Clinical-Concepts of Clinical Decision Making I Syllabus for 2016-2017
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Instructor Information

Course Information

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Course

RNSG-1263-001 Clinical-Concepts of Clinical Decision Making I

Prerequisites

Corequisite: RNSG 1247

Course Description

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

Student Resources Student Resources Website

Department Expectations

Occupational License Disclaimer

Hours

(2 sem hrs; 6 clinical)

Class Type

Clinical

Syllabus Information

Textbooks

1. Faculty Course Manual for RNSG 1247 and RNSG1263. ADN Department, 2015/2016 online

 

1. Smeltzer, S. C., Bare, B. G., Hinkle, J. L. & Cheever, K. H.: Brunner and Suddarth: Textbook of Medical –Surgical Nursing. 13^th Edition. 2013. Wolters Kluwer; Lippincott Williams & Wilkins

 

1. Drug Guide (suggestions – most current edition)

Deglin, J. H., Vallerand, A. H. Davis’s Drug Guide for Nurses. 

Karch, A.M. Lippincott’s Nursing Drug Guide

Wilson, B. A., Shannon, M. T., & Shields, K. M., Pearson Nurse’s Drug Guide

 

1. Any Medical Dictionary (suggestions – most current editions)

Anderson & Glanze: Mosby’s Medical and Nursing Dictionary,

Miller & Keanne: Encyclopedia and Dictionary of Medicine, Nursing and Allied  Health,

Stedman’s Medical Dictionary for the Health Professions and Nursing,. Lippincott Williams & Wilkins

Venes: Taber’s Encyclopedia Medical Dictionary, F.A. Davis Co.

 

1. Laboratory & Diagnostic Test Reference (suggestions- most current editions)

a.Van Leeuwen, A.M., Kranpitz, T. R., & Smith, L.: Davis’s Comprehensive Handbook of Laboratory & Diagnostic Tests with Nursing Implication.

b.Pagana, K. Laboratory & Diagnostic Test Reference,

Supplies

Student Uniform 

• Royal blue Landau® or Urbane® uniform jacket and pants. Royal blue Landau® scrub top (women’s Landau #8219 men’s Landau #7489).  Jacket sleeves may be short, ¾, or long.
• Clean, neatly pressed, and well fitting. Pants may not drag the floor.
• White socks above the ankle or hose with pants.
• Solid white nursing shoes or solid white leather athletic shoes

Stethoscope, penlight, watch

Mobile Device – see requirements

• Clinical requirement- Mobile Device with Webcam, Maximum size 10 inch
  System Requirements	Minimum	Recommended
  Operating System	Windows 7, 8, or 10 Mac OSX 10.6, 10.7, 10.8, or 10.9	Windows 10 Mac OSX 10.7, 10.8, or 10.9
  Processor	1 GHz processor	2 GHz or faster processor
  Memory	2 GB of RAM	4 GB of RAM or higher
  Monitor Resolution	1024 x 768	1024 x 768 or higher
  Free Hard Disk Space	32 GB of free disk space	64 GB or higher of free space
  Internet Connection	Broadband (high-speed) Internet connection with a consistent minimum speed of 1.5 Mbps.	Broadband (high-speed) Internet connection with a speed of 4 Mbps or higher
  Internet Browser**	Respondus Lockdown Browser and IE8, IE9, Safari 4+, Chrome or Firefox	Respondus Lockdown Browser and Firefox
  Java	Java is required to use Blackboard. Download Java.
  Macromedia Flash Player	Flash is required to play videos within the Blackboard system. Download Flash

 

Student Performance

1. As outlined in the learning plan, the student will apply the theory, concepts and skills involving specialized material, equipment, procedures, regulations, laws and interaction within and among political, economic, environmental, social and legal systems associated with the particular occupation and the business/industry. Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and communicate in the applicable language of the occupation and business or industry.

   100% of the clinical grade is determined by the performance of clinical competencies, (Clinical Performance Evaluation of Competencies or CPEC). Competencies will be assigned a ‘4’ Excellent Performance = Exceeds performance in meeting competencies. Consistently, skillfully, and with early and progressive self-direction is able to meet clinical competencies. ‘3’ Good performance = Meets competencies. Consistently, skillfully and with progressive self-direction is able to meet clinical competencies with minimal prompting. ‘2’ Satisfactory performance = Meets competencies. Initially requires frequent prompting and direction in meeting clinical competencies, but responds proactively to guidance. ‘1’ Unsatisfactory Performance = Inconsistent in meeting competencies for safe practice even with detailed direction and frequent prompting. Or a ‘0’ Unsafe performance = Does not meet competencies or minimal standards for safe practice. Jeopardizes the safety of others through a series of events or single event. A “0” in any competency will result in failure. Please see the Clinical Evaluation of Competencies (CPEC) and associated student guidelines.

2.  In order to meet clinical competencies, all clinical absences must be made up in the clinical area or as assigned by clinical instructor.

3. Achieve at least 90% on the dosage and Solution Test prior to administering medications in the clinical setting. Students may retake the Dosage and Solution Test only twice each semester. Students who do not achieve 90% or greater on the first scheduled test and first retake test will be required to review the questions they missed with the instructor and placed on contract for self-directed remediation. Students who do not achieve 90% or greater by the third attempt will fail the clinical course(s) that require the Dosage and Solution Test.

Students Rights and Responsibilities

Student Rights and Responsibilities

Log in using the AC Connect Portal

In order to receive your AC Connect Email, you must log in through AC Connect at https://acconnect.actx.edu .

If you are an active staff or faculty member according to Human Resources, use "Exchange". All other students, use "AC Connect (Google) Email".

Expected Student Behavior

Students are full partners in fostering a clinical environment which is conducive to learning. In order to assure that all students have the opportunity to gain from time spent in clinical, 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 clinical may result in a request for the offending student to leave clinical.

See the A.D.N. Student Handbook “Professional Conduct” , ANA code of Ethics for Nurses, and the AC Student Rights and Responsibilities.

Grading Criteria

1. The Grading scale is:

1.A = 90-100%

2.B = 80-89.99%

3.C = 75-79.99%

4.D = 60-64.99%

5.F = below 60%

1. 100% of the clinical grade is determined by the performance of clinical competencies, (Clinical Performance Evaluation of Competencies or CPEC). Competencies will be assigned a ‘4’ Excellent Performance = Exceeds performance in meeting competencies. Consistently, skillfully, and with early and progressive self-direction is able to meet clinical competencies. ‘3’ Good performance = Meets competencies. Consistently, skillfully and with progressive self-direction is able to meet clinical competencies with minimal prompting. ‘2’ Satisfactory performance = Meets competencies. Initially requires frequent prompting and direction in meeting clinical competencies, but responds proactively to guidance. ‘1’ Unsatisfactory Performance = Inconsistent in meeting competencies for safe practice even with detailed direction and frequent prompting. Or a ‘0’Unsafe performance = Does not meet competencies or minimal standards for safe practice. Jeopardizes the safety of others through a series of events or single event. A “0” in any competency will result in failure. Please see the Clinical Evaluation of Competencies (CPEC) and associated student guidelines.

2.  In order to meet clinical competencies, all clinical absences must be made up in the clinical area.

 

 

Attendance

1. 100% attendance of clinical hours (hospital clinical, clinical simulation and preceptor experiences). It is the student’s responsibility to notify the instructor of the anticipated absence prior to the clinical pre-conference, clinical simulation or preceptor experience.

2. No more than one (1) clinical absence may be made up. The clinical absence will be made up on dead day at the end of the semester or as arranged by the clinical instructor.  Absence of a clinical simulation or preceptor experience must be coordinated with the instructor for make-up.

Calendar

Additional Information

COURSE REQUIREMENTS:

1. RNSG 1247- Concepts of Clinical Decision Making I must be taken concurrently with RNSG 1263 - Clinical – Concepts of Clinical Decision Making I. Both courses must be satisfactorily completed in the same semester.

2. 100% attendance of clinical hours (hospital clinical, clinical simulation and preceptor experiences). It is the student’s responsibility to notify the instructor of the anticipated absence prior to the clinical pre-conference, clinical simulation or preceptor experience.

3. No more than one (1) clinical absence may be made up. The clinical absence will be made up on dead day at the end of the semester or as arranged by the clinical instructor.  Absence of a clinical simulation or preceptor experience must be coordinated with the instructor for make-up.

4. Achieve at least 90% on the dosage and Solution Test prior to administering medications in the clinical setting. Students may retake the Dosage and Solution Test only twice each semester. Students who do not achieve 90% or greater on the first scheduled test and first retake test will be required to review the questions they missed with the instructor and placed on contract for self-directed remediation. Students who do not achieve 90% or greater by the third attempt will fail the clinical course(s) that require the Dosage and Solution Test.

5. Satisfactory grade 75% in the course as determined by the CPEC (Clinical Performance Evaluation of Competencies).

6. Satisfactory completion of RNSG 1247 laboratory experiences: Intravenous Catheter Insertion, Phlebotomy. Administering Medication by Intravenous Bolus, and Administering Medication by Intravenous Piggyback

7. Completion of evaluations. Including, but not limited to: clinical instructor, clinical simulations, health care agencies, clinical teacher assistants, and simulation centers.

8. Students will not be allowed to participate in the clinical experience without current immunizations, TB skin testing, and American Heart Association CPR for Healthcare Providers. It is the students’ responsibility to ensure that all documentation required is presented in a timely manner prior to the clinical experience or at the end of the clinical day as assigned by the clinical instructor. A Class II Clinical Warning will be issued for no documentation.

STUDENT LEARNING OUTCOMES:

Upon completion of the Clinical – Concepts of Clinical Decision Making I course, the student will be able to:

Member of the Profession:

1. Practice nursing in a legal, safe, and ethical manner reflecting professional standards for adult patients.
2. Utilize personal strengths and weaknesses to enhance personal and professional growth.
3. Apply quality nursing care practices for adult patients assigned.

Provider of Patient-Centered Care:

1. Demonstrate knowledge and skills to assist in the promotion, maintenance and restoration of health in assigned adult patients.
2. Utilize a systematic process and clinical reasoning skills to implement evidence-based, patient-centered plans of care for assigned adult patients.
3. Apply nursing concepts specific to meeting unique psychosocial needs of assigned adult patients.
4. Apply health teaching strategies effectively with assigned adult patients.
5. Utilize basic nursing skills in the care of assigned adult patients. Engage in assigned clinical simulation exercises.
6. Demonstrate compassionate behaviors and appropriate communication skills in the care of assigned adult patients.
7. Determine available community and in-patient resources as possible referrals in meeting the needs of adult patients.

Patient Safety Advocate

1. Apply evidence-based practice data to provide safe, quality patient-centered care for adult patients.
2. Practice according to governmental and organizational requirements and professional standards pertinent to safe care of adults.

Member of Healthcare Team

1. Participate with other disciplines to provide holistic patient-centered care to the adult patient.
2. Demonstrate appropriate communication skills while interacting with other health care team members in caring for adult patients.
3. Utilize current clinical technology systems in the efficient management of holistic patient-centered care of the assigned adult patient.
4. Assume the professional nursing role within the health care team while providing care to assigned adult patients.