Leadership / Management Clinical

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Wayland Baptist University Mission Statement: Wayland Baptist University exists to educate students in an academically challenging, learning-focused and distinctively Christian environment for professional success and service to God and humankind.

COURSE NAME: NURS 4343 Leadership and Management in Nursing

TERM: Winter 2014

Faculty: Richard P Diaz, DNP, FNP-C, FPMHNP-C

Office Phone: 210-324-3619

Mobile Phone: 210-324-3619

Email: Richard.diaz@wayland.edu

Dr. Diaz’s Office hours: Virtual Office Hours: Evenings Monday thru Friday 5pm-

7pm CST

Call my Mobile Phone (you can call me anytime, I will answer if I am not lecturing or in clinical)

210-324-3619 (if you reside outside of the Continental

United States, Email will be answered within 24 – 48 hours

Richard.diaz@wayland.edu

** Federal regulations mandate that we contact students at their

University issued e-mail address. Please set up your @wayland.wbu.edu email account by following the instructions located at: http://www.wbu.edu/academics/online_programs/resources/student_email_a ccess.pdf

CLASS MEETING TIME AND LOCATION: Virtual Campus

CATALOG DESCRIPTION: This course explores concepts of leadership and management through an examination of various leadership/management theories, application of ethical and legal principles, organizational and resource management styles, meeting consumer needs and delegation of nursing care. The course will emphasize the use of critical thinking in the leadership/manager role.

PREREQUISITES: Successful completion of all previous Course work up until the final quarter

REQUIRED TEXTBOOKS AND RESOURCE MATERIAL: (You may purchase through the Bookstore or alternate means that you so select as long as you have the current edition)

American Psychological Association (2009). Publication Manual of the American

Psychological Association. (6 th

Edition). Chicago: APA

LaCharity, L, Kumagai, C. and Bartz, B. (2011). Prioritization, Delegation, and Assignment.

Mosby/Elsevier. (2 nd

Edition). ISBN: 978-0-323-06570-2

Lippincott DocuCare . Electronic Student Charting Format. If not already purchased by the

Student, you may purchase through the Wayland Bookstore. Six-Month

Access ISBN: 978-1-451-18247-7

Class Code:

Marquis, B. & Huston, C. (2012). Leadership Roles and Management Functions in Nursing.

Lippincott Williams & Wilkins. (7 th

Edition). ISBN: 13: 978-1-60831-685-4

NCLEX RN 10,000 Powered by PREP-U (2011). Lippincott Williams & Wilkins: ISBN Code is: 978-1-4511-1601-4 (at the end of this Syllabus, more information regarding purchase of this product is found) Class Code:

Nursing Jurisprudence

All Texas Residents are required to pass the Texas Jurisprudence Nursing Exam prior to coming to the Final Clinical Weekend (proof of passing Texas BON

Jurisprudence Exam must be electronically submitted to Dr. Frazor frazord@wbu.edu

and Dr. Diaz Richard.diaz@wayland.edu

NLT , 2015 by 11 pm

CST).

Texas Resident Students will be required to show where he/she has passed the

Exam as part of the Clinical Requirement.

Students who are not residents of Texas are required to submit to his/her Clinical

Instructor a 5 page typed paper that has a focus on Jurisprudence within the State which he/she resides in prior to coming to the Final Clinical Weekend (email to your assigned Clinical Instructor NLT Thursday 2015 by 11 pm CST).

The submission of this paper is a mandatory requirement for the Clinical Component (refer to the Grading

Rubric under additional information within the Syllabus). o Failure of the Student who is a Texas Resident to pass the Texas

Jurisprudence Nursing Exam prior to coming to the Final Clinical Weekend or the Student who is not a Texas Resident to submit the Jurisprudence

Research Paper to his/her Clinical Instructor prior to the , 2015 @ 11 pm

CST will result in a Clinical Failure for the Leadership Course, which will in turn results in Failure of the Leadership Course. https://www.atitesting.com/Home.aspx

STUDENT CODE FOR ACCESS TO ALL AVAILABLE TESTS: Earphones or Ear

Buds need to be brought to each theory and clinical class if you are enrolled in the Faceto-Face Course. Online Students - Earphones or Ear buds need to be part of your

Nursing Uniform as you will use these to perform ATI Focused Reviews during

Post-Conference Clinical Times. Please note that ATI Assessments (Practice,

Tutorials, Real-Live Clinical Scenarios) that have been assigned for the Leadership

Online Course are not to be accessed until the first day of the Winter quarter – prior attempts before the Nov 9th 2015 will not be accepted as part of your

Leadership Course Grade. NCLEX RN 10,000 Assignments are open now.

OTHER REQUIRED READINGS : http://www.dosagehelp.com/

Excellent resource for Dosage Calculation Problems https://www.ncsbn.org/index.htm

http://learningext.com/pages/home

Click on Student, then Student Resources http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf

Thoroughly Read and Understand Parts: I, II, III & IV

OPTIONAL MATERIALS :

Lippincott Williams and Wilkins Staff (2006). Charting Incredibly Easy. Created by:

Springhouse Publishing Company Staff. ISBN: 978-1-58255-538 -6

STUDENT THEORY LEARNING OUTCOMES:

At the end of this course, the student will be able to:

1.

Recognize the use of organizational theories in structures and environment.

2.

Identify leadership versus managerial traits and functions.

3.

Discuss fundamental aspects of the budgeting process including: productivity measures in today’s healthcare environment.

4.

Identify the concepts of conflict management using appropriate communication tasks.

5.

Identify and define the delegation process.

6.

Discuss staffing resources including recruitment and retention of staff and the allocation and evaluation of staff performance.

7.

Describe collective bargaining, its legal structure and its role in today’s healthcare environment.

CLINICAL COURSE STUDENT LEARNING OUTCOMES:

At the end of this course, the student will be able to:

1.

Distinguish between leadership and management.

2.

Identify the organizational structure in which they are practicing.

3.

Apply time management skills to their practice.

4.

Manage patient care for more than 2 clients at a time.

5.

Utilize the delegation process.

6.

Identify the staffing resources utilized in the facility they are practicing in.

7.

Identify the recruitment and retention strategies utilized by the facility.

8.

Evaluate the effectiveness of the organizational structure and its leadership style.

9.

Utilizing Critical Thinking within the Clinical Setting

10.

Successful completion of the Virtual ATI CAPSTONE

11.

Texas Residents are required to pass the Texas Board of Nursing Jurisprudence Exam prior to the final Clinical Weekend. Non-Texas Residents are required to submit a formal research paper which has a focus on Nursing Jurisprudence to his/her Clinical Instructor prior to the final Clinical Weekend.

** Federal regulations mandate that we contact students at their

University issued e-mail address. Please set up your

@wayland.wbu.edu email account by following the instructions located at: http://www.wbu.edu/academics/online_programs/resources/student_email

_access.pdf

EVALUATION AND GRADING: A point system is used to determine the grade in

Leadership and Management in Nursing.

A = 90-100

B = 80-89

C = 75-79

D = 70-74 an average of 75 or better is required to pass Nursing courses.

F = 69 and below

* Final grade will be rounded to the nearest .10 decimal place. 0.5 And above rounds to the

NEXT whole number. For example: If your grade is 89.49 the grade will be rounded to 89.4 which equals a ‘B’. 89.50 will be rounded to 89.5 which rounds to 90 which equals an “A”.

GRADING CRITERIA:

Unit One Exam : Marquis & Huston Leadership Book Chapters: 1, 2,3,7,8 +

LaCharity Prioritization, Delegation Book Chapters 1-5 + Dosage Calculation Questions

Unit Two Exam : Marquis & Huston Leadership Book Chapters 9,10,11,12,13,14,15,16,17 +

LaCharity Prioritization, Delegation Book Chapters 6-10 + Dosage Calculation Questions

Unit Three Exam : Marquis & Huston Leadership Book Chapters: 18,19,20,21,22,23,24,25 +

LaCharity Prioritization, Delegation Book Chapters 11-15 + Dosage Calculation Questions

Comprehensive Final : Marquis & Huston Leadership Book All Chapters to also include: 4,5,6 +

Texas Jurisprudence Nursing Exam Review Packet (entire packet) +

LaCharity Prioritization, Delegation Book Chapters 6,7,8,13 + Dosage Calculation Questions

Discussion Board Assignments & Required Student Participation

NCLEX RN 10,000 Mastery Level 8 (8 Quizzes)

Assignments will be Time-Sensitive – Failure to achieve Master Level 8 result within

The time allotted will result in an Assigned Grade of Zero (0) for that particular Assignment .

4%

4%

5%

25%

6%

4%

Med-Surg Test (administered the first/second Clinical weekend) 5%

ATI Practice & Tutorial Tests accessed after 10 November 2014 (see detailed information below)

27%

+Required Focused Reviews for Practice Tests based on score achieved

Under Practice Assessments :

RN Comprehensive Online Practice 2013 A

RN Comprehensive Online Practice 2013 B

RN Leadership Online Practice 2013 A

RN Leadership Online Practice 2013 B

RN Pharmacology Online Practice 2013 A

4%

4%

4%

4%

4%

Under Tutorials Tests (do not have Focused Reviews):

Under Practice Tests

Leadership

Medical-Surgical: Endocrine

Communication

Pharmacology

Under Final Tests

Leadership Final

Pharmacology Final

NCLEX Final

1%

1%

1%

1%

1%

1%

1%

For the Tutorial Tests, the first test score will count as Grade.

Focused Review of Each

Target Practice Test is based upon Student’s Score In order to receive Credit for the %

Grade achieved , the student is also required to complete the following minimum remediation time for EACH PRACTICE / TARGET TEST. Failure to complete the Focused Review within time specified, will result in the Student being assigned a ZERO (0) for that particular Targeted /

Practice Test. You will take the initial Practice Test and then complete the Focused Review

Time based on the initial score. Upon completing the Focused Review, you will take the

Test again and the second score is what will be assigned in the Grade Book. These exams must be initiated after 10 November 2014.

For a % score of 80-99 a minimum of 1 hour of Focus Review

For a % score of 70-79 a minimum of 2 hours of Focus Review

For a % score of <70 a minimum of 3 hours of Focus Review

*ATI Leadership Proctored Exam

( To be administered at Mid-Term during 2nd Clinical Weekend )

***ATI Predictor ( Only the 2 nd

ATI Predictor Test Counts as Score)

( To be administered on your Final Clinical Day /or Final Clinical Weekend )

_____

Total

* ATI Grading Scale for the Leadership Proctored ATI Exam

Less than Level I 40

Level I

Level II

60

80

Level III 100

**ATI Medical-Surgical Test will be scored based off of grade result

*** ATI Predictor will be scored at the Score that represents the Percentage of Passing the

10%

10%

100%

NCLEX on the First Attempt. For example if the ATI Predictor indicates that you have a 90% chance of passing the NCLEX on the first attempt, then 90 will be what is the Grade that will be posted in the Gradebook for the Final ATI Predictor. The Final ATI Predictor is worth 25% of

your overall Leadership Course Grade. All Students need to be pro-active in preparing for the

ATI Predictor. o Based on the Student’s ATI Proctored Leadership Exam Level, the student will be required to perform the following minimum amount of time with remediation in terms of the Focused

Review.

For an ATI Score of Level III, the student will be required to spend a minimum time of 2 hours on his/her Focused Review

For an ATI Score of Level II, the student will be required to spend a minimum time of 4 hours on his/her Focused Review

For an ATI Score of Level I, the student will be required to spend a minimum time of 6 hours on his/her Focused Review

For an ATI Score of < Level I, the student will be required to spend a minimum time of 8 hours on his/her Focused Review o Failure to follow and complete minimum time constraints as outlined above, will result in the

Student receiving a NO-PASS in clinical which would mean the Student would have to repeat the Course o At the First Clinical Weekend, Students will take an ATI Predictor Exam. This ATI

Predictor Exam will not be the one that Counts as Score (10%) but will be used by the ATI

NCLEX Instructor to evaluate where each student is in terms of preparing Boards to develop the ATI Virtual Capstone. The ATI Virtual Capstone is Mandatory. Failure to fully participate each and every week will result in Failure of Clinical. You will be required to complete Focus Review on this First ATI Predictor Test that you take. Failure to complete required Focused Review will result in Failure of the Clinical Component . Focused

Review based on your Score will be required based on the numerical score that you achieve using the following time-scale:

For a % score of 80-99 a minimum of 2 hour of Focus Review

For a % score of 70-79 a minimum of 4 hours of Focus Review

For a % score of <70 a minimum of 6 hours of Focus Review o At the Final Clinical Weekend, Students will take the second ATI Predictor Exam. This ATI

Predictor Exam (and only this one) WILL COUNT AS SCORE (worth 10% of the

Leadership Course Grade). o

NCLEX Prep Course has been developed. At the end of the Quarter, All Students may participate in taking the NCLEX Prep Course. Depending upon your Final ATI Predictor

Score, some students are required to complete the NCLEX Prep Course while other

Students have the option to complete the NCLEX Prep Course that has been developed

***ATI Proctored Exams & ATI Predictor Exam is subject to DATE/TIME CHANGE**

* All contents and schedules for this course are subject to change during the term. The Instructor will inform students of changes as soon as possible. Worksheets, quizzes, or other learning tools may be used @ instructor’s discretion. The next page is a Summary of Theory Course

Graded items that will provide the Student at a glance the Theory Course Requirements. The Clinical portion of the Leadership and

Management Course is PASS / FAIL.

Exam 1:

Exam 2:

Summary of Leadership Theory Grading Criteria for Summer Quarter 2015

4%

4%

Exam 3:

Comprehensive Final

5%

25%

Discussion & Online Student Participation: 6%

NCLEX RN 10,000 Assignments (total = 4%)  to receive credit have to achieve Master Level 8

Assignment #1 0.5%

Assignment #2

Assignment # 3

Assignment # 4

Assignment # 5

Assignment # 6

Assignment # 7

Assignment # 8

0.5%

0.5%

0.5%

0.5%

0.5%

0.5%

0.5%

Med-Surg Test (Administered at the 1 st or 2nd Clinical)

Leadership Final

Pharmacology Final

NCLEX Final

ATI Leadership Proctored Test 10%

5%

ATI Practice (total = 7%)

RN Comprehensive Online Practice 2013 A Test w/Focused Review then 2 nd attempt is what is for score

RN Comprehensive Online Practice 2013 B Test w/Focused Review then 2 nd attempt is what is for score

RN Leadership Online Practice 2013 A w/Focused Review and then 2 nd attempt is what is for score

RN Leadership Online Practice 2013 B w/Focused Review and then 2 nd attempt is what is for score

RN Pharmacology Online Practice 2013 A w/Focused Review and then 2 nd attempt is what is for score

ATI Tutorial Practice (total = 4%)

Leadership

Medical-Surgical Endocrine

Communication

Pharmacology

ATI Tutorial Final (total = 3%)

ATI Final Predictor Test

Theory Course Total Grade

10%

_________________

100%

4%

4%

4%

4%

4%

1%

1%

1%

1%

1%

1%

1%

The clinical portion of the course is on a pass/fail basis and must be passed to pass the course.

The level three clinical evaluation forms will be used to determine the students pass or fail performance for this course. Failure to complete Clinical Homework Assignments will result in

Failure of the Clinical. The Student Calendar will list when all Theory and Clinical Assignments will be due. The evaluation form will be posted on Blackboard.

If you are enrolled in the Face-to-Face Course , your Assigned Clinical Instructor will be the individual who you will submit the Leadership/Management Interview Paper and your

Assigned Clinical Instructor will also be the individual who will review and grade your

Leadership/Management Interview Paper.

The Clinical Instructor will communicate to the

Theory Instructor the Grade that he/she has assigned and that will be what is posted.

Testing

Test Chapters will be published in the course syllabi for the students at the beginning of each term. Test dates are found within the Student Calendar. Exam blueprints may be provided by the instructor prior to each exam. The Online Students will continue to use Proctor Secure as the secure mode for testing or Live Proctor (Dr. Diaz) for make-up Exams. Students are required to follow the mandates as identified by Proctor Secure as this is a security camera that videos the student during testing which is then sent to the Dean of Nursing if questionable behaviors are videoed. Refer to the Student Calendar for testing dates. The Exams will only be offered one time (will be opened at 8:15 pm CST and will close at 9:45 pm CST) . Student is to follow the

Student Calendar for the dates when the various Unit Exams and Final Exam will be administered. If the Student fails to take the Online Exam at the time it is offered, the Student will take an alternate paper test at the next Clinical Weekend on the Sunday after all students have been dismissed. The Alternate (Make-up) Test will be between 10 to 20 Questions in length and will be questions that may require answers of: Listing, Short answer, Matching,

Multiple Choice / Multiple Selection. There will be no Blue Print for Alternate (make-up) Tests but the content will come from the same chapters of the Online Exams (Marquis & Huston

Textbook and LaCharity Delegation Book). If the Student does not log onto the Final Online

Exam at date/time being administered, the Student may place him/herself in a situation whereby he/she will have to arrange to make an additional trip to San Antonio to take a paper-pencil make-up Final Exam which will have to be taken prior to the current academic Quarter closing out. Again the Final Makeup Exam will not be the same Exam as the Online Final and will be similar question profile as the Unit Makeup Exams (10 to 20 Questions in length and will be questions that may require answers of: Listing, Short answer, Matching, Multiple Choice /

Multiple Selection. Due to multiple occurrences whereby Students in the past have not been taking exam(s) when the exam(s) have been assigned, it was decided that the above was the best option to deter students from negating academic responsibilities. Online Students are permitted to have only 1 make-up exam occurrence; thereafter, the Exam Grade assigned will be 0

(ZERO) for missed online Exams (this also includes the Final Exam). It is your responsibility to ensure your Remote Secure Proctor Device is functioning appropriately. It is also your responsibility as an Adult Learner to view your Student Calendar as well as check your

Blackboard Course Announcements at least twice a day, once in the early morning and then prior to you going to bed at night in case there have been changes. Online Students will receive the Exam Grade once the Student submits the Exam. No reviews of Exams are permitted by students due to having to maintain Test Security.

The Face-to-Face Students may have either a computer-generated or a paper-version of the Unit

Exam and will utilize the appropriate Scantron Sheet to complete the Unit Exam if the Exam is the paper-version. Refer to the Student Calendar for specific times which the Exams will be open if the Exam is administered as a computer-generated Exam (online students).

The Face-to-Face Student Calendar will be provided to the Students in class on the first day. The on-line Student Calendar will be posted on the Blackboard Course Site. In the event a faculty must change a test date, they will notify the students as soon as possible. If the student must

miss an exam, they must notify the faculty that they will not be present for the exam and schedule a date for the make-up exam within one week of the date of the exam.

Make-up Tests (Face-to-Face Students)

For Face to Face Students, occasionally a student will miss a test that is scheduled for a class. A student should contact his/her instructor to arrange for the Make-up Exam. Test must be completed within one week from date of missed exam. The Make-up Test may not follow the

Test Blue-Print, but will be over content covered for the specific chapters covered for the Unit of

Content.

Class Attendance

1.

The student must attend the class (es) for which he/she is enrolled.

2.

A student enrolled at Wayland Baptist University should make every effort to attend all class meetings. All absences must be explained to the satisfaction of the instructor, who will decide whether the omitted work can be made up. If enrolled in the online course weekly online participation to include appropriate academic construction of

Discussion Postings is required. Refer to the Discussion Posting Rubric that is contained within this Syllabus.

3.

A face-to-face student who misses twenty-five percent (25%) or more of the regularly scheduled class meetings will receive a grade of “F” for that class. An online Student not engaging in the weekly discussions will be considered Absent and thus more than 2 weeks absent of online engagement would be considered a failure for the online course

4.

When a student reaches a number of absences considered by the instructor to be excessive, the instructor will so advise the student and file an Unsatisfactory Progress

Report at the San Antonio Campus.

DISABLITY STATEMENT: In compliance with the Americans with Disabilities Act of 1990

(ADA), it is the policy of Wayland Baptist University that no otherwise qualified person with a disability be excluded from participation in, be denied the benefits of, or be subject to discrimination under any educational program or activity in the university. The Coordinator of

Counseling Services serves as the coordinator of students with a disability and should be contacted concerning accommodation requests at (806) 291-3765. Documentation of a disability must accompany any request for accommodations.

Student Conduct

(This is a statement of conduct standards. It is enforced in conjunction with the Discipline

Policy and Substance Abuse Policy found elsewhere in this handbook.) Wayland proudly adheres to high standards of intellectual, moral, ethical, and spiritual values. Convinced that selfdiscipline is more desirable than outside force and that the truly educated person must pursue what is right under all circumstances, Wayland entrusts each student with the solemn obligation of preserving these standards. However, in the light of revelation, reason, and the custom of the

Christian community from which Wayland has sprung, certain practices are evaluated:

1. Personal integrity in keeping with New Testament standards is expected of all students.

2. Respect for the property, knowledge, and rights of other people must prevail.

3. The use or possession of alcoholic beverages and/or illegal drugs is forbidden.

4. Gambling, hazing, and the on-campus possession of firearms or deadly weapons are prohibited. BB Guns and Paint Ball Guns are also prohibited.

5. The use of tobacco by students is prohibited on the grounds of the Alamo University Center.

6. Follow online etiquette rules whether you are an online student or a face-to-face student.

Refer to this website: http://online.uwc.edu/technology/onletiquette.asp

7. Unprofessional behavior as outlined in the Wayland Baptist Nursing Handbook to include disrespectful verbal or written comments either direct or indirect toward Nursing Faculty or fellow Nursing Students.

The authority of the University is exercised over all student groups or organizations bearing the name of the university, or any student enterprises to the extent necessary to safeguard the good name and well-being of Wayland. Specifically, each student is expected to conduct himself in such a manner as to uphold, not detract from, the good name of Wayland Baptist University. If one feels that he/she cannot subscribe to the moral and social practices of the University, he/she will find greater acceptance elsewhere.

Discussion Posting Grading Rubric

INTERPRETATION

Excellent

Minimum

Substandard

Weekly Discussion

Grade

GRADING CRITERIA

(A)

100

The comment is accurate, original, and relevant, teaches us something new, and is well written. Four pt. comments add substantial learning presence to the course and stimulate additional thought about the issue under discussion.

Referencing your postings is a requirement.

Student must log on a minimum of three times a week and

Post to 3 Discussion Question(s). Additionally, Student must post to a minimum of two student postings a week

Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday)

Unless specified as per the Student Calendar

(C)

75

(F)

The comment lacks at least one of the above qualities, but is above average in quality. A 3 pt. comment makes significant contribution to our understanding of the issue being discussed. Referencing your postings is a requirement.

Student must log on a minimum of three times a week and

Post to 3 Discussion Question(s). Additionally, Student must post to a minimum of three student postings a week

Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday)

Unless specified as per the Student Calendar

The comment lacks 2 or 3 of the required qualities.

Unacceptable

50

(F)

25

Comments which are based upon personal opinion or personal experience often fall within this category.

Student must log on a minimum of two times a week and

Post to 2 Discussion Question(s). Additionally, Student must post to a minimum of two student postings a week

Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday)

Unless specified as per the Student Calendar

The comment presents little or no new information.

However, 1 pt. comments may provide important social presence and contribute to a collegial atmosphere.

Student must log on a minimum of one time a week and

Post to 1 Discussion Question. Additionally, Student must post to a minimum of one student posting a week Initial

Postings must be posted within 24-72 hours at the beginning of the business week (Monday) Unless specified as per the Student Calendar

Unacceptable (F)

0

Student fails to log on to course for the week.

*The numeric number listed is the weekly grade that will be assigned for the weekly Discussion

Postings.

8 CHARACTERISTICS OF A QUALITY ONLINE DISCUSSION POSTING

1. SUBSTANTIAL: Messages should relate to the subject matter and provide information, opinions or questions about that subject matter. They may relate the subject matter to something personal, but they should remain academic in their focus.

2. CONCISE: Studies have shown that messages that are several screens long do not get many replies. To write an effective message, attempt to use a single screen if possible. Try to get the point and focus of your message across so that it is clear what you are saying.

3. PROVOCATIVE: The discussion board is an interactive medium. The more interaction there is between students the better. A good message is one that prompts others to reply or object. A focused and pointed message that produces replies from other learners in that class in moving the discussion forward is having an impact on the learning environment.

4. HERMENEUTICAL: The discussion board is a place where ideas are interpreted and language is explored. To be hermeneutical is to interpret. A good message should explore, explain, or expand on a concept or connection. The message should not simply state something, but rather expand upon an idea.

5. TIMELY : A good message appears in the context of similar messages in the message log. If you get on irregularly, your message will appeal late and out of context with what is currently

happening on the board. Log on regularly and reply to messages in a timely fashion.

6. LOGICAL: A good message that is not a question should contain a logical argument. This means is should contain a clearly stated conclusion of thesis supported by premises, reason, evidence or grounds of belief.

7. GRAMMATICAL : A good, clear, concise message should be well-written and free of typos and sentence fragments and referenced appropriately using APA format.

8. Be Polite to others online. Again, please refer to the website: http://online.uwc.edu/technology/onletiquette.asp

BENCHMARKS OF A SUCCESSFUL ONLINE COURSE

1. An online semester BEGINS the same week that an onsite semester begins. Student needs to access and post on the first day of classes in session.

2. To obtain the maximum grade (100) - Every online student should log into the online course no less than three times per week to read instructor and/or student postings and produce no less than four responses to Discussion Questions and four responses to other student postings per unit of content (total of 8 Postings) unless otherwise directed by the Online Instructor (refer to

Student Calendar for weeks where student is not required to post) . Initial Postings must be posted within 24-72 hours at the beginning of the business week (Monday).

Refer to

Student Calendar as a Guide.

3. At least 90% of the messages in a discussion board should be from learner to learner . It is required that students comment and expand upon the ideas of their virtual classroom peers. This interaction and participation is a huge part of what transpires in the virtual learning environment.

Instructors are encouraged to engage themselves more as discussion guides and monitors of discussions and less as lecturers in online classes.

Grading Rubric for Leadership/Manager Interview Paper

Face-to-Face Students Only

This Paper is required for traditional Face-To-Face Students and is worth 5% of your Leadership Course Grade.

You may select to interview any Nursing Manager from a variety of health care areas: Hospital Unit Managers;

Chief Nurses; Home Health Director of Nursing; Nursing Home Director of Nursing or if not listed you may approach your Clinical Instructor to determine if the individual you want to interview is appropriate. As with all papers, utilize APA format. The Interview Paper should have: a Title Page; Body of the paper should be a minimum of 3 but no more than 5 pages, double-spaced with a 12 Times New-Roman Font and a Reference Page.

Please refer to the Grading Rubric below for specific areas to cover.

Grading Rubric

Student Name:

Items to include in the Paper

Part I: Introduction - Provide a detailed interview

Consider to include:

The selected Nursing Leader’s Education Level - - - - - - - - - -

Years of Nursing Experience (to include if this Nursing Leader was a

Licensed Vocational Nurse) - - - - - - - - - - - - - - - - - - -

Back-ground Work history - - - - - - - - - - - - - - - - - - - - - - - -

Description of Unit / Hospital that Leader is in charge of - - - - - - - - - - - - -

Number of employees that she manages - - - - - - - - - - - - - - -

Philosophy that the Leader subscribes to in terms of style of Leader - - - - -

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Who is the Nursing Theorist that the Nursing Leader most closely resembles in his/her opinion - - - - - - - - - - - - - - - - -

Discuss the positive and negative aspects of being a Nursing

Leader/Nursing Manager (Provide an example of each) - - - -

Elaborate what he/she looks for in a new Nurse that he/she is considering hiring to work on the unit / facility - - - - - - - - - - - - - - - -

Where does this Nursing Leader/Manager see himself/herself in the next 5 years (does he/she believe that he/she will be in the same capacity in terms of present Leadership Role) - - - - -

Part II: Student Views of what a Nursing Leader/Manager should be

This should be a well thought out reflection of what you as an emerging BSN and newly emerging Registered Nurse should consider in regards to yourself becoming a future Nursing Leader. You should consider in this section of the paper the following about yourself:

What you believe your Leadership Style is and why

What Nursing Theorist do you consider most closely resembles your creative attributes and why

Where do you see yourself in the next 5 years. Do you see yourself as a

Bed-side Nurse; a Nursing Unit Manager or other role and elaborate why

Points

Possible

(50) – see breakdown below

5

5

5

5

5

5

5

5

5

5

(30)

See breakdown below

10

10

10

Points

Earned

20 Paper represents APA Format and is electronically emailed to your Assigned

Clinical Instructor on date assigned . The Grading Rubric Page with Student

Name should be first, then the Title Page, then the body of the paper and finally the

Reference Page.

Total 100

CLINICAL ATTENDANCE & ATTIRE

Attendance to clinical is mandatory. This is the opportunity for the student to learn and practice skills in the Skills Lab and discussed in didactic then apply them in a leadership role or in patient care. Any student missing a clinical must call in to the instructor prior to the scheduled clinical.

Clinical cannot be made up; therefore attendance is critical to successfully complete required clinical objectives. There is no acceptable reason for missing clinical. Solid white professional uniforms and shoes are required (unless otherwise specified by the Assigned Clinical Instructor).

School patches must be attached to uniform tops and lab coats. Patch must be purchased at WBU bookstore. Simulation Activities require that the White Wayland Nursing Uniform be worn.

Ms. Roberts Clinical Website:

Select Rehabilitation Hospital 19126 Stone Hue San Antonio, TX 78258

Students:

1. David George

2. Suhyum (Su) An

3. Jim Bolton

4. Ben Tannenbaum

5. Alejandro Martinez "Tommy"

6. Mitchell Rubin

7. Stewart Sherman

8. Davis Holt

Ms. Wright Clinical Location: (To be added)

Warm Springs Rehabilitation Hospital

5101 Medical Dr.

San Antonio, Texas

616-0100

CLINICAL COURSE REQUIREMENTS AND GRADING CRITERIA:

The clinical portion of the course is on a pass/fail basis and must be passed to pass the course.

The level three clinical evaluation forms will be used to determine the student’s pass or fail performance for the clinical course. The clinical evaluation form will be posted on Blackboard.

Thoroughly read the pages that follow which provide details in terms of the requirements for successful completion of the Leadership Clinical Component.

Clinical Behaviors Resulting in Failing

Clinical failing behaviors are linked to the Texas Board of Nursing Standards of Professional

Practice. Issues related to professional conduct, management of stress, clarification of course, clinical assignment, and/or professional role expectations, may warrant clinical warnings, contracts for remediation, or course failure.

Clinical Failing Behaviors

1. Performance is unsafe.

Matched to NPA

1,2,3,5,6,7,9,10,11,12,13,14,15

2. Questionable decisions are often made. 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15

3. Lacks insight into own behaviors and that of 1,2,3,4,5,6,8,9,10,11,12,13,14,15

others.

4. Difficulty in adapting to new ideas/functions.

5. Continues to need additional guidance and direction.

4,5,6,7,8,9,10,11,13,14,15

1,2,3,5,6,7,8,9,10,11,14,15

Standards of Professional Nursing Practice (BON 213.27, 217.11, 217.12)

1.

Knows rationale for side effects of medications and treatments, and correctly administers same 217.00 (1) (C).

2.

Documents nursing care accurately and completely, including signs and symptoms, nursing care rendered medication administration. Contacts health care team concerning significant events in patient health 217.11 (1) (D).

3.

Implements a safe environment for patients and/or others, i.e., bed rails up, universal precautions 217.11 (1) (B).

4.

Respects client confidentiality 217.11 (1) (E).

5.

Accepts assignments commensurate with educational level, preparation, experience and knowledge 217.11(1) (T).

6.

Obtains instruction and supervision as necessary when implementing nursing procedures or practices 217.11(1) (H).

7.

Notifies the appropriate supervisor when leaving an assignment 217.11(1) (I).

8.

Recognizes and maintains professional boundaries of the nurse/patient relationship

217.11(1) (J).

9.

Clarifies orders, treatments, that nurse has reason to believe are inaccurate, noneffective or contraindicated 217.11(1) (N).

10.

Able to distinguish right from wrong 213.27(b) (2) (A).

11.

Able to think and act rationally 213.27(b) (2) (B).

12.

Able to keep promises and honor obligations 213.27(b) (2) (C).

13.

Accountable for own behavior 213.27(b) (2) (D).

14.

Able to promptly and fully self-disclose facts, circumstances, events, errors and omissions when these disclosures will enhance health status of patients or protect patients from unnecessary risk or harm 213.27(b) (2)(G).

Please refer to the Board of Nursing at www.BON.state.tx.us

for any additional information regarding the Texas Nurse Practice Act and http://www.bon.texas.gov/nursingeducation/edudocs/decpresentation.pdf

for additional information regarding the Differentiated Essential Competencies

(DECs).

Leadership / Management Clinical Roles

This Clinical differs in many respects than the other Clinical that you have been engaged. With this particular Clinical Rotation, the Student actively rotates through the various nursing-type of responsibilities that exist within the realm of Nursing. Thus, all Students will rotate and function within the various assigned roles as the time allows. All Registered Nurses, no matter what level of education, will at some time have to function in all levels of patient care delivery. The following provides the Wayland Baptist Student with specific descriptions of the

Leadership/Management Clinical Roles that will be assumed.

Team Leader

The Leadership/Management Clinical fosters the opportunity for the RN Student to experience various roles/responsibilities to include that of Team Leader. The Team Leader is responsible for ensuring that patient care has been render to all patients on the unit in a professional, safe and holistic fashion. It is the responsibility of the Team Leader to ensure that others under his/her direction complete assignments of care to the patients on the unit. The Team Leader will obtain the Report for the Residents from the Charge Nurse for the Unit and then provides a report to his/her individuals. The Team Leader ensures that the Vital Signs for all residents on the Unit are taken by 0800 AM and that a copy of the Vital Signs is provided the Medication Nurses by

0800 AM or if on a 3-11 shift, by 4:00 pm. The Team Leader ensures that the CNAs are getting the residents up for am hygiene to include baths, oral care and breakfast and that the beds have been made and that fresh Ice Water is supplied to all Residents or if you are on a 3-11 shift, ensure that evening hygiene and meals are attended to. It is key that the Team that you are managing functions like a fine tuned machine. Organization is key for all Team Members . It is the ultimate responsibility of the Team Leader to ensure all care has been rendered, but everyone has to work together for the completion of the care of all residents . The Team

Leader will need to find out which residents receive their Bath as Resident Baths are on alternate days if working the day shift or if in the evening, what evening cares need to be accomplished for the residents. Residents may request an evening bath (PRN Bath) of which your CNAs will accommodate. During the shift, The Team Leader performs a 5 minute focused Assessment of each of the Residents on the Unit, greeting each resident. At the end of the Shift, the Team

Leader will report off to the Charge Nurse.

Medication Nurse(s)

Depending on the size of the Clinical Group, there will be 2 Medication Nurses who will work directly with the Instructor and will be responsible for medication administration to all residents on the Unit from 0700 am up to 12:00 noon Medication timeframe if Dayshift (unless otherwise specified by the Clinical Instructor). If on 3-11 shift, the Student Medication Nurses will administer medication to all residents on the Unit that are scheduled 3:00 pm up thru the 9:00 pm

Meds. These will include PO, Injections, peg tube, topical, optic, etc. The Medication Nurse should have with them at the Medication Cart, a current Drug Book. It is the responsibility of the Medication Nurse to know which resident has to take medications crushed or with thicken fluids. The Medication Nurse must have the morning/evening Vital Signs as he/she will need to record BP/HR depending on the medications. The afternoon medications may also require a set of vital signs – so even if we work a 3-11 shift, evening Vital Signs need to be obtained. As part of your Medication Administration, you must ensure that you perform the 3 Checks of the

Medications and too, must remember the 7 Rights of Medication Administration. Also, you must ensure you identify your residents not only with his/her picture, but as well verbally and as an additional safe guard ensure with the Staff that this is the resident that you are preparing medications for. The Clinical Instructor will remain with the Medication Nurses at all times. No

Medications will be set up or administered without the presence of the Nursing Instructor. Key to Medication administration is simply getting started with the administration as soon as

possible. You are not permitted to interrupt a resident while they are eating a meal to administer medications. You are not allowed to administer medication in the common dining area as this violates the resident’s right to privacy. . If permitted by the Nursing

Facility, the Medication Nurse (WBU Student) will be responsible for the Narcotic Count in the morning and then prior to signing off, will have to perform another Narcotic Count with the Unit/Hall Charge Nurse. This is the normal routine when the Students come in on the Day shift, the evening shift may be slightly different. The Medication Nurses will report off to the Unit/Hall Charge Nurse once the morning scheduled medications have been administered.

Wound Care Nurse / CNA

As the Wound Care Nurse, you are responsible for performing dressing changes to residents who require wound care. The Wound Care is typically found with the MARs, but in some facilities there is a separate Book that contains the residents on the Unit who require wound care. When the Wound Care Nurse is not performing Wound Care, this individual will be a third individual performing the CNA responsibilities. With Wound Care, it would be expected that the Team

Leader would assist the Wound Care Nurse that way the Team Leader is able to describe the wound at the time that the T.L. reports off to the Charge Nurse prior to leaving the Nursing

Home and as well when the Team Leader hands off the report to the New Student Team Leader.

The Wound Care Nurse will sign off on the appropriate sections of the MARS which show where the wound care was performed as ordered.

CNA(s)

The Rest of the Students will be assigned as CNAs. They deliver direct patient care to include obtaining the Vital Signs (BP, HR, Resp. Rate, and Temp); Accu-Checks prior to the Lunch-time meals (the Accu-checks need to be completed prior to 11:30 am and immediately reported to the

Team Leader and as well to the Medication Nurses as they will be responsible for insulin administration depending on the result of the accu-checks ); the bed baths, the shower baths, the dressing of the residents, the changing of the linens, the assisting of the resident to the restrooms as well as ambulation in general, the oral care, the peri-hygiene care with incontinence to include changing the adult briefs and the feeding of those residents who need help and assisting with meal tray delivery as well as restocking the linen cart, filling the ice chest and ensuring all residents have fresh ice water at their bedside and of course answering call lights as well as providing assistance to Staff as needed. Most important the CNA updates the Student

Nurse Team Leader of Changes, providing both the Student Team Leader and the Student

Medication Nurses with vital signs and reporting changes and as well reporting completion of assigned tasks. One of the most important aspects that the CNA performs is the psycho-social engagement of the Residents. The Student CNAs need to follow up with the Buena Vida CNAs to determine specifics as it relates to the delivery of care to the residents and to find out which residents will be receiving shower baths for the particular day. The Wound Care Student Nurse assists the Students Assigned as CNAs when not performing wound care and too, the CNA

Student(s) may need to assist the Wound Care Nurse in positioning the Resident in order to perform the wound care. Thus, in the morning upon arrival, The Student CNAs and the Student

Wound Care Nurse should all be obtaining Vital Signs and assisting residents to the restroom and am care as needed prior to breakfast. The Student Medication Nurses as well upon arrival

should be obtaining Vital Signs and assisting Residents to the restroom and am care as needed prior to breakfast until time to begin the Medication Pass.

The Plan will be to assign the following Roles; however, please note that adjustments to how

Roles are assigned may occur due to the feasibility of current events taking place within the

Clinical Setting. The Following are the Roles that may be assigned:

Team Leader

Medication Nurse

Wound Care Nurse (when not doing Wound Care, you will be assisting the CNAs)

CNA

Post-Conference

At the beginning of Post-Conference, The Student Team will discuss what went well and what could be improved. The goal in this Clinical Rotation is to improve the outcomes with each subsequent day at the Clinical site. After the Discussion, The Team Leader will then report to the New Team Leader, the Medication Nurses will report to the New Medication Nurses and the

CNAs / Wound Care Nurse will report to the new counterparts. The Student Team Leader will assign the new roles. The Students will rotate into new Roles each clinical day. Make sure that you bring your Lap-top Computer with ear phones/ear buds, Care Planning Book, Lab

Diagnostic Manual and any other Textbook that may be helpful in completion of the Clinical

Homework Assignments as the Student will want to work on his/her Clinical Assignments in the evening hours at the place where they will be staying during the Clinical Weekend.

Additionally, Simulation Lab Activities and/or Skills may be conducted in the Nursing Skills /

Simulation Labs with the remainder of the Post-Conference Time allowing opportunity for the

Student to log onto and complete DocuCare Assignments and Concept Maps as well as ATI

Assignments with Focused Reviews. All students need to bring ear phones / ear buds to be able to review ATI Remediation Content during all Post-Conference. Additionally, Group

NCLEX Preparation Activities may be incorporated into Clinical/Post-Conference, if time permits.

REQUIRED CLINICAL HOMEWORK

DocuCare: Electronic Charting Activities based on a select Client where you are assigned within your Clinical Site will be required. (Specifics of the Charting will be discussed on the first Clinical Day). The Assigned Clinical Instructor will be responsible for reviewing the student’s DocuCare Charting. All Students will chart within DocuCare each Clinical Weekend.

Simulation Activities : Each Clinical Weekend, All Students will participate in Simulation.

Students will be video-recorded and Debriefings will occur during each weekend prior to dismissal (time permitting).

Hand-Written Medication Cards: All Students will be required to complete a total of 35

Hand-written Medication Cards and submitted prior to dismissal on Sunday (the second clinical weekend Students will be required to complete 25 Medication Cards; the third clinical weekend Students will be required to complete 10 (but will bring the 25 med cards completed at

the second clinical weekend as well; with the third clinical weekend, Students will complete an additional 10 Medication Card (but will bring the 25 med cards from the previous clinical weekends). The template for the Medication Card will be available on the Blackboard Course

Site. Consider creating the Medication Cards based on Classifications as this is an excellent method to organize your thoughts to assist you in preparing for the NCLEX Board Exam.

Concept Maps: Each Student will select one resident / patient by which to develop the required

Concept Map that is due on designated dates as per Student Calendar and will be submitted to your Assigned Clinical Instructor as per his/her instructions. For the Leadership Course, a minimum of 2 Concept Maps will be required . The Concept Map Template Form will be posted on Black Board Course site for you to access. To ensure that you have a thoroughly completed Clinical Assignment, an explanation of a Concept Map will be provided on the

Blackboard Course Site under Clinical Assignments and Forms. I will create a drop box for the concept maps.

ATI Virtual CAPSTONE

Students are required to complete the 8 week ATI Virtual Capstone . This component is part of

Clinical. It is a PASS / FAIL component of Clinical. Failure to Fully Participate EACH

WEEK in the ATI Virtual Capstone will result in FAILURE OF THE LEADERSHIP AND

MANAGEMENT CLINICAL and thus FAILURE IN THE LEADERSHIP COURSE. The

ATI Virtual Capstone Coach will be providing both the Dean of Nursing and the

Leadership Course Instructor with a weekly follow up of students fully engaged in the ATI

Capstone.

TEXAS BOARD OF NURSING JURISPRUDENCE EXAM / JURISPRUDENCE

RESEARCH PAPER: Students who are Texas Residents are required to Pass the Texas Board of Nursing Jurisprudence Exam prior to the final Clinical Weekend. Students who are Non-

Texas Residents are required to submit a formal research paper which has a focus on Nursing

Jurisprudence to his/her Clinical Instructor prior to the final Clinical Weekend (Rubric will be posted under additional information at the end of the Syllabus – NLT , 2015 @ 11 pm CST ).

OTHER CLINICAL ACTIVITIES : NCLEX – PREP GAMES AND ATTENDING THE

“PAY IT FORWARD ” STUDENT-LED SESSION.

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