Professional Nursing Internship and Seminar Course Syllabus – Spring 2016 Credits: 12.0 hours Internship Dates: January 14, 2016 - April 23, 2016 Time: The clinical hours to be arranged based on preceptor schedule. Location: University of Illinois Hospital & Health Sciences System 1740 W Taylor Chicago, Illinois 60612 Seminar Dates: January 12, 2016 - April 26, 2016 Tuesdays Time: 8:00 AM – 10:00 AM and otherwise indicated Location: Chicago Semester (Burnham) Faculty: Nursing Coordinator and Seminar Instructor: Michelle McClure, DNP, APRN, FNP-BC E-mail: michellem@chicagosemester.org Office: 312.922.3243 Cell: 773.850.0424 (No text messages allowed. No calls after 9PM except in an emergency) Disclaimer: Changes in the syllabus and/or schedule may be made at any time during the term by announcement of the faculty. A revised syllabus may be issued at the discretion of the faculty. Notify faculty at the first sign of concern with internship experience, lack of ability to meet course outcomes, or issues that cannot be addressed with your preceptor. Contact the faculty as needed for any issues or concerns via phone or email. Course Description The Nursing Internship and Professional Seminar is an off campus program, supervised by the coordinator of nursing in cooperation with Hope College and a contracted healthcare agency. It is designed to deepen the student’s socialization into professional nursing and will focus on issues and services related to healthcare in an urban context as well as leadership and management roles that enhance the transition from the student role to the professional RN. The students complete an internship from a wide range of quality clinical specialties of their choice to synthesize the concepts and philosophies of nursing from previous college courses and to develop competencies and skills that are necessary for the beginning roles of the professional nurse. The nursing students will have approximately 32 hours a week of internship mentored by a designate bachelor prepared registered nurse preceptor(s) and the Chicago Semester faculty. In addition, students will have a weekly professional seminar that will primarily focus on NCLEX review and discussions of the professional nurse, social justice and healthcare, Christian worldview, diversity, vocation, and social justice. Program Outcomes / Learning Objectives Chicago Semester Learning Outcomes Upon completion of the Chicago Semester program we expect graduates to be able to: 1) Apply Christian worldview concepts (wonder, heartbreak, hope) to city life 2) Demonstrate an appreciation for diversity encountered in the city 3) Articulate the meaning and significance of a vocational calling 4) Exhibit high standards of professional behavior and competence 5) Practice responsible citizenship that contributes to social justice Nursing Internship and Seminar Learning Objectives Upon completion of this course we expect graduates to be able to: 1. Identify the role of the professional nurse as a leader in the profession and health care delivery. 2. Identify the relationship between social justice and citizenship and nursing practice-focusing on minority health, environmental health, poverty, medically underserved, and uninsured populations. 3. The students will score a national norm on the ATI tests. 4. Synthesize knowledge from previous college courses to provide evidence based nursing care 5. Utilize the nursing process to provide safe patient care. 6. Engage in the role of professional nurse and incorporate behavior into practice. 7. Promote health of individuals, families, groups, or communities considering the role of the city. 8. Demonstrate accountability for personal and professional development. Accommodations for Disability Chicago Semester will make reasonable accommodations for students with documented disabilities. Students can alert us in the “Additional Information” portion of the Application Form prior to their coming, or they can notify the Director privately if necessary. Students should also alert their instructors during the first two weeks of class so that accommodations can be made. For further assistance contact the executive director of Chicago Semester. Textbooks Required: ATI Content Mastery Series Review Modules American Psychological Association. (2010). Publication of the American psychological association. (6th ed.). Washington, D.C: Author Any handouts, journals articles or PowerPoint presentations given in class or posted on Moodle Recommended – All previous textbooks Clinical Placement Requirements The student is responsible for obtaining any facility mandated screening and training prior to starting the internship. All students must present evidence of current TB screening, immunizations (MMR, Varicella, Hepatitis B, Tetanus, and Influenza), CPR, and certified background check and sanctions check with 10 panel drug screen. University of Illinois Health LMS Electronic Orientation Dress Code The dress code of Chicago Semester at the internship site is the same as that of Hope College of Nursing. The students are required to wear their uniform with a patch identifying the school of nursing and be identified by a photo I.D. badge. Students in specialty areas will wear dress appropriate to the special nursing setting. Attendance Attendance at Internship and the Seminar is mandatory. It is the student's responsibility to be prepared and on time for all seminars and clinical experiences. A pattern of absences may result in a lowering of the course grade. Students who are absent from class are expected to notify the nursing faculty by e-mail or phone in advance. Please do not come to class if you are ill. Faculty reserves the right to ask for verification of absences due to illness, family emergencies, etc. Students who are absent from class are responsible for class content and obtaining handouts. Students must notify the faculty and their preceptor immediately in the event of absence from clinical. Students are expected to notify their hospital unit and preceptor if they will be absent or late for a scheduled shift. Calls should be made at least one hour prior to scheduled shift. Students are expected to notify faculty with the scheduled make-up shift if they are absent. There will be no last minute changes in the schedule except in cases of emergencies. If the preceptor changes the schedule, the student must notify the faculty 24 hour prior to the change. The policy regarding the makeup work for absences is determined by the clinical faculty. In addition to the assigned clinical practicum and professional seminar, other learning experiences may be scheduled. All students are expected to participate. Academic Integrity Policies can be found in the Chicago Semester Student Handbook Assignments Complete details are located in Moodle ATI Exams Proctored and Non-proctored exams. Each week will require an average of four hours of personal study time in addition to the 2 hour lectures. Laptops will be needed on testing days for class. To help assure your success in passing NCLEX-RN, achievement of Level 2 or 3 is preferred on ATI exams. Students achieving Level 1 or below will be encouraged to complete remediation. ATI Assessments will be a proctored exam per policy in the Hope CON Student Handbook. Online Practice Assessment IDs and Passwords can be found on Moodle. Journals - The journal is a medium for thoughtful conversation—with yourself, your faculty, and, at times, maybe your Professional Seminar Group. The exchange can lead to some new insights for all of us. Reflection is what allows us to learn from our experiences: it is an assessment of where we have been and where we want to go next. Weekly Clinical Logs / Schedule The student is responsible for maintaining an accurate schedule of upcoming shifts to be submitted to the clinical faculty prior to the shifts worked. Students will arrange there schedule according to the preceptor schedule. Students need to turn in a copy of the schedule days they will be on the nursing unit to the clinical faculty. Clinical faculty must have the schedule no later than 2 weeks before the time indicated to allow time to plan site visits. If the student changes these times with the preceptor, they must notify the faculty 24 hour prior to the change. If the student needs to call off, they must call in to the unit to notify the preceptor, and the clinical faculty member 1 hour before the beginning of the shift. Late calls or failure to call will reflect on the final internship grade. This is considered a formal document to be treated with honesty and respect for accuracy and timeliness. The schedule should be updated as needed prior to the student working the shift, with an exact start-time and endtime of the shift. The student is responsible for keeping a log of your clinical hours to be submitted to the clinical faculty. The form can be found on Moodle. Practicum Plan /ILC Nursing Portfolio Case Study Late assignments Students are expected to check the course calendar and Moodle for assignment due dates. All assignments are due on designated dates. Assignments more than 3 days late will not be accepted. One point will be deducted for each working day or fraction thereof if an assignment is late. The Case Study presentation and Nursing portfolio will not be accepted late. Changes will be announced in the professional seminar. Late assignments: schedules, logs, and ILC should be scanned and emailed with the original copy submitted the next seminar. Evaluation Grading Rubrics/Criteria Assignments will be evaluated using the grading rubrics/criteria posted in the Course Documents section on Moodle. The following rating will be used to assess course requirements. Grading Scale Excellent – 4 A 90-100 Proficient – 3 B 80-89 Developing Proficiency – 2 C 70-79 Under-developed – 1 Fail <70 Criteria Exceeds expectations Meets and /or occasionally exceeds expectations Sometimes meets expectations Does not meet expectations The final grade for the professional seminar/internship experience will be based on one third of the seminar grade and two thirds of the practicum. Course Grade 100% Internship (Practicum) 75% Midpoint and Final Evaluation Practicum Plan (ILC) 35% 5% Internship Journals / Practicum Logs 15% Case Study 15% Nursing Portfolio 5% Seminar 25% ATI Exams 20% Critical Thinking – Fundamental - 5% Pharmacology - 5% Comprehensive - 10% Class Participation 5% Practicum Evaluation Forms will be collected at midpoint and at the end of the semester. A satisfactory evaluation is required in order to complete the Chicago Semester program. Students must schedule a midpoint evaluation and final evaluation with their preceptor and clinical faculty. At your halfway evaluation, the student must determine with the preceptor a plan for successful completion of the internship Nursing Seminar and Internship Schedule Week 1 Date 1/12/16 Topics Orientation - Introduction Review of the Syllabus Readings Syllabus Assignments Due Introduction Verify you have accessed the syllabus 2 1/19/16 Seminar: Role of the Professional Nurse MLK Day off - 24hrs of Internship 3 1/26/16 Seminar: A Place Matters ATI Exam: Critical Thinking 4 2/2/16 Seminar: Cardiovascular ATI Online Practice Exams / Completed ILC Reflection Journal / Log #1 5 2/9/16 Seminar: Respiratory ATI Online Practice Exams 6 2/16/16 Seminar: GI ATI Exam: Fundamentals ATI Online Fundamentals 2010 A/B Online Practice Exam 7 2/21/16 Seminar: Hull House (Sunday) Mid – Evaluations 8 3/1/16 Seminar: Nuerosensory Mid – Evaluations ATI Online Practice Exams Midpoint Evaluation Journal - Hull House / Log #2 9 3/8/16 Seminar: Maternal –Child ATI Exam: Pharmacology ATI Online Practice Exams 10 3/15/16 ATI 11 3/22/16 Online Practice Exam No Internship Today Online Practice Exam 12 3/29/16 Seminar: Renal Service Project 3/16/16 Seminar: Electrolyte 24hrs of Internship / Day off 3/25/16 Happy Easter Seminar: ATI Exam: Comprehensive 24hrs of Internship / Day off 3/28/16 13 4/5/16 Seminar: Career Development 14 4/12/16 Seminar: ATI Exam: Comprehensive 15 4/19/16 Seminar: Case Study Presentations 16 4/25/16 Final Class – Alumni Panel Student to Professional Preceptor Contact information Discussion: Reflect on the Image of Nursing Video Midpoint Evaluations Midpoint Reflection ATI ATI Online Practice Exams Reflection Journal / Log Due #3 Vocation and Paid Work Shuurman’s Discerning Our Callings Journal # 4: Vocation ATI See Moodle Nursing Portfolio Final Evaluations Final Reflection / Log . Practicum Plan / Internship Learning Contract Purpose The Practicum Plan is an individualized plan developed by the student in conjunction with the preceptor and the faculty member. The Practicum Plan provides an opportunity for students to customize the learning experience based on their personal interests, their learning and skill development needs, and the opportunities for experience in their placement area. It also provides experience in planning, goal setting, and evaluation that can be applied in work with clients. Process The preceptor and student are to begin to develop a learning plan during the initial weeks of the course and submitted in the seminar week 4 of the course. The practicum plan should identify the individual learning needs and experiences of the student and the unique learning opportunities available on the unit that will meet the student’s learning needs. Development A minimal of four learning objectives should be specified. Indicate the planned learning activities that will allow the student to acquire the knowledge or skill needed to meet the objective, indicate the criteria by which the student’s efforts to attain the objective will be evaluated, and indicate the date by which the objective is to be attained. Utilize the form posted in Moodle. It will require more than 1 page. Professional Nursing Portfolio This is designed to empower you as you launch your career. A journal of your accomplishments. Criteria 1. Place in a three ring binder (simple and professional). Suggest using protector sheets. 2. Organize your data into sections - Suggested a. Quick Reference Biographical Data: name, address, contact information, license b. Resume c. Practicum Summary if not on resume d. College Transcripts e. Competency Checklist f. Evaluations g. References and recommendations h. List of Volunteer Work and positions with documentation i. List of Professional Organizations and positons with documentation j. List of Conferences attended with documentation k. List of In-services attended with documentation (may not apply at this time) l. Samples of academic work i.e. research and educational projects such as inservices m. Health Records n. Awards o. Thank-you notes and letters from patients, families, and colleagues 3. Place a table of contents in the front. 4. Label each section with binder tabs 5. It is good practice to place the resume at the beginning of the portfolio because this has your name and contact information on it. 6. Organize each section in chronological order, if possible. Case Study You are to choose one patient and complete a comprehensive case study. The case study will include a neighborhood visit and community assessment. You can’t understand Chicago unless you see its neighborhoods. So, as part of the nursing practicum seminar, you will visit and explore a neighborhood of one patient. No paper will be required. This case will be an oral presentation. It should reflect the student ability to interpret and analyze the data. The grade for this case study will account for 10% of each student’s final grade. This is a group project. Sign up is posted in Moodle. *****Important***** Section Introduction Information to Include (Patient And Problem) History Where Do They Live Explain who the patient is (Identify each patient in terms of DOB, gender, race, ethnicity, marital status, education, religion, employment, income, insurance Indicate each patient's primary and secondary diagnoses, as well as the patient's reason for seeking health care (What brought them to the hospital) Explain the disease (What are the risk factors? What causes it? What are the symptoms?) Past Medical History - (past illnesses injuries and hospitalizations. Has she/he been diagnosed with other diseases?) Detail any and all previous treatments / or is he/she on medication?) Surgical History – previous surgeries Family History Social History Neighborhood visit – Take photos General demographics can include: population age race, ethnicity, gender, income, employment, unemployment, and educational attainment of the community. Discuss the physical environment (boundaries, housing, transportation, condition of environment, sanitation, workplaces, recreational facilities, schools, places of worship, and health services, library law enforcement, fire dept, crime and communication, grocery sores Live births, deaths, communicable diseases, non-communicable diseases, leading cause of death Points 10 10 20 Current Medications Laboratory Data/Diagnostic Other public health issues Determine problems / strengths List medications and explain why the patient is on each drug and relevant nursing assessment & monitoring required 5 Identify normal & abnormal findings with appropriate interventions. 5 Tests Nursing Physical List all the patient’s health stats in sentences with specific numbers/levels (vital signs, bowel sounds, ambulation, etc.) 5 Explain what treatments the patient is receiving because of his/her disease 5 Nursing Diagnosis & Patient Goal Explain what your goal is for helping the patient recover Nursing Interventions - Explain how you will accomplish your nursing goals, and support this with citations Patient / Family Education - (Reference the literature) Evaluation - Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?) Assessment Related Treatments Nursing Care Plan Recommendations APA Format Total Points Explain what the patient or nurse should do in the future to continue recovery/improvement both individual / community References Grammar, clarity, and spelling Organization and clarity Case study presented on designated date 20 10 10 100 Patient confidentiality must be maintained throughout presentation. Use patient’s initials or fake name. Please do not use any reports with the patient’s name. Any breech in HIPPA/ confidentiality will result in a grade “0” for this presentation. Any questions or concerns please contact the instructor prior to submission.