NURS 4343 Leadership and Management In Nursing Theory Syllabus Spring 2013 COURSE 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. CREDIT: 3 credit hours (3 hrs. class; 8 hrs. clinical) PROGRAM LEVEL: III REQUIRED TEXTBOOKS & RESOURCES: American Psychological Association (2009). Publication Manual of the American Psychological Association. (6th Edition). Chicago: APA Whitehead, D.; Weise, S. & Tappen, R (2010). Essentials of Nursing Leadership and Management (5th Edition). Philadelphia: FA Davis, Inc. ISBN: 13:978-0-8036-2208-1 Yoder-Wise, P. (2011). Leading and Managing in Nursing (5th Edition). St. Louis: Elsevier Mosby. ISBN-9780323069779 https://www.atitesting.com/Home.aspx STUDENT CODE FOR ACCESS TO ALL AVAILABLE TESTS: CDN002866628 Earphones or Ear Buds need to be brought to each theory and clinical class if you are enrolled in the Face-to-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. OTHER REQUIRED READINGS: 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 RECOMMENDED NCLEX STUDY MATERIALS: LaCharity, L, Kumagai, C. & Bartz, B. (2011). Prioritization, Delegation, and Assignment Practice Exercises for the NCLEX Examination (2nd Edition). St. Louis: Elsevier/Mosby. ISBN: 978-0-323-06570-2 Lippincott Williams and Wilkins Staff ( 2006). Charting Incredibly Easy. Created by: Springhouse Publishing Company Staff. ISBN: 978-1-58255-538-6 Lippincott NCLEX RN 4000 CD disc. ISBN for the NCLEX RN 4000 CD Disc: 9780781777902 T NCLEX-RN 10,000 - Powered by PrepU (2011). 978-1-4511-1601-4 Faculty: Lippincott Williams &Wilkins: ISBN: Linda Moore Ed.D., MSN, RN Office on Campus: 224 AUC Office Phone: 210-486-5076 Mobile Phone: 210-286-8449 Email: moorel@wbu.edu Office hours: Face-to-Face Office Hours will be posted outside of Office 224 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) 210-486-8449 Email will be answered within 24 – 48 hours moorel@wbu.edu COURSE OBJECTIVES: 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 OBJECTIVES: At the end of this course, the student will be able to: 1. Distinguish between leadership and management. 2. 3. 4. 5. 6. 7. 8. Identify the organizational structure in which they are practicing. Apply time management skills to their practice. Manage patient care for more than 2 clients at a time. Utilize the delegation process. Identify the staffing resources utilized in the facility they are practicing in. Identify the recruitment and retention strategies utilized by the facility. Evaluate the effectiveness of the organizational structure and its leadership style. ** 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 An average of 75 or better is required to pass Nursing courses. D = 70-74 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: Exam 1 5% (Whitehead,Weiss & Tappen Chapters 1&2) + (Yoder-Wise Chapters 1-9) Exam 2 (Whitehead, Weiss & Tappen Chapters 5-9) + (Yoder-Wise Chapters 10,11,13,17, 18 & 23) 5% Exam 3 (Whitehead, Weiss & Tappen Chapters 10, 12 & 13) + (Yoder-Wise Chapters 19, 20,21,22, 25, 26 & 27) 5% Final Exam (Whitehead, Weiss & Tappen Chapters 14 & 15) + (Yoder-Wise Chapters 12, 14, 15, 16, 24, 28, 29 & 30) 15% Weekly Discussion Postings & Weekly Online Participation (if student is taking on-line course - refer to Discussion Posting Grading Rubric) Leadership / Management Interview Paper (if student is taking face-to-face course – refer to Grading Rubric for Paper) 10% ATI Targeted/ Practice Tests with Focused Reviews RN Leadership Online Practice 2010 A RN Leadership Online Practice 2010 B Targeted Medical-Surgical 2010 Respiratory Targeted Medical-Surgical 2010 Renal and Urinary Targeted Medical-Surgical 2010 Immune Targeted Medical-Surgical 2010 Fluid, Electrolyte and Acid-Base Targeted Medical-Surgical 2010 Endocrine Targeted Medical-Surgical 2010 Cardiovascular RN Comprehensive Online Practice 2010 A RN Comprehensive Online Practice 2010 B [20%] 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, will result in the Student being assigned a ZERO (0) for that particular Targeted / Practice Test. These exams must be initiated after 25 February 2013 and only the first score obtained after this date will be considered for the grading matrix. 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 RN Medical-Surgical Practice Test A 5% (to be administered during your First Clinical Day /or First Clinical Weekend) *ATI Leadership Proctored Exam 10% (to be administered at Mid-Term during Clinical) ***ATI Predictor (Only The 2nd ATI Predictor Test Counts as Score) (to be administered on your Final Clinical Day /or Final Clinical Weekend) Total 25% _____ 100% *ATI Grading Scale for the Leadership Proctored ATI Exam Less than Level I 40 Level I 60 Level II 80 Level III 100 **ATI Medical-Surgical Test will be scored based off of grade result ***ATI Predictor will be scored at the percentile score you earn. Example: 35% = to a grade 35 (which 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 o o o o 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 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 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 (25%) but will be used as the foundation to create the Live ATI NCLEX Review 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 25% of the Leadership Course Grade). All Students are required to Attend the LIVE ATI NCLEX Review. Failure to Attend the entire session will result in a NO-PASS in Clinical which would mean the Student would have to repeat the Course. The LIVE ATI NCLEX Review will be conducted post the last Clinical Weekend (during the Finals Week time-frame for Face-to-Face Students). As always Dates of Clinicals to include the Mandatory LIVE ATI NCLEX Review may be changed at the Discretion of the Dean of Nursing. ***ATI Proctored Exams & ATI Predictor Exam are 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 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. 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 dates and content 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 for Unit Exams. Students are required to follow the 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. Those who use a Live Proctor are required each quarter to have pre-approval of the Proctor Person with Wayland Virtual Campus. Refer to the Student Calendar for testing dates. 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 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. 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. No Scrubs. School patches must be attached to uniform tops and lab coats. Patch must be purchased at WBU bookstore. Students are required to take a Dosage Calculation Exam on the first day of the First Clinical. The test consists of 10 dosage calculations. The Student is required to make a score of 100. The Student has 3 opportunities to achieve the Score of 100. The Online Students will have all 3 attempts administered the first Clinical Weekend, with the first one on the Friday that the Students come to the Campus and subsequently the second attempt on Saturday and the final attempt on Sunday of the First Clinical Weekend. If the Student does not achieve a score of 100 after the 3rd attempt, the Student will receive a Failure in the Clinical portion of the Course and therefore fail the Theory Component as well and will be referred to the Dean of the Nursing Program for follow-up. 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. 2. Questionable decisions are often made. 3. Lacks insight into own behaviors and that of others. 4. Difficulty in adapting to new ideas/functions. 5. Continues to need additional guidance and direction. Matched to NPA 1,2,3,5,6,7,9,10,11,12,13,14,15 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15 1,2,3,4,5,6,8,9,10,11,12,13,14,15 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, non-effective 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). Disability Statement Wayland Baptist University adheres to a policy of providing equal opportunity to students with disabilities. Disability is defined by the University as any condition that falls under the purview of the Rehabilitation Act of 1973. Wayland will strive to achieve optimum opportunity for participation in the University experience for all students, regardless of their circumstance. The University encourages any student who has a disability, as defined by the Rehabilitation Act of 1973, to inform the University of any Special Requirements or needs by reporting these to the Dean of Students or the Vice President of Academic and Student Services. The University will strive to meet these needs in accordance with applicable federal guidelines and Christian ethical considerations. 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 discouraged, though permitted in certain designated areas of the campus (at least 50 feet from the Alamo University Center Building). In consideration of the rights of others and the requirements of safety, such areas are designated. 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 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 4 Weekly Discussion Grade Excellent (A) 100 GRADING CRITERIA The comment is accurate, original, 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 4 Discussion Question(s). Additionally, Student must post to a minimum of four 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 3 Minimum (C) 75 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. Comments which are based upon personal opinion or personal experience often fall within this category. 2 Substandard (F) 50 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 1 Unacceptable (F) 25 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 0 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 week during a thirteen week quarter 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 24-48 hours at the beginning of the business week (Monday). 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 carative 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 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 Points Possible (50) – see breakdown below 5 5 5 5 5 5 5 5 5 5 (30) See breakdown below 10 10 10 20 100 Points Earned Leadership / Management Clinical Clinical Site: Buena Vida Nursing and Rehab Clinical Location: 5027 Pecan Grove San Antonio, Texas 78222 or Clinical Site: Regent Care Center Of Oakwell Farms, L P Clinical Location: 8501 Laurens Lane San Antonio, TX 78218-6092 This Clinical differs in many respects than the other Clinicals 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 are 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 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 through 12:00 pm Medication timeframe if Dayshift (unless otherwise specified by the Clinical Instructor). If on 3-11 shift, the 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 Buena Vida 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. I will be with the Medication Nurses at the Medication Cart the entire time. 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. Wound Care Nurse 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 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. Most important the CNA updates the Team Leader of Changes, providing both the Team Leader and the 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 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 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 ATI and access and successfully complete the ATI Real Live Clinical Scenarios. Any additional time left, will be geared toward ATI Targeted Practice Tests (with Focused Review) or the ATI Tutorial Practice and Final Tests. All students need to bring ear phones / earbuds 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 Part of the Clinical Homework, will be the requirement of the Student to complete all of the ATI Real Live Clinical Scenarios. Students will be required to repeat testing on each Scenario until he/she has achieved a 100% as this speaks to the student’s ability of competent critical thinking within a virtual clinical situation. This part of the Clinical is a PASS/FAIL. Failure to complete all of the ATI Real Live Clinical Scenarios with a 100% will mean the Student is assigned a NO PASS for Clinical and subsequently will mean that the Student will not pass the Leadership Course. Students are to refer to the Student Calendar for Dates of when various ATI Real Live Clinical Scenarios are due. In addition, each Student will select one resident by which to develop the required Nursing Care Plan / 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 Nursing Care Plans / Concept Maps will be required. The Nursing Care Plan and Concept Map Template Forms will be posted on Black Board Course site for you to access. To ensure that you have a thoroughly completed Clinical Assignment, follow the Grading Rubric below and on the next several pages. Grading Rubric for Clinical Homework Care Plan Assignments Medical diagnosis-Levels of Achievement: Doesn’t see the picture 1 (1%) points Lists only 1 diagnosis. Sees part of the picture 2 (2%) points Lists more than 1 diagnoses. Sees the basic picture 3 (3%) points Lists most diagnoses. Sees the big picture 4 (4%) points Lists primary & related diagnoses Anticipates the changing picture 5 (5%) points Lists all diagnoses Pathophysiology evidence base-Levels of Achievement: Doesn’t see the picture 2 (2%) points Identifies basic relevant pathophysiology, Provides basic overview of condition, provides nonnursing reference. Sees part of the picture 4 (4%) points Identifies relevant pathophysiology, Discriminates between normal & abnormal Sees the basic picture 6 (6%) points Identifies relevant pathophysiology, uses understanding of disease process, connects assessment and anticipated tests & procedures to pathology Sees the big picture 8 (8%) points Identifies relevant pathophysiology, clearly connects tests, labs, & medical management to evidence base Anticipates the changing picture 10 (10%) points Identifies relevant pathophysiology, explains etiology, signs & symptoms of condition, Modifiable & non-modifiable risk factors, identifies potential complications Fully connects nursing assessment to anticipation of patho progression and changing medical prognosis; provides 1-2 nursing reference. Admission diagnosis/medical history-Levels of Achievement: Doesn’t see the picture 1 (1%) points Reports basic information from patient's chart Sees part of the picture 2 (2%) points Briefly relates patient 's health, history, symptoms, risks, lab tests to the medical diagnosis. Sees the basic picture 3 (3%) points Rephrases patient history, S&S, risks, Complications & tests. Able to recognize 1-2 similarities and differences Sees the big picture 4 (4%) points NOTICES similarities & differences in patient compared to evidence base Anticipates the changing picture 5 (5%) points Accurately NOTICES, identifies similarities & deviations in patient compared to evidence base; INTERPRETS data by clustering appropriately to recognize data patterns demonstrated in evidence base to anticipate patient needs Assessment/reassessment-Levels of Achievement: Doesn’t see the picture 2 (2%) points Performs assessment with guidance or prompts Sees part of the picture 4 (4%) points Distinguishes between abnormal & normal assessment findings Sees the basic picture 6 (6%) points Classifies relative importance of assessment findings Sees the big picture 8 (8%) points Recognizes signs of patient deterioration Anticipates the changing picture 10 (10%) points Relates ongoing assessment findings to potential complications NANDA Nursing Diagnosis- labs & critical thinking-Levels of Achievement: Doesn’t see the picture 2 (2%) points Identifies nursing diagnosis for each body system; Chooses 2 or more relevant NANDA dx, verbalizes expected norms in patient condition and reports lab data Sees part of the picture 4 (4%) points Identifies nursing diagnosis for each body system; Chooses 2 or more relevant NANDA dx, recognizes variations in patient condition, but needs help prioritizing and distinguishes between normal & abnormal lab data or exam findings Sees the basic picture 6 (6%) points Identifies nursing diagnosis for each body system; Chooses relevant NANDA dx, determines priorities in patient care based on variations in patient condition and uses understanding of lab values to plan care Sees the big picture 8 (8%) points Identifies nursing diagnosis for each body system; Chooses 2 or more relevant NANDA dx, carries out care while managing multiple contingencies and analyzes trends in lab values and compares with patient response Anticipates the changing picture 10 (10%) points Identifies nursing diagnosis for each body system; Chooses 2 or more relevant NANDA dx, devises plan to avoid complications and monitors patient response through analysis of lab data and exam findings Medications-Levels of Achievement: Doesn’t see the picture 2 (2%) points Lists basics information on 5 meds Sees part of the picture 4 (4%) points Briefly relates 5 medications to patho Sees the basic picture 6 (6%) points Relates 5 meds to patho & Rephrases pharm information into lay terms for patient & family Sees the big picture 8 (8%) points Lists 5 meds, connects nursing assessments & interventions Anticipates the changing picture 10 (10%) points Lists 5 or more meds, synthesizes information, relates to etiology, anticipates & analyzes patient responses Planning- critical thinking-Levels of Achievement: Doesn’t see the picture 4 (4%) points attempts client goals & outcomes, Plans appropriate interventions Sees part of the picture 8 (8%) points client-centered goals & outcomes, Plans appropriate interventions involving patient & family, Sees the basic picture 12 (12%) points Plans appropriate interventions involving patient, family, faculty or staff Sees the big picture 16 (16%) points Plans appropriate patient-centered interventions and collaborates with nursing Anticipates the changing picture 20 (20%) points Plan demonstrates STG & LTG that are specific & measureable, client-centered, Nursing plan and intervention include rationale with APA references and demonstrate synthesis, connectedness to NANDA diangosis, collaborative plans with other health providers Interventions/teaching- meds & critical thinking-Levels of Achievement: Doesn’t see the picture 2 (2%) points Seeks guidance to answer patient & family questions Sees part of the picture 4 (4%) points Explains procedures to patient & family Sees the basic picture 6 (6%) points Rephrases medical information into lay terms for patient & family Sees the big picture 8 (8%) points Identifies need for further patient & family teaching Anticipates the changing picture 10 (10%) points Modifies patient teaching methods based on patient & family response Evaluation-critical thinking-Levels of Achievement: Doesn’t see the picture 2 (2%) points (1) Even prompted evaluations are brief, cursory, and not used to improve performance; justifies personal decisions/ choices without evaluating them (2) Appears uninterested in improving performance or unable to do so; rarely reflects; is uncritical of him/herself, or overly critical (given level of development); is unable to see flaws or need for improvement Sees part of the picture 4 (4%) points (1) Even when prompted, briefly verbalizes the most obvious evaluations; has difficulty imagining alternative choices; is self-protective in evaluating personal choices (2) Demonstrates awareness of the need for ongoing improvement and makes some effort to learn from experience and improve performance but tends to state the obvious, and needs external evaluation Sees the basic picture 6 (6%) points (1) When prompted, evaluates/analyzes personal clinical performance; has difficulty independently forming alternative choices. (2) Demonstrates a desire to improve nursing performance and makes significant effort to learn from experience: reflects on and evaluates experiences; identifies some strengths/weaknesses; but tends to state the obvious, and needs external evaluation Sees the big picture 8 (8%) points (1) Evaluates/analyzes personal clinical performance with minimal prompting, primarily major events/decisions; key decision points are identified and alternatives are considered (2) Demonstrates a desire to improve nursing performance: reflects on and evaluates experiences; identifies strengths/weaknesses; could be more systematic in evaluating weaknesses Anticipates the changing picture 10 (10%) points (1) Independently evaluates/analyzes personal clinical performance, noting decision points, elaborating alternatives and accurately evaluating choices against alternatives Demonstrates commitment to ongoing improvement: reflects on and critically evaluates nursing experiences; accurately identifies strengths/weaknesses and develops specific plans to eliminate weaknesses Communication & documentation-Levels of Achievement: Doesn’t see the picture 2 (2%) points Recalls basic information for report to physician/ colleagues with prompting and documentation; missing references Sees part of the picture 4 (4%) points Summarizes available information for report to physician/colleagues and documentation; some references Sees the basic picture 6 (6%) points Prioritizes available information for report to physician/colleagues and documentation, references throughout Sees the big picture 8 (8%) points Draws conclusions based on available information for report to physician/ colleagues and documentation; provides citations, good grammar Anticipates the changing picture 10 (10%) points Synthesizes available information with possible future patient outcomes for report to physician/colleagues and documentation; Nursing articles & text with APA format proper, good grammar, no spelling errors References: APA format On-Line Student Calendar and Assignments Theory and Clinical On-line Students Clinical dates are March 1,2,3; April 6,7; and May 10th-15th (Subject to change per the Dean, Dr. Frazor) (Everything Subject to Change at the Discretion of the Instructor or Dr. Frazor) Assignment / Week Activity Preparation Week. 1: Unit I Feb 25Content (Whitehead,W March 3 eiss & Tappen Review the Chapters 1&2) Requireme + (Yoder-Wise Chapters 1-9) nts to obtain the maximum credit for Discussion Postings in your Syllabus. Theory Day 1 February 25th (by 11:59 pm CST) Review / Orient yourself to the Course Site on Blackboard *Ice Breaker Posting – All Students will post an Introduction of themselves (by 11:59 pm CST) Day 2 February 26th (by 11:59 pm CST) *Respond to Discussion Posting Questions related to Unit 1* Day 3-4 February 27-28th (by 11:59 pm CST) *Should have posted all of your Postings to the Discussion Question Clusters* Day 5 March 1st Respond as a follow up to 4 of your fellow Student(s) discussion postings for Unit 1 Discussion Posting / Participation Grade for Unit 1 will be posted to your Grade Center on March 3rd after 11:59 pm CST Blue Print & Focus Review for Unit One Exam will be posted on Blackboard First Clinical Weekend Friday March 1st Day 1 Clinical Be in your Uniform with ID and have your Nursing Equipment with you in your car. Always Bring your Laptop Computers each day of Clinical to include your Earphones, Simple Calculator, Drug Book and Care Plan Book Friday March 1st 0800 am: Meet in Computer Lab 201: Clinical Dosage Calculation Test will be administered 10 calculations to include IV calculations (bring a simple calculator and sharpened pencils) 3 attempts to make the minimum grade of 100. If you fail to score a 100 after the 3rd attempt, you will fail Clinical and thus Fail the Leadership Course. 0830 am: ATI Predictor that will not Count for Score but will be used as the Basis of your ATI Live NCLEX Review that will be conducted in May. 1130 am: After completing your ATI Test, I will teach you how to create a Focused Review and you will begin to remediate your areas of weakness (you will need your earphones or earbuds). I will also teach you how to analyze your ATI Questions to gain maximum understanding in preparation for the 2nd ATI Predictor that will count for score 12:00 Noon: Lunch on your own 1:00 pm: Review of Syllabi & Clinical Paperwork 2:00pm: Simulation Lab Orientation 3:30 pm: Review of ATI Real Live Clinical Scenarios if available 4:00 pm: Clinical Assignments Those assigned to Buena Vida (Dr. Moore’s Group) are required to depart the Campus and go to Buena Vida to be certified in the Facility’s Glucometer as well as Facility Orientation. Prior to departure, Student Roles will be assigned. Saturday March 2nd Day 2 Clinical Sunday March 3rd Day 3 Clinical 0630-0659: Grab your Taco & Coffee & eat on the run 0700: Dr. Moore’s Students Present at Buena Vida to start Clinical on the Floor (Ms. Wright’s Clinical Group report at the time she has specified) 1230 pm: All Students Depart Nursing Facilities 1230-2:00pm Lunch on your own 2:00 pm-7:00 pm: Report to Pat Booker Campus (Computer Lab 201) ATI Real Live Clinical Scenarios (if made available) (make sure you have your Ear Phones or Ear buds) Clinical Paperwork to Include Nursing Notes Based off of Resident that each Student assessed (All Students will perform a Full Assessment of 1 Resident while at nursing facility). Students are required to complete a total of 15 HAND-WRITTEN Medication CARDS (Template for the Medication Card will be Posted on Blackboard). The Cards are to be hand-written on 5X7 Index Cards. These will need to be shown to your Clinical Instructor prior to departure on Sunday Students will be divided in groups of 4 and each Group will go through Simulation Training. Each Group will create their own Paper Work to include Nursing Note of the Simulation Activity. Students who are not rotating into the Simulation Lab will be working Clinical Paperwork, Drug Cards, and/or ATI items. Dismissed once All Students have had the opportunity to go through the Simulation Lab Exercise, no one can leave early Independent Time: Students need to continue to work on their Clinical Homework, Nursing Notes, Drug Cards, etc. o All Students to complete 15 Hand-Written Medication Cards & shown to your Assigned Clinical Instructor prior to Dismissal at 4pm on Sunday 0800 Students report to Pat Booker Campus (Computer Lab 201)Students will take ATI Med-Surg Test (counts as 5% of Theory Course Grade) 0930 Students to immediately begin Focused Review upon completion of Med-Surg Test (bring Earphones or Earbuds) 10:30 am Simulation Group Debriefing (Classroom 136) 12:00 noon: Lunch on you Own 1:00 pm-4:00 pm (Computer Lab 201) Dr. Moore’s Clinical Group to be assigned Clinical Roles for 2nd Clinical Weekend Week 2 Monday March 4th 10th Review the Requireme nts to obtain the maximum credit for Discussion Postings in your Syllabus. Unit 1 Exam (Whitehead,W eiss & Tappen Chapters 1&2) + (Yoder-Wise Chapters 1-9) NCLEX RN Activity Games o RNtertainment, the NCLEX Examination Review Game o Show your Completed 15 Hand-Written Medication Cards to your Clinical Instructor o If Completed, submit your Clinical Homework (1st Nursing Care Plan/Concept Map) 4:00-7:00 pm-Independent Time ATI Tutorial Leadership Practice & Final Tests Make sure you review all rationales (right and wrong answer rationales). ALL Students once you have completed the ATI Tutorial Tests (Practice and Final Leadership Tests) You will email your ATI “My Transcript” to my Wayland Email: moorel@wbu.edu (while you are dismissed at 4 pm (1600 hours), while you wait for your plane departure, you can be working on these ATI Tutorial Leadership Tests. This Time 1600-1900 hours still constitutes Clinical Time & is tied to the Completion of these ATI Tutorial Leadership Tests. Tutorial Tests do not have Focused Reviews. Monday March 4th : Study for your Unit One Exam & work on your ATI Focus Reviews (ATI Predictor & Medical Surgical Practice Test) But Please Don’t forget to be pro-active in accessing all of your ATI Practice and Tutorial Tests as your Goal is to achieve 99% pass rate on the second ATI Predictor in passing the NCLEX on the first attempt Unit One Exam Tuesday March 5th You will access your Unit One Exam by logging into Blackboard under your course and access the Unit One Exam. This will be a 40 item test and will be open once you log on for 1 hour for you to complete. Proctor Secure will monitor you as you take your Exam or if you have a Live Proctor these are the times that the exam will be open. The Exam will be opened at 2pm CST until 11:00 pm CST. Therefore the latest you have to take the Exam to have a full hour will be by logging in by 10:00 pm CST. Unit Two Discussion Postings Wednesday March 6th (by 11:59 pm CST) You will need to respond to the Discussion Posting Questions for Unit Two Unit Two Whitehead, Weiss & Tappen Chapters 5-9) + (Yoder-Wise Chapters 10,11,13,17, 18 & 23) Thursday March 7th (by 11:59 pm CST) You will need to respond to 4 of your fellow Student(s) discussion postings for Unit 2 Friday March 8th (by 11:59 pm CST) Submit the following ATI Target Practice Exams with Focused Reviews to moorel@wbu.edu RN Leadership Online Practice 2010 A Targeted Medical-Surgical 2010 Fluid, Electrolyte and Acid-Base Discussion Posting/Participation Grade for Unit 2 will be posted to your Grade Center after 5:01 pm CST March 10th Blue Print & Focus Review for Unit Two Exam will be posted on Blackboard Use your Weekend to prepare for your Exam and Read ahead to prepare for next week’s Discussion Postings Week 3 March 11th 17th ATI Focus Reviews Unit 2 Exam Review the Unit III Requireme (Whitehead, Weiss & nts to Tappen obtain the Chapters 10, maximum 12 & 13) + (Yoder-Wise credit for 19, Discussion Chapters 20, 21,22, 25, Postings in 26 & 27) your Syllabus. Week 4 March 18th -24th Review the Requireme nts to obtain the maximum credit for Discussion Postings in your Unit III Syllabus. Exam (Whitehead, Weiss & Tappen Chapters 10, Continue to work on your ATI Focus Reviews (ATI Predictor & Medical Surgical Practice Test) Prepare for your Proctored Leadership ATI Test by accessing the Practice Leadership Tests and the Tutorial Practice and Final Leadership Tests reviewing all right and wrong rationales. Review the electronic ATI Leadership Text (located on the ATI homepage) Tuesday March 12th You will access your Unit Two Exam by logging into Blackboard under your course and access the Unit Two Exam. This will be a 40 item test and will be open once you log on for 1 hour for you to complete. Proctor Secure will monitor you as you take your Exam or if you have a Live Proctor these are the times that the exam will be open. The Exam will be opened at 2pm CST until 11:00 pm CST. Therefore the latest you have to take the Exam to have a full hour will be by logging in by 10:00 pm CST. Wednesday March 13th – Friday March 15th (by 11:59 pm CST), you will need to have responded to the Discussion Questions Posted for Unit III Exam Content. Blue Print & Focus Review for Unit Three Exam will be posted on Blackboard Monday March 18th (by 11:59 pm CST), Submit the following ATI Target Practice Exams with Focused Reviews to moorel@wbu.edu Targeted Medical-Surgical 2010 Respiratory Targeted Medical-Surgical 2010 Cardiovascular Wednesday March 20th (2359 CST) you should have responded to your Fellow Students’ Postings Thursday March 21st Study for Unit Three Exam – Discussion Posting Grade for Unit Three will be posted after 2359 CST Friday March 22nd You will access your Unit Three Exam by logging into Blackboard under your course and access the Unit Three Exam. This will be a 40 item test and will be open once you log on for 1 hour for you to complete. Proctor Secure will monitor you as you take your Exam or if you have a Live Proctor these are the times that 12 & 13) + (Yoder-Wise Chapters 19, 20, 21, 22, 25, 26 & 27) March 25th -30th Week Five April 1-7 . the exam will be open. The Exam will be opened at 2pm CST until 11:00 pm CST. Therefore the latest you have to take the Exam to have a full hour will be by 10:00 pm CST Spring Spring Break – Enjoy your Time with your Family Break ATI Target Thursday April 4th (by 11:59 pm CST) Submit the following ATI Practice Target Practice Exams with Focused Reviews to moorel@wbu.edu Tests with RN Leadership Online Practice 2010 B Focused RN Comprehensive Online Practice 2010 A Reviews Work on your other ATI Focus Reviews (ATI Predictor, ATI Medical Surgical Practice Test) + Don’t forget to be pro-active in accessing all of your ATI Practice and Tutorial Tests as your Goal is to achieve 99% pass rate on the second ATI Predictor in passing the NCLEX on the first attempt 2nd Clinical Weekend Day 1 Saturday April 6th 0630-0659: Grab your Taco & Coffee & eat on the run 0700: Dr. Moore’s Students Present at Buena Vida to start Clinical on the Floor (Ms. Wright’s Clinical Group report at the time she has specified) 1230 pm: All Students Depart Nursing Facilities 1230-2:00pm Lunch on your own 2:00 pm-7:00 pm: Report to Pat Booker Campus (Computer Lab 201) ATI Real Live Clinical Scenarios (if made available) (make sure you have your Ear Phones or Ear buds) Clinical Paperwork to Include Nursing Notes Based off of Resident that each Student assessed (All Students will perform a Full Assessment of 1 Resident while at nursing facility). Students are required to complete a total of 10 HAND-WRITTEN Medication CARDS (Template for the Medication Card will be Posted on Blackboard). The Cards are to be hand-written on 5X7 Index Cards. These will need to be shown to your Clinical Instructor prior to departure on Sunday (NOTE: You will be required to Show the 15 Cards that you completed the previous Clinical + the additional 10 Cards to equal to a Total of 25 HAND-WRITTEN Medication Cards) Students will be divided in groups of 4 and each Group will go through Simulation Training. Each Group will create their own Paper Work to include Nursing Note of the Simulation Activity. Students who are not rotating into the Simulation Lab will be working Clinical Paperwork, Drug Cards, and/or ATI items. Dismissed once All Students have had the opportunity to go through the Simulation Lab Exercise, no one can leave early Independent Time: Students need to continue to work on their Clinical Homework, Nursing Notes, Drug Cards, etc. o All Students to complete 10 Hand-Written Medication Cards & shown to your Assigned Clinical Instructor prior to Dismissal at 4pm on Sunday (Remember you will have to show a total of 25 Hand-Written Medication Cards prior to Dismissal) Day 2 Week Six April 8-14 Final Unit Content (Whitehead, Weiss & Tappen Chapters 14 & 15) + (YoderWise Chapters 12, 14, 15, 16, 24, 28, 29 & 30) ATI Proctored Sunday April 7th 0800 Students report to Pat Booker Campus (Computer Lab 201)- Students will take ATI Proctored Leadership Test (counts as 10% of Course Grade) 0930 Students to immediately begin Focused Review upon completion of ATI Leadership Proctored Test (bring Earphones or Earbuds) 10:30 am Simulation Group Debriefing (Classroom 136) 12:00 noon: Lunch on you Own 1:00 pm-4:00 pm (Computer Lab 201) Dr. Moore’s Clinical Group to be assigned Clinical Roles for 3rd Clinical Weekend NCLEX RN Activity Games o RNtertainment, the NCLEX Examination Review Game o Show your 25 Hand-Written Medication Cards to your Clinical Instructor o If Completed, submit your Clinical Homework (2nd Nursing Care Plan/Concept Map) Prior to Dismissal – Students receive Mid-Term Clinical Evaluations from Assigned Clinical Instructor 4:00-7:00 pm-Independent Time to work on Mandatory ATI Proctored Leadership Focused Review (Focused Review Time is based on the Level Score you achieved)Once you have completed your Mandatory ATI Proctored Leadership Focused Review Time, You will email your ATI “My Transcript” to my Wayland Email: moorel@wbu.edu (though you are dismissed at 4 pm (1600 hours), while you wait for your plane departure, you can be working on your ATI Leadership Focused Review based on the Level Score you achieved. This Time 1600-1900 hours still constitutes Clinical Time & is tied to the Completion of the ATI Leadership Proctored Test Focused Review Remediation. Thursday April 11th (by 11:59 pm CST), you will need to respond to the Discussion Questions Posted for the Final Unit Content Final Unit Blue Print & Final Unit Focused Review will be posted on Black Board ATI Proctored Leadership Focused Review is DUE Sunday April 14th (by 11:59 pm CST) Leadership Focused Review DUE Week ATI Seven Target April 15Practice 21 Tests with Focused Reviews Week Discussion Eight April Follow up 22-28 Postings for Final Unit Content ATI Target Practice Tests with Focused Reviews Week Nine Study for April 29your Final May 5 Exam Week Ten May 6-12th & Week Eleven May 1315th Tuesday April 16th (by 1159 pm CST) the following ATI Target Practice Tests with Focused Reviews are Due Targeted Medical-Surgical 2010 Renal and Urinary Targeted Medical-Surgical 2010 Endocrine Tuesday April 23rd Post to your fellow students’ Discussion Postings for the Final Unit Content Friday April 26th (by 1159 pm CST) the following ATI Target Practice Tests with Focused Reviews are Due Targeted Medical-Surgical 2010 Immune RN Comprehensive Online Practice 2010 B Study for Final Exam No Discussion Postings this Week (Whitehead, Weiss & Tappen Chapters 14 & 15) + (YoderWise Chapters 12, 14, 15, 16, 24, 28, 29 & 30) Friday May 3 (by 1159 CST) 1st ATI Predictor Focused Review and Medical Surgical Focus Review is DUE. Final Unit Exam Tuesday May 7th FINAL EXAM You will access your Final Exam by logging into Blackboard under your course and access the Final Exam. This will be a 50 item test and will be open once you log on for 2 hours for you to complete. Proctor Secure will monitor you as you take your Exam or if you have a Live Proctor these are the times that the exam will be open. The Exam will be opened at 2pm CST until 11:00 pm CST. Therefore the latest you have to take the Exam to have a full 2 hours will be by logging in by 9:00 pm CST. (Whitehead, Weiss & Tappen Chapters 14 & 15) + (YoderWise Chapters 12, 14, 15, 16, 24, 28, 29 & 30) Final Clinical Weekend Day 1 Friday May 10th 0800 am: Expect to be on Campus to present Community Nursing Projects (Mrs. Alecozay) 12:00 Noon: Nursing Department Sponsored Pizza Luncheon 2:30 pm CST: ATI Predictor – Computer Lab 201 (Counts as Score – worth 25% of Course Grade) Day 2 Saturday May 11th 0630-0659: Grab your Taco & Coffee & eat on the run 0700: Dr. Moore’s Students Present at Buena Vida to start Clinical on the Floor (Ms. Wright’s Clinical Group report at the time she has specified) 1230 pm: All Students Depart Nursing Facilities 1230-2:00pm Lunch on your own 2:00 pm-7:00 pm: Report to Pat Booker Campus Telephonic Conference NCLEX Preparation Tips (Computer Lab 201) Pay it Forward Program 3:00 pm to Completion: Simulation Lab & ATI Real Live Clinical Scenarios (if made available) (make sure you have your Ear Phones or Ear buds) Students are required to complete a total of 10 HANDWRITTEN Medication CARDS (Template for the Medication Card will be Posted on Blackboard). The Cards are to be hand-written on 5X7 Index Cards. These will need to be shown to your Clinical Instructor prior to departure on Sunday (NOTE: You will be required to Show the previous 25 Cards that you completed the previous Clinicals + the additional 10 Cards to equal to a Total of 35 HAND-WRITTEN Medication Cards) Dismissed once All Students have had the opportunity to go through the Simulation Lab Exercise, no one can leave early o Prior to Dismissal on Saturday, All Students will be assigned a section that he/she will present on Sunday of the Isolation Referencing the PDF below http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007.pdf Day 3 Sunday May 12th 0800 am: Report to the Pat Booker Campus Clinical Simulation Debriefing Group Discussion on Isolation referencing the PDF below o http://www.cdc.gov/hicpac/pdf/isolation/Isolation2007 .pdf 12:00 pm to completion: Combined Lunch & RNtertainment, the NCLEX Examination Review Game Clinical Site Evaluations & Clinical Closure. o All Students to complete 10 Hand-Written Medication Cards & shown to your Assigned Clinical Instructor prior to Dismissal at 4pm on Sunday (Remember you will have to show a total of 35 Hand-Written Day 4 Day 5 Day 6 Week Twelve Medication Cards prior to Dismissal) o Students to Complete RN Program Evaluations prior to Dismissal Monday May 13th 0800 am (or Time TBA) Day One ATI Live NCLEX RN Review – Location TBA – Reminder: ATI Live NCLEX RN Review is Mandatory and is considered part of Clinical. Failure to attend the entire NCLEX Review will constitute a NO PASS in the Leadership Clinical Tuesday May 14th 0800 am (or Time TBA) Day Two ATI Live NCLEX Review Wednesday May 15th 0800 am (or Time TBA) Final Day ATI Live NCLEX Review Student to Complete Wayland on-line Course Evaluations (if you haven’t already completed this) Grades for the Leadership Course will be posted prior to the Final Day that Grades are due Congratulations!