Contact Hoursclinical: 12

Semester Hours3

Contact HoursClinical: 12

Prerequisites:RNSG 2172, 2572, 2362or 1170, 1162-1163, 2371

Corequisites:RNSG 2173, 2573

WECM 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. The student must pass both RNSG 2173, 2573 and 2363 concurrently in order for the student to progress to the Level IV courses.

WECM Course Learning Outcomes

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

Key Concepts and General Course Plan

This course builds on competencies learned in RNSG 2362 – Clinical II and RNSG 1162/1163 Transition Clinical. Specific learning objectives guide the student’s integrated clinical experiences, focusing on application of concepts and skills learned in RNSG 2573 and 2173. Clinical rotations through various areas of an acute care setting give the students an opportunity to give direct client care to a group of patients with complex health care needs.

Student Learning Outcomes

By the end of this course, the student will be able to:

1. Apply knowledge of selected concepts to a variety of clinical situations.
2. Utilize clinical reasoning and knowledge based on the nursing program of study to date, evidence based practice outcomes, and research based policies and procedures as the basis for decision making and safe patient-centered care for up to five clients in an acute care setting.
3. Utilize a systematic process to develop detailed concept maps to provide patient-centered care to diverse patients across the life span (including teaching, referrals, etc.).
4. Promote safety and basic quality improvement as an advocate and manager of nursing care.
5. Demonstrate beginning coordination, collaboration and communication skills with diverse patients, families and the interdisciplinary team to plan, deliver and evaluate care.
6. Demonstrate skills in using patient care technologies and information systems that support safe nursing practice.
7. Adhere to standards of practice within legal, ethical, and regulatory frameworks of the professional nurse.
8. Demonstrate behavior that reflects the values and ethics of the nursing profession.
9. Demonstrate beginning knowledge of delegation, management and leadership skills.

Required Textbooks & Equipment

Pearson Publishing - package

Adams, M. (2013). Pharmacology: Connections to nursing practice (2nd Ed.). Boston: Pearson.

Berman, A. & Snyder, S. (2012). KozierErb’s Fundamentals of Nursing. Boston: Pearson.

Cerner AES delivered by Pearson – Access Card

Real Nursing Skills 2.0: Skills for the RN 2nd Edition

Wilson, B., Shannon, M. & Shield, K. (2014).Pearson Nurses Drug Guide 2014. Boston: Pearson

Delmar Learning Publishing

Estes, M. (2014).Health assessment & physical examination (5th Ed.). Clifton Park, NY: Delmar Learning.

Elsevier Publishing – Package (with or without E-books)

Giddens, J. (2013). Concepts for nursing practice. St. Louis: Elsevier.

Lewis, S., Dirksen, S, Heitkemper, M., Bucher, L. & Camera, I. (2011).Medical-surgical nursing(8thed.).

St. Louis: Mosby Elsevier.

McKinney, E, James, S., Murray, S., Nelson, K., & Ashwill, J. (2013).Maternal-child nursing(4thed.). St. Louis: Elsevier Saunders.

Varcarolis, E., Carson, V., & Shoemaker, N. (2010).Foundations of psychiatric-mental health nursing (6th

ed.). St. Louis: Saunders.

Zerwekh, J. & Claborn, J. (2012).Nursing today: Transitions and trends (7thed.). Philadelphia: Saunders.

TVCC

Semester syllabus (Available on-line & must be purchased each semester).

Associate Degree Nursing Program student handbook (Available on-line).

REQUIRED SUPPLIES

Stethoscope

Watch with second hand

Bandage scissors.

Course Requirements

Assignments

1. In the Acute Care setting, the student is required to satisfactorily complete:
2. Orientation to assigned acute care setting.
3. All clinical weekly assignments including evaluations and care maps.
4. Two (2) patient assessments on selected complex patients. A grade of at least 90% must be attained on the second assessment to satisfactorily pass clinical. Student will be required to complete additional assessments until a grade of 90% is achieved. The original score will be the only score added into the grade.
5. Passing a pharmacy math exam with a grade of 75.0 or higher within three attempts before giving medications to patients.
6. Participation in a group Evidenced Based Practice Project.
7. Assignment as a team leader.
8. A group presentation as team leader associated with the Management Quest.
9. Two (2) simulation exercises.
10. Final evaluation.

All assignments and portions of assignments are mandatory and must be completed to receive a grade for the course. Failure to complete the assignments by the due date may result in a loss of up to 50% of the points and the student will receive an incomplete "I" for the course until all requirements have been successfully completed.

See the Grading/Evaluation/Academic Progression Policy in the student handbook for grading and progression information, and more information about late work. See the Attendance Policy in the student handbook for attendance requirements. See Conversion/ Calculation Policy.

1. In the Community setting, the student is required to satisfactorily complete:

1. Attendance to assigned Home Health/Hospice agency and completion of associated Home Health/Hospice Journal on two patients.
2. Attendance to a suitable Support Group meeting.
3. Assigned OB related project in a High School environment. Student will be required to meet all requirements identified by assigned school, including, but not limited to specific background checks.
4. Assigned vision/hearing/AN screening in an assigned public school setting.
5. A suitable cultural paper.

ALL assignments are mandatory. Failure to complete an assignment in its entirety will result in the student being required to complete the incomplete portion of the assignment. The original grade will not change. Incomplete assignments will result in the student receiving an "I" untilthe assignment has been completed satisfactorily.

1. Utilize Blackboard for course enhancement. The student must check the postings on Blackboard for announcements, interactive assignments, and email communication.

Failure to submit any written assignment on time will result in an automatic deduction of 50% of the possible points. Completion of the assignment will still be required for successful completion of the course. The deductions received for late work will not fail a student but may decrease their grade to a “B” or “C” unless formal disciplinary action has been taken for consistent late work. See theGrading/Evaluation/Academic Progression Policy in the student handbook for grading and progression information, and more information about late work.

Clinical Performance

1. In the clinical settings, the student will be required to satisfactorily demonstrate clinical competency according to Level III criteria on the clinical evaluation tool and clinical objectives stated.

See the Attendance Policy in the student handbook for attendance requirements.

Last Revised 07/22/14

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