NUR 3138C NRC Skills Lab and Class Weekly Schedule
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NUR 3138C NRC Skills Lab and Class Weekly Schedule – Fall, 2012 Date 8/23 Thursday Class Topic Readings & Assignments Class: Review Course Syllabus & Weekly Class Schedule Review resources available on the team Sakai site Orientation to NUR 3138C Class readings: K&E Fundamentals of Nursing Text Ch. 31 – Asepsis -Lab -Clinical -Seminar -The Neighborhood -Evolve website Infection control 8/28 Tuesday NRC Lab NRC Lab: Infection control Assignment Due: Quiz #1 – Turn in to Dr. Citty on Tuesday lab 8/28 Hand hygiene 8/30 Thursday Class Class: No formal class meeting due to ATTAC-IT (13001700) (Please view voice-over PPT on Sakai) Hygiene & comfort Environment of care, Nutrition, & Safety Documentation and measurement of intake and output (I&O) Review the “Nursing problem-solving process” NRC Lab readings: P&P skills book (pp. 172-186) Skill 7-1 Hand Hygiene Skill 7-2 Caring for patients under isolation precautions Procedure guideline (PG) 7.1 Special TB precautions Mosby’s Videos: **View Before NRC labPPE – Using personal protective equipment- MV Infection Control -Performing hand hygiene- MV See above PPE use Class readings: K&E Fundamentals of Nursing Text Hygiene Ch. 33 Nutrition Ch. 47 Intake & output measurement: p. 1472-1473 Nursing process: K&E ch. 10-15 (review from NUR 3138 class) NRC lab reading for 9/4 lab: P&P skills book: Skill 17-6 Care of a patients environment PG 17-6 Making an unoccupied bed PG 17-7 making an occupied bed Skill 17-1 bathing and personal hygiene PG 17-1 Perineal care PG 17-2 Use of disposable bed bath, tub, or shower Skill 17-2 Oral hygiene PG 17-3 Care of dentures Skill 17-3 Performing mouth care unconscious/debilitated patient Skill 17-4 Hair care – comb and shaving Skill 17-5 Nail and foot care Skill 31-1 Performing a nutritional assessment Skill 30-2 Assisting an adult patient with oral nutrition Skill 30-3 Aspiration precautions Required lab Mosby Videos: Making an unoccupied bed- MV Making an occupied bed- MV Performing a complete or partial bed bath-M V Assisting with a tub bath or shower- MV Performing a back massage-MV Performing perineal care for a female patient- MV Performing perineal care for a male patient-M V Adaptation of hygiene procedures to patient needs and environment Performing oral hygiene for an unconscious patient-M V Cleaning dentures- MV Performing hair care and shampooing in bed- MV Shaving a male patient- MV Performing nail and foot care- MV Assisting with gown change- MV Assisting with meals- MV Measuring intake and output- MV Taking aspiration precautions- MV 9/4 Tuesday NRC Lab NRC Lab: Hygiene & Comfort Environment of Care Assignment Due: Quiz #2 Making an unoccupied & occupied bed, See above DUE today in lab Complete vs. partial bed bath Perineal care male/female, Oral care & Denture care Hair care & shampooing in bed Adaptation of procedures to clients needs & environment Nutrition, I&O, & Safety Types of diets Assisting with meals/feeding Applying aspiration precautions Common fluid equivalents Documentation & Measurement of I&O Lake Wauberg 9/4/12 (afternoon) – Time TBA Team Building Activities Care of Self: Nutrition Stress management Promotion of wellness 9/6 Thursday Class Assignment: Quiz #3 DUE in class Class: Bowel & bladder elimination Class Readings: K&E Fundamentals of Nursing text Ch. 48 Urinary Elimination Ch. 49 Fecal Elimination NRC Lab readings: P&P skills book PG 33-1 Assisting a patient in using a urinal Skill 33-4 Applying a condom catheter Skill 43-1 Urine specimen midstream and sterile urinary catheter specimen skill 43-2 measuring occult blood in stool Skill 6-7 p. 165-170 Intake and output measurement P&P text p. 878 step 12.a - Providing urinary catheter care Required Lab Mosby Videos: Assisting with a urinal- MV Assisting with a bedpan- MV Applying a condom catheter- MV Collecting a midstream urine specimen- MV Performing fecal occult blood testing- MV 9/11 NRC Lab NRC Lab: Elimination See above specimen collection (urine, catheter, fecal, dipstick); BSC & hat use Condom catheter application Bedpan use (fracture & regular) I&O measurement principles – practice measurement & documentation from different sources of intake and output, common fluid equivalents **Utilize the “Nursing problemsolving process” ADPIE during the lab sessions. 9/13 Thursday Class Assignment: Quiz #4 DUE in class Class: Mobility Risk reduction Safety Class Readings: K&E Fundamentals of Nursing text Ch 32 – Safety Ch. 44 – Activity & Exercise NRC Lab Readings: Assisting with moving and positioning a patient in bed – skill 9-2 p. 216-226 Transferring from a bed to a wheelchair with a transfer belt – skill 9-1 p. 204-215 Transferring from a bed to a stretcher - skill 9-1 p. 204215 Assisting with ambulation using a gait belt – skill 10-4 p. 249-264 Assisting with ambulation using canes, crutches, walker P&P p. 249, skill 10-4 Assisting with range-of-motion exercises – PG 10-1 p. 228-236 Applying elastic stockings – skill 10-3 p. 243-248 Using a sequential compression device – skill 10-3 p. 243-248 Mechanical Lift Equipment – skill 9-1 (step 6) p. 213-225 Required Mosby Lab Videos: Assisting with moving and positioning a patient in bedMV Transferring from a bed to a wheelchair with a transfer belt- MV Transferring from a bed to a stretcher- MV Using a hydraulic lift- MV Assisting with ambulation using a gait belt- MV Assisting with range-of-motion exercises- MV Applying elastic stockings- MV Using a sequential compression device- MV 9/18 NRC Lab NRC Lab: Mobility *NOTE lab time change: 0730-1000 Or 1300-1530 Ambulation & gait belt use Mechanical lift equipment (Vanderlift, Veralift) Use of crutches, canes, walkers, slide boards SCD use TED hose application Transferring from bed to chair Transferring from chair to bed, IFH 1040-1230 See above Transferring from bed to stretcher, ROM exercises Injury prevention strategies 9/20 Class Assignment: Quiz #5 DUE in class Class: Prevention Risk reduction Safety Class readings: K&E Fundamentals of Nursing Text Ch. 32 Safety Skin assessment – K&E text p. 922-924 See Sakai site for additional readings NRC Lab Readings: Safety/Restraints/Seizures safety P&P skills book p. 326-346 Skill 13-1 Fall prevention in HC facility Skill 13-2 designing a restraint-free environment Skill 13-3 Applying physical restraints Skill 13-4 Seizure precautions Skill 18-1 Risk assessment, skin assessment, and prevention strategies Required Mosby Lab Videos: Using restraint alternatives- MV Applying restraints- MV 9/25 NRC Lab 9/27 Thursday Class NRC Lab: Primary & secondary prevention strategies Seizure, fall, injury, restraint application & alternatives Skin risk in hospital & community Braden skin risk assessment School clinic screenings – vision, hearing, scoliosis Class: Infection Control Sterile technique See above Class readings: K&E Fundamentals of Nursing Text Ch. 31 – Asepsis Assignment: Quiz #6 DUE Wound care Environment of care & Safety in the in class hospital & home Safe oxygen use Ch. 36 - Skin integrity and wound healing P&P oxygenation NRC lab ReadingsP&P skills book: Skill 8.2 Preparing a sterile field Skill 8-3 Sterile Gloving PG 38-1 Performing a wound assessment Skill 39-1 Applying a dry & moist to dry dressing Skill 43-7 Collecting a specimen for wound culture Skill 23-1 Applying a nasal cannula or oxygen mask Skill 42-4 Using home oxygen equipment Required Mosby Lab VideosEstablishing and maintaining a sterile field- MV Adding items to a sterile field- MV Pouring a sterile solution- MV Using a prepackaged sterile kit- MV Performing sterile gloving - MV Assessing wounds- MV Changing a dressing- MV Collecting a specimen for wound culture-MV Ensuring oxygen safety- MV Setting oxygen flow rates- MV Applying a nasal cannula or face mask- MV 10/2 Tuesday Lab NRC Lab: Sterile technique & Infection control Sterile gloving Sterile dry dressing change Oxygenation & safety Basic oxygenation principles & equipment used in hospitals See above Introduction to the hospital environment **Utilize the “Nursing problemsolving process” ADPIE during the lab sessions. 10/4 Thursday Class Assignment: Quiz #7 DUE via Shands Healthstream training: 1. Blood glucose monitoring update & quiz 2. Accucheck Inform training 10/9 NRC Lab Class: Assessment of capillary blood glucose & Specimen collection Class Readings: K&E Fundamentals of Nursing text p.812-818 Specimen collection P&P ch. 43 **NOTE: Clinical faculty to perform BGM training in hospital acute clinical setting per facility policy NRC Lab Readings: P&P – skill 43-9 (p.1153) Videos: Blood glucose monitoring-MV SKILLS CHECK-OFF Sterile technique Dry sterile dressing NUR 3138C NRC Lab and Skills Class Completed – No Thursday class or Tuesday NRC lab for remainder of semester… Begin Hospital Acute Care Clinical either Monday or Tuesday Students need to complete core clinical orientations for acute care facilities on Sakai Students need to complete Shands Health stream training: 1. Rapid regulatory Module Clinical part 1&2 2. MEWS & PEWS training 3. EPIC modules 100-1, 100-2, 100-3 10/15 or 10/16 Hospital Clinical Orientation – BGM check-off per hospital policy with AH hospital clinical faculty TBA per clinical faculty IFH 1040-1230 Hospital Clinical 10/22 or 10/23 4 hours TBA per clinical faculty 10/29 or 10/30 Hospital Clinical 4 hours TBA per clinical faculty 11/5 or 11/6 Hospital Clinical 4 hours TBA per clinical faculty 11/12 (Monday) No hospital clinical due to Veterans Day 11/13 (Tuesday) Regular hospital clinical 4 hours TBA per clinical faculty 11/19 (Monday) Regular hospital clinical 4 hours TBA per clinical faculty 11/20 (Tuesday) No hospital clinical due to IFH IFH 1040-1230 11/26 or 11/27 Hospital Clinical 12/3 or 12/4 Hospital Clinical
