22
NEO 114
Fall 2011
Family Nursing Clinical
North Seattle Community College
Course Syllabus
Course Prefix and Number: NEO 114
Course Title: Family Nursing Clinical
Course Credits: 5
Course Start Date: September 26, 2011
Course Location: Northwest Hospital Medical Center
Course Times: 6:30am- 6:30pm
INSTRUCTOR INFORMATION:
Margaret Johnston, RN-BC, BSN, M.Ed. Kristi Cunnington, RN-BC, BSN, CDE
Email: Email:
Phone: 425-466-8119
Phone: 206-265-9907
Jessica Gonzales RN, BSN, MSN
Email:
Phone: 425.761.7224
Email or text messaging is the best and quickest way to reach us. We will make every effort to get back to you within 24 hours. If there is an emergency, or if you will be absent from clinical, for any reason, a phone call is required.
TEACHING PHILOSOPHY: As the instructors for this course, we believe it is our job to foster a safe learning environment, to provide experiences that will facilitate achievement of the course outcomes, to clearly communicate expectations, and to provide constructive evaluation. It is our expectation that each student will assume responsibility for their own learning by completing all of the reading assignments and activities provided as well as actively participating in clinical. It is the student’s responsibility to seek instructor or preceptor guidance and support in performing nursing care.
COURSE DESCRIPTION
Provides opportunities to build on previously learned skills and apply knowledge gained in NEO 104 through expanding the performance of nursing care in the role of caregiver, collaborator of care, decision-maker, communicator, teacher and professional, into care of the family.
COURSE Skills goals:
- Plan and implement care for clients with normal and complex conditions in labor and delivery and postpartum while meeting clinical evaluation criteria
- Observe therapeutic interventions in labor and delivery and postpartum
- Complete physical and psychosocial assessment of families
- Apply therapeutic communication skills
- Implement the nursing process in the care of clients with complex conditions
- Demonstrate effective, independent, problem solving skills in the care of clients with complex and well conditions
- Demonstrate ability to collaborate with other members of the healthcare team.
- Plan and implement safe and effective nursing care in antepartum, labor and delivery, SCN, and postpartum units
- Perform assessment of antepartum, labor and delivery, neonatal, and postpartum patients
- Identify and describe communication strategies for interviewing labor and delivery and postpartum
- Perform nursing skills in a safe and effective manner that demonstrates a caring ethic in labor and delivery, antepartum, postpartum, nursery care and pediatric care settings
- Assess current knowledge level, learning readiness, and developmental level of client in regard to her health status
- Utilize appropriate channels of communication with client, family, faculty, preceptor and staff
- Collaborate with healthcare team to develop plan of care to achieve desired outcomes
- Adhere to standards of professional practice in nursing
- Identify and separate self issues from those of clients
NSCC General Learning outcomes and/or Related Instructional Outcomes (for Technical courses) met by this course:
Outcome 2. Intellectual and Practical Skills. Critical thinking and problem solving. Communication and self-expression. Quantitative reasoning. Information literacy. Technological proficiency. Collaboration: group and team work.
Outcome 4. Integrative and Applied Leaning. Synthesis and application of knowledge, skills, and responsibilities to new settings and problems.
Course Outcomes/Learning Objectives:
1. Holistically care for the medical-surgical and psychiatric adult within an ethical, legal and diverse framework under the designated health care provider within the scope of practice of the practical nurse.
2. Demonstrate competency in educating and communicating with the medical-surgical and psychiatric adult patient, patient families and the health care team.
3. Demonstrate competency in data gathering, problem identification, planning, implementing nursing care and contributing to evaluation within a variety of settings utilizing appropriate technology for the medical-surgical and psychiatric adult.
4. Use critical thinking to identify normal and abnormal patterns in the medical-surgical and psychiatric patient, children and childbearing families based on understanding anatomy, physiology, pathophysiology in order to contribute to the safe management of all patient care.
5. Effectively delegate and collaborate with the medical-surgical and psychiatric patient, patient’s family and healthcare team
COURSE POLICIES:
Conform to NSCC policies regarding appearance and professional behavior at all times.
Come to clinical prepared. You are not to perform any procedure (giving meds, dressing changes, catheters etc) without notifying your instructor or preceptor first. Failure to do so will result in immediate dismissal for the day, followed by disciplinary action.
The role of the clinical instructor is one of instruction and evaluation. It is the student’s responsibility to seek instructor guidance and support in performing nursing care.
For a positive clinical experience it is recommended to bring a nursing drug reference and care plan reference. Come to clinical prepared. This means being able to develop a plan of care for your assigned patient and to answer questions about your client's diagnosis, medications, and therapy with your instructor each day. It also means having the appropriate equipment and the ability to research or provide the appropriate data. Course expectations are the following:
Arrive on time
Come prepared
Ask for help
Use each other as resources
Actively participate in discussion
Communicate information clearly to staff, instructor, team, patients and families
Use your critical thinking skills to the best of your ability when making decisions about patient care
Check in with instructor/preceptor prior to meal breaks
ATTENDANCE/TARDINESS POLICY
All students must attend all laboratory and clinical/lab sessions, arrive on time, attend the class during all assigned class hours, and be prepared to actively participate. Any scheduled laboratory, or clinical/laboratory time missed will be considered an absence. Students are expected to attend all orientation classes.
Theory course instructors may implement their own course attendance policy which can be found in the course syllabus. Students will need to comply with their instructors attendance policy if applicable.
Guidelines:
1. Absences will jeopardize meeting daily objectives, and therefore, success.
2. A student is allowed one medical or family emergency absence from clinical/lab each quarter not to exceed 33% of that clinical/laboratory experience (for example, if OB is 3 days, a student can not miss more than 1 day for emergency purposes, and pass the course ). Any additional absences OR a tardy greater than 45 minutes OR absences that are not a medical emergency (unexcused) will result in a 0 for the day which in clinical/lab may result in failing the course.
3. Two tardies of greater than 5 minutes in clinical/laboratory will constitute an absence, and a zero for the day which may result in failing the clinical/laboratory course.
4. There is no scheduled “make up” laboratory or clinical days.
5. In the case of an absence, the student must:
a. Call their instructor a minimum of 1 hour before the start of clinical/lab, and report the absence and state the reason why. Sending a message with a fellow student will not be accepted.
b. Provide a note in writing to the Director of Nursing explaining the reason for the absence.
c. Any injuries, or change in health status requires a healthcare provider‟s release to attend clinical, and lab courses.
A “No Call, No Show” is a serious offense, and is not permitted at the clinical facility sites by students. Not calling or showing may be grounds for dismissal, and will be referred to the Director of Nursing, Dean of Health & Human Services, and/or the Vice President of Student Services. ALSO see APPENDIX Section 9.11 Policies Regarding Attendance form.
EXPECTATION OF THE STUDENTS
Because you have only two shifts in OB, you will not be giving any medications. Your experience will focus on observation as well as practice of clinical skills. You will be assigned to work with a staff nurse and will be expected to participate in caring for mothers and infants, doing assessments, and practicing any skills that are within your scope of practice as student LPNs. You are expected to arrange your nursing activities so you are on time for conferences. Students are expected to come to pre and post conference ready to discuss and actively participate. Information shared in pre and post conference regarding patients or fellow classmates is considered confidential. “What is shared in the classroom stays in the classroom”.
NURSING CLINICAL POLICIES
Guidelines for Student Conduct: Students are expected to comply with student conduct policy and procedures. Information on student responsibilities and rights is available at the following websites: http://www.seattlecolleges.com/studentrules.aspx or
Intranet site: http://www.seattlecolleges.com/studentrules.aspx
Patient Confidentiality
Strict confidentiality should be maintained at all times. Refer to LPN Student Handbook.
Cell Phone Etiquette: To avoid disruption of the learning environment, students are expected to turn off or silence cell phones. Phones are not to be on the student’s person. Do not answer phone calls while on the unit. Please use scheduled breaks to return calls.
Classroom Diversity Statement: Respect for diversity is a core value of NSCC. Our college community fosters an optimal learning climate and an environment of mutual respect. We, the college community, recognize individual differences. Therefore, we are responsible for the content and tone of our statements and are empathetic speakers and listeners.
Respectful and Inclusive Environment: The instructor and student share the responsibility to foster a learning environment that is welcoming, supportive, and respectful of cultural and individual differences. Open and respectful communication that allows for the expression of varied opinions and multicultural perspectives encourages us to learn freely from each other.
Fragrance Policy: Students are requested to refrain from wearing heavily scented products during class sessions, since some individuals may experience chemical sensitivities to fragrances that interfere with their learning. Do not wear any scents, perfumes, strong smelling deodorants or lotions.
Transportation: Clinical instruction and experience are provided throughout the program in long-term care facilities, acute care hospitals, and clinics. It is the student’s responsibility to arrange transportation to and from these facilities.
Student Ratios: Clinical placements are made to ensure that all students receive the appropriate variety of experiences. Long term care facilities and acute care facilities generally have a ratio of 6-8 students per instructor and clinics utilize the nurses as preceptors in a 1:1 ratio.
Dress Code: Students are to adhere to the standards, policies, and regulations of the clinical sites during their clinical education program. These standards include wearing appropriate attire, including nametags, and patches ironed on the left upper arm at the shoulder, and conforming to the standards and practices of the site. Nametags and patches must remain visible at all times and must not be covered by a sweater while on the floor. A sweater or T-shirt may be worn under the scrubs. Students should wear casual business attire (no jeans) with facility ID badge during the pediatric clinical if scrubs are not requested by your preceptor.
Facility Orientation: If the clinical site requires a special orientation of students, students MUST attend or they will be unable to attend clinical. Each facility has unique policies, procedures, and documentation practices. Students must attend the orientation in order to be prepared to attend clinical and provide safe care for patients within these facilities. Students who do not attend the orientation will meet with the Nursing Faculty and the Program Director, and referred to the VP of Student Services.
Leaving the Unit: Students are to remain at the site during the clinical assignment. Leaving the floor without notifying the staff and instructor/preceptor where patients are assigned is considered abandonment of patients. If a student is found to have abandoned his/her patients, the student may be referred to the VP of Student Services, which may lead to dismissal from the program. If the student needs to leave the floor for any reason he/she must let the nurse in charge and the instructor/preceptor know.
Standard Precautions: Students are expected to follow the Standard Precautions with ALL patients regardless of whether they have a communicable disease or not.
Procedures and Treatments: Students should NOT perform any procedure/treatment independently (i.e. giving meds, dressing changes, catheters, etc) without first obtaining permission from the instructor/preceptor. Failure to do so may result in immediate dismissal for the day followed by disciplinary action.
Clinical Errors: Clinical errors must be reported immediately to the charge nurse and the clinical instructor. An NSCC Practical Nursing Program Student incident report must be filled out, even if the instructor catches the error before the student administers the medicine or treatment. In the event that the student does perform the wrong procedure a facility incident report must also be made out. The student incident report will be placed in the student’s file until graduation. Serious errors will be reviewed by the faculty and administration and may be referred to the VP of Student Services. (See Student Clinical Incident Report in Section VII.)
Injuries and Accidents: Any injuries sustained during the clinical day should be reported to the nursing instructor immediately.
Student Support Services:
Students are encouraged to seek campus support services when necessary to support their learning and academic progress. Refer to student handbook, brochures/flyers, or college website for information about: Disability Services, Advising Center, Tutoring Services, Student Leadership Programs, Library, Financial Aid Office, LOFT Writing Center Plus, Admission/Registration/Records/Credentials (ARRC), Counseling, Women’s Center, Multicultural Services Office, and/or Wellness Center
http://www.northseattle.edu/services/tutor/
INFORMATION FOR CLINICAL SITES
OB Clinical at Northwest Hospital:
Please meet instructors Margaret Johnston or Kristi Cunnington in the family waiting room next to the nursing station of the Childbirth Center at 0630. Please arrive with your student ID badge from Northwest Hospital. Your badge must be obtained from Security at Northwest Hospital prior to beginning your clinical rotation.
NEO 114
Fall 2011
Childbirth Center Clinical Assignments
1) Weekly Goals and Reflection Paper
Weekly Goals are to be completed and turned in at the beginning of each day of the clinical rotation. Turn in your goal sheet at the beginning of the clinical day with your identified goals and plan for meeting those goals. After you have completed the clinical day, take them home to complete the evaluation portion. The completed goal worksheets should be typed and turned in with your OB Care Plans. Your instructor may request that you submit them as an attachment to an email or on ANGEL. Reflection papers should also be submitted with your OB Care Plans.