HOUSTON COMMUNITY COLLEGE-COLEMAN CAMPUS ADN PROGRAM RNSG 1105 NURSING SKILLS I Nursing Faculty: Professor Brenda.mcdaniel, PhD., RN-C Email: Brenda.mcdaniel@hccs.edu Office Phone 713-718-7494 Office Hours: As Posted Suite 359 RM. 302 Spring 2015 CRNs #41756, #41754 Hours: 9:00 AM – 12:00 PM Wednesday’s Lab 371 J. B. Coleman College of Health Sciences 1900 Presser Street Houston, TX 77070 COURSE NAME/NUMBER: RNSG 1105 SEMESTER AND YEAR OFFERED: CREDIT HOURS/CONTACT HOURS: Spring, 2015 3 PREREQUISTIES: RNSG 1413 Nursing Foundations RNSG 1360 Foundations Clinical RNSG 1115 Health Assessment COREQUISITES: RNSG 1441- Common Concepts of Adult Health RNSG 2360-Clinical Nursing RNSG 2231- Management of Client Care REQUIRED TEXTBOOKS: 3rd Ed. Taylor’s Clinical Nursing Skills – A Nursing Process Approach Evolve Nursing Skills Online Videos or Taylor’s Clinical Nursing Skills Videos COURSE DESCRIPTION: Study of the concepts and principles essential for demonstrating competence in the performance of nursing procedures. Topics include knowledge, judgment skills, and professional values within a legal/ethical framework. STUDENT LEARNING OBJECTIVES AND OUCTOMES: At the completion of the course, students will be able to: 1. Explain the nursing actions which are the basis for safe, competent nursing care and the underlying principles of each competency in a given unit of instruction. 2. Demonstrate the understanding of scientific and ethical principles by satisfactory performance of each evidence-based practice competency. 3. Apply Cognitive Knowledge in the successful completion of required competencies. 4. Demonstrate the ability to critically think, consider the multiple needs of the patient, and prioritize care while performing each competency. XVI. SCANS – AREAS OF COMPETENCY The U.S. Department of Labor Secretary’s Commission on Achieving Necessary Skills (SCANS) to enter the workplace has determined that a total of 43 competencies must be addressed and method(s) of determining competency listed: Six competencies are assigned to RNSG 1105: Use Information Skills: # 8 – Maintain information Obtains data regarding client’s current medical/surgical history, physical assessment, diagnostic / lab tests and transforms this information into a different format in order to organize the data. a. Nursing Process / Nursing Care Plan # 10 – Communicate information Analyzes information and communicates the results to others using oral and written methods. Competently performing the tasks of communicating and interpreting information to others includes determining information to be communicated; identifying the best methods to present information. a. Formative Evaluation Tool b. Summative Evaluation Tool c. Nursing Process / Nursing Care Plan Use Technology # 23 – Select technology Judges which set of procedures, tools, or machines will produce the desired results. Demonstrating competence in selecting technology includes determining desired outcomes and applicable constraints; visualizing the necessary methods and applicable technology; evaluating specifications; judging which machine will produce the desired results. a. Skills Competency Exam b. Clinical Skills Practicum c. Formative Evaluation Tool d. Summative Evaluation Tool # 24 – Apply technology Understands the overall intent and proper procedures for setting up and operating machines. Demonstrating competence in how to apply technology to task including understanding how different parts of machines interact and setting up machines efficiently to get the desired results; accurately interpreting machine output and detecting errors. a. Skills Competency Exam b. Clinical Skills Practicum c. Formative Evaluation Tool d. Summative Evaluation Tool SCANS con’t # 25 – Maintain Technology Prevents, identifies, or solves problems in machines, computers, and other technologies. Demonstrates competence in maintaining and troubleshooting technology; detects serious problems, and recognizes when to get additional help. e. Clinical Skills Practicum f. Formative Evaluation Tool g. Summative Evaluation Tool Display Appropriate Personal Qualities # 42 – Display self-management skills Assesses own knowledge, skills, and abilities accurately; sets well-defined and realistic personal goals; monitors progress toward goal attainment and motivates self through goal achievement; responds to feedback unemotionally and non-defensively. a. Weekly Formative Evaluation Tool b. Summative Evaluation Tool c. Student Self-Evaluation Form in Nursing Process / Nursing Care Plan Instructional Methodology Flip teaching (or flipped classroom) is a form of blended learning in which students learn new content online by watching Evolve Nursing Skills Online Videos, Taylor’s Clinical Nursing Skills Videos or You Tube videos, usually at home, and what used to be homework (assigned problems) is now done in class with teacher offering more personalized guidance and interaction with students, instead of lecturing. This is also known as backwards classroom, reverse instruction, flipping the classroom and reverse teaching. The student will learn new content online by reading and viewing assigned procedural/skill videos at home prior to attending class. The student will come to class with questions about the content, and be able to dialogue and participate in interactive activities (psychomotor concepts) that will reinforce cognitive concepts. RNSG 1105 is arranged in a way that facilitates knowledge learned at home by allowing students to clarify concepts, and apply concepts utilizing psychomotor skills. 4 RNSG 1105 NURSING SKILLS I Progress Assessment and Grading Skills Quizzes: Online (Moodle) 50% Competencies: Skills Practicum 50% Grading Scale A= 90-100 B= 80-89 C= 75-79 D= 60-74 F= below 60 Evolve Skill Assessment Videos, will be utilized along with the Taylor’s Skills Book and Videos for this course. The Skills Lab Instructor will demonstrate procedures during the class time. Lesson Chapters from Taylor’s Clinical Nursing Skills Book: (See Attached Course Calendar) 1. Review Head-to-Toe Physical Assessment and CPM/SCDs: Chapter 2 and Chapter 9 2. Medication Administration and Lab Diagnostics: Chapter 5 and Lab Diagnostics Information per Instructor 3. Non-Parenteral Medication Administration: Chapter 5, Skills 5-15 to 5-25 4. Medication Administration Injections: Chapter 5, Skills 5-6 to 5-8 5. Venipuncture and Blood Glucose Testing: Chapter 18, Skill 19-9; Blood Glucose, Chapter 18, Skill 18-3 6. Airway Management: Chapter 14, Skills 14-1 to 14-4 7. IV Insertion and Hep Lock: Chapter 15, Skill 15-1; Hep Lock, Chapter 5 Skill 5-14 8. IV Fluid Administration and IV Pumps: Chapter 15, Skills 15-1 to 15-4 9. Enteral Nutrition : Chapter 11, Skills 11-2 to 11-5 10. Urinary Catheterization: Chapter 12, Skills 12-6 to 12-8 11. Wound Care: Chapter 8, Skills 8-1 to 8-10 5 RNSG 1105 NURSING SKILLS I Ostomy Care: Chapter 13, Skills 13-6 to 13-7, pgs. 681 - 693 QUIZZES THERE ARE POST QUIZZES AT THE END OF EACH WEEK’S SKILL. EACH STUDENT MUST COMPLETE EACH POST QUIZZ WITH A MINIMIUM GRADE OF 75. THE QUIZZES WILL COMPRISE INFORMATION FROM THE TAYLOR’S BOOK, VIDEOS VIEWED, AND INFORMATION DISCUSSED/PROVIDED BY THE CLASS INSTRUCTOR. THE QUIZZES WILL BE SCHEDULED ON MOODLE: THERE WILL BE 10 QUESTIONS PER QUIZ. THE QUIZ WILL BE AVAILABLE FOR 24 HOURS (8:00 PM ON WEDNESDAYS TO 8:00 PM ON FRIDAYS). THE STUDENT WILL HAVE 15 MINUTES TO COMPLETE THE QUIZ. THERE WILL BE A MATH QUESTION WITH MOST OF THE QUIZZES. You will see the message below at the beginning of each quiz; please pay attention before starting. When taking the quiz, you must move forward ONLY using the green "next" button on the screen to your left; you are not to click on the back button on the browser and do not use the quiz navigation numbers to the right of the screen to skip ahead, for if you do, you will be locked out of the quiz and your score will be affected. I will not accept any calls or adjust scores relating to the quizzes, if the instructions are not followed. You only have 15 minutes to take the entire quiz. Dr. Callahan 6 RNSG 1105 NURSING SKILLS I POLICIES AND PROCEDURES SPECIAL NEEDS – COMPLIANCE WITH AMERICAN WITH DISABILITIES ACT (ADA) Any student with a documented disability (e.g. physical, learning, psychiatric / mental health, visual, hearing, etc.) who needs to arrange reasonable accommodations must contact the Disability Services Office at their respective college at the beginning of each semester. Faculty is authorized to provide only the accommodations requested by the Disability Support Services Office. If a student has a disability or needs instructional accommodation due to a disability, please meet with the instructor at the beginning of the course. Documentation must be provided at this time with an official letter of accommodation. The information in this publication will be made available in large print, taped or computer–based format upon request. Students with special needs should refer to the procedure identified in the HCCS Student Handbook. The procedure may be started with a phone call to the Coleman College Disabilities counselor. ATTENDANCE AND TARDINESS It is important that you are present each time the class meets. A student who exceeds the allowed absence of six (6) hours can be administratively dropped from the course and would not be allowed to progress in the ADN program. See ADN hand book for specific attendance policy. 7 RNSG 1105 NURSING SKILLS I Students are responsible for notifying faculty of absences prior to the scheduled time for class. Students are expected to follow guidelines provided by individual courses or levels. Discussion with your course faculty member should occur prior to any anticipated absence such as illness or crisis in the family or death of a close family member. Students who are either pregnant or have become pregnant during their clinical rotation must submit documentation from their physician to assume full duty in clinical. A student who is thirty or more minutes late may be marked absent for skills lab; however, it is the faculty’s discretion that will determine if the student is allowed to stay for the day. TESTING PROTOCOL 1. The instructor has the option of seating arrangement, movement, leaving the room, and stopping an exam. 2. All books, papers, notebooks, and personal belongings will be placed away from the desk before testing begins. All personal electronic devices must be turned off. 3. Any verbal or nonverbal communication between students during a testing situation will be grounds for the termination of the testing. A grade of zero will be recorded and averaged into the final grade. 4. Should a student need to communicate with the instructor, remain seated and raise hand. 8 RNSG 1105 NURSING SKILLS I 5. Any infractions of scholastic honesty will be grounds for dismissal from the program. REMEDIATION If a student needs remediation, an appointment may be made with an instructor during their designated office hours. Faculty office hours will be posted outside faculty offices. Remediation will be available to any student enrolled in RNSG 1105 who expresses the need for this service. It is expected that the student will make an appointment at least one week ahead of time and come to the session prepared. Student responsibilities include bringing textbook, course calendar, lecture notes, questions or topics for discussion and are to follow through with all instructor-made assignments. Students may receive extra assignments to facilitate their learning. Successful remediation necessitates an active role for both students and faculty. EARLY ALERT SYLLABUS STATEMENT The Houston Community College Early Alert program has been established to assist in the overall effort to retain students who are at risk of failing, withdrawing, or dropping a course. This process requires instructional faculty and student support staff to identify students who are performing poorly as early as possible and provide relevant support services to help students overcome their deficiencies. 9 RNSG 1105 NURSING SKILLS I A student is identified when an instructor notices academic or personal difficulties that affect student’s academic performance. The possible problem (s) could be tardiness, missed/failed test scores, excessive absences, or a number of other circumstances. Once a referral is made counselors will then contact students to discuss the issues and possible solutions to their academic difficulties. POLICIES All students will adhere to HCCS policies as delineated in the current HCCS Catalog and A.D.N handbooks. ACADEMIC INFORMATION Students are responsible for reading the Houston Community College System Student Handbook to be certain that they understand HCCS policies/procedures which also includes refunds and withdrawals from a course. Students who repeat a course three or more times may soon face significant tuition/fee increases at HCC and other Texas public colleges and universities. Please ask your instructor/counselor about opportunities for tutoring/other assistance prior to considering course withdrawal, or if you are not receiving passing grades. A.D.N. HANDBOOK All students are responsible for reading the Associate Degree Nursing Program Student Handbook. 10 RNSG 1105 NURSING SKILLS I PROFESSIONAL BEHAVIOR Students are to remain quiet during class time. Should a student need to ask a question or communicate with the instructor, the student is to raise their hand. Students should refrain from interrupting when someone is speaking. Any student disrupting the class may be asked to leave the classroom at the discretion of the instructor. In consideration of others and of safety, no children are to be brought to the lab skills area or to the classroom. Frequently, the content presented in the classroom is inappropriate for children. Please be aware that children are distracting to other students trying to take notes or exams. Students must abide by the appropriate standards of conduct identified in the student hand book including language and professional behavior. Students are to report to Skills Lab in the appropriate lab attire: Black uniform pants and black top, and clinical white shoes. Students are to bring clinical tools to skills lab: stethoscope, scissors, pen light, and watch with second-hand. All cell phones and other digital devices that may ring or make loud sounds are to be turned off when in the lab. 11 RNSG 1105 NURSING SKILLS I THE FLIPPED CLASS ROOM CONCEPTUAL FRAMEWORK FOLLOWS 12 RNSG 1105 NURSING SKILLS I 13 RNSG 1105 NURSING SKILLS I 14 RNSG 1105 NURSING SKILLS I RNSG 1105 Syllabus Acknowledgment I ______________________________________ acknowledge that I have reviewed the syllabus for RNSG 1105 and I am fully aware of my expectations as an HCC- Coleman College Student. I agree to uphold the honesty policy as outlined in the ADN handbook and follow the guidelines as indicated. Student Name ______________________________ (Printed) Signature ______________________________ Date _______________________________ 15 RNSG 1105 NURSING SKILLS I