MOLLOY COLLEGE The Barbara H. Hagan School of Nursing and Health Sciences NUR 3590: HUMANISTIC NURSING CARE OF THE CHILDBEARING FAMILY COURSE SYLLABUS Summer 2023 Instructor: Alicia A. Stone PhD, RN, FNP Office: Hagan 232 Telephone: (516) 323-3716 Email: astone@molloy.edu Office Hours: Monday and Thursday COURSE DESCRIPTION: This Level III theory and clinical nursing course focuses on the nursing care of women, within the context of the family, during the reproductive and childbearing cycles. This halfsemester four (4) hour/week course includes a two (2) day/week clinical experience of 75 hours/half semester. Issues and the application of the nursing process related to female reproductive roles, sexuality and physiological/psychological abnormalities are discussed. Content related to conception, the childbearing process, postpartum and newborn assessment and care is included. (Offered Fall, Spring, Summer) 4 credits Pre-Requisites: NUR 259, 290 Co-Requisites: NUR 349 COURSE OBJECTIVES: 1. Integrate knowledge of diverse spiritual and cultural influences on families in the provision of nursing care to childbearing women and their newborns. 2. Apply theory from the humanities, sciences, and nursing as a basis for critical thinking and decision making in the nursing care of childbearing women and their newborns. 3. Utilize appropriate communication skills and teaching-learning principles with childbearing women and their families. 4. Integrate technology in planning and providing nursing care for childbearing women and their families. 5. Provide competent patient-centered care that is consistent with safe practice regulations, goals and standards. 6. Identify the influence of economic, legal political and ethical issues upon the delivery of health care to childbearing women and their families. 7. Demonstrate responsibility and accountability in planning and providing nursing care and through oral and written communications with members of the health care team, faculty and peers. 8. Incorporate beginning leadership skills while planning and providing nursing care for childbearing women and their families. 9. Apply knowledge of nursing research related to childbearing and reproductive health in the classroom and clinical settings. 1 10. Demonstrate self-motivation in acquiring the knowledge and skill necessary to provide effective nursing care for childbearing women and their families NURSING POLICIES All students are expected to comply with the Molloy College Academic Integrity Policy. Review the policy in the Molloy College Undergraduate or Dual Degree Catalog or Student Handbook for the “Statement of Academic Integrity.” Paper and/or oral presentation assignment(s), as identified in specific courses, satisfy the Molloy College Communicating Across the Curriculum Program. Nursing wide assessment and enrichment appropriate to course objectives will be assigned by the respective professor. These activities will be used to help the student’s understand their strengths and become aware of areas needing improvement. At the discretion of the faculty students that are absent from an exam will have from 5 to 10 points deducted from grade. Students that miss a retake of an exam will receive a zero grade for that test with no opportunity to re-take the exam. Civility is behavior that is consonant with professional behavior. This behavior shows respect toward another person, makes a person feel valued and contributes to mutual respect, effective communication and team collaboration (Lower, 2012). It is a hallmark of a professional and of those in a pre-professional program. The faculty of the Nursing Program adheres to the standards of ethical comportment, civility and appropriate behavior identified in the ANA Code of Ethics. That behavior is expected of all students within the Nursing Program. The Nursing Program and college wide sanctions may be imposed for those students that do not meet these standards. At some time during this class a sensitive issue may be discussed. The faculty member may present an issue in an objective manner and provide examples from the literature on the topic. We request that students not share their own personal experiences to avoid saying anything that would be embarrassing or self-incriminating. Please discuss any personal matters privately with the faculty member after the end of the class. Faculty members are mandatory reporters in reference to Title IX complaints and are required to refer some student concerns to the appropriate College office. Students that request to withdraw after mid-semester, but before 6/16/22 will earn a grade of W. Students that withdraw after this date do so because he or she is failing (based on past attendance, participation, assignments, tests and the course outline) earn a WF grade. Content Mastery Assessments are scored based on Proficiency Levels. The Nursing Program has identified Proficiency Level 2 as our benchmark. Listed below is a description of each level. 2 Proficiency Level 3 - indicates a student is likely to exceed NCLEX-RN in this content area. Students are encouraged to engage in continuous focused review to maintain and improve their knowledge of this content. Proficiency Level 2 - indicates a student is fairly certain to meet NCLEX-RN standards in this content area. Students are encouraged to engage in continuous focused review in order to improve their knowledge of this content. Proficiency Level 1- indicates a student is likely to just meet NCLEX-RN standards in this content area. Students are encouraged to develop and complete a rigorous plan of focused review in order to achieve a firmer grasp of this content. Below Proficiency Level 1- indicates a need for thorough review of this content area. Students are strongly encouraged to develop and complete an intensive plan for focused review. REQUIRED TEXTS Ricci, S.S., Kyle, T., & Carman, S. (2021) Maternity and Pediatric Nursing. 4th ed. Philadelphia, PA: Wolters Kluwer. Textbooks used for previous related courses. COURSE CONTENT I. Introduction to Management of the Childbearing Client 1. Human Sexuality 2. Historical Perspectives 3. Cultural Perspectives in Childbearing 4. Role of the professional nurse A. Expanded roles 5. Ethical and Legal issues 6. Political and socio-cultural issues II. Nursing Care during the Postpartum Period 1. Assessment of Involutionary Process 2. Physiological System Changes 3. Process of maternal psychological adjustment A. Cultural influences 4. Implementation of Medical Regimen A. pain relief B. vaccinations C. Rhogam 5. Educative Implications A. Self-care B. Infant Care III. Nursing Care during the Newborn Period 1. Newborn Assessment A. Gestational Age B. Physical Assessment C. Laboratory Testing 3 D. Behavioral Changes 2. Nursing and Medical Management A. Therapeutics 1. Safety 2. Airway 3. Nutrition a. Breastfeeding b.Formula feeding B. Medications C. Screening Tests 3. Newborn Health Problems A. Hyperbilirubinemia B. Hypoglycemia C. Maternal Infections D. Maternal Substance Abuse 1. Neonatal abstinence syndrome 2. Fetal Alcohol Syndrome IV. Concepts and Nursing Care related to the Antepartum Family 1. Genetic A. Implications B. Genetic Counseling 2. Overview of Conception and Fetal Development A. Hormonal influences B. Review of Fetal Development 1. Teratogenic effect 3. Physiological adaptation to pregnancy A. Reproductive systems B. Systemic effects 4. Initial Assessment of the Pregnant Client A. History B. Laboratory Data C. Physical signs and symptoms D. Environment E. Psychological Adaptation 5. Implementation of medical regimen A. Schedule B. lab testing C. nutrition 1. weight management 2. factors affecting prenatal nutrition 3. dietary recommendations and requirements 4. special considerations 5. vitamin supplementation 6. Evaluation of Fetal Well-Being A. Non-invasive assessments B. Invasive assessments C. Prenatal examinations 4 7. Childbirth preparation and Parenting education V. Nursing Care during the Intrapartum Period 1. Theory Overview of Labor and Delivery A. Physiological effects of the birth process B. Components of the birth process 1. Powers 2. Passage 3. Passenger 4. Psyche C. Normal Labor 1. Stages and phases 2. Mechanisms 3. Duration of Labor 2. Assessment A. Cervical changes B. Maternal responses to labor 3. Systemic effects A. Pain B. Cultural Dynamic C. Fetal heart monitoring 1. Scalp sampling D. Contraction monitoring 4. Management of Labor Dynamics A. Therapeutics B. Communication C. Implementation of Medical Regimen 1. Augmentation D. Pain management 5. Obstetrical Procedures and Nursing Responsibility A. Cesarean delivery B. Amniotomy C. Episiotomy & Laceration repair D. Forceps and Vacuum Extraction VI. Concepts related to Pharmacological Computation 1. Administration of Medication A. Pitocin Administration 1. By volume 2. By mu/minute B. Magnesium sulfate 1. Loading dose 2. Maintenance dose VII. Care of the Newborn in the Delivery Room 1. Assessment of Adaptation to Extrauterine Life A. Apgar Scoring B. Thermoregulation 2. Nursing Management 5 A. Communication B. Assessment C. Implementation of Medical Regimen 1. Medications VIII. Care of Mother During Fourth Stage of Labor 1. Assessment 2. Nursing Management 3. Communication 4. Implementation of Medical Regimen IX. Management of the Maternity Patient with High Risk Diagnoses 1. Factors related to high-risk status 2. Assessment 3. Women at Risk A. Adolescent Pregnancy B. Advanced Maternal Age C. Intimate Partner Violence D. Substance Abuse 4. Complications of Pregnancy A. Hemorrhagic conditions of early pregnancy 1. Abortion 2. Ectopic pregnancy 3. Hydatidiform mole 4. Incompetent Cervix B. Hemorrhagic conditions of late pregnancy 1. Placenta previa 2. Abruptio placenta C. Hyperemesis Gravidarum D. Hypertensive disorders of pregnancy 1. Chronic hypertension 2. Pregnancy-induced hypertension a. Preeclampsia b.Eclampsia 3. HELLP syndrome 5. Concurrent Disorders During Pregnancy A. Diabetes Mellitus 1. Gestational diabetes 2. Preexisting diabetes B. Heart Disease C. Anemia D. Infections during pregnancy 1. TORCH 2. Group B Streptococcus 3. HIV + E. Thyroid Disorders 6 6. Complications During the Intrapartum Period – Assessment, Management and Related Nursing Interventions A. Dystocia 1. Passenger-related a. Presentation b.Position c. CPD d.Prolapsed Cord e. Multiple gestation f. Non-reassuring fetal tracing 2. Passageway 3. Power a Dysfunctional Labor b. Precipitate Labor B. Premature Labor C. Premature Rupture of the Membranes D. Amniotic fluid embolism E. Placental Abnormalities 7. Complications During Postpartum Period: Assessment, Management and Related Nursing Interventions A. Postpartum Hemorrhage B. Reproductive tract or wound infections 1. Endometritis 2. Perineal wound infections 3. Cesarean wound infections C. Affective Disorders 1. Depression 2. Psychosis X. Concepts and Nursing Implications regarding Infertility 1. Factors contributing to infertility 2. Evaluation of infertility A. History and physical examination B. Diagnostic tests 3. Therapies to facilitate pregnancy A. Medications B. Ovulation induction C. Surgical procedures D. Advanced reproductive technology 4. Alternatives to pregnancy 5. Ethical Considerations XI. Concepts and Nursing Implications regarding Contraception 1. Considerations when choosing a method A. informed consent B. safety and efficacy 2. Methods – Management and evaluation A. Abstinence 7 B. C. D. E. F. G. H. 9. Mechanical Barriers Spermicides IUD Hormonal contraceptives Fertility awareness methods Emergency contraception Topical contraceptives Surgical interventions COURSE REQUIREMENTS Course Grades are determined by student achievement on examinations, a written assignment and completion of homework assignments and lab hours. I. GRADING CRITERIA A. Exams and Written Assignments: Exam #1….........................................................25% Exam # 2……………………………………….25% Final Cumulative Exam with ATI points ...….35% Assignments………………………….…………15% Pinterest pin – 10%, Discussion Board posts 3%, Real Life Scenarios 2% TOTAL….100% B. Criteria for the successful completion of NUR 3590 are based on two components. The student must attain a minimum theory grade of C+ and be “at expected level” for all clinical objectives specified in the Level III-NUR 3590 Clinical Evaluation Tool. C. Weekly “Questions to Consider” Discussion board comments: At the end of each chapter are Critical Thinking exercises. Access the Canvas Board for this class and post your thoughts to one of the questions posed after the case presentation by the evening prior to class. The answers should reflect understanding of the information within the chapter and the ability to apply the theory. These comments should be original and not just an agreement with other comments by students in the class. II. ATI REQUIREMENT Each student must verify that they can login to the ATI website. Prior to taking the exam, you are required to complete the Practice Assessment and achieve a minimum of 85%. Evidence of practice assessment completion must be handed in before taking the content mastery. The content mastery assessment for this course will be administered as a proctored exam in the 8 nursing lab computer room (Casey 217) Students will need to reserve a computer during one of the available testing times. No extensions will be granted. Grading for this exam will be by proficiency level. Points will be incorporated into the final exam grade in accordance with the format below: Proficiency level 3 = 3 points Proficiency level 2 = 2 points Proficiency level 1 = 1 point Below Proficiency level 1 = 0 point Any student who does not take this assessment during the specified time will not receive any ATI credit on the final exam. IV. Real Life Scenarios: There are four high-risk scenarios on the ATI website related to Maternal Newborn nursing. You may pick two out of the four and complete the scenario for credit of 1 % apiece. The only scenario not applicable is the one on thermoregulation and the newborn. These need to be completed prior to the last day of class. Upload the results on our Canvas board. III. CLASS POLICIES A. Class Expectations: Students are expected to demonstrate professional classroom behavior to optimize the learning environment for all. Class attendance is expected and recorded for all classes. Punctuality, completion of reading/homework assignments and participation is also expected. The key to increased understanding and achievement is classroom interaction. To minimize disruption, students arriving late should avoid crossing in front of the class while in progress. Excessive lateness and absences will be noted in the course management system. B. Electronic Devices: Cell phones must be turned off or silenced and are not be used during class. If they ring, they will be answered by the instructor. Laptops may be used for note taking, but will be shut down if inappropriate content displayed on the screen is distracting to other students. Audio recording is permitted during any classroom presentation with the exception of exam review or any discussion related to course exams. No note taking of any type is permitted during exam reviews. C. Class Materials/Communications: You will be required to use Molloy’s Canvas System, which can be accessed on Molloy’s website under Online Faculty and Student Access. This site must be accessed with your user id# and password (provided by registrar and used for registration). All announcements, class materials (outlines, case studies) and assignments will be posted in this site. Exam grades will also be obtained through this system. Students may also utilize the forum to post general questions (for issues of a personal nature, please email or see instructor) or make announcements appropriate to this class. D. Class Preparation and Participation: Please review the readings prior to class. Class outlines will be available in advance, you should print them and bring them to class. 9 Class participation on Canvas as well as in class is required. E. Examinations: Exam questions will vary in format with multiple choice, fill-in, and short answer included. All exams will be time-limited. Failure to turn in the exam at the specified time will result in a grade of 0. Students are expected to present for all exams. Faculty must be notified prior to exam if student is to be absent. Unexcused absences will be penalized 5% of grade for the missed exam. Makeup exams may be taken as scheduled by instructor and may be in an alternate format. Absences from make-up exams will be handled at the discretion of the faculty and may include a grade of 0 for the missed exam. Grades will be retrieved through Canvas within a few days of the exam. Any student who receives a grade below 76 on any exam or assignment is expected to make an appointment with the instructor for review/advisement within one week of grade receipt. . Test reviews are given from the time the grades are posted until the next exam is given. No prior exams will be available for review after the next exam has been administered. F. Drug Calculation Proficiency: Students must demonstrate proficiency with drug calculations on an ongoing basis. This will be assessed through exam questions. Please refer to the Nursing Division Undergraduate Progression Policy on Drug Calculation Proficiency in the Molloy College Nursing Division Student Handbook. IV. CLINICAL POLICIES A. Attendance is expected on all clinical days. Excessive lateness and absences will be noted on the NUR 3590 Clinical Evaluation Tool. Refer to the Molloy College Division of Nursing Undergraduate or Dual Degree Handbook for the polices on clinical absences and failures. B. Each clinical instructor will provide for students’ specific contact information. Students must notify the clinical instructor in advance of any lateness/absences. In addition, all clinical absences must be phoned in to (516) 323-3753. C. Students will be given their assignments at to the start of the clinical day. Each clinical instructor will specify for the group how this process will take place. D. Students must communicate with their patients’ primary nurses before starting care and prior to leaving the unit E. Written work must be submitted to the clinical instructor on the specified due date. Failure to do so will be reflected in the written evaluation F. Students are expected to come to each clinical experience on time, appropriately attired and prepared to deliver patient care at an acceptable level. All students will be held accountable for application of course content and skills as directed by faculty. G. Information regarding specific preparation for pre and post conference will be given to the student by the clinical instructors. H. It is expected that students are competent in previously assigned skills and that this is documented on the Master Skills Checklist. Students are expected to practice new skills in the nursing lab prior to clinical experience. The Master Skill Checklist should be updated regularly. I. Evaluation – (See Level III-NUR 3590 Clinical Evaluation Tool) 10 Clinical evaluation reflects the student’s ability to meet course level objectives. Two evaluations of student performance in the clinical area will be conducted by the clinical faculty, at the midpoint and again upon completion of the clinical rotation. These evaluations will be documented in clinical evaluation tool for NUR 359. Clinical performance will be graded on a pass/fail basis with student performance identified at one of three levels, below expected level, at expected level and exceeds expected level. CLASS POLICIES ATTENDANCE For any absence, student must call 516-323-3716. Faculty must be notified prior to exam if student is to be absent. Unexcused absences will be penalized with a 10 point reduction on makeup exam. Method of testing is at the discretion of the faculty member. Please check chat/message board regularly for updates and information. LATENESS For any lateness, student must email astone@molloy.edu. All students are expected to comply with the Molloy College Undergraduate Student Handbook and Calendar for the “Statement of Academic Integrity”. - Required assignment(s) satisfy the Division of Nursing assessment of critical thinking. - Written assignments are due on the date and time specified. - Students will receive a deduction of 0.5 points per day (out of 10) for each day late starting after class time ends. - All written assignments are not accepted one week from due date. If it is not received by that date, the student will receive a grade of “0”. - Please refer to specific guidelines and rubrics for grading and assignment guidelines. 11 Written Assignment: PINTEREST BOARD PROJECT This project is designed to help you develop a Pinterest Pin that will educate patients about a topic in Obstetrics/Neonatal Nursing. There are several steps to this process. Follow each one and you will come out with a pin that will be posted on our class Pinterest board (NUR 3590 A Summer 2023). 1. Pick a topic from our content outline. This should be cleared with Dr. Stone before beginning development to avoid duplication of material. Post the topic on the discussion board. 2. Follow the link to accept the invitation to the Pinterest board. 3. Define the population that you would like to address. 4. Outline the information that the patient would need to know: a. Understanding the problem (risk factors, signs and symptoms, prevention strategies, etc.) b. Instructions about care (when to call the HCP, resources) c. Any medications that are usually prescribed. d. Follow-up instructions. e. Anticipatory guidance 5. Make sure that the information is presented in a brief and understandable discussion. Do not use medical jargon or acronyms. Patients usually understand information at a fourth grade reading level. 6. Design the format applicable to the patient. Be sure to include graphics and pictures that illustrate the material. Areas that will be considered in grading the pin will include: literacy, organization, avoidance of medical jargon, creativity and accuracy. This project is worth 10% of your grade. There should be a reference list uploaded to the project on our canvas board that includes at least 3 peer-reviewed articles less than 5 years old. Do not refer to websites that have .com or .net in their address. No pin will be graded without the reference list. The pin should appear on our board by June 19, 2023. 12 PROJECT RUBRIC Criteria 4 Accuracy/Content All Knowledge information appears to be accurate. Required Elements Final Product Clarity and relevance Originality Attractiveness More information than was required was included Exceptional in regards to meeting expectations Graphics are all clear and relevant, making the content easier to understand. Reflects an exceptional degree of creativity. Exceptionally attractive in terms of design, layout and overall presentation. 3 Almost all information/ content appears to be accurate All of the information that was required was included. Very good in regards to meeting expectations. Almost all graphics are clear and relevant. 2 Most of the information /content is accurate 1 Some of the information/content is accurate. Most of the information that was required was included. Good in regards to meeting expectations. Some of the graphics are clear and relevant. Some of the information that was required was included but much was missing. Does not reflect the project’s instructions and expectations Few graphics are clear and relevant or they do not make the content easier to understand. Lacks overall student creativity. Reflects Some strong student creativity seen creativity. but may be based on designs/ideas of others. Attractive in Acceptably terms of attractive and design, layout laid out, and overall although more presentation. time could have been spent on overall presentation. 13 Lacks attractiveness and overall presentation is lacking in design/layout. DATE 5/23 5/25 6/1 TOPIC Orientation Postpartum Assessment and Care Newborn Assessment and Care Labor and Delivery Exam #1 Drug Calculations Conception and Fetal Development Genetics COURSE CALENDAR READINGS Discussion Post Chap. 15 & Critical 16 Thinking Exercise Chap. 17 & 18 Chap. 13 & 14 See Canvas Board p. 323-332 p.332-348 6/5 Antepartum Assessment Chap. 11 & 12 6/8 High risk AntepartumGestational Exam #2 High risk labor and delivery Chap. 19 &20 6/12 6/15 6/22 6/26 Critical Thinking Exercise Critical Thinking exercise Identify a teratogen and its impact Critical Thinking exercise p. 349 Critical Thinking exercise Critical Thinking exercise Chap. 21 pp. 157-158 High risk Postpartum Chapter 22 High risk Newborn Chap. 23&24 Infertility Contraception Final examination pp. 128-133 pp. 134-153 Critical thinking exercise Critical thinking exercise Critical Thinking exercise 14 Picmonic Postpartum Assessment, Breastfeeding Newborn Assessment, Apgar True vs. False Labor, Fetal heart patterns Induction Implantation Prenatal Care Preeclampsia (2) Abruption Ectopic Pregnancy, Prolapsed Cord Postpartum Hemorrhage, Infection Hyperbilirubinemia, Respiratory Distress Syndrome Infertility Contraception MOLLOY COLLEGE The Barbara H. Hagan School of Nursing Nursing Student Code of Pre-Professional Conduct Civility Statement- Undergraduate Program Students entering a baccalaureate nursing program are beginning an education in professional nursing which requires standards of ethical comportment and appropriate behavior as identified in the ANA Code of Ethics. The faculty of the Division of Nursing welcomes the opportunity to educate nursing students. In turn it is expected that students will adopt as well as demonstrate appropriate pre-professional behaviors. In the National Student Nurses’ Association Code of Academic and Clinical Conduct it states that nursing students must uphold the trust placed in it by society. This trust is consonant with the concept of civility. This is behavior that shows respect toward another person, makes a person feel valued and contributes to mutual respect, effective communication and team collaboration (Lower-Ski, 2012) Within this context the student commits to the following: 1. Provide care for the patient in a timely, compassionate and professional manner consistent with the prevailing standard of nursing care. Identifies situations in which assistance is needed and seeks help in a timely manner. 2. Consistently communicate in a truthful, timely and accurate manner in both the academic and clinical setting as appropriate. 3. Actively promote and demonstrate the highest level of moral and ethical conduct and standards, and accept responsibility for actions consistent with professional accountability. Accept consequences for misjudgments. 4. Demonstrate integrity by not cheating or plagiarizing and adhering to the Academic Integrity statement. 5. Refrain from omission of care in the clinical setting that creates unnecessary risk of injury to the patient, self, or others. 6. Promote and demonstrate respect for the dignity and worth of patients, peers and faculty. Demonstrate respectful behavior when addressing faculty and peers. Address and treat faculty, classmates, patients, and health care professionals appropriately with courtesy and respect and use courteous language. 7. Maintain punctuality by arriving on time and prepared for class and clinical so as to avoid disrupting the learning of self and others. 8. Refrain from cell phones or other electronic communication devices use during class time or in a patient care area without the express permission of the faculty and adherence to institution policy regarding same. Use of cell phones or other electronic transmittal devices during class time is disruption and not permitted. 9. When on campus and in clinical settings be appropriately dressed and groomed, in keeping with professional image. Appropriate professional attire is expecting by all agencies. Refer to appropriate student handbook for clinical dress requirements. 10. Remain aware of professional boundaries when interacting with patients, faculty, and peers. 11. Maintain respectful communication via electronic format(s). Regularly check college wide communication vehicles specifically email and chat/message board. Do not post school related activities to social networking sites. Remain discriminate with confidential information and electronic records. 12. Abstain from the use of alcoholic beverages or any substances that may impair judgment in the academic and clinical setting. I have read and reflected on the meaning of this commitment and I agree to abide by these standards as a nursing student at Molloy College. _________________________________ Print Name ________________________________ Signature _________________ Date 15 Molloy College The Barbara H. Hagan School of Nursing Essential Professional Behaviors Students entering a baccalaureate nursing program are beginning an education in professional nursing which requires certain standards of ethical comportment and appropriate behavior. The faculty of the Division of Nursing welcomes the opportunity to educate nursing students. In turn it is expected that students will adopt as well as demonstrate appropriate pre-professional behaviors. In addition to the items enumerated in the civility statement the essential behaviors noted below are also expected of students in all learning situations. 1. Initiates and maintains responsibility for one’s own actions and attitudes. 2. Demonstrates the ability to develop and maintain therapeutic relationships and appropriate personal boundaries. Maintains confidentiality of all patient information in conversation, electronic and written means. 3. Demonstrates a respectful, sensitive, and non-judgmental manner when communicating with others. Others are defined as: peers, faculty, patients, staff, families, community. 4. Demonstrates personal and professional ethical standards, honesty, and integrity. Demonstrates integrity by not cheating or plagiarizing and adhering to Academic Integrity Statement. 5. Reviews class syllabus, objectives and assignments. Completes assignments as required and scheduled. 6. Provides prior notification to appropriate faculty when he/she is unable to meet commitments or requirements. Initiates contact with instructor as appropriate. 7. Participates in all learning activities as scheduled, arriving on time and prepared for the daily assignments and clinical experience throughout the length of the nursing program. 8. Demonstrates professional appearance and professional presentation in all settings. Demonstrates awareness of own health needs. 9. Demonstrates the ability to use good judgment in all decision making and provide sound rationale for actions. Takes appropriate steps to handle consequences of misjudgments. 10. Respects others in all circumstances (i.e. no talking while others are talking, cell phones are silenced, no inappropriate use of computers or other electronic devices). 11. Demonstrates respect and politeness to all individuals regardless of culture, ethnicity, religion, work experience, gender, age and sexual orientation. 12. Communicates with others with respect, sensitivity, and politeness in all forms (verbal, nonverbal, written, and electronic; includes listening and caring behaviors). 13. Implements theoretical principles and patient care safely, effectively, and in a timely manner. 14. Actively participates as a patient advocate. Identifies and reports incidents and accidents that may include but are not limited to endangerment of the patient. 15. Actively participates in assessing own strengths and limitations. Identifies situations in which assistance is needed and seeks help appropriately. I have read and reflected on the meaning of this commitment and I agree to abide by these standards as an undergraduate nursing student at Molloy College. _________________________________ Print Name ________________________________ Signature _________________ Date 16