Jackson Community College

NUR 171

Supportive/Educative

Nursing of the Adult

2013-2014

Faculty

Julie Bullinger Ballow MSN, RN

Paula Hopper MSN, RN


JACKSON COMMUNITY COLLEGE

NURSING DEPARTMENT

COURSE SYLLABUS

COURSE NUMBER NUR 171

COURSE TITLE Supportive/Educative Nursing of the Adult

DEPARTMENT Nursing

CREDITS Four credits

CONTACT HOURS Class - 2 credits = 30 hours

Clinical - 2 credits = 90 hours

INSTRUCTORS

Julie Bullinger Ballow JW 227 990-1342

Paula Hopper JW 218 796 - 8510

Additional clinical faculty will also be utilized.

OFFICE HOURS Posted on JetNet

COURSE DESCRIPTION

This course teaches students to apply the nursing process to promote self-care for adults with common, well-defined supportive-educative needs. Clinical experience designed to reinforce theory is included.

Prerequisites: NUR 101, NUR 121, and NUR 170

Corequisite: NUR 172


PERFORMANCE OUTCOMES

Provider of Care:

·  The student applies a supportive educative nursing system to clients’ developmental self-care requisites.

·  The student applies the self-care model to the healthy client who is in the process of development (supportive educative).

·  The student applies the nursing process to the healthy client who is in the various stages of development.

1. Utilize the nursing process to assist adults requiring supportive/educative care to meet universal, developmental, and health deviation self-care requisites.

2. Communicate effectively with clients.

3. Demonstrate effective individual client teaching.

4. Develop and implement a teaching plan for a client or group of clients.

5. Demonstrate ability to perform nursing procedures with guidance.

6. Demonstrate ability to think critically in the classroom and clinical setting.

7. Demonstrate caring behavior to clients and health team members.

Manager of Care:

·  The student discusses with client and health care members assessed areas in meeting clients’ self-care requisites.

1. Communicate effectively with health team members.

2. Consult with primary nurse in planning care for clients.

3. Prioritize care needs effectively.

Member of Discipline:

·  The student demonstrates accountability to the role of nurse and member of the profession.

1. Articulate own definition of nursing within the self-care framework.

2. Exhibit professional behavior in clinical settings.

3. Demonstrate accountability to the patient, health team, and profession.

4. Demonstrate caring behaviors toward self.

5. Show initiative in learning the role of the nurse.


ASSOCIATE DEGREE OUTCOME

The Board of Trustees has determined that all JCC graduates should develop or enhance certain essential skills while enrolled in the college. The Associate Degree Outcome addressed in this class is: ADO 7: Developing Critical thinking.

BASIC COMPETENCIES REQUIREMENTS

Able to read an above average amount of technical or sophisticated material.

Able to compute simple algebraic problems.

Able to write medium length compositions.

Able to compute simple algebraic problems.

Able to use technology: computer application.

STUDENT RESPONSIBILITIES

1. In order to facilitate optimum student learning, reading assignments should be completed before coming to the class for which they are assigned. Students are encouraged to bring questions to class. Some questions, however, will be best answered following class because of limited class time.

2. Students are responsible for finding the meanings of any unfamiliar words or terms encountered in the readings, classroom, or clinical area.

3.  Students are encouraged to write out the information specified in the objectives for each unit. Testing is done according to the defined objectives.

4.  Students are responsible for checking JetNet for class/course announcements.

NURSING DEPARTMENT ACADEMIC HONESTY POLICY

Honesty and integrity are essential qualities in the profession of nursing. Any student found to be cheating on an exam, quiz, or other assessment will receive a maximum grade of 1.5 in the course. Lack of integrity in the classroom or clinical setting may result in failing a course or removal from the program.

Cheating can take on many forms. These may include but are not limited to:

·  bringing an answer source to the testing site.

·  copying from another student’s test.

·  changing an answer after a test has been submitted.

·  sharing information about a test with someone who has not yet taken it.

Plagiarism is another form of cheating. This may involve but is not limited to:

·  submitting any work written by someone else (obtained from the web or a fellow student). This includes classroom and clinical paperwork.

·  using direct quotes from any source without crediting the source.

Additional areas of concern specific to nursing include but are not limited to:

·  covering up or not reporting a clinical error.

·  charting something that was not done.

·  altering any legal documentation.

Not everything is cheating. Some examples of acceptable practices include:

·  studying together prior to an exam.

·  sharing notes from class.

·  using quotes in papers and referencing them appropriately.

If you are unsure if a practice might be considered cheating, please check with an instructor and/or do not engage in that practice. Please remember that failing a course may mean permanent dismissal from the program.

THE BEST POLICY IS ALWAYS HONESTY AND INTEGRITY.

SOCIAL MEDIA POLICY

Refer to Nursing Handbook.

CHECKING YOUR GRADE

You can check your grade in JetNet at any time.

CHECKING YOUR COURSE GRADE OR TRANSCRIPT

Report cards are no longer mailed from JCC. All grades and transcript information can be accessed on e-services at www.jccmi.edu.

CLINICAL REQUIREMENTS

1.  The student will come to the first day of class having completed and passed all Allegiance Health online modules. Please bring a copy of your scores to the first day of class.

2. Students must maintain up to date immunization and CPR status. Failure to do so will result in the inability to attend clinical. This will result in a clinical absence and may jeopardize success in the course.

3. All students will review blood glucose monitoring procedures at JCC, then complete a control test at Allegiance prior to being able to perform glucose checks at Allegiance. Students at non-Allegiance sites will follow site guidelines.

4. After the first orientation week in the hospital, the student will come to the clinical area on the first clinical day with

·  Completed Day One Preparation for Safe Patient Care, incorporating agency standard of care forms (i.e., PMP or Care Pathway)

·  Data base begun

Also the student will have reviewed any potential procedures to be done that week. The student’s written work should show evidence of preparation and ability to deliver safe and professional nursing care.

Students may utilize JCC or agency library for preparation for delivery of patient care. If the faculty member determines that a student is unprepared to safely care for the patient, she/he will be sent home and required to do make up work as outlined in the absence policy. Safe care involves an understanding of agency standard of care, professional standards of care, and ability to deliver care based on those standards.

5. The student will come to the clinical area the second clinical day (please note this means at the beginning of the clinical day) each week with the following:

·  Completed Day Two Preparation for Safe Patient Care

·  Continued work on Data Base

By the end of the second clinical day each week the student will turn the following in to the clinical instructor:

·  Completed Preparation for Safe Patient Care packet

·  Completed Data Base

EACH day patient care is delivered, the student will do a complete physical assessment and submit a Physical Assessment sheet.

6.  For safety purposes, the student should listen to shift report in the presence of the nurse whenever possible. If the student must independently listen to report, the student should NOT enter the client’s room until care has been discussed with the primary nurse. Students should report to the instructor and client’s nurse prior to leaving the floor.

7.  The student will satisfactorily complete ONE COMPREHENSIVE NURSING CARE PLAN (as outlined in the CARE PLAN GRADING GUIDELINES) by the end of the fifth clinical week. Be sure to leave time for a peer to evaluate your care plan in writing on the Grading Guidelines sheet, and to make corrections based on this feedback, prior to submission.

8. All written work should be neatly done using proper grammar, spelling, punctuation, and sentence structure. Work may be typed, but this is not required. Since information about clients is CONFIDENTIAL, no patient identifiers should be included in any written work.

9. The Surgical Experience Report will be submitted to the clinical instructor one week after the surgical experience. See form for specific requirements.

10. Each student is encouraged to initiate conferences with his/her clinical instructor as necessary.

11. See Nursing Handbook for clinical attendance policy. All absences must be made up prior to the end of the course. The student must call the clinical unit at least one half hour before the shift begins if he/she will be absent or late. Tardiness may result in a performance notice as outlined in the Nursing Handbook.

CLINICAL CONFERENCES

Clinical conferences will be held weekly or as planned by the clinical instructor. The purpose of the conferences will be to discuss patient care, develop thinking skills, and review student care plans.

CLINICAL APPEARANCE

Refer to Nursing Handbook.

INSTRUCTIONAL METHODS

Theory / Clinical
Collaborative/group work
Lecture
Discussion
Demonstration
PowerPoint, Videos
Handouts
Assigned and optional readings / Demonstrations
Laboratory skills check offs
Patient care
Observation
Individual conferences
Surgical observation experience
High tech simulations
Electronic documentation

INSTRUCTIONAL MATERIALS

Lewis, Heitkemper, & Dirksen: Medical Surgical Nursing, Eighth Edition

Pagana and Pagana: Mosby’s Manual of Diagnostic and Laboratory Tests, Fourth edition, OR any up to date lab manual

Deglin, Vallerand, and Sanoski: Davis’s Drug Guide for Nurses, OR any up to date medication handbook

Any current State Board review book is recommended but not required. PDA applications are acceptable, but phones may not be brought into clinical settings.

STUDENT EVALUATION CRITERIA

Nursing 171 contains three grading components. One component consists of tests. A second component consists of group work, quizzes, and homework, if used. The third component is clinical. A student must earn a minimum of 78% in the test component and a minimum of 78% average in the course and a satisfactory in clinical in order to pass the course. Although the student may pass the course with less than 78% average on quizzes, group work, or other activities, the student should be aware that the grade in this component would still be averaged into the final grade. A student who earns less than 78% in the test component or less than a 78% average in the course or an unsatisfactory in clinical will receive a maximum grade of 1.5 in the course.

Please see the Grading Summary for specific information.

Please see the Nursing Handbook for further information on grading in the nursing program.

Testing

Tests will be placed in the Testing Center in the Learning Resources Center. Testing times will be determined based on the testing center schedule, which is posted on the JCC web site. You will be asked to present a picture ID before taking a test. Please confirm testing hours before making a trip, as they are subject to change. Please plan your time to allow completion of the test at least 30 minutes prior to closing time.

Students will be given a maximum of one minute per question to complete the test. This means that if the test is 50 questions, you will have 50 minutes to complete the test. The reason for this limitation is that the NCLEX-RN examination allows only one minute per question. You need to learn how to pace yourself as you take the test, to ensure that you can finish a test in the appropriate amount of time.

Because of the flexibility of the testing schedule there is usually no reason to miss a test. If illness prevents you from taking a test on time, please notify specified faculty member before the test due date. If you fail to give notice, or if a second test is taken late, a 5% penalty will be deducted from your score, 10% the third time, and so on.

You must put all your answers on the electronic answer sheet unless directed otherwise. It is important to check to make sure that you have answered all of the questions. If you miss answering questions on the test, or write your answers on the test and not on the electronic answer sheet, no adjustments will be made, and you will lose those points L.

PLEASE NOTE: EACH TEST WILL BE COMPREHENSIVE, INCLUDING MATERIAL FROM THE CURRENT UNIT AS WELL AS MATERIAL FROM ALL PRECEDING UNITS IN THE COURSE.

CLINICAL EVALUATION

Students’ clinical performance will be evaluated at the end of the course using the designated criteria listed on the "Clinical Evaluation" form (see attachments). It is the individual student’s responsibility to provide the clinical instructor with his/her clinical evaluation form prior to the end of the clinical rotation.

Please also refer to your Nursing Handbook for additional clinical policies and procedures, including the absence/make up policy.

Clinical success is based upon the successful completion of all of the following:

·  Clinical Requirements (see “Clinical Requirements”, items 1-11)

·  Clinical behavioral objectives (see Clinical Evaluation form)

·  Nursing care plan

·  Surgical Report

·  Attendance & completion of scheduled "clinical orientation" as specified

·  Other clinical requirements as determined by clinical instructors

MAKE-UP POLICY

Classroom attendance is essential to success. The student is responsible for his or her own learning. In the event that the student must miss or be late to class, it is the student’s responsibility to obtain lecture notes, messages, instructions, announcements, etc. from a fellow student. The student will be held responsible for all material and information regardless of whether the student was in class.

Students must be present in class to participate in and receive credit for quizzes. Tardiness to class may mean missing group work or a quiz.

CELL PHONE POLICY

Cell phones are not appropriate in the clinical setting. Unit phone numbers will be available in case of emergency. See Nursing Handbook for classroom policy.