Title: NSG 101 NURSING PRACTICE I FACULTY: Linda McCown, RN, BSN Office: 251C, A/T Bldg., 769-2371, Ext. 68488; or 706-8488 Hours: Posted on office door Home Phone #: (270) 351-4835 Linda.McCown@kctcs.edu 9 CREDITS Rebecca Owens, RN, MSN Office: 255G, A/T Bldg., 769-2371, Ext. 68516; or 706-8516 Hours: Posted on office door Home Phone #: (270) 369-8414 Rebecca.Owens@kctcs.edu Course objectives and assignments are subject to revision at the discretion of the instructor(s). Dates are subject to change. COURSE DESCRIPTION: Nursing practice is studied using functional health patterns within the context of the contemporary health care delivery system. Areas of emphasis include foundation knowledge of nursing practice, skills acquisition, and the care of the clients with health perception-health management, value-belief, and rest-sleep dysfunctional health patterns. LECTURE: 5 hours LABORATORY: 12 hours PREREQUISITES: Admission to the Associate Degree Nursing Program; successful completion of a 75-hour nurse assistant/aide course or equivalent; BIO 137 and MT 110 or MT 150 or higher with a grade of “C” or better; PY 110 or PSY 100. Prior to or concurrent: ENG 101, BIO 139 with a grade of “C” or better, Computer Literacy. A cumulative GPA of 2.0 or better must be maintained in order to progress in the A.D.N. program. COURSE COMPETENCIES: Upon completion of this course the student can: 1. Use Gordon’s functional health patterns as a basis for assessment with emphasis on the adult and gerontologic client; 2. Perform identified foundation nursing skills according to critical criteria; 3. Identify and apply the nursing process to clinical decision making and the management of care for one client experiencing dysfunctional health patterns in each clinical experience. 4. Utilize basic communication techniques with clients and members of the health care team; 5. Recognize caring behaviors in self and others; 2 6. Demonstrate a beginning knowledge of professional behaviors as identified by the standards of nursing practice; 7. Identify and respond to situations that require basic knowledge of teaching and learning strategies; and 8. Recognize and report situations that require collaboration with the client and other members of the health care team. TEACHING METHODOLOGY: Lecture Physical Assessment Partners Demonstration – Return Demonstration Clinical Conferences Supervised clinical experiences Outside clinical experiences Books, periodicals, and workbooks Web-enhancement (Blackboard) Functional Health Patterns Notebook Role-playing Quizzes - Exams Discussions Guest Speakers Problem-Based Learning Audio-visual aids Group Project Pharmacology Notebook SKILLS/ACTIVITIES: *Safety Practices *Standard Precautions (Body Substance Isolation) *Physical Assessment *Administration of Medications *Teaching-Learning - Breast Self-Examination - Testicular Self-Examination - Chronic Disease Self Care - Perioperative Concepts *Surgical Asepsis - Dressings - Catherization *IV Maintenance Oxygen Administration Glucose Monitoring *Management of Care Cold Application Heat Application ___________________________________ *(Requires individual faculty check-off) 3 Welcome to KCTCS eLearning! Access your online courses at www.elearning.kctcs.edu Now you can use the same userid and password for email, PeopleSoft AND ONLINE COURSES! If you do NOT have an account, visit http://www.kctcs.edu/distancelearning/createaccount.htm 4 CLINICAL FACILITIES: Facilities may include ECTC Lab, area hospitals, nursing homes, health departments, clinics, physicians’ offices, adult day care and other community resources. Not all students will have exactly the same experiences but through sharing in class and during post conferences, students should have an opportunity to gain an overall understanding of the concepts involved in NSG 101. ATTENDANCE POLICY: 1. Clinical/lab experiences in the nursing program are extremely important. Absences, regardless of cause, must be made up. Students are to arrange with the clinical instructor to make up the missed clinical within 24 hours of the absence. (College lab is clinical time.) A student cannot miss more than two (2) days of clinical time per semester. Should a student be dismissed from clinical due to lack of preparation, the entire clinical day will be counted as an absence. If a student is absent from clinical more than two (2) times he/she must appear before a nursing committee to explain the circumstances of his/her absences in order to continue in the program. Any absences in excess of two will result in a grade of E or W at the discretion of the instructors in the course in which the student is enrolled, unless the absence committee determines the student may remain in the course. The student and the committee must meet within one week of the student’s return. The committee will consist of one member representing each team and the Coordinator. The student must write a letter to the Coordinator explaining all absences. All clinical time must be made up before the student may take the final exam. The nursing faculty reserves the right to make exceptions to the above policy based on extreme extenuating circumstances to include but not limited to the death of an immediate family member or pregnancy. (A.D.N. Program Policies in the A.D.N. Student Handbook, p. ____.) The student will recognize that tardiness is considered to be any time period of up to 15 minutes after pre-conference or the clinical day/college lab has begun. Tardiness of three times during a semester will constitute an absence. If the student is 15-30 minutes late, the instructor reserves the right to make the determination as to whether he or she will be allowed in the clinical area. The student will not be allowed to remain in the clinical area if he or she is tardy past 30 minutes. When clinical time has been assigned to the college lab, tardiness past 15 minutes will be counted as a clinical absence and the student will be given a referral that may be double the time missed but not to exceed the total number of hours scheduled for the lab that day. (A.D.N. Program Policies in the A.D.N. Student Handbook, p. ____.) 2. Classroom attendance: Attendance at all scheduled classes is highly recommended. In case of absenteeism, the student is expected to obtain and be responsible for all class content. It is recommended to obtain all missed content from other students. No allowances will be made regarding assignments which are late due to absenteeism. There will be no make-up quizzes. 5 Student’s responsibilities in the classroom include: 1. Read the syllabus. 2. Study the reading assignment prior to each class. 3. Access and utilize content from Website. 4. Hand in written work on time. Any written work handed in after the due date may be penalized one letter grade for each day late. 5. Participate in classroom discussion. 6. View audiovisual materials outside of class. Due to the limited lecture time, it may be necessary to view films outside of regular class time. 7. Make arrangements with the instructor for help if the student feels he/she is not comprehending the material. 8. Read selected articles from the bibliography to enhance understanding of the material presented. 9. No tape recorders, cellular phones and/or pagers will be allowed in the classroom, lab, or clinical. Because of the classroom design and arrangement, it is very disruptive for other students and the instructor when you come in late. Please be considerate of others and make every effort to be on time for class. The classroom, clinical settings, and the nursing lab are the places where most of the students’ formal nursing instruction takes place. It is important that the environment in each of these areas be conducive to learning. It is the faculty’s belief that the rights of all students, staff, and patients must be preserved. Predicated on these two points, the faculty reserves the right to ask a student who is disruptive and displaying an attitude not consistent with professional standards, or impaired, to leave the classroom, lab or hospital until an understanding can be reached regarding the demonstrated behavior. Refer to A.D.N. Student Handbook, p. ____. GRADE DETERMINATION: A. Methods of Evaluation for Theory: 1. Scheduled exams and a comprehensive final examination may include both theoretical and practical application of material. Most exams will consist of multiple choice or matching items. Occasionally, exams will contain short answer, fill-in, true-false, or essay questions. Unless otherwise indicated, answer sheets will be completed using a #2 pencil. 2. If a student misses a unit exam, he/she must notify the instructor prior to the assigned exam time. “Missed” exams will be given at the end of the semester and/or at the instructor’s discretion. Arrangements will be made with the individual 6 instructor. Instructors reserve the option to administer make-up exams through the Assessment Center in the Regional Postsecondary Education Center Building. 3. The instructor reserves the right to give quizzes on assigned readings. If a student is absent, the quiz grade will be recorded as “0.” There are no make-up quizzes. 4. Final Theory grade will be determined by: Scheduled Exams Final Exam Quizzes/Projects Total Points Points A = 1080- 1200 B = 996- 1079 C = 936- 995 D = 852- 935 E = 851 & below 900 points 200 points 100 points _________ 1200 points (90%- 100%) (83%- 89%) (78%- 82%) (71%- 77%) (Below 71%) 5. Withdrawal Policy: From the end of the drop/add period through the official midterm date for the nursing course, a student may withdraw from the course and receive a “W.” From the first day after midterm until the last day of course work of the session, a student may, at the instructor’s discretion, withdraw from a course, and the instructor may assign a grade of “W.” The student must initiate the official withdrawal. No grade will be reported for a student who withdraws by the last day to drop without a grade. 6. See KCTCS Code of Student Conduct and A.D.N. Student Handbook, p. ____ (A.D.N. Program Policies) regarding cheating, plagiarism, and personal conduct. Faculty and students at Elizabethtown Community and Technical College are bound by principles of truth and honesty that are fundamental for an educational community. Information about academic rights and academic offenses and the student’s right to appeal is located in ARTICLE II ACADEMIC POLICIES AND PROCEDURES (2.1 – 2.9) in the KCTCS Code of Student Conduct (revised June 2002) available at www.elizabethtown.kctcs.edu. MATH COMPETENCY: The faculty believe that an integral part of drug therapy and safe nursing practice is competency in math. Thus it has been determined that each student must complete a math mastery exam with 100% accuracy. Students who do not accomplish math mastery will receive a letter grade of “E” in the nursing course. There will be a maximum of five attempts (tests) in each of the following nursing courses: NSG 101, NSG 202, NSG 203, and NSG 204. The math exams will be given as scheduled on syllabus calendar. There will be a maximum of five attempts (tests) to complete a math mastery exam with 100% accuracy in Nursing 101. A student is allowed to miss one scheduled math exam and be allowed 7 to make up an exam. Any further absences will be recorded as a “0” and no make-up exam will be allowed. A.D.N. Math Competency Exam Rules Elizabethtown Community and Technical College 1. Leaving the room for any reason during the test will constitute a failure of that math exam. 2. Once the test is turned in to the monitor, you may not modify the answers in any manner. 3. Only calculators provided by the instructors are allowed. 4. Scrap paper issued during the exam will be turned in at the end of exam. 5. Only the answer written in the designated space for each question will be graded. 6. Multiple answers in the designated space will be counted incorrect. 7. Correct labels (i.e. mg, mL) are required to make the answer complete. 8. Round math calculations to no fewer than hundredths during the calculations (i.e. 3.557 = 3.56) and to no fewer than tenths for the final answer (i.e. 3.67 = 3.7, 3.64 = 3.6) unless otherwise specified in the individual question. Do not round to whole numbers. 9. When calculating mL/hr or gtts/min, you can give the answer: a) as a range with no more than one whole number increments, or b) as an exact mathematically correct answer. B. Clinical Entrance Requirement: Because safe clinical practice is dependent on an adequate theoretical knowledge base, students are required to demonstrate a passing grade of 78% (C) in Theory before having contact with patients in a clinical setting. Students who have not obtained 78% (C) in the Theory portion of NSG 101 will be allowed to attend the initial facility orientation but will not be allowed patient contact. Students will not be allowed in the clinical area after the initial facility orientation until a passing grade of 78% is obtained. The ADN program student attendance policy will apply. CLINICAL EVALUATIONS: C. Methods of Evaluation for Clinical: In order to receive a passing grade for NSG 101, the student must be satisfactory in the clinical portion of the course. The clinical portion consists of both an essential skills evaluation and a clinical performance evaluation. 8 The essential skills for NSG 101, which are identified in the syllabus, will be assigned dates for check off. In order to perform skills in a satisfactory manner, practice in the college laboratory is essential. Proficiency and speed will only be attained by repetitive practice of demonstrated skills. Appointments must be made with a lab instructor for check off prior to the assigned dates for the evaluation of skills. A green skills sheet must be completed and turned in to the faculty member prior to evaluation of the skill. The assigned dates for evaluation of skills will be posted. Satisfactory performance on the essential skills is based on the Critical Criteria for NSG 101. In order to receive a passing grade, the student must be satisfactory in all the critical elements of each essential skill evaluated. If a student is unsatisfactory on the first skill evaluation, a repeat skill evaluation will be scheduled with an alternate instructor as determined by the faculty. Because practice of skills is essential to success on the repeat skills evaluation, mandatory remediation including but not limited to films, lecture notes, PowerPoints, and lab practice time may be assigned. If a student is unsatisfactory on the second attempt, he/she will receive an “E” for the course. Clinical evaluations will be completed for each student on a satisfactory/unsatisfactory basis. The evaluation of essential skills in NSG 101 will be based on performance in a clinical area and/or the college laboratory. In order to receive a satisfactory for the clinical evaluation, the student must pass the clinical performance evaluation criteria. The student may not receive more than three (3) unsatisfactory (U) or a combination of four (4) needs improvement (NI)/unsatisfactory (U) ratings per clinical to receive a satisfactory for the clinical. Four (4) unsatisfactory clinical performances will result in an unsatisfactory (U) for the clinical portion of the course, resulting in an “E” for the course. If a student receives four (4) unsatisfactory or a combination of five (5) needs improvement/unsatisfactory ratings for the same competency throughout the semester, an unsatisfactory for the clinical portion of the course will be given and will result in an “E” for the course. Counseling Form: Counseling forms will be used to document: 1. unsatisfactory clinical performance; 2. unsatisfactory progress at midterm; or 3. clinical absences (including but not limited to illness or dismissal). These forms may be used at any time during the semester for any student who needs to practice certain skills in the nursing lab and/or repeat a clinical day. The lab practice must be completed by the date indicated on the form before the student will be allowed to return to the clinical area. 9 STUDENT’S RESPONSIBILITIES IN CLINICAL LABORATORY: Refer to the following documents in the A.D.N. Student Handbook: A.D.N. Program Policies, p.____. Nursing Laboratory Rules, p.____. NOTE: No cellular phones and/or pagers will be allowed in the clinical area/college laboratory. NOTE: Lab Instructional Specialist: Laura Bowles 769-2371, Ext. 68517; or 706-8517 10