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North Seattle Community College
Practical Nursing Program
NEO 112:
Clinical Nursing Practice and Skills II
Course Prefix and Number: NEO 112
Course Title: Clinical Nursing Practice and Skills – II
Course Credits: 5
Course lab Start Date: Monday, April 4, 2011
Course lab End Date: Saturday, April 23, 2011 (last day of Lab)
Course clinical Dates: See Spring Calendar
Course Location: North Seattle Community College IB 1313/1414
Course Times: Lab: Mondays 1300-2100, Saturdays 0800-1630,
Clinical Hours : Valley Medical Center 1400 - 2300. Swedish Edmonds 0600 – 1600
Clinical Day 1 Only: Valley Medical Center: Group A- 4/25, 1245 – 2145.
Group B-5/17 1145 - 2045
Required Textbooks and Resources:
TITLE AUTHOR ED. ISBN
Fundamentals of Nursing: The Art & Science of
Nursing Care
Taylor
Electronic Resources:
North Seattle Community College: http://www.northseattle.edu/
ANGEL: http://northseattle.angellearning.com/
Logon =Student ID and Password = Student ID
7 th
ed 9.78078E+12
Recommended text books:
Christensen, B.L. & Kockrow, E. O. (2010). Foundations & Adult Health Nursing . (6 th
ed.). Mosby Inc. Elsevier.
Deglin, J. H. & Vallerand, A. H. (2011).
Davis’ Drug Guide for Nurs es (12th ed.).
Philadelphia, PA: F.A. Davis Company.
Doenges, M. E. & Moorhouse, M. F. (2010).
Nurse’s Pocket Guide: Diagnoses Prioritized Interventions and
Rationales . (12 th
ed.). Philadelphia, PA: F. A. Davis Company.
Required Lab Equipment:

Uniform or scrubs for lab: You may wear any healthcare uniform or scrubs for lab. Your shoes should be clean, low closed heel, and closed toe. You should also wear your name tag (NSCC picture ID) on a quick release lanyard.

Equipment bag purchased through Orion Medical Supplies and supplemented with additional supplies from NSCC

Stethoscope with a bell and diaphragm

Watch with a second hand

Pen light

Computer and Internet access

Highly recommend a simple four function calculator

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Lab Instructor:
Lab Instructor:
Lab Instructor:
Melanie Jorgenson, RN, BSN
Email: via ANGEL, mjorgenson@sccd.ctc.edu
Office Hours: by appointment
Contact Number: 425-765-4123
Mary Kangas, RN, BSN
Email: mkangas@sccd.ctc.edu
Contact Number: 360-581-4975
Office Hours: by appointment
Julie Grosnick, RN, BSN
Contact Number: 206-229-1028
Office Hours: by appointment
Email: jgrosnick@sccd.ctc.edu
Clinical Instructor: Mary Kangas
Valley Medical Center
(Info. provided on left)
Clinical Instructor: Krystal Fergus
Swedish Edmonds
Email: kfergus@sccd.ctc.edu
Contact Number: 415-254-4326
Note: Email through ANGEL is the preferred communication route for Lab. We will make every effort to get back to you within 48 hours.
A. Course Description: Provides opportunities to build on previously learned skills and apply knowledge gained in NEO102 through the supervised performance of nursing care in the role of caregiver, collaborator of care, decision maker, communicator, teacher and professional, with a focus on hospital based medical/surgical nursing care.
B. Topical Outline and/or Major Divisions:
Upon successful completion of this course the student should be able to:

Provide safe, appropriate and individualized nursing care for selected clients to facilitate optimal wellness, using the nursing process and building upon previously learned skills

Formulate and implement individualized plans of care for selected clients based on collection of data from multiple sources
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s
Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s Employment & Training
Administration.

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
Choose appropriate nursing priorities based on physiologic, growth and development, psychosocial, and cultural variables.

Report and document assessment findings, nursing care, and client progress appropriately

Demonstrate responsibility, accountability and professionalism during campus lab and clinical learning opportunities

Protect clients from violations of dignity, privacy and confidentiality, practice nursing within legal, ethical and regulatory frameworks with moderate guidance.
C.
Expectations:
What the student can expect from instructors:
 Learning experiences designed to facilitate the student’s achievements of course outcomes.
 A safe learning environment that is responsive to individual student’s learning styles and needs.

Clearly communicated expectations.

Active listening and respect.
What instructors expect from the students:

An assumption of responsibility for learning through the completion of all assignments and clarification of those things not understood.

Active participation in class sessions.

Active listening and respect.
Teaching and Learning Strategies:

Discussion groups

Case studies with and without simulations

Demonstration of skills

Instructor-lead classroom discussions

Directed readings

Cooperative learning (students working in groups)

Reciprocal teaching (students teaching one another)Web enhanced learning

(Also available on ANGEL Calendar)
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Each lab day will start with a classroom discussion on the lab’s content for the day. This is to reinforce what the student has already reviewed ahead of time. The discussion will be followed by an introduction, description, and demonstration of the new skill/s. . Students will have an opportunity to practice the skill before being asked to demonstrate the skill to the instructor. The last part of every lab day will provide the opportunity to put the skills into practice through case studies and simulations. The lab ends by reviewing the expectations for the next class meeting.
Monday
April 4, 2011
1300-2100
Review
1300-1500
NEO 102 Syllabus Review- Filiatrault
1500-1515
Break
1515-1615
NEO 112 Syllabus Review
1615-1715
Review of NEO 111 skills
Clarifications/Practice
1715-1745
Dinner Break
1745-1945
Classroom Discussion: Restraints
1945-2045
Demo

Skills Checklist (print from
ANGEL, and check off all skills completed in NEO 111, have instructor sign)

SKILL 26-1: Applying an extremity restraint

Record of previous
HIV/AID education

Stethoscope

Pen light

Gait belt

Davis Drug Guide
 Equipment bag and all contents
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

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Practice
Skill Set Check Off
Continue to Review and Practice NEO111
Skills
2045-2100
Wrap Up
Saturday
April 9, 2011
0800-1600
Diabetes & Insulin
Management
Fluid, Electrolyte, & Acid
Base Balance / Intravenous
Line Maintenance
0800-0900
Classroom Discussion: Diabetes & Insulin
Management
0900-1000
Demo (mixing insulin)
Practice
1000-1015
Morning Break
1015-1115
Classroom Discussion: Fluid, Electrolyte, &
Acid Base Balance / Intravenous Line
Maintenance
1115-1215
Lunch
1215-1330
Demo
Practice
Skill Check off
1330-1345
Afternoon Break
1345-1545
Practical Applications

SKILL 29-4: Mixing medications from two vials in one syringe

SKILL 40-4: Changing a Peripheral
Venous Access Dressing

SKILL 40-3: Monitoring an IV Site and Infusion
 SKILL 29-9: Administering a
Piggyback Intermittent Intravenous
Infusion Through an Intravenous
Infusion

Stethoscope

Davis Drug Guide

Monday
April 11, 2011
1300-2100
Advanced Respiratory
Assessment & Oxygen
Therapy
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1545-1600
Wrap Up
1300-1400
Classroom Discussion: Advanced Respiratory
Assessment & Tracheostomy Care,
Endotracheal Care, & Oxygen Therapy – Part I
1400-1500
Demo
Practice
1500-1515
Break

SKILL 39-5 Suctioning the
Tracheostomy: Open System
1515-1615
Classroom Discussion: Advanced Respiratory
 SKILL 39-6 Providing
Tracheostomy Care
Assessment & Tracheostomy Care,
Endotracheal Care, & Oxygen Therapy – Part II 
SKILL 14-15 Using a Handheld
Resuscitation Bag & Mask ***
1615-1715
Dinner
1715-1830
Demo
*** Skills set in ANGEL
Practice
Skill Check off
1830-1845
Break
1845-2045
Practical Application

Stethoscope
 Davis Drug Guide
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

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2045-2100
Wrap Up
Saturday
April 16, 2011
0800-1600
CV Assessment, Dopplers,
ECG
0800-0900
Classroom Discussion: CV Assessment,
Dopplers, and ECG – Part I
0900-1000
Demo
Practice
1000-1015
Morning Break
1015-1115
Classroom Discussion: CV Assessment,
Dopplers, and ECG – Part II
1115-1215
Lunch
1215-1330
Demo
Practice
Skill Checkoff
1330-1345
Afternoon Break
1345-1545
Practical Applications
1545-1600
Wrap Up
Monday
1300-1400
Classroom Discussion: Pre-operative Care &
Post-operative Care

SKILL 000: Obtaining an
Electrocardiogram (ECG) ***

SKILL 000: Applying a Cardiac
Monitor ***
***Skill Set in ANGEL

SKILL 30-1 Providing Preoperative patient care
(hospitalized)

Stethoscope

Davis Drug Guide
 Stethoscope

Wear something under your uniform shirt that will allow chest assessment and ECG lead pad placement.

Stethoscope

Davis Drug Guide

April 18, 2011
1300-2100
Pre & Post Operative
Care, Drains, and Pain
Management
1400-1500
Demo
Practice
1500-1515
Break
1515-1615
Classroom Discussion: Tube and Pain
Management
1615-1715
Dinner
1715-1830
Demo
Practice
Skill Check off
1830-1845
Break
1845-2045
Practical Application
2045-2100
Wrap Up
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
SKILL 30-2 Providing Postoperative care when patient returns to room

SKILL 8-7: Caring for a Penrose
Drain ***

SKILL 8-8: Caring for a T-Tube
Drain ***
 SKILL 32-4: Caring for a Jackson-
Pratt Drain

SKILL 32-5: Caring for a
Hemovac Drain

SKILL 8-12: Removing Sutures
***

SKILL 8-13: Removing Surgical
Staples ***

SKILL 32-8: Applying an External
Heating Pad
 SKILL 32-9: Applying a Warm
Compress

SKILL 8-17: Applying Cold
Therapy ***
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

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
SKILL 10-4: Caring for a Patient
Receiving Patient-Controlled
Analgesia ***
 SKILL 10-5: Caring for a Patient
Receiving Epidural Analgesia ***
*** Skills set in ANGEL
Saturday
April 23, 2011
0800-1600
Tubes & Drains: NG
Tubes, PEG Tubes, Tube
Feeding, and Ostomies
0800-0900
Classroom Discussion: Nasogastric Tubes,
Tube Feeding, GI Tubes
0900-1000
Demo
Practice
1000-1015
Morning Break
1015-1115
Classroom Discussion: Colostomy Care
1115-1215
Lunch
1215-1330
Demo
Practice
Skill Checkoff
1330-1345
Afternoon Break
1345-1545
Practical Applications

SKILL 36-1: Inserting a
Nasogastric (NG) Tube

SKILL 36-2: Administering a
Tube Feeding
 SKILL 36-3: Removing a
Nasogastric Tube

SKILL 11-5: Caring for a
Gastrostomy Tube ***

SKILL 38-3: Changing and
Emptying an Ostomy Appliance

Stethoscope

Davis Drug Guide

SKILL 13-7: Irrigating a
Colostomy ***

SKILL 38-2: Irrigating a
Nasogastric Tube Connected to
Suction

SKILL 32-6: Collecting a Wound

1545-1600
Wrap Up
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Culture
*** Skills set in ANGEL
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

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Date Topic Fundamentals of Nursing Text
04-04-11

NEO 102 Syllabus
Review

NEO 112 Syllabus
Review

NEO 111 Skills
Review

Restraints
04-09-11

Diabetes & Insulin
Management

Fluid, Electrolyte, &
Acid Base Balance /
Intravenous Line
Maintenance

Chapter 26 pg 633-637

Chapter 40,
1424-1448,
1450-1453,
1456-1457,
1475-1480

Journal Article: Safety Work:
Initiating, Maintaining, and
Terminating Restraints

Articles on ANGEL
American Diabetes Association
Position Statement: Insulin
Administration

Managing Diabetes – Oral Meds

Managing Diabetes - Insulin
04-11-11

Advanced
Respiratory
Assessment &
Tracheostomy Care,

Chapter 25, pg 586-590

Chapter 39,
1358-1384, the Point Resources http://thepoint.lww.com

Concepts in Action Animations:
Endocrine: Diabetes

Concepts in Action Animations: Cardiac:
Edema

Watch and Learn: Intravenous Therapy:
Monitoring an IV Site and Infusion

Practice and Learn: From Taylor's
Interactive Nursing Skills: Changing IV
Solution Tubing

Journal Article : An Evidence-Based
Evaluation of Tracheostomy Care

Clinical Simulation Tutorials: Fluid and
Electrolytes

Unit VII, Chapter 39

Watch and Learn: Physical Assessment:

Endotracheal Care,
& Oxygen Therapy
1391-1409
Practices
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Assessing the Posterior and Lateral
Thorax
 Watch and Learn: Physical Assessment:
Assessing the Anterior Thorax

Watch and Learn: Oxygenation:
Nasopharyngeal Suctioning

Watch and Learn: Tracheostomy Care:
Providing Tracheostomy Care Using a
Disposable Inner Cannula

Journal Article: Transfusion-Related
Acute Lung Injury

Concepts in Action Animations:
Respiratory: Asthma

Concepts in Action Animations:
Respiratory: Gas Exchange in Alveoli

Concepts in Action Animations:
Respiratory: Oxygen Transport

Concepts in Action Animations:
Respiratory: Change in Breathing Sounds

Concepts in Action Animations: Cardiac:
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

04-16-11
 CV Assessment,
Dopplers, ECG
 Chapter 24,
524-529

Chapter 25,
589-593

Chapter 39,
1353-1354
04-18-11
 Pre & Post
Operative Care and
Pain Management
 Chapter 30,
818-858

Chapter 32, chart on pg
953

Chapter 32, pg 956-962
 Chapter 32,
976-984

Chapter 32,
998-994

Chapter 35
1112-1147
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Cardiac Cycle

Journal Article: Putting an end to perfusion confusion
Unit VI, Chapter 24

Concepts in Action Animations: Cardiac:
Cardiac Cycle
 Where’s the Pulse?
 What’s at the Heart of your Patient’s
Chest Pain?

Concepts in Action Animations: Cardiac:
Hypertension

Handouts: Major anatomical landmark areas on the anterior chest;
Lead Arrangement and Coding, The
Art of Auscultation

Concepts in Action Animations: Cardiac:
Myocardial Blood Flow
Unit VI, Chapter 25

Watch and Learn: Physical Assessment:
Assessing the Heart

Journal Article: Preparing older patients for ambulatory surgery
Unit VI, Chapter 30

Journal Article: Caring for Older
Adults After Surgery

Watch and Learn: Perioperative Nursing:
Preoperative Nursing Care on the Day of
Surgery

Watch and Learn: Perioperative Nursing:
Postoperative Nursing Care on the Day of
Surgery

Practice and Learn: From Taylor's
Interactive Nursing Skills: Teaching
Coughing and Splinting

04-23-11

Tubes & Drains

Wound Culture

Chapter 32, pg 950-951

Chapter 36,
1185-1215

Chapter 38,
1325-1329,
1335-1342
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
Journal Article: Care of the Patient
With Enteral Tube Feeding: An
Evidence-Based Practice Protocol
Unit VII, Chapter 36

Watch and Learn: Nutrition: Inserting a
Nasogastric Tube

Journal Article: Wound Wise:
Peristomal Skin Complications

AACN Verification of Feeding Tube
Placement

Watch and Learn: Nutrition:
Administering a Continuous Tube
Feeding Using a Feeding Pump and a
Prefilled, Closed Tube Feeding Set-Up
 Practice and Learn: From Taylor's
Interactive Nursing Skills : Preventing
Complications of Enteral Feeding

Watch and Learn: Bowel Elimination:
Changing an Ostomy Appliance
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

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NEO 112 skills lab is graded as a pass/fail course. Students must earn at least 770 points to achieve the 77% it takes to pass the course. Lab is 44% of the grade, and clinical is 56%.In Lab, the student will be graded on three sections that include:
Lab Section 1: Participation 200 points total)
34 points (per class): Attendance (required at all Lab sessions). Tardiness and unexcused absences will affect the student’s grade and could result in failure of the course. Refer to section VI Course and Classroom Policies under Attendance for additional details. You must be present at the beginning of class sessions, actively participate in all sessions throughout the day, and not leave class early in order to earn all participation points.
25 points (per class): It is also expected that the student participate by contributing ideas, interacting with peers and instructors, engaging in class activities, maintaining attention to class work. Failure to adhere to class participation guidelines will result in zero participation points for the day.
Lab Section 2: Preparation: 200 points total
34 points (per class): Students are provided a course reading list as well as material on ANGEL to review. The student should confirm that course material has been reviewed before the start of each class. The student should come to lab with the required supplies for that day. Failure to adhere to the class preparation guidelines will result in zero preparation points for the day.
Lab Section 3: Skill Set Evaluations: (600 points total)
100 points (per class): Each day, the student must complete the skills set assigned. The skill set points for each day total 100 point. Students are expected to practice and prepared for testing during the allotted practice sessions. The student will then sign up for evaluation. *Each student must pass each skills set on either the first or the second attempt. Each skills test must be performed correctly, in a timely manner, and with a maximum of two cues. A cue is considered a prompting by the instructor for omitted information critical to the skill, or recognition of a failed or omitted step in the procedure in which the student is unable to identify and correct. Should the student not pass the skill set on the second attempt, the student will not earn the points allotted for that skill. However, the student will be asked to work with a tutor or instructor in order to practice the skill and have it verified by a course instructor before the student can advance to the next skill set.
Day 1
Orientation to Valley Medical Center, Computer Training, Blood Glucose Training
Familiarize with unit, nursing staff, equipment, and patient population
Day 2
Total care of assigned patient, complete treatments
Vital signs, head to toe observed by instructor
Document vital signs, blood glucose results and treatments in the patient’s chart
Seek skill checklist experiences
Day 3
Total care of assigned patient

Medication Pass
Vital signs, head to toe observed by instructor
Document vital signs, blood glucose results and treatments in the patient’s chart
Seek skill checklist experiences
Due at the beginning of clinical:
Reflective Journal
Patient Assessment Sheet
Day 4
Total care of assigned patient
Medication Pass
Vital signs, head to toe observed by instructor
Document vital signs, blood glucose results and treatments in the patient’s chart
Seek skill checklist experiences
Day 5
Total care of assigned patient
Medication Pass
Vital signs, head to toe observed by instructor
Document vital signs, blood glucose results and treatments in the patient’s chart
Seek skill checklist experiences
Due at the beginning of clinical:
Reflective Journal
Patient Assessment Sheet
Medication tool
Day 6
Total care of assigned patient
Medication Pass
Vital signs, head to toe observed by instructor
Document vital signs, blood glucose results and treatments in the patient’s chart
Seek skill checklist experiences
Day 7
Total care of assigned patient
Medication Pass
Vital signs, head to toe observed by instructor
Document vital signs, blood glucose results and treatments in the patient’s chart
Seek skill checklist experiences
Due at the beginning of clinical:
Reflective Journal
Patient Assessment Sheet
Medication tool
Care Plan
At the end of clinical:
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The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s
Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s Employment & Training
Administration.

P a g e | 17
Complete course evaluation
Final course evaluation
NSCC General Education Learning Outcomes and/or Related Instructional Outcomes Met by Course:
Outcome 1: Knowledge. Methodologies, facts theories, and perspectives within and across disciplines
Outcome 2: Intellectual and Practical Skills. Critical thinking and problem solving. Communication and selfexpression. Quantitative reasoning. Information literacy. Technological proficiency. Collaboration: group and team work. o 3.1 PN PROGRAM STUDENT LEARNING OUTCOMES
1.
Holistically care for self and others within an ethical, legal, and diverse framework under a designated healthcare provider within the scope of practice of the practical nurse.
2.
Demonstrate competency in educating and communicating with patients, patient’s family and healthcare team.
3.
Demonstrate competency in data gathering, contributing to problem-identification, planning, implementing nursing care, and contributing to evaluation within a variety of settings utilizing appropriate technology.
4.
Use critical thinking to identify normal and abnormal patterns based on an understanding of anatomy, physiology, and pathophysiology in order to contribute to the safe management of patient care.
5.
Effectively delegate and collaborate with patients, patient’s family, and the healthcare team. o 5.2.7 CLINICAL SAFE/UNSAFE BEHAVIOR
1.
Safe practice in a clinical setting includes those patterns of professional behaviors that follow legal and ethical codes of nursing and promote well-being of clients and self as listed in the Code of Ethics for Nurses and the Nursing Scope and Standards of Practice by ANA. This will be demonstrated through accountability in preparation, documentation, and continuity of care, as well as in showing respect for the rights of individuals.
2.
Unsafe practice includes those behaviors that may endanger a client, family member, staff, peer or faculty in the physiological, psychological, spiritual or cultural realm. Specific behaviors of endangerment may include acts of commission or omission in the clinical agency, and/or behavior that causes the faculty to question the student’s potential for safe practice.
3.
Dismissal from program a. The student whose actions or omissions endanger a client, family, peer, staff member, or
faculty will receive verbal and written documentation of the event. The student may be
dismissed from the clinical setting. b. The student whose actions or omissions endanger a client, family, peer, staff member, or
faculty will receive verbal and written documentation of the event. The student may be
dismissed from the clinical setting. c. Based on the severity and nature of the unsafe practice, the student may receive a failure for
that clinical experience or for the course. d. If the student’s pattern of behavior is repeated, the student will receive a failure for the course
and be dismissed from the Nursing Program using the dismissal process. e. The instructor will notify the Nursing Director and Dean of Health and Human Services when
unsafe practice has occurred.
4.
The North Seattle Community College Student Handbook supersedes any conflicting information with the North Seattle Community College Nursing Handbook.

o 5.2.2 CLINICAL DRESS CODE & APPEARANCE
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1. A health professional should be neither an attraction nor a distraction. It is important to use good
taste at all time in regards to your manner of dress and appearance.
2. The approved North Seattle Community College Nursing Program student uniform is to be worn
for all clinical practice or data collection in any healthcare agency. If there are any exceptions to
this, students will be informed by the instructor.
3. The approved uniform for PN Program and LPN to RN Ladder Program students consists of:
a. See NURSING PROGRAM REQUIREMENTS Section 4.4 General Dress Code & Appearance b. Forest green scrub shirt with the embroidered NSCC logo or patch on the upper left chest. c. Forest green scrub pants – jeans, sweats, and/or visible undergarments are unacceptable. d. For warmth, a white undershirt or white turtle neck shirt may be worn underneath the
scrubs. e. Conservative, solid color, flat (no heel) and slip proof shoes with closed toes. (revised) f. White or skin-toned non-patterned tights/hose with skirts; or trousers/slacks with solid color or
skin-toned non-patterned tights/hose/socks. g. Proper NSCC Nursing Program approved identification is required for all clinical facilities. h. Hair shall be clean, combed and neatly trimmed and should not be distracting. Hair shall not be
dyed an unnatural human color. i. All tattoos must be covered. Only small posts in ear lobes are allowed. Facial piercing jewelry
must be removed. j. Stethoscope o 4.7 CELL PHONES
Cell phone use is not permitted during theory courses, labs or clinical sites. (NOTE: That an exception may apply to the use of a smart phone with a clinical application; this may be used at the clinical site under the discretion of the clinical instructor, but the ring tone must remain on the
“VIBRATE” mode.) During class times cell phones, and other communication devices should be turned OFF, or the ring tone should be switched to “silent”. During class breaks, the student is allowed to use cell phones outside of the classroom. If a student has a serious problem that may require the student to be contacted by phone, the instructor should be informed beforehand or at the beginning of the class, the cell phone’s ringtone should be placed on “VIBRATE”, and the student should exit the class room/laboratory before answering their phone.
Clinical Nursing Practice & Skill II is graded on a pass-fail basis.
Assignments will be graded using the Clinical Evaluation Tool and scoring system (0 - 4.0 scale)
Each of the clinical objectives is scored on each clinical day using the following point scale*
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s
Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s Employment & Training
Administration.

P a g e | 19
4Student 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.
3Student meets expectations (objective) 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.
2Student meets expectations (objectives) inconsistently by performing previously and newly learned tasks and client care with 3 reminders or prompting given throughout the shift.
1Student does not meet expectations (Objective). Student is unable to perform previously 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 (i.e. 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.
Criteria for Participation:
Please see Professional behavior and responsibility on the Clinical Evaluation Summary. 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 thought-provoking questions.
Criteria for Preparation:
Please see Preparation on the Clinical Evaluation Summary.
For a positive clinical experience it is recommended to bring the required equipment, a nursing drug reference and skill procedure reference. Come to clinical prepared. Please be prepared with your required assignments for your assigned patient. Be prepared to answer questions about your client's condition, medical diagnosis, medications, allergies, and treatments with your instructor each day.
Criteria for the Clinical skills checklist :
Please see Skill application on the Clinical Evaluation Summary
Course Withdrawal:
Official withdrawal is the responsibility of the student but it is highly encouraged to contact the instructor prior to doing so. The last day to withdrawal during Spring Quarter, 2011 is May 27 th
.
Incomplete Grade:
Incomplete grades are submitted at the discretion of the instructor.

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Guidelines for Student Conduct: Students are expected to comply with student conduct policy and procedure.
Refer to 9.3 WAC 132F-121-020 Students Rights, Freedoms and Responsibilities in the Practical Nursing and
Licensed Practical Nurse to Registered Nurse Ladder Programs Student Handbook available online at : http://webshares.northseattle.edu/healthmedical/LPN-Resources/
Student Misconduct: Refer to 9.3 in the Practical Nursing and Licensed Practical Nurse to Registered Nurse
Ladder Programs Student Handbook and or the link above.
Student Classroom Expectations:

Maintain a safe working environment. Adhere to OSHA requirements, NSCC injury policy and NSCC dress code.

Be prepared for class o Purchase book prior to the start of the course o Review Skills and course material prior to attending class o Complete work on time o Utilize class time effectively o Obtain notes, handouts and instructional information from peers if you are absent. It is NOT the responsibility of the instructor to provide missed information to absent students.

Maintain a professional environment o Be on time to class o Respect classroom diversity and inclusion: 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. o Respect college, instructor and student property. Help us keep our environment clean. No smoking is allowed within 25 feet of public places o You may be asked to leave the classroom if you are causing a distraction.

Follow the Practical Nursing and Licensed Practical Nurse to Registered Nurse Ladder Programs
Student Handbook policies and procedures
Attendance:
Guidelines:
1.
Absences will jeopardize meeting daily objectives and therefore success.
2.
A student is allowed one medical or family emergency absence from clinical/lab each quarter not to exceed 33% of that clinical/laboratory 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/lab may result in failing the course.
3.
Two tardies of greater than 5 minutes in clinical/laboratory will constitute an absence and a zero for the day which may result in failing the clinical/laboratory 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/lab and report the absence and
reason 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 healthcare provider’s release to attend clinical and
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s
Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s Employment & Training
Administration.

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lab courses.
6. A “No Call, No Show” is a serious offense and is not permitted at the clinical facility sites by
students. Not calling or showing may be grounds for dismissal and will be referred to the Director of
Nursing, Dean of Health & Human Services and/or the Vice President of Student Services.
Injury Policy: Should an injury or needle stick/bodily-fluid contamination occur, complete the following steps:
1.
Student will wash site immediately with soap and water and/or complete any first aid care needed.
2.
Student will immediately report exposure and/or injury to the faculty member overseeing the student’s activities. The faculty member and/or student will complete an injury report that will be forwarded to the Nursing Program Director’s office. Section 9.6 has a copy of the NSCC injury report form.
3.
The student may be referred to a health care facility for further evaluation/follow-up.
4.
If the incident occurred on a clinical facility’s site, that facility’s protocol must also be completed.
5.
If the incident occurred on the North Seattle Community College’s campus, the NSCC Accidental Injury
Report form must also be completed and a copy must be submitted to the Security office.
Academic Integrity:
Each student is responsible for his/her own learning and personal integrity in the learning process. Cheating is defined as giving or receiving inappropriate assistance from another person such as giving and/or receiving answers to test questions, or failing to give credit to sources, homework or care plan assignments. Giving credit to sources means that any copying, whether it is from a book or the internet, is plagiarism. In other words, the work you do must be your own. Any act of course related dishonesty, including but not limited to cheating or plagiarism will receive a zero for the assignment or exam. The zero will be averaged into the grade for that section. The matter may be referred to the V.P. of Student Services.
Each student must demonstrate academic integrity by doing his/ her own work in each class, except as the instructor specifically directs otherwise. See Section 4.7. Cheating and plagiarism violate the student conduct code at NSCC. See WAC 132F-121-110, WAC 132F-121-120 (Section 9.3), and other applicable rules. When an instructor determines that cheating, plagiarism, or other dishonesty has occurred, the instructor need not give credit and may adjust accordingly the student’s grade on the work product in question. In addition, disciplinary sanctions may be imposed separately under the cited WAC rules.
Academic dishonesty could involve but is not limited to:
1.
Having a tutor or friend complete a portion of your assignment
2.
Having a reviewer make extensive revisions to an assignment.
3.
Copying or obtaining work submitted by another student.
4.
Providing work to another student for use as their own.
5.
Using information from online information services without proper citation (plagiarism).
6.
Taking exam answers from another student’s paper.
7.
Using unauthorized materials to answer exam questions.
Recording and Video Devices:
Recording and video devices may be used with permission of the instructor during instructional or lecture oriented class times only. Recording and video devices are prohibited during pre and post test review sessions.
American Disability Act:
Academic accommodations, if reasonable and appropriate, are provided to students with a documented permanent or temporary physical, mental, or sensory disability. Students with disabilities are strongly encouraged to contact Disability Services prior to enrollment if they have any type of disability that impacts

P a g e | 22 their academic performance. There is no minimal or baseline disability that one must have to receive services.
Support services are available for enrolled students and those planning to enroll. If you need classroom accommodations because of a disability or if you need to share emergency medical information, contact the instructor as soon as possible. Accommodations require documentation from the NSCC Educational
Access/Disability Services Office at the beginning of the quarter. http://www.northseattle.edu/services/disability/
College Closure: If conditions necessitate delay or cancellation of day classes, notification on radio and television stations will begin as soon as conditions on campus can be evaluated. A closure decision is based on conditions at the main campus or a specific off-campus site adversely impacted.
General Disclaimer:
The lead instructor 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 communicated to the students in writing as soon as is practical. Students are responsible for all changes once they have been communicated in writing. For additional information, consult the Practical Nursing and Licensed Practical Nurse to Registered Nurse Ladder
Programs Student Handbook.
Student Support Services
Please refer to the Student Handbook and/or College Website for a complete list of support services and additional details on the following resources.
Academic Advising: http://www.northseattle.edu/enroll/advise/
Counseling Services: http://www.northseattle.edu/services/counseling/index.htm
Counseling Services: Emotional/Academic Self Help
This site provides publications on Time Management, Stress Management, Dealing with Depression, Ways to
Approach Decision Making, Dealing with Perfectionism, Study Skills, Study Tips for the First and Second
Week of Classes, How to Prepare for Exams, and Strategies for Oral Participation for Students Who Feel
Uncomfortable Speaking in Class http://www.northseattle.edu/services/counseling/selfhelp.htm
Counseling Services: Career Counseling
This site provides publications on Building Your Resume, Writing Your Cover Letter, Interview Resources and
Resume Banks http://www.northseattle.edu/services/counseling/jobsearch.htm
Disabilities Services: This site provides information on types of disability services available, including academic accommodations, and how to receive service. http://www.northseattle.edu/services/disability/index.htm
Financial Aid: This site provides information on student aid eligibility, types of aid available, and policies/guidelines for federal, state and institutional programs. http://www.northseattle.edu/enroll/finance/
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s
Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s Employment & Training
Administration.

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The Loft Writing Center: The Loft offers free assistance with any reading, writing, listening or speaking assignment. The loft has a computer lab and tutors on site. http://www.northseattle.edu/services/loft /
Clinical Assignments:
Assignments will be graded and returned to you. Clinical assignments will be scored using the same scoring system as the clinical evaluation tool (0-4). Clinical assignments will also be used as input when grading the other clinical objectives on the evaluation tool. Late clinical assignments will not be accepted. Examples of assignments will be provided and discussed at clinical orientation.
1) Patient Assessment Sheet/Medication Tool (One set per patient each week): Completed sheets are due each week of clinical, beginning Week 2 (Day 3). The Medication Tool must be completed before medication pass for your patient. Any change in assessment must be documented and dated. All treatments and procedures should be documented on the Patient Assessment Sheet. Comprehensively, these sheets are intended to assist the practical nursing student in using the nursing process and critical thinking skills to develop an understanding of patient care. They focus on the rationales that support reasoning for assessments and interventions. The assessment sheet should reflect your understanding of the patient's condition, the nursing process and the plan of care as it relates to the patient. The assignment must be hand delivered to the instructor at clinical each week.
2) Patient Care Plan: One 3-problem Care Plan is due day 7 of Clinical: Instructions for Care Plan will covered at Post conference on first day of clinical.
3) Learning log/reflective journal - Due each week beginning Week 2 (Day 3):
Reflective Journal/Learning Log may be handwritten or typed. If handwritten must be in black ink and legible.
Keeping a reflective journal allows you to reflect on your clinical experiences, and document progress of your learning throughout the quarter. It includes reflecting on experiences and data that have been pertinent or helpful in your clinical practice. Guided reflection assists you to reflect on the clinical experience in order to become increasingly effective in the application of theory to practice. The reflective journal provides a window into your experience. Directions for reflective journaling will be discussed Day 1 of clinical.
Expectations on Patient Assignments:
Each student is to introduce him or herself to their assigned patient and/or family member and obtain the patient’s verbal consent to be their nursing student. If the patient and/or family refuse, please notify your instructor.
Students should identify themselves promptly to the co-assigned LPN/RN and get report on their patient(s). It is your responsibility to let the instructor and LPN/RN know what you can and cannot do for your patient. It is also your responsibility to let your instructor and LPN/RN know when to be present or help with anything and what is happening with your patient and your progress in providing care throughout the shift. DON’T WAIT
FOR THE INSTRUCTOR/LPN/RN TO COME TO YOU!
Procedures, Treatments & Medications:
Students are expected to notify instructor of all upcoming procedures, treatments and medications due for assigned patients. Students will perform procedures and treatments with either the instructor or the nurse assigned to the patient. Students should NOT perform any procedure/treatment independently without first obtaining permission from the instructor. Failure to do so will result in immediate dismissal for the day and disciplinary action. Medications may ONLY be administered to assigned patients after reviewing each medication with instructor and receiving permission to administer medications. You should be prepared to discuss each medication in detail, including: classification; purpose of medication; side effects; and nursing considerations. In addition, you must demonstrate knowledge of the medication administration process.

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You will only be allowed to administer meds after adequately preparing and demonstrating knowledge of the patient’s meds, the use, actions and side effects to instructor.
Lunch/Breaks/Off-unit Activities:
The student must inform the RN/LPN and Instructor when leaving the patient care area and upon returning to the area. The following situations may require a student to leave the area:
1.
Breaks/Lunch
2.
Assisting another student in another area of the unit
3.
Accompanying a patient to a test/procedure
4.
Errands that require the student to go off the unit
5.
Conferences with the instructor
Please stay in assigned patient care area. Otherwise you are unable to determine if your patients’ call lights are on or if you are needed by your assigned patients
Note: Please respect this patient population religious belief of preparing and eating kosher foods. The nursing home requests that you store your food/drinks and eat your sack lunch in the staff lounge. Following this request will help us respect the residents’ religious beliefs. The staff lounge has vending machines for soda, chips and candy. Please bring a sack lunch and snacks to clinical.
Reporting Changes in Patient Status:
The student must report these changes to the instructor first! The student must page or report the following changes in a patient's status to the instructor and the LPN/RN:
1.
2.
Transfer of patient to another unit/facility
Discharge of patient from facility
3.
Significant changes in a patient's condition

Change in vital signs (Temp., RR, HR, BP, and O2 sat)

Change in mental status

Patients that is symptomatic. Symptoms may include; chest pain, shortness of breath, nausea, vomiting, diaphoresis, and hypotension.

No output or output less than 240ml in 8 hours
You must report (without exception):
HR
SBP less than 60 or more than 100 less than 100 or more than 140
(Or 20 points above or below the patient’s baseline) less than 60 or more than 90 DBP
RR less than 14 (geriatric) or more than 24
O2 Saturation equal to or less than 92% or respiratory distress
Temperature less than 97.6F or more than 100F
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s
Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s Employment & Training
Administration.

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RBR Documentation of Patient Care (See Clinical evaluation summary):
Vital Signs sheet: Vital signs
Nursing Progress notes: O2 Saturation, patient on room air or O2 in Liters
Pain sheet:
I and O Sheets:
Medication Sheet:
Treatment Sheet:
Head to toe assessment
Pain Assessment
Input: Amount patient drank and meals percentage ate
Output: Emesis, Urine and Bowel Movements
Blood glucose results and medications administered
Activity of Daily Living, care delivered
Wound measurements and dressing changes
Procedures completed
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 instructors 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 and 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.
_____

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NORTH SEATTLE COMMUNITY COLLEGE
NEO 112: CLINICAL NURSING PRACTICE
CLINICAL EVALUATION SUMMARY
STUDENT ______________________________INSTRUCTOR ________________________ LOCATION
DATES: FROM ____________________ TO __________________
ABSENCES ______________________ TARDIES ___________________
Clinical Day:
CLIENT CARE:
1 2 3 4 5 6 7 Average
SAFETY
INFECTION CONTROL & UNIVERSAL PRECAUTIONS
PREPARATION
SKILLS APPLICATION
PRIORITIZATION& ORGANIZATION
NURSING PROCESS:
HEALTH ASSESSMENT
PROBLEM IDENTIFICATION & NURSING DIAGNOSIS
PLANNING &IMPLEMENTATION
RELATING INFORMATION
EVALUATION & FOLLOW-UP
DOCUMENTATION:
DOCUMENTATION OF PATIENT DATA & CARE
ASSIGNMENTS & CLINICAL DAILY SHEETS
COMMUNICATION:
COMMUNICATION SKILLS
FEEDBACK
PROFESSIONAL BEHAVIOR:
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

PROFESSIONAL BEHAVIOR
& RESPONSIBILITY
______________
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)
NORTH SEATTLE COMMUNITY COLLEGE
NEO 112: CLINICAL EVALUATION OBJECTIVES
EVALUATION OBJECTIVES
I. CLIENT CARE:
SAFETY
DESCRIPTION
INFECTION CONTROL &
UNIVERSAL PRECAUTIONS
Demonstrate safe patient care for older adults
Maintain a safe environment for self and patients.
(Examples: side rails up, bed low & locked, transfers, fall prevention, patient identification, rights of medication administration, disposal of sharps)
Demonstrate understanding of infection control and universal precautions in delivery of patient care for older adults
Adheres to infection control precautions. Applies appropriate PPE for care and procedures.
Demonstrates competency in use of aseptic & sterile technique for care and procedures. Disposal of waste in accordance to facility policy and procedure.
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PREPARATION
SKILLS APPLICATION
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Demonstrate beginning understanding of data gathering for the older adult patient
Research patient diagnoses, medications, treatments, labs. Review medical record for patient history, labs, medications and physician orders. Review skills manual and/or facility policy and procedure prior to treatments and procedures. Review physician order and gather supplies for treatments and procedures.
Demonstrate competency in skills for older adult patients
Practice and Demonstrate competency in basic skills and procedures learned in NUR 117.
Performs skills and procedures with attention to patient safety.
Demonstrate beginning prioritization & organization of care for the older adult patient
Plan care for the shift; Adjust plan of care as needed; Prioritize tasks and care for 1 assigned patient; Seek assistance as needed. Complete care and documentation for assigned patient in timely manner. Collaborate with members of the health care team to meet patient needs.
PRIORITIZATION &
ORGANIZATION OF CARE
HEALTH ASSESSMENT
PROBLEM IDENTIFICATION &
NURSING DIAGNOSIS
PLANNING &
IMPLEMENTATION
RELATING INFORMATION
Demonstrate beginning understanding of health assessment of older adult
Complete head to toe physical assessment of assigned patient. Collect patient history data from medical record and/or patient. Perform psychosocial assessment. Review lab work and diagnostic test results. Compare assessment findings to patient baseline.
Demonstrate beginning understanding of problem identification of older adults
Identify significant patient problems and provide nursing care that reflects an understanding of those problems. Identify at least two significant nursing diagnoses for assigned patients. Write
NANDA nursing diagnoses in correct format.
Demonstrates beginning understanding of planning and implementation of care for older adults
Reviews plan of care and implements interventions and basic nursing care to assist assigned patient in meeting outcomes.
Demonstrate use of quantitative reasoning processes to understand, analyze, interpret and solve problems of older adults
Access, evaluate and apply information from a variety of sources and a variety of contexts.
Identify significant and relevant assessment findings and relate these to the plan of care and implementation of interventions.
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

EVALUATION & FOLLOW-UP
II. DOCUMENTATION
DOCUMENTATION OF PATIENT
DATA & CARE
Demonstrate beginning understanding of evaluation of older adult patient health status and response to interventions
Identify and follow up with abnormal physical assessment findings. Identify and follow up with abnormal vital signs, lab and/or diagnostic test results. Evaluate and follow up with patient response to treatments and interventions.
CLINICAL DAILY SHEETS &
ASSIGNMENTS
III. COMMUNICATION
COMMUNICATION SKILLS
Demonstrate beginning understanding of documentation of care of older adults
Document holistic care of the older adult within the scope of the practical nurse. Document relevant patient assessment data, nursing care, medications and treatments objectively and accurately in patient charts (paper and/or electronic). Document data in timely manner and according to facility policy and procedure.
Demonstrate daily clinical sheets accurately
Assignments and clinical daily sheets are completed according to instructions and turned in to instructor on due date. Assignments and clinical daily sheets are detailed and thorough showing evidence of understanding the patient condition, medications, treatments, labs and nursing care)
Demonstrate effective communication with older adult patients and the health care team
Reports changes in patient health status, abnormal vital signs, lab values and assessment findings to nurse preceptor and clinical instructor in a timely manner.
Use effective interpersonal communication skills with patients, families and members of the health care team.
Provide education to patients, families and members of the health care team with focus on health promotion.
Identify patients’ health beliefs, knowledge level, and learning styles and incorporate these into the provision of education.
Deal constructively with information, ideas, and emotions associated with such issues of diversity and conflict as culture, ethnicity, race, gender, religion, age, sexual orientation and abilities.
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FEEDBACK
IV. PROFESSIONAL BEHAVIOR
& RESPONSIBILITY
PROFESSIONAL BEHAVIOR
& RESPONSIBILITY
P a g e | 30
Seek, accept and utilize feedback to improve professional behavior and skills
Respond positively to staff and/or instructor feedback and exhibit recommended behaviors.
 Response to feedback is positive & part of recommended behaviors exhibited (-1 point)

Response to feedback is negative & part of recommended behaviors exhibited (negative compliance) (-2 points)

Response to feedback is positive or negative but recommended behaviors not exhibited
(zero points)

Response to feedback is hostile or aggressive behavior is exhibited (zero points)
Demonstrate and exhibit professional behavior in the learning environment
Adhere to established policies of the NSCC nursing program and of the clinical facility. (EX:
Dress code; Confidentiality (HIPPA); Attendance & punctuality; Professional behavior; Student responsibilities & limitations). Accept responsibility for own actions and behaviors. Holistically care for self, others and community within an ethical, legal and diverse framework within the scope of practice of the LPN.
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

P a g e | 31
NORTH SEATTLE COMMUNITY COLLEGE
Directions: Each of the clinical objectives is scored on each clinical day using the following point scale*
NEO 112 EVALUATION TOOL SCORING
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 (objective) 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 (Objective). Student is unable to perform previously or newly learned tasks and is unable 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.

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NORTH SEATTLE COMMUNITY COLLEGE
NEO 112 CLINICAL EVALUATION
This is the final evaluation for NEO 112.
NEO 112 FINAL 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:
The Seattle Community Colleges are an equal opportunity employer/program. Auxiliary aids and services are available upon request to individuals with disabilities. This project was funded in part by a grant awarded under the President’s Community-Based Job Training Grants, as implemented by the U.S. Department of Labor’s
Employment & Training Administration.

Revision 1/4/2011
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