited to physical, psychiatric or
learning disabilities, who wish to request accommodations in this class should notify the Special
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Services Office early in the semester so that the appropriate arrangements may be made. In
accordance with federal law, a student requesting accommodations must provide acceptable
documentation of his/her disability to the Special Services Coordinator. For more information, call
or visit the Special Services Office in the Student Services Building, 716-2529.
IV.
GRIEVANCE POLICY
The student is responsible for scheduling an appointment with the instructor to discuss the grade or
discipline action. If the student is not satisfied, he/she should schedule an appointment with the
Course Leader. The next chain of command is the Program Director. The procedure will follow the
same as found in the student handbook.
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APPENDIX A
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SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
CLINICAL EVALUATION TOOL
Name:________________________ Semester:________________
Year: _____________
Social Security Number: ___________________
Midterm Clinical Grade: _________Final Clinical Grade: __________Course Grade: _________
Purpose
The Clinical Evaluation Tool will be utilized by the student and the instructor to evaluate the
student’s achievement of specified clinical performance outcomes. The outcomes must be achieved during
the clinical learning experience in order to fulfill the course requirements. Actual clinical experiences or, in
specified courses, simulated experiences will be used to evaluate clinical performance outcomes.
Outcomes must be met according to the specified criteria or unit goals.
Meeting an objective includes:
1.
Accurately describing the procedure/activity.
2.
Performing the procedure/activity correctly in a reasonable amount of time.
Clinical Performance Rating Scale
Clinical performance will be rated by the instructor on a scale as follows:
4 = Excellent– The student exceeds the expectations for the outcomee.
Demonstrates problem solving, critical thinking skills and shows initiative in
completing outcome. (Grade equivalent to an “A”)
3 = Good The student completes the outcome without prompting from faculty. (Grade
equivalent to a “B”)
2 = Fair The student completes the outcome but requires minimal or occasional
prompting. (Grade equivalent to a “C”)
1 = NI
The student is unable to complete outcome without frequent assistance and or
prompting. The rating on this objective must improve to a 2 or better in order
to pass this course.
0 = Unsafe
The student did not meet this outcome. The rating on this outcome must
improve to a 2 or better in order to pass this course. Exception: Depending
on the nature of the problem, a 0 could be grounds for immediate removal from
clinical and referral to the director and/or the Admissions Academic Standards
Committee. (Refer to the policy regarding unsafe clinical practice in the
student handbook.)
P = Pass; F = Fail; NI = Needs Improvement; I = Incomplete at Midterm; NA = Not Applicable;
NO = No Opportunity
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1.
2.
3.
4.
5.
6.
7.
8.
9.
The clinical evaluation tool will be based on the three roles of nursing and constructed
utilizing the South Plains College Associate Degree Nursing Program Educational Program
Outcomes.
Each course will use the following level objectives.
RNSG 1115
RNSG 1160
RNSG 1144
RNSG 1513
RNSG 1105

RNSG 1441
RNSG 2460
RNSG 2213
RNSG 2307
RNSG 2260

RNSG 1412
RNSG 2462
RNSG 2261
RNSG 1210
RNSG 1443
RNSG 2461
RNSG 2121
RNSG 1146

Level I
Level II
Level III
Additional criteria to measure each outcome will be course specific and determined by the course
leader.
A student must achieve a rating of 2, 3, or 4 for each of the level outcomes within the roles. (these are
designated with capital letters under each role)
Administration of medications must be performed accurately and safely to pass clinical.
Refer to the South Plains College student medication administration policy for further
information.
The student is responsible for seeking out skills needed to meet the clinical performance
outcomes on a continuous basis.
The instructor will monitor the student’s progress on an ongoing basis, and provide
comments regarding satisfactory or unsatisfactory completion of outcomes.
Individual student/instructor conferences will be arranged by appointment and
held at midterm, at the end of a course, and as needed to evaluate progress.
It is the student’s responsibility to meet with the instructor if he/she is having
difficulty in achieving the specified outcomes.
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RNSG 2260
COURSE SPECIFIC
CLINICAL EVALUATION TOOL CRITERIA
1. All starred criteria must be passed with a minimum rating of 2 in order to pass clinical (no exceptions).
Starred criteria are considered to be critical elements of the clinical experience and failure of ANY
starred criteria will constitute an automatic clinical failure despite ratings obtained on other outcomes.
2. The maximum score possible = 44 (11 objectives X a rating of 4). The minimum score possible to pass
= 22 (11 outcomes X a rating of 2).
3. The additional criteria within each outcome will be rated to determine the overall rating for the outcome.
Example: If there were 3 criteria specified for an outcome, the maximum points possible would be 12.
A student obtaining a rating of 3 on each of the criteria would have a score of 9. This score would be
divided by the total number of criteria, in this case 3, to determine the overall rating of 3 for the outcome.
4. An overall rating (see #7 below) of 0 or 1 must improve to a 2 or greater by the final evaluation in order
to pass clinical and thus, the course.
5. Any overall score totaling less than 2 will not be rounded up. A score between 0 - .99 will be given a
rating of 0. A score between 1.0 - 1.99 will be given a rating of 1.
6. The key used for obtaining the overall score will be as follows:
RANGE
1-8
9-17
18-26
27-35
36-44
RATING
0
1
2
3
4
CLINICAL GRADE
F @ midterm or F @ final
N.I. @ midterm or F @ final
Pass
Pass
Pass
7. The final clinical grade will be determined as follows:
Total points (all 3 categories)__________ divided by 11 (# of outcomes) = overall rating of
_________ (0-4) = clinical grade of __________ (P, F, N.I @ midterm or P or F @ final).
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RNSG 2260
SOUTH PLAINS COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
STUDENT’S SELF EVALUATION
Signature of Student:
Date:____________________________________________________________
CLINICAL INSTRUCTOR’S EVALUATION OF STUDENT
NCP #1_____
NCP #2_____
CT
_____
Signature of Faculty:____________________________________________
Signature of Student:____________________________________________
Date:_________________________________________________________
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