Clinical-Concepts of Clinical Decision Making II Syllabus for 2015-2016
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Course

RNSG-2261-001 Clinical-Concepts of Clinical Decision Making II

Prerequisites

Corequisite: RNSG 1248

Course Description

A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills and concepts to clients on medical surgical units. Direct supervision is provided by the clinical professional.

Student Resources Student Resources Website

Department Expectations

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Occupational License Disclaimer

Hours

(2 sem hrs; 6 clinical)

Class Type

Hybrid

Syllabus Information

Textbooks

REQUIRED TEXTBOOKS:
1. Smeltzer & Bare: Brunner and Suddarth’s Textbook of Medical-Surgical Nursing. J.B. Lippincott, 12th edition, 2010 (ISBN#: 978-0-7817-8589).
2. Mosby’s Diagnostic & Laboratory Test Reference. 
3. Davis Drug Guide (or other reliable textbooks or electronic sources of medication information).
4. Young, K. and Reed, C.: Course Manual for RNSG 1248 and RNSG 2261 (prepared by the Associate Degree Nursing Program, 2014).

SUGGESTED TEXTBOOKS:
1. Gahart & Nazareno’s Guide to Intravenous Medications.
 

Supplies

No supplies available

Student Performance

 

MEMBER OF A PROFESSION

1. Practice nursing within an ethical-legal framework and according to professional standards and requirements.

                a.  Maintains patient confidentiality and privacy.

                b.  Maintains professional boundaries with patients, families, staff, student peers and                         faculty.

                c.  Adheres to the ethical provisions of the American Nurses Association Code of Ethics for Nurses.

                d.  Functions within the Texas legal scope of professional nursing practice and agency,                        college, and nursing program policies and procedures.

                e.  Abides by the program dress code at all times. Arrives on time to clinical and clinical                        conferences. Completes all assignments on time.

                f.  All immunizations/certifications are complete and submitted by required date.

 

2.  Assume responsibility and accountability for quality nursing care, continuing competency in nursing practice, and promotion of the profession.

                a.  Evaluates the learning needs of self to ensure quality nursing care.

                b.  Demonstrates progressive self-direction, responsibility and accountability for seeking and participating in learning experiences to improve own clinical competency.

                c.   Presents self as a positive role model for the promotion of the nursing profession.

 

PROVIDER OF PATIENT-CENTERED CARE

3.  Utilize a systematic process and clinical reasoning to promote, maintain, and restore the health of patients and their families within communities across the developmental lifespan.

                a.  Utilizes a systematic process to gather objective and subjective data to determine the health status of the assigned patient(s) and their families. Performs a systematic head-to-toe health assessment on the assigned patient(s). Uses clinical reasoning to identify patient health needs based on analysis of assessment data and evidence-based practice outcomes.

                b. Formulates short- and long-term goals and outcomes for the assigned patient(s) in               collaboration with the patient, family and interdisciplinary team. Utilizes evidence-based practice outcomes and clinical reasoning to develop a plan of care to promote, maintain, and restore the health of assigned patient(s) related to the current developmental level.

                c.  Implements an individualized plan of care to promote, maintain, and restore the                             health of the  assigned patient(s), plus rationales.

                d.  Evaluates the plan of care for assigned patient(s) in order to assess goals/outcomes                                      achievement, adjust patient-care priorities, and modify the plan of care as indicated.

                e.  Demonstrates an understanding and correlates pathophysiology, laboratory data,                          diagnostic imaging, pharmacotherapeutics, and health assessment findings with the patient's clinical status both verbally and in systematic plan of care. Pathophysiology and pharmacology implications should be written in the student's own words. Student may not copy and paste directly from the textbook.

                f. Demonstrates competency in all nursing skills learned prior to and during RNSG 2261          

                g. Documents responses of patients to prescription and nonprescription medications,                        treatments, procedures, and nursing interventions accurately and completely using                                      proper grammar and spelling.

                h. Performs a head-to-toe assessment on a patient with the clinical instructor present.

         Score       95-100 = 4          90-94= 3     80-89= 2               75-79= 1               74 and below= 0

4.  Provide safe, compassionate holistic patient-centered care to diverse patients and their families.

                a.  Provides holistic patient-centered care in a safe, organized manner according to                              identified priority health needs and changing patient status.

                b.  Communicates clearly and in a timely manner with the clinical faculty and                                            interdisciplinary healthcare team members to ensure the delivery of safe, holistic patient-centered care.

                c.  Demonstrates respect for all patients and their families regardless of culture, race,                         ethnicity, socioeconomic status, age, gender or disability.

                d.  Demonstrates empathy for patients and their families by developing caring                                       connections and implementing nursing measures to alleviate physical, mental or                                     spiritual distress.

                e.  Communicates professionally and effectively with patients and families.

                f.   Prioritizes needs for patients. Augments nursing care to meet the challenging needs                                    of patients and family in a timely manner.

 

5.  Coordinate resources to provide comprehensive, quality care within the healthcare system to patients and their families.

                a.  Identifies resources for patients and their families during hospitalization and at                                discharge, including community care.

                b.  Utilizes identified resources efficiently to achieve patient-centered outcomes and                         provide comprehensive, quality care.

 

PATIENT SAFETY ADVOCATE

6.  Utilize evidence-based data to reduce patient risks and promote a safe and quality patient-care environment.

                a.  Uses evidence-based data to provide a safe, effective environment conducive to the                                   optimal health and dignity of patients and their families.

                b.  Implements strategies to reduce patient risks and enhance safety and quality of                             patient-centered

                     care.

Clinical Project: See course guide for information

95-100 = 4            90-94= 3               80-89= 2               75-79= 1               74 and below= 0

7.  Comply with professional standards and regulations to promote and ensure patient safety.

                a.  Adheres to the Texas Nursing Practice Act and Texas Board of Nursing Rules that                             emphasize safety.

                b.  Seeks assistance as needed from the clinical faculty, student peers, and other                                  members of the interdisciplinary healthcare team to provide safe, quality care.

                c.  Reports unsafe healthcare practices, incidents, or issues to the clinical faculty.

                d.  Administers medications and treatments safely according to professional standards                       and regulations with the clinical instructor present.         

                     Score    95-100 = 4            90-94= 3               80-89= 2               75-79= 1               74 and below= 0

 

MEMBER OF THE HEALTHCARE TEAM

8.  Collaborate with patients, families and the interdisciplinary healthcare team to promote and provide quality, holistic patient-centered care.

                a.  Promotes collaboration among the patient, family and interdisciplinary healthcare                          team to improve quality of care.

                b.  Acts as an advocate for patients and their families with the interdisciplinary                                        healthcare team to ensure holistic patient-centered care.

                c.  Participates in referrals to healthcare resources that promote continuity of care for                        patients and their families.

                d.  Maintains positive professional working relationships and communicates in a timely                       manner with the interdisciplinary healthcare team.

                e.  Readily assists the interdisciplinary team and student peers in the safe delivery of                          patient care.

9.  Utilize information systems and technology to efficiently manage and improve holistic patient- centered care.

                a.  Communicate and manage information using technology to support decision-making                                    to improve patient care.

                b.  Demonstrates safe use of current technology to ensure and improve holistic patient-centered care

10. Coordinate the nursing care of other team members through effective assignment, delegation and supervision.

                a.  Demonstrates knowledge of the Texas Board of Nursing Rules and clinical agency                            policies relevant to assignment, delegation, and supervision of nursing team                                             members.

                b.  Participates in coordinating holistic patient-centered care by other nursing team                              members.

Students Rights and Responsibilities

Student Rights and Responsibilities

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Expected Student Behavior

\ BEHAVIORAL EXPECTATIONS AND CLASSROOM GROUND RULES:
\ 1. Students are full partners in fostering a classroom environment which is conducive to learning. In order to assure that all students have the opportunity to gain from time spent in class, unless otherwise approved by the instructor; students are prohibited from engaging in any form of behavior that detracts from the learning experience of fellow students. Inappropriate behavior in the classroom may result in a request from the instructor for the offending student to leave the class.
\ 2. See Associate Degree Nursing Student Handbook, Professional, American Nurses Association Code of Ethics, and Amarillo College Student Rights and Responsibilities.
\  

Grading Criteria

 

GRADING CRITERIA/GRADING SCALE:

The following criteria will be used to determine the course grade:

1.         A=90-100, B=80-89, C=75-79, D=74.9-69, F=below 60. There will be no rounding of grades. For example, a 79.6 is a "C" and will not be rounded to an "80" or "B".

2.         The final clinical grade is determined by the performance of clinical competencies on the Clinical Performance Evaluation of Competencies (CPEC). There will be no rounding of grades on the CPEC.

            Competencies will be assigned a “Yes”, “No”, “4”, “3”, “2”, “1”or “0”. A score of “0” or a “No” in one or more competencies will result in clinical failure. Please see the CPEC  Guidelines in this course syllabus.

The clinical experience also includes Simulation times which are required as part of the 96 Clinical hour total.  Failure to attend or make up any clinical time will result in a clinical failure.

 

Attendance

\ ATTENDANCE POLICY:
\ Regular attendance is necessary for satisfactory achievement. Therefore, it is the responsibility of the student to attend clinical. Students must attend 100% of the clinical days.
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Calendar

Additional Information

No additional information available