Mobility Track Clinical Objectives with Criteria Behaviors by Level/Course First Semester RNSG 1263 Patient Safety Advocate 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. Criteria Behaviors a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. b. Uses standards of nursing practice to provide and evaluate care. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. d. Maintains privacy and confidentiality in compliance with HIPPA and hospital regulations. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. Criteria Behaviors a. Performs Safety Prep Measures (as set forth by ACC) upon entering and exiting individuals’ rooms when performing nursing skills. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. 1 Second Semester RNSG 1463 Patient Safety Advocate 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. Criteria Behaviors a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. b. Uses standards of nursing practice to provide and evaluate care. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. d. Maintains privacy and confidentiality in compliance with HIPPA and hospital regulations. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. Criteria Behaviors a. Performs Safety Prep Measures (as set forth by ACC) upon entering and exiting individuals’ rooms when performing nursing skills. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. Third Semester RNSG 2263 1. Adheres to the safety requirements and standards of the practice setting and complies with mandatory reporting requirements as set forth by Texas Nursing Practice Act, Texas Board of Nursing Rules and other governing and accrediting agencies. Criteria Behaviors a. Reports any errors and/or omissions promptly according to ACC and facility guidelines. b. Uses standards of nursing practice to provide and evaluate care. c. Assesses and reports environmental and systems incidents to reduce potential risks for harm. d. Maintains privacy and confidentiality in compliance with HIPPA and hospital regulations. 2. Implements and evaluates measures to promote quality and a safe environment for all individuals. a. Performs Safety Prep Measures (as set forth by ACC) upon entering and exiting individuals’ rooms when performing nursing skills. b. Maintains clinical competence and performs nursing skills in a safe, effective and timely manner. updated 12/2015 c. Reports and documents significant changes in status to faculty and coassigned nurse and takes action, based on need, in a timely manner. d. Administers medications safely according to the “6 Rights” of medication administration. e. Utilizes principles of basic infection control and maintains surgical asepsis, as indicated. c. Reports and documents significant changes in status to faculty and coassigned nurse and takes action, based on need, in a timely manner. d. Administers medications safely according to the “6 Rights” of medication administration. e. Utilizes principles of basic infection control and maintains surgical asepsis, as indicated. 3. Formulates goals and outcomes, using evidenced based data, to reduce risks to the individual. Criteria Behaviors a. Collaborates with individuals and their families to formulate individualized plans of care using evidence-based outcomes. b. Makes appropriate nursing judgments, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite, co-requisite and current courses to reduce risk. 4. Seeks guidance before implementing nursing procedures or practices. Criteria Behaviors a. Obtains instruction, supervision and/or training when implementing nursing procedures or practices. b. Modifies behaviors promptly based on 3. Formulates goals and outcomes, using evidenced based data, to reduce risks to the individual. Criteria Behaviors a. Collaborates with individuals and their families to formulate individualized plans of care using evidence-based outcomes. b. Makes effective nursing judgments to reduce risk, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite and co-requisite and current course. 4. Seeks guidance before implementing nursing procedures or practices. Criteria Behaviors a. Obtains, instruction, supervision and/or training when implementing nursing procedures or practices. b. Modifies behaviors promptly based 2 c. d. e. Reports and documents significant changes in status to faculty and coassigned nurse and takes action, based on need, in a timely manner. Administers medications safely according to the “6 Rights” of medication administration. Utilizes principles of basic infection control and maintains surgical asepsis as indicated. 3. Formulates goals and outcomes, using evidenced based data, to reduce risks to the individual. Criteria Behaviors a. Collaborates with individuals and their families to formulate individualized plans of care using evidence-based outcomes. b. Makes effective nursing judgments to reduce risk, based on theoretical concepts and clinical data, utilizing evidence-based knowledge and skills from pre-requisite and co-requisite and current course. 4. Seeks guidance before implementing nursing procedures or practices. Criteria Behaviors a. Obtains, instruction, supervision and/or training when implementing nursing procedures or practices. b. Modifies behaviors promptly based updated 12/2015 faculty input and self-evaluation. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. 3 on faculty input and elf-evaluation. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. on faculty input and elf-evaluation. c. Verifies health care provider’s orders and seeks clarification regarding any treatment regimen that may be contraindicated and/or harmful to the individual. updated 12/2015 First Semester RNSG 1263 Provider of Patient Centered Care 1. Applies clinical reasoning skills and utilizes the nursing process, guided by evidencebased practice, as a framework for providing care for individuals with complex medicalsurgical health care needs and their families. Second Semester RNSG 1463 Provider of Patient Centered Care 1. Integrates clinical reasoning skills and the nursing process, guided by evidence-based practice, as a framework for providing care for individuals and their families with complex health care needs. Assessment Performs comprehensive assessments to determine the health status, needs and preferences of individuals and their families. a. Performs accurate and comprehensive assessments in a timely manner. b. Implements structured assessment tools. c. Anticipates and interprets health data for underlying pathophysiological changes in status. Assessment Determines the health status, needs and preferences of culturally, ethnically and socially diverse individuals and their families based upon interpretation of comprehensive assessment findings. a. Performs accurate, prioritized and comprehensive assessments in a timely manner. b. Implements both structured and nonstructured assessment tools. c. Anticipates, interprets and analyzes health data for underlying changes in status. Third Semester RNSG 2263 Provider of Patient Centered Care 1. Integrates clinical reasoning skills and the nursing process, guided by evidence-based practice, as a framework for providing care for individuals and their families with obstetric, pediatric and medical-surgical complex health care needs. Assessment Determines the health status, needs and preferences of culturally, ethnically and socially diverse individuals and their families based upon interpretation of comprehensive assessment findings. a. Performs accurate, prioritized and comprehensive assessments in a timely manner. b. Implements both structured and nonstructured assessment tools. c. Anticipates, interprets and analyzes health data for underlying changes in status. Diagnosis/Problem Develops a list of prioritized nursing problems for individuals and their families based on interpretation of health assessment findings. a. Interprets data to develop a prioritized list of comprehensive nursing diagnoses for each individual. Diagnosis/Problem Develops a list of prioritized nursing problems for individuals and their families based on analysis of assessment findings using knowledge of societal and health care trends. a. Integrates data to develop a list of appropriate, prioritized nursing Diagnosis/Problem Develops a list of prioritized nursing problems for individuals and their families based on analysis of assessment findings using knowledge of societal and health care trends. a. Integrates data to develop a list of appropriate, prioritized nursing 4 updated 12/2015 b. Reprioritizes nursing problems for each individual, as appropriate, throughout care. diagnoses. b. Reprioritizes nursing problems for each individual, in a timely manner, as appropriate, throughout care. diagnoses. b. Reprioritizes nursing problems for each individual, in a timely manner, as appropriate, throughout care. Planning Develops measureable and realistic goals using clinical reasoning, guided by evidencebased practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals and their families. a. Formulates measureable short-term goals, with specific outcomes, based on identified nursing problems. b. Incorporates relevant data from evidence-based resources, and utilizes clinical reasoning skills, in planning care. Planning Makes effective nursing decisions using clinical reasoning, guided by evidence-based practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals and their families. a. Formulates measureable short-term and long-term goals with specific outcomes in anticipation of risk based on identified nursing problems. b. Uses clinical reasoning to develop plans of care, including plans for discharge, for individuals and their families, incorporating information from evidence-based practice. Planning Makes effective nursing decisions using clinical reasoning, guided by evidence-based practice, to formulate individualized plans of care to provide safe, compassionate and comprehensive nursing care for individuals and their families. a. Formulates measureable short-term and long-term goals with specific outcomes in anticipation of risk based on identified nursing problems. b. Uses clinical reasoning to develop plans of care, including plans for discharge, for individuals and their families, incorporating information from evidence-based practice. Implementation Implements individualized and comprehensive plans of care for individuals and their families in a culturally sensitive manner within a legal and ethical framework. a. Implements individualized plans of care in an organized manner. b. Demonstrates caring behaviors for individuals and their families in a holistic, culturally sensitive and non discriminatory manner. Implementation Implements comprehensive and prioritized plans of care for individuals and their families in a timely and culturally sensitive manner within a legal and ethical framework. a. Implements individualized and prioritized plans of care that help to meet health care needs in an organized, timely manner. b. Demonstrates caring behavior for individuals and their families in a Implementation Implements comprehensive and prioritized plans of care for individuals and their families in a timely and culturally sensitive manner within a legal and ethical framework. a. Implements individualized and prioritized plans of care that help to meet health care needs in an organized, timely manner. b. Demonstrates caring behavior for individuals and their families in a 5 updated 12/2015 c. Manages responsibilities to provide care, including during change in status. d. Uses therapeutic communication skills when providing care. Evaluation Evaluates the achievement of goals and modifies plans of care accordingly. a. Performs ongoing assessments to monitor change in status. b. Evaluates goals and modifies the plan of care based on individual and family responses. holistic, culturally sensitive and nondiscriminatory manner. c. Manages and adjusts priorities and multiple responsibilities to provide care for multiple patients including during rapidly changing and emergency situations. d. Uses therapeutic communication skills when interacting with patients and their families and while providing care. 2. Develops and implements teaching plans for individuals with complex medical-surgical health care needs, and their families, to address disease prevention and health promotion, maintenance and restoration. Evaluation Evaluates and reports outcomes and responses to therapeutic interventions and plans follow-up care. a. Provides ongoing assessment to analyze for changes in patient status. b. Evaluates goals and the effectiveness of therapeutic interventions and appropriately modifies the plan of care, based on unmet needs, in a timely manner. 2. Develops, implements and evaluates teaching plans for individuals and their families to address disease prevention and health promotion, maintenance and restoration. Criteria Behaviors a. Assesses learning needs to develop and implement individualized teaching/learning plans of care for individuals with complex medical- Criteria Behaviors a. Analyzes learning needs to develop and implement individualized teaching/learning plans for individuals with complex health care needs 6 holistic, culturally sensitive and nondiscriminatory manner. c. Manages and adjusts priorities and multiple responsibilities to provide care for multiple patients including during rapidly changing and emergency situations. d. Uses therapeutic communication skills when interacting with patients and their families and while providing care. Evaluation Evaluates and reports outcomes and responses to therapeutic interventions and plans follow-up care. a. Provides ongoing assessment to analyze for changes in patient status. b. Evaluates goals and the effectiveness of therapeutic interventions and appropriately modifies the plan of care, based on unmet needs, in a timely manner. 2. Develops, implements and evaluates teaching plans for individuals and their families with obstetric, pediatric and medicalsurgical needs and address disease prevention and health promotion, maintenance and restoration. Criteria Behaviors a. Analyzes learning needs to develop and implement individualized teaching/learning plans for individuals with complex health care needs updated 12/2015 surgical health care needs, and their families. b. Educates regarding access to reliable and valid sources of information and resources, including health information. c. Teaches skills and strategies to protect and promote health. b. c. d. e. involving multiple body systems. Teaches about access to reliable and valid sources of information and resources, including health information. Teaches skills and strategies to protect and promote health. Evaluates learning outcomes of those receiving instruction. Modifies teaching plans, as needed, utilizing best practice standards, in consideration of changes in patient status and patient and family differences. 3. Utilizes human, information and material resources in providing care for individuals and their families. 3. Coordinates human, information, and material resources in providing care for individuals and their families. Criteria Behaviors a. Selects appropriate equipment and supplies prior to performing a task. b. Utilizes resources (i.e. supplies, equipment, time, etc.) in a cost effective and timely manner. Criteria Behaviors a. Selects appropriate equipment and supplies prior to performing a task. b. Utilizes resources (i.e. supplies, equipment, time, etc.) in a cost effective and timely manner. 7 involving multiple body systems. b. Teaches about access to reliable and valid sources of information and resources, including health information. c. Teaches skills and strategies to protect and promote health. d. Evaluates learning outcomes of those receiving instruction. e. Modifies teaching plans, as needed, utilizing best practice standards, in consideration of changes in patient status and patient and family differences. 3. Coordinates human, information, and material resources in providing care for individuals and their families with obstetric, pediatric and medical-surgical needs. Criteria Behaviors a. Selects appropriate equipment and supplies prior to performing a task. b. Utilizes resources (i.e. supplies, equipment, time, etc.) in a cost effective and timely manner. updated 12/2015 First Semester RNSG 1263 Member of the Health Care Team 1. Acts as an advocate in promoting quality and access to health care for individuals with complex medical-surgical health care needs, and their families. Second Semester RNSG 1463 Member of the Health Care Team 1. Serves as a health care advocate in monitoring and promoting quality and access to health care for individuals with complex heath care for individuals with complex health care needs involving multiple body systems, and their families in collaboration with the health care team. Third Semester RNSG 2263 Member of the Health Care Team 1. Serves as a health care advocate in monitoring and promoting quality and access to health care for individuals with obstetric, pediatric and medical-surgical complex health care needs involving multiple body systems, and their families in collaboration with the health care team. Criteria Behaviors a. Collaborates with the health care team to provide continuity of care that is culturally sensitive. b. Advocates for individuals with complex medical -surgical health care needs and their families by supporting the individuals’ right to self- Criteria Behaviors a. Collaborates with the health care team to provide continuity of care and culturally sensitive care to individuals and their families. b. Advocates for individuals, with multiple health care needs and their families by supporting the right to Criteria Behaviors a. Collaborates with the health care team to provide continuity of care and culturally sensitive care to individuals and their families. b Advocates for individuals, with multiple health care needs and their families by supporting the right to 8 updated 12/2015 determination, choice and confidentiality and encourages participation in care. c. Evaluates the effectiveness and quality of care. 2. Refers individuals with complex health care needs, and their families, to resources that facilitate continuity of care, health promotion, maintenance and restoration. Criteria Behaviors a. Assesses the need for resources and referrals. b. Collaborates with other members of the health care team to procure resources for care. c. Identifies and provides national and community resources to meet the needs of individuals and their families. 3. Collaborates and communicates with individuals and the interdisciplinary health care team, in a timely manner, to plan, deliver and evaluate safe and effective patientcentered care. Criteria Behaviors a. Effectively organizes written and verbal communication when discussing plans of care with faculty and members of the health care team. 9 self-determination, choice and confidentiality and encourages participation in care. c. Evaluates the effectiveness and quality of care provided by other members of the health care team. 2. Integrates resources into own nursing practice, and refers individuals with complex health care needs involving multiple body systems, and their families to resources that facilitate continuity of care, health promotion, maintenance and restoration. Criteria Behaviors a. Assesses the need for resources and referrals. b. Collaborates with the healthcare team to facilitate continuity of care and initiates appropriate referrals. self-determination, choice and confidentiality and encourages participation in care. c. Evaluates the effectiveness and quality of care provided by other members of the health care team. 2. Integrates resources into own nursing practice, and refers individuals with complex health care needs involving multiple body systems, and their families to resources that facilitate continuity of care, health promotion, maintenance and restoration. Criteria Behaviors a. Assesses the need for resources and referrals. b. Collaborates with the healthcare team to facilitate continuity of care and initiates appropriate referrals. 3. Coordinates, collaborates and initiates communication with individuals, their families and the interdisciplinary health care team, in a timely manner, to plan, deliver and evaluate safe and effective patient-centered care. 3. Coordinates, collaborates and initiates communication with individuals, with obstetric, pediatric and medical-surgical needs and their families and the interdisciplinary health care team, in a timely manner, to plan, deliver and evaluate safe and effective patient-centered care. Criteria Behaviors a. Effectively organizes written and verbal communication during change of shift report and/or during interdisciplinary team meetings, Criteria Behaviors a. Effectively organizes written and verbal communication during change of shift report and/or during interdisciplinary team meetings, updated 12/2015 b. Reports changes in status to appropriate health care team members and faculty in a timely manner. c. Follows established guidelines for charting: (i.e. legally correct, accurate, concise, proper terminology, grammatically correct, legible (if applicable), and timely. d. Collaborates with members of the health care team to modify plans of care. 4. Effectively organizes information using available technology and informatics to support decision making to improve care for individuals with complex medical-surgical health care needs and their families. utilizing facility specific measures. b. Reports changes in status to appropriate health care team members and faculty in a timely manner. c. Follows established guidelines for charting: (i.e. legally correct, accurate, concise, proper terminology, grammatically correct, legible (if applicable), and timely. d. Coordinates and collaborates with members of the health care team to modify plans of care. e. Recognizes and manages conflict through the chain of command. 4. Communicates and manages information using technology and informatics to support decision making to improve care and promote quality improvement for individuals with complex health care needs involving multiple body systems and their families. Criteria Behaviors Criteria Behaviors a. Identifies, collects, processes and a. Identifies, collects, processes and manages data in the delivery of manages data in the delivery of patient-centered care. patient-centered care in support of b. Accesses agency resources, nursing practice. informatics to reference best practices b. Accesses agency resources/ prior to implementing nursing informatics to research or reference procedures and protocols. current best practices prior to c. Utilizes nursing informatics to manage implementing nursing procedures and and collect data in the delivery of protocols. care. c. Utilizes nursing informatics to readily access and evaluate the credibility of 10 Utilizing facility specific measures. b. Reports changes in status to appropriate health care team members and faculty in a timely manner. c. follows established guidelines for charting: (i.e. legally correct, accurate, concise, proper terminology, grammatically correct, legible (if applicable), and timely. d. Coordinates and collaborates with members of the health care team to modify plans of care. e. Recognizes and manages conflict through the chain of command. 4. Communicates and manages information using technology and informatics to support decision making to improve care and promote quality improvement for individuals with obstetric, pediatric and medical-surgical complex health care needs involving multiple body systems and their families. Criteria Behaviors a. Identifies, collects, processes and manages data in the delivery of patient-centered care in support of nursing practice. b. Accesses agency resources/ informatics to research or reference current best practices prior to implementing nursing procedures and protocols. c. Utilizes nursing informatics to readily access and evaluate the credibility of updated 12/2015 5. Delegates to other members of the health care team to promote safe, effective, and timely care for individuals with complex health care needs and their families. Criteria Behaviors a. Delegates nursing activities in compliance with the Nurse Practice Act. b. Assigns or delegates nursing care to other members of the health care team while maintaining safe patient care. 11 sources of information to promote quality care and to reduce risk. 5. Delegates to other members of the health care team to promote safe, effective and timely care for individuals with complex health care needs involving multiple body systems and their families. Criteria Behaviors a. Delegates nursing activities in compliance with the Nurse Practice Act. b. Evaluates and participates in the supervision of care delivered by other members of the health care team. c. Applies management skills to assign and/or delegate nursing care to other members of the nursing team, while maintaining safe patient care. d. Demonstrates leadership in achieving care goals. sources of information to promote quality care and to reduce risk. 5. Delegates to other members of the health care team to promote safe, effective and timely care for individuals with obstetric, pediatric and medical-surgical complex health care needs involving multiple body systems and their families. Criteria Behaviors a. Delegates nursing activities in compliance with the Nurse Practice Act. b. Evaluates and participates in the supervision of care delivered by other members of the health care team. c. Applies management skills to assign and/or delegate nursing care to other members of the nursing team, while maintaining safe patient care. d. Demonstrates leadership in achieving care goals. updated 12/2015 First Semester RNSG 1263 Member of the Profession 1. Functions within the nurse’s legal scope of practice and in accordance with the policies and procedures of the practice setting while caring for individuals with complex health care needs and their families. Second Semester RNSG 1463 Member of the Profession 1. Functions within the nurse’s legal scope of practice and in accordance with the policies and procedures of the practice setting while caring for individuals with complex health care needs and their families. Criteria Behaviors a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. Criteria Behaviors a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. c. Clarifies orders, policies and procedures that may not be in the best interest of individuals with multiple health care needs and their families. 2. Assumes accountability and responsibility for the quality of nursing care provided to individuals with multiple health care needs and their families. Criteria Behaviors a. Accepts accountability and responsibility for own actions and behavior. b. Completes written and patient care assignments within the designated time frame. 2. Assumes accountability and responsibility for the quality of nursing care provided to individuals with multiple health care needs and their families. Criteria Behaviors a. Accepts accountability and responsibility for own actions and behavior:(i.e. is on time, notifies faculty and facility of absences or tardiness per syllabus) 12 Third Semester RNSG 2263 Member of the Profession 1. Functions within the nurse’s legal scope of practice and in accordance with the policies and procedures of the practice setting while caring for individuals with obstetric, pediatric and medical-surgical complex health care needs and their families. Criteria Behaviors a. Applies legal and ethical principles to advocate for the well-being and preferences of the individual. b. Adheres to program policies, hospital policies and procedures, BON standards of practice and laws set forth by regulatory agencies. c. Clarifies orders, policies and procedures that may not be in the best interest of individuals with multiple health care needs and their families. 2. Assumes accountability and responsibility for the quality of nursing care provided to individuals with multiple health care needs and their families. Criteria Behaviors a. Accepts accountability and responsibility for own actions and behavior. b. Completes written and patient care assignments within the designated time frame. updated 12/2015 b. Completes written and patient care assignments within the designated time frame. c. Models professional behavior and promotes a professional image of nursing. 3. Incorporates activities and behaviors, into own nursing practice, that promote the development and practice of professional nursing. Criteria Behaviors a. Takes initiative to seek out learning opportunities. b. Uses evidence-based practice as a basis for proving nursing care. c. Participates in facility specific measures to promote quality nursing care (i.e. implementing core measures, fall risk assessment, Braden Skin Assessment.) 4. Demonstrates responsibility for continued competence in nursing practice, and develops insight through self-reflection and selfanalysis. Criteria Behaviors a. Uses self-evaluation, reflection and feedback to modify and improve practice. b. Demonstrates accountability to reassess and establish new competency. 13 c. Models professional behavior and promotes a professional image of nursing. c. Models professional behavior and promotes a professional image of nursing. 3. Participates in and implements activities and behaviors that promote the development and practice of professional nursing. 3. Participates in and implements activities and behaviors that promote the development and practice of professional nursing. Criteria Behaviors a. Takes initiative to seek out learning opportunities. b. Uses evidence-based practice as a basis for proving nursing care. c. Participates in facility specific measures to promote quality nursing care (i.e. implementing core measures, fall risk assessment, Braden Skin Assessment.) 4. Demonstrates responsibility for continued competence in nursing practice, and develops insight through self-reflection, self-analysis and self-care. Criteria Behaviors a. Uses self-evaluation, reflection, peer evaluation and feedback to modify and improve practice. b. Demonstrates accountability to re reassess and establish new competency when changing areas of practice. Criteria Behaviors a. Takes initiative to seek out learning opportunities. b. Uses evidence-based practice as a basis for proving nursing care. c. Participates in facility specific measures to promote quality nursing care (i.e. implementing core measures, fall risk assessment, Braden Skin Assessment.) 4. Demonstrates responsibility for continued competence in nursing practice, and develops insight through self-reflection, self-analysis and self-care. Criteria Behaviors a. Uses self-evaluation, reflection, peer evaluation and feedback to modify and improve practice. b. Demonstrates accountability to re reassess and establish new competency when changing areas of practice. updated 12/2015