Concepts of Clinical Decision Making I Syllabus for 2017-2018
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As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student's ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about the broad range of confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900. The AC Counseling Center website is https://www.actx.edu/counseling/ . Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5439. The AC Advocacy & Resource Center website is https://www.actx.edu/arc

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Course

RNSG-1247-001 Concepts of Clinical Decision Making I

Prerequisites

<p>Prerequisites: RNSG 1331<br> Corequisite: RNSG 1263</p>

Course Description

Integration of previous knowledge and skills into the continued development of the professional nurse as a provider of patient-centered care, patient safety advocate, member of health care team and member of the profession. Emphasis on clinical decision-making for clients in medical-surgical settings experiencing health problems involving gastrointestinal disorders, endocrine and metabolic disorders, reproductive and sexual disorders, musculoskeletal disorders, eye-ear-nose-throat disorders and integumentary disorders. Discussion of knowledge, judgment, skills and professional values within a legal/ethical framework. This course lends itself to a blocked approach.

Student ResourcesStudent Resources Website

Department Expectations

Occupational License Disclaimer

Notice to Students enrolled in an educational program for preparation of issuance of certain occupational licenses:

Students enrolled in an educational program in preparation for obtaining certain occupational licenses are potentially ineligible for such license if the student has been convicted of an offense. For further information, please contact your advisor, the Legal Clinic, or the faculty member in charge of the educational program that you seek to enroll in. The further information you will receive will include notification to you of your right to request a criminal history evaluation letter from the licensing authority in order to clarify your particular situation.

Hours

(2 sem hrs; 2 lec, 1 lab)

Class Type

On Campus Course

Syllabus Information

Textbooks

REQUIRED:

1. Faculty course syllabus and manual for RNSG 1247 for current semester.

1.  Hinkle, J. L. & Cheever, K. H.: Brunner and Suddarth’s: Textbook of Medical –Surgical Nursing. 13^th Edition. 2014. J.B. Lippincott Williams & Wilkins

1. Access to Hesi Evolve Patient Reviews with RN Case Studies (at Evolve Elsevier)

1. Access to Elsevier Adaptive Quizzing (EAQ) (at Evolve Elsevier)

1. IV Start Kit

1. Regular, reliable access to a computer with a stable Internet connection.

1. For clinical classes: Mobile device with Webcam, Maximum size 10 inches

Computer 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

SUGGESTED References: Please keep your reference books from Level I

1. Any Medical Dictionary

1. Any Laboratory & Diagnostic Test Reference

1. Any Drug Guide or app

1. Any NCLEX reference book or program.

1. Any Nursing Care Plan Reference

Supplies

IV start kit purchased from the AC bookstore

Student Performance

Upon completion of this course the student will be able to:

• Utilize critical thinking and a systematic problem-solving process as a framework for providing patient-centered nursing care in structured health care settings.
• Discuss concepts related to providing safe nursing care.
• Describe the role of the intra-operative nurse and nursing care of the patient having surgery.
• Discuss the integration of evidence-based complementary therapies in nursing care.
• Describe strategies for quality improvement, recognize how informatics can be utilized, and  identify methods to collaborate with inter-professional team members, for the patient with diabetes mellitus, cancer, reproductive disorders, hematologic disorders, eye and ear disorders, upper respiratory disorders, integumentary disorders, and genitourinary disorders.
• Advance in understanding of their role as member of the profession, provider of patient-centered care, patient safety advocate and member of a health care team.

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

BEHAVIORAL EXPECTATIONS

• 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 students are prohibited from engaging in any form of behavior that detracts from the learning experience of fellow students.

• Inappropriate or disruptive behavior in the classroom may result in a request for the offending student to leave class.

• All cell phones, pagers, noisy devices are to be turned off or put on vibrate. No text messaging in class. Only emergency communications should be answered and students need to quietly leave the lecture hall/classroom if necessary.

• Students are expected to maintain high academic standards and not engage in any form of cheating as outlined in ADN testing policy found in the student handbook at  https://www.actx.edu/nursing/files/filecabinet/folder2/StudentHandbook2017_2018_1.10.18.pdf
   

• Progression Criteria (from ADN Handbook)

 Students must have a grade of “C” or better in all required courses in order to progress to the next level in the nursing program.

Any didactic nursing course with a required co-requisite clinical course is integrated and inseparable from the clinical course; therefore, a student must pass both courses with a “C” or better in the same semester in order to be eligible to enroll in the next level of courses.

Students admitted to the Traditional Generic Program in spring 2014 and thereafter are ineligible to continue in the program when they have two or more course failures. A course failure means a grade of “D” or “F” and when a student withdraws (drops) from a course

• See the A.D.N. Student Handbook “Professional Conduct”, ANA code of Ethics for Nurses, and the AC Student Rights and Responsibilities.
• https://www.actx.edu/president/flb-student-rights-and-responsibilities

• Student injury information for lab and clinical http://www.actx.edu/allied_health/index.php?module=article&op=print&id=33

• Mental Health and Social Services at AC

As a student you may experience a range of issues that can cause barriers to learning, such as strained relationships, increased anxiety, alcohol/drug problems, feeling down, difficulty concentrating and/or lack of motivation. These mental health concerns or stressful events may lead to diminished academic performance or reduce a student’s ability to participate in daily activities. Amarillo College offers services to assist you with addressing these and other concerns you may be experiencing. If you or someone you know are suffering from any of the aforementioned conditions, you can learn more about confidential mental health services available on campus by calling the AC Counseling Center at 806-371-5900.  The AC Counseling Center website is https://www.actx.edu/counseling/.  Also, if you are in need of social services (affordable housing, utilities, transportation, food, clothing, childcare, medical/dental/vision, legal), please call the AC Advocacy & Resource Center at 806-371-5450. The AC Advocacy & Resource Center website is www.actx.edu/arc

Grading Criteria

GRADING CRITERIA/GRADE SCALE:

The following criteria will be used to determine your grade.

Passing is 75%. Why is the grading scale higher?

The National Council Licensure Examination for RNs (NCLEX-RN) has become harder. This reflects the need for nurses to have a high level of critical thinking and clinical reasoning skills. The increase in patient acuity and nursing responsibilities is placing a great deal of practice responsibility on current entry-level nurses. The National Council for State Boards of Nursing (NCSBN) prepares the NCLEX-RN and establishes the minimum passing standard. These standards are reviewed and adjusted on a national level every three years.

The Grading scale for RNSG 1247 is:

A = 90-100%

B = 80-89%

C = 75-79%*

D = 60-74%

F = below 60%

1. Final course grades are NOT rounded.

For example:

• If your grade is 74.98 then with NO rounding, your average is a D.
• If your grade is 89.98, with NO rounding your average is a B.   

2. The final grade will consist of the grades on three module exams, the evolve exam, a comprehensive final exam, lab assignments, quizzes and *completion of mandatory review on the evolve exam and completion of any other required tutoring.

3.  

1. 1. Module I                                 22%
   2. Module II                                22%
   3. Module III                              22%
   4. Class Quiz grades                     4%
   5. LAB assignments                    3%
   6. EVOLVE exam                        5%
   7. Comprehensive Final              22%

1. 8. *Course Requirement: All students must access the on-line remediation through HESI Assessment after the course’s Evolve Specialty or Custom Exam.  All students will develop an individualized study packet, and review all areas designated as needing improvement.  Completion of remediation and development of a study packet is due by the Friday before the final exam. If it is not completed as assigned, then the student will fail the course because of a failure to complete this requirement.

4.  If a module exam is missed, the make-up exam must be taken within one week of the scheduled exam (prior to the next class meeting). The instructor must be notified if the student is unable to attend the exam.

*It is the student’s responsibility to contact the instructor and arrange for any make-up exam within the required time frame.

5.  If required tutoring is assigned after any module exam, this must be completed and a signed tutoring prescription returned to the instructor before the student is allowed to take the next exam.

Attendance

Regular attendance is required.

• Regular attendance is required. Less than 90% attendance of classroom hours may result in failure of the course.
• Class roll will be taken for each class. Individuals not present for roll call will be recorded as absent.
• All assigned labs must be completed.
• Any anticipated class/lab absence must be reported to the instructor.

• Student Professional Contract

              The student professional contract is located in the RNSG 1247 manual. This contract will be signed by the student the first class period.

Calendar

Additional Information

COURSE COMMUNICATION:

ACConnect will be used for all course communication. Emails will be sent through ACConnect (Blackboard) as well as course announcements. Students need to check the on-line course frequently for information and announcements.

Course module folders have content folders in them on blackboard (BB). Students need to be familiear with the BB set-up of the course.

• Students are expected and required to attend the first class day scheduled. (Very Important!)
• Students are encouraged to bring their electronic notebook device or laptop to class for the notes needed.
  • If you do not like taking notes on your computer or device, you may need to consider paper copies of your powerpoint outlines for each class. You will be required to fill in certain areas and take some specific notes. These outlines will be in blackboard under specific content areas for 1247.   
• First class day you will need access to a copy of the syllabus for RNSG 1247 and the manual. (electronic or paper). Both the syllabus and the manual are in a folder under the content area for RNSG 1247 on blackboard. We will be reviewing various areas for information, specific projects, competencies, etc.
• Bring a paper copy of “Student Professional Contract for RNSG 1247” from p. 3 in the manual.
• Bring a paper copy of Tutoring Contract p. 5 from the manual.
• First class day you will need the outline or power points for Infusion Therapy which can be found under Content in the Module 1 folder.   
•  First class day you will need a paper copy of the schedule (calendar) for RNSG 1247. You will find this in RNSG 1247 on blackboard. We may be making some changes to the schedule (calendar).

Looking forward to a great semester. If you have any questions, please email the instructor. Thank you.