COAHOMA COMMUNITY COLLEGE
ASSOCIATE DEGREE NURSING PROGRAM
NUR 2223 MANAGEMENT OF CLIENT CARE
SPRING 2015
COURSE COORIDINATOR/INSTRUCTOR: OFFICE LOCATION:
D. WILSON, MSN, RN
ALLEID HEALTH BUILDING RM 106
OFFICE HOURS: BY APPOINTMENT
EMAIL: dwilson@coahomacc.edu
PHONE: 662-621-4253
CLASS/CINICAL TIME: SEE TOPICAL OUTLINE
CO-INSTRUCTOR:
OFFICE LOCATION:
G. GREEN, MSN, DNP, RN
ALLIED HEALTH BUILDING RM 113
OFFICE HOURS: T-W 1P – 3P
EMAIL: ggreen@coahomacc.edu
PHONE: 662-621-4252
CLASS/CLINICAL TIME: SEE TOPICAL OUTLINE
Course Description:
NUR 2223 MANAGEMENT OF CLIENT CARE – This course is all inclusive of previously
taught courses with emphasis on patient rights, employer responsibilities, legal/ethical
implications of nursing practice, effective use of the nursing process, delegation, prioritizing
care, clinical supervision and management styles. Prerequisites: NUR 2013, NUR 2124, NUR
2128. Co-Requisite NUR 2227. Credit: 3 credit hours (2 theory hours per week and 1clinical
hour per week with lab ratio 1 to 3:30 total theory hours/ 45 clinical hours).
Textbooks:
Required:
Manning, L. & Rayfield, S. (2013). Pharmacology made insanely easy (4th ed.). Duluth, GA: I
CAN Publishing®, Inc.
Marquis, B. & Huston, C. (2012). Leadership roles and management functions in nursing: Theory and
application (7th ed.). Philadelphia, PA: Lippincott Williams & Wilkins.
Prater, D. (2013) Nursing leadership and management: Content mastery series review module
(6.0 ed.). Overland Park, Kansas: Assessment Technologies Institute, LLC.
Prater, D. (2013) RN community health nursing: Content mastery series review module
(6.0 ed.). Overland Park, Kansas: Assessment Technologies Institute, LLC.
Rayfield, S. & Manning, L. (2014). Nursing made insanely easy (7th ed.). Duluth, GA: I CAN
Publishing®, Inc.
Recommended:
Potter, P., & Perry, A. (2013) Fundamentals of nursing (8th ed.) St Louis, MO: Mosby Elsevier
Whitehead, D., Weiss, S., & Tappen, R. (2010) Essential of nursing leadership and management
(5 th ed.). Philadelphia, PA: FA Davis Company.
Graduate Competencies
Upon completion of the Associate Degree Nursing Program at Coahoma Community College,
the graduate will be prepared for a professional nursing practice role by:
Core Concepts
Role Specific Graduate Competencies
Nursing
Process/Clinical
Reasoning
Exercising clinical reasoning skills as the basis for carrying out the
nursing process to meet the physiological, psycho-social, and
cultural needs of the client.
Safe and Effective
Care Environment
Providing and directing safe client care to protect the client and
health care personnel from health and environmental hazards.
Health Promotion
Utilizing various strategies in implementing and evaluating
methods to assist clients in meeting their self-care needs to
promote health and prevent health disorders throughout the life
span.
Psychosocial Care
Demonstrating therapeutic communication, caring and
professionalism in interpersonal interactions with clients and
documentation of client care.
Pharmacological
Management
Providing pharmacological management to ensure a safe and
effective client care environment.
Evidence-Based
Practice
Managing client care to incorporate evidence-based practice for
the improvement of nursing care delivery and client safety.
Reduction of
Potential Risk
Reducing potential risk through reassessment and recognition of
changes in the client’s condition that requires intervention.
Leadership
Demonstrating leadership behaviors consistent with the roles and
responsibilities of the registered nurse.
Student Learning Outcomes:
Upon completion of this course, the student should be able to do the following:
1. Exercise clinical reasoning skills as the basis for carrying out the nursing process in the
management of care for a group of clients in the acute care setting.
2. Utilize various strategies in implementing and evaluating the teaching learning process to
meet the self-care needs of clients to promote health and prevent illness
3. Demonstrate therapeutic communication, caring and professionalism in interpersonal
interactions with a group of clients and their families in the acute care setting.
4. Collaborate with the multidisciplinary health care team to ensure a safe and effective care
environment including pharmacological management.
5. Facilitate the use of evidence-based practice interventions for a group of acute care
clients.
6. Prioritize, adapt and evaluate care for a group of acute care clients by reassessing and
recognizing changes that require intervention.
7. Demonstrate accountability and ethical decision making in nursing actions based on
accepted standards of nursing practice.
8. Accept responsibility and accountability for self-assessment, learning and role
development by engaging in self-evaluation and professional development activities and
exercise independent judgment in advocating for clients across the life span to ensure
quality of care in a variety of settings.
Attendance:
3.1 The Absentee Policy for the Associate Degree Nursing, Respiratory Care, Polysomnography,
and Practical Nursing programs is as follows:
Fall and Spring Courses
One semester hour course one absence
Two semester hour course two absences
Three semester hour course and higher three absences
Absences greater than those listed above result in the student being dropped from the class.
3.2 Refer to specific program requirements regarding make up for time missed (class and
clinical).
3.3 Three tardies will be recorded as an absence. Three occurrences of leaving class before
the class period is completed equals one absence.
3.4 Class work and assignments missed due to absence: In order to make up class work and
assignments missed due to being absent, the student must provide documentation to
support the reason for the absence immediately upon return to class. When a student is
allowed to make up class work and assignments the absence is still recorded. (see 3.1)
3.5 A student must call prior to the beginning of an assigned clinical activity as follows:
● One hour prior to an absence, other than an emergency
● 30 minutes prior to a tardy, other than an emergency
● In the event of an emergency, there must be proper documentation of that emergency, and
the student must call as soon as possible after becoming aware of the situation.
Absence from Class for School Sanctioned Activities
The nature of the educational programs at Coahoma Community College is such that it is
necessary for every student to attend class regularly. Instructors will keep accurate class
attendance records, and those records will become part of the student's official record. Regular
class attendance and punctuality are expected. All arrangements for completing missed work are
to be made with the instructor. It is the student’s responsibility to initiate these arrangements.
Excessive absences may result in loss of credit for the course concerned as well as loss of grant
refunds and/or financial aid eligibility. For more information, see the Attendance Policy section
in the College Catalog.
Make-up Policy:
Make-up-When a scheduled test is missed the students must upon return to class bring
documentation of the reason for the absence in order to make up. The make-up test will be a
different test but cover the same content and will be according to the time scheduled by the
instructor. The make-up test may be a paper and pencil test and include essay-type questions.
Academic Dishonesty:
Cheating and plagiarism (the representation of someone else’s work as your own, usually by
directly copying or paraphrasing without a reference to the original source) will not be tolerated.
The penalty will be receiving a (0) for that assignment, without any possibility of make-up work
or alternative assignments. Additionally, according to the Student Handbook, such acts will be
considered a severe infraction and carry a possible sanction of suspension in semester (s) length
or expulsion. For a more in-depth explanation of academic dishonesty, see the Student
Handbook.
5.2 Dishonesty in any form is absolutely forbidden. Areas that are considered dishonest
include, but are not limited to:
• Giving or receiving examination or quiz answers
• Copying from another student
• Talking during examinations and quizzes
• Plagiarism in any form includes but is not limited to:
Taking other authors work and not crediting the author
Cut and paste
• Making statements not based in fact (lying, gossip, etc.)
• Failing to inform the instructor of a clinical mistake, e.g. medication error,
documentation, etc.
• Falsification of documentation, including but not limited to, date, time,
procedures, medication entered into the medical record improperly or with intent
to mislead
5.3 Students in violation of the honesty policy will be removed from the classroom,
laboratory, or clinical affiliate and referred to the Vice President for Health Sciences for
disciplinary action. Disciplinary action may be up to and including dismissal from the
healthcare programs. (see Coahoma Community College Student Handbook
Electronic Devices in Class
The use of cellular phones, pagers, CD players, radios, and similar devices is prohibited in the
classroom and laboratory facilities.
Classroom and Clinical Policies and Procedures
See http://www.coahomacc.edu/healthsciences/HealthP&P.pdf for classroom and clinical
policies sections I-XII and Appendix A.
Non-Discrimination/Disability Policy:
Coahoma Community College is an equal opportunity institution in accordance with civil rights
and does not discriminate on the basis of race, color, national origin, sex, disability, age, or other
factors prohibited by law in any of its educational programs, activities and employment
opportunities. The following person has been designated to handle inquiries regarding the nondiscrimination policies: Wanda G. Holmes, Director of Human Resources/Coordinator for
504/ADA, Title IX Compliance Officer, Office #A100, Vivian M. Presley Administration
Building, 3240 Friars Point Road, Clarksdale, Mississippi 38614, Phone: (662)621-4853, Email:
wholmes@coahomacc.edu.
Instructional Techniques:
Lecture
Powerpoint with Overhead Presentations
Class Activities
Case Studies
Canvas Assignments
Role Playing
Handouts
Selected Websites
Pre/Post Clinical Conference
Clinical Activity Tracking Tool
Methods of Evaluation:
Unit Tests
Final Comprehensive Exam
Clinical Performance/Observation
Interactive Activities
Class Assignments
Pre/Post lecture Quizzes
ATI Proctored Leadership Exam
Clinical Evaluation Tool
Nursing Admission Assessment and Concept Map
SAFETY Worksheet
Resume
Grade Scale:
Grading Scale for Associate Degree Nursing Program
Grade
Scale
Quality Points
A-Excellent
93-100
4.0
B-Good
85-2
3.0
C-Average
77-84
2.0
D-Poor
70-76
1.0
F-Failure
69 or Below
0.0
I-Incomplete
0.0
W-Withdrawal
0.0
Z-Unassigned grade
0.0
CR: This grade will
be assigned when the
student successfully
completes programspecific requirements
for advancement to
the Associate Degree
Nursing program
Associate Degree Nursing Program courses require a letter grade of “C”
(minimum 77%). Failure to attain these score will prevent the student
from progressing to the next scheduled semester.
Course Grading System:
Unit Tests (4)
90%
Comprehensive Final Exam 10%
Total
100%
Grading Criteria for Course:
NUR 2223 is a blended course composed of a theory and clinical component. Students must earn
a minimum 77% or “C” in the theory component of the course and achieve satisfactory
performance in the clinical components to pass clinical. The student must pass theory and
clinical in order to pass the course.
Theory: There will be three four (4) computerized unit test which counts for 22.5% each. The
comprehensive final exam will count for 10%. Student must take ATI Proctored Leadership and
Management Exam prior to taking the comprehensive final exam. Formative assessments will be
conducted throughout the course at the instructor’s discretion which will constitute the daily
average. The daily average consists of the average of formative assessments given by the
instructor. The points received for the daily average will be added to the lowest unit test. The
point system is as follows: A = 5 points, B = 3 points and C = 1 point. Types of formative
assessments include pre and post lecture quizzes, class assignments, and learning activities
provided by the instructor.
Assessment Technologies Institute®, LLC (ATI) Resources: The Associate Degree Nursing
Program utilizes ATI resources to enhance learning and to provide a means for evaluation of
student comprehension of content and concepts presented in the nursing curriculum classes. An
orientation to utilization of ATI resources will be provided to the students at the beginning of the
semester. Resources include practice tests, proctored tests, and tutorials relevant to the content
and concepts taught within each class of the nursing curriculum. Completion of the Leadership
and Management practice tests A and B is required for the student to be allowed to take the
Proctored Leadership exam at the end of the course. Students will receive points added to the
final exam based on the level achieved on one ATI proctored exam. The point system is as
follows: Level 3 = 5 points and Level 2 = 3 points. There will be no points awarded for anything
below level 2. The student is responsible keeping a notebook containing printed information
related to results on practice tests, proctored test, tutorials, and focus review materials developed
to address deficiencies identified by practice and proctored tests. This notebook is to accompany
the student when meeting with their advisor for academic counseling. Academic counseling
sessions will be scheduled weekly by your advisor. Additional counseling sessions with advisor
may be scheduled at the discretion of the instructor. Students who make 77 or less on a unit
exam will be referred to the student navigator.
Clinical:
The student will be evaluated on four (4) components in the clinical area. These clinical
components are one (1) Reflective journaling on their assigned clients, (2) completion of the ATI
Leadership practice and final test, (3) a satisfactory resume, and (4) a clinical evaluation tool.
Each clinical component will be accompanied with a grading rubric. Students are to keep a
journal on assigned clients which is to accompany student during clinical conference with
instructor. The student must achieve a satisfactory on all four (4) clinical components in order to
pass clinical.
Clinical Evaluation Tool:
Each student will be evaluated daily on expected student behaviors in the clinical area. Behaviors
will be scored satisfactory (S) or unsatisfactory (U). Satisfactory is defined as actions meet
established standard of care and ensure client’s safety. Unsatisfactory is defined as actions do not
meet established standard of care and/or poses a threat to client’s well-being. Three
unsatisfactory behaviors will result in failure of the course. The student must meet satisfactory of
all expected students’ behaviors by the time of final evaluation to pass clinical. Each clinical day
the student will be evaluated in their role as team member or team leader.
Course Grading Worksheet:
Unit tests and final exam: Multiply % worth X score to get pts earned
Theory (Unit Tests and Final exam)
Your
Score
% Worth
1. Decision Making and Foundation for Effective
Leadership and Management: Ethics, Law and
Advocacy
2. Managing and Supervising Client Care
22.5
3. Maintaining a Safe Environment
22.5
4. Coordinating Client Care and Staffing
22.5
5. Daily Average (add to lowest unit test)
6. ATI Level (add to final exam)
Comprehensive Final Exam
.10
Points
Earned
22.5
Clinical (Satisfactory or Unsatisfactory)
Med-Surg Comprehensive Admission Health History
and Physical Assessment with Concept Map
Resume
ATI Leadership Practice and Final Exam
NA
Clinical Evaluation (1)
Total
NA
TOTAL POINTS: _________
Faculty____________________
Date: _____________________
NA
NA
100
COURSE GRADE______
Student_________________________
I concur_____ I do not concur_____
Unit Objectives:
Upon completion of the units of study, the student should be able to do the following:
Unit I: Decision Making and Foundation for Effective Leadership and Management:
Ethics, Law and Advocacy
1. Utilize various problem-solving models including the nursing process as a decision
making model to provide good clinical reasoning.
2. Differentiate between leadership roles and management functions, identify common
leadership styles and provide examples of situations in which each leadership style could
be used appropriately.
3. Recognize ethical issues affecting client’s health, and health care team as well as utilize
various principles of ethical reasoning as a problem solving approach.
4. Distinguish between legal and ethical accountability and obligations in decision making.
5. Model ethical decision making congruent with the American Nurses Association (ANA)
Code of Ethics and Interpretive Statement and professional standards.
6. Determine how regulatory agencies impact nursing practice (Joint Commission, Institute
of Medicine (IOM), Occupational Safety Health Administration (OSHA), Center for
Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality
(AHRQ).
7. Assess client’s understanding of their rights and offer explanation when necessary (e.g.,
Patients Bills of Rights, advance directives, refusal of treatment, privacy).
8. Ensure the confidentiality and security of client information is maintained according to
federal and facility regulation.
9. Determine appropriate methods of obtaining and ensuring informed consent.
10. Determine correct procedures for obtaining and transcribing verbal and telephone orders.
11. Identify ways individual nurses can serve as an advocate for clients, subordinates and for
their profession.
12. Demonstrate understanding of the professional nurse’s scope and standards of practice.
13. Demonstrate mastery of nursing concepts identified as areas for improvement based on
assessments and evaluation data.
Unit II: Managing and Supervising Client Care
1. Utilize and monitor the effectiveness of self and other health care members’ time
management skills in the provision and direction of client care.
2. Prioritize the order of care delivery for a caseload of clients based on the client’s needs,
assessment, verbal and written reports, documentation, and current condition.
3. Differentiate among various types of client care delivery systems and provide examples
of each.
4. Utilize therapeutic communication to support client and health care members.
5. Assess health care members’ ability to perform assigned tasks; evaluate the results of the
care they provide to clients.
6. Make appropriate client room assignments based on level of care required.
7. Apply the five principles of delegation to health care team members and instruct when to
seek assistance immediately.
8. Identify cultural phenomena to consider when delegating to a multicultural staff.
9. Perform ongoing monitoring, evaluation and documentation of delegated care.
10. Provide supervision to health care team members who are performing delegated tasks and
client’s care.
11. Manage conflict among clients and health care team members.
12. Describe quality indicators related to safety and performance improvement activities.
13. Demonstrate mastery of nursing concepts identified as areas for improvement based on
assessments and evaluation data.
Unit III: Maintaining a Safe Environment
1. Assess the client and staff for proper use of materials and equipment, teach proper use,
and intervene when necessary.
2. Intervene to control the spread of infectious agents (standard/transmission-based
precautions and surgical asepsis).
3. Assess environment for hazardous and infectious materials and follow procedures for
handling biohazardous and infectious materials to maintain client/staff safety.
4. Recognize client and environmental factors that contribute to accidents and take
preventive measures as appropriate.
5. Report unsafe performance by health care personnel and work environment conditions
according to facility’s policy that pose a risk to client/staff safety.
6. Intervene to provide for the client’s safety (e.g., check for allergies, take medication error
precautions, report environmental hazards, use bed alarms, restraints , safety devices,
utilize medical alert bracelets)
7. Participate and follow facility’s security plan.
8. Recognize situations requiring completions of incident/variance reports and report per
facility policy.
9. Assess need for client home modification and educate client on home safety issues.
10. Use ergonomic principles when providing care.
11. Demonstrate mastery of nursing concepts identified as areas for improvement based on
assessments and evaluation data.
Unit IV: Staffing and the Work Environment
1. Develop strategies for creating a motivating work environment.
2. Utilize evidence-based approaches to determine staffing needs.
3. Determine the importance of performance appraisal use in evaluating nursing
performance.
4. Analyze situations in which discipline is required and strategies to constructively modify
behaviors.
5. Identify behaviors and actions that may signify chemical impairment in an employee or
colleague.
6. Identify regulatory agencies responsible for overseeing workplace safety and situations
that may require these agencies’ involvement.
7. Identify signs and symptoms of stress, reality shock, and burnout in the workplace and
strategies to manage personal and professional stresses.
8. Demonstrate mastery of nursing concepts identified as areas for improvement based on
assessments and evaluation data.
Unit V: Coordinating Client Care
1. Plan for and use cost effective measures when providing client care.
2. Identify the role of the nurse in disaster and emergency management planning activities
and procedures for discharge/evacuation of clients.
3. Analyze the role of the nurse in the event of internal and/or external emergencies per
emergency response plan.
4. Assess the need for and initiate client referrals and consults with other health care
providers to meet identified client needs and to plan client care.
5. Investigate community resources for the client and family to assist with achievement and
maintenance of independence and provide appropriate documentation.
6. Ensure continuity of care within healthcare facilities and other health care facilities by
communicating information regarding the client’s status to members of the
interdisciplinary team as needed.
7. Plan and coordinate care of the client based upon the client’s needs through all phases of
care (admission, transfer, discharge, post discharge).
8. Collaborate and serve as a liaison between the client and members of the interdisciplinary
health care team.
9. Use clinical pathways and or concept care maps to initiate, direct, review, revise, and
evaluate client care.
10. Demonstrate mastery of nursing concepts identified as areas for improvement based on
assessments and evaluation data.
Unit VI: Career Development
1. Demonstrate techniques to prepare for an interview
2. Develop a resume for employment
Clinical Learning Activities:
Upon completion of this course, the student should be able to do the following:
1. Prepares for all facets of clinical day (skills, drugs, patho, etc.).
2. Performs system-specific assessments; i.e., physiology, psychosocial, culture, spiritual.
3. Recognizes deviation from client’s normal
4. Formulates appropriate nursing diagnosis, concepts, and desired outcomes using
assessment.
5. Identify specific, measurable outcome criteria.
6. Develops interventions to obtain desired outcomes.
7. Implements priority nursing interventions.
8. Performs nursing procedures with supervision as needed.
9. Med protocol (preparation/administration/documentation.
10. Discuss appropriate principles of delegation, room assignment for specific client’s needs.
11. Notify instructor/nurse (trends/changes in client condition, complications with meds
and/or post procedure) and intervene as appropriate.
12. Evaluation of progress toward desired outcomes.
13. Evaluate medications for desired outcomes, undesirable effects, interactions.
14. Assess if progress toward outcomes is being met; make changes as appropriate.
15. Seeks guidance when appropriate.
16. Utilize the National Patient Safety Goals (NPSG) to maintain client safety (fall
prevention, bed position, call light, infection control, equipment, medication errors, etc.).
17. Written communication/charting are complete, timely, and cosigned by end of shift.
18. Oral communication: uses therapeutic communication techniques.
19. Non-verbal communication: Aware of importance of and impact of non-verbal behavior.
20. Gives concise, accurate report at end of day using following SBAR before leaving.
21. Client teaching concise, accurate; includes health promotion and plan of care for
transition.
22. Integrates standards of care, scope of practice and ethical practice into client care.
23. Coordinates/collaborates/advocates with interdisciplinary team.
24. Accepts constructive critique of performance.
25. Maintains client/institutional confidentiality; i.e., HIPAA.
26. Assertive in seeking learning experiences.
27. Respectful of all clients/personnel.
28. Reports on time to unit/conferences and utilizes spare time constructively.
29. Follows dress code.
30. Paperwork turned in on time (SAFETY worksheet and Concept Map).
Clinical Expectations:
Students are to arrive prepared for clinical and on time for pre and post conferences. Dress code
is to be in compliance of College’s policy. Students without identification badge will not be
allowed to perform on nursing unit. After receiving assignment, student may perform client care.
Ongoing monitoring by the instructor will be conducted throughout the shift and student is
expected to be knowledgeable about their assigned client’s current status, treatments including
medications as well as provider’s recent orders.
See Coahoma Community College Student handbook for Health Science Programs Appendix A
Associate Degree Nursing Section 7: Clinical Practicum
http://www.coahomacc.edu/healthsciences/HealthP&P.pdf