Walla Walla Community College
Nursing Education
Practicum III
NURS 210
Fall Quarter 2009
Every effort is made to ensure accuracy in the syllabus at the time of printing. However, the Walla Walla Community College Nursing Education Program reserves the right to change any provision or requirement that is necessitated by circumstances arising during the course. All changes will be provided in writing.
N210.syllabus.F.09.Final.doc
Walla Walla Community College
Nursing Education
Course Outline
Course Identifier: NURS 210
Title: Practicum III
Credits: 6
Clinical/Lab Hours Per Week: 12
Catalog Description: An application of theory from NURS 200. The focus is on providing care for clients in acute-care, psychiatric settings and in the community.
Prerequisites: NURS 102 and 112 or transition applicant
Co-requisite: NURS 200
Teaching Format: Practicum Assignments
Critical Thinking Activities
Student Presentations
Simulation/Campus Lab Activities
Independent Learning Modules
Workshops
Location: Acute-care and Community Agencies
Course Topics: Central Venous Access Devices
IV Medications
IV Starts and Venipunctures
Blood Administration
Introduction to ECG Interpretation
Evaluation Devices: Standardized Testing
Small Group Participation
Performance Competency
Practicum Assignments
Independent Learning Modules
Skills Performance Testing
Scenario Testing
Course Competencies:
Critical Thinking
1. Demonstrate critical thinking in the use of the nursing process.
2. Demonstrate use of management/leadership principles in the delivery of client/patient care.
Caring
3. Perform interventions in a safe and effective manner.
4. Use therapeutic communication.
Professional Behaviors
5. Demonstrate professional behaviors.
N210.syllabus.F.09.Final.doc 5
Walla Walla Community College
Nursing Education
Faculty Contact List
NOTE: Students are encouraged to contact the faculty member responsible for the content area or clinical experience about which they have a question. Contact your faculty advisor for academic concerns and advising. Faculty hours are posted on the Level II bulletin board.
Walla Walla Campus: Nursing Office: 509-527-4240
Clarkston Campus: Nursing Office: 509-758-1702
Walla Walla Campus / Office / OtherRob Becker - Level II lead faculty
/ 527-4334 / Cell: 509-301-9500
Traci Krebs
/ 527-4245 / Cell: 509-240-0439
Patti Becker
/ 527-4242 / Cell: 509-301-9680
Grace Hiner
/ 527-4421
Maribeth Bergstrom / 527-4240 / Cell: 509-540-5619
Sherri Jones / 527-4240 / Cell: 509-540-9424
Jennifer McClintock / 527-4240 / Cell: 509-520-0972
Pamela Gisi / 527-4240 / Cell: 509-540-5354
Mike Steinke / 527-4240 / Cell: 405-535-1450
Mary Huff / 527-4240 / Cell: 509-308-1359
Melani Mangum / 527-4240 / Cell: 509-520-4140
Clarkston Campus / Office / Other
Sue Rammelsberg - level II, Clarkston Coordinator
/ 758-1705 / Cell: 509-595-5731
Debra Scheib
/ 758-1717 / Pager: 208-799-7559
Stephanie Carpenter
/ 758-1722 / Pager: 509-750-7040
Karen Molander / 758-1702
Joyce Drake
/ 758-1702 / 208-835-6160
Jaci Hanvey / 758-1702 / 208-816-1199
Cathe Unger / 758-1702 / 208-476-7297
Course Expectations:
1. Attend all scheduled learning activities (attendance is taken).
2. No points shall be awarded for missed learning activities.
3. All assignments must be accounted for before progression regardless of score achieved.
4. Required written assignments are to be considered professional documents. Students must use proper, professional terminology, spelling, grammar, punctuation and sentence structure. Slang is not permitted. Grade reductions should be expected if these instructions are not followed.
5. Academic integrity will be strictly enforced. Duplicate answers presented on separate papers will result in a score of zero for the paper(s). Papers (e.g., competencies, care plans, client data sheets, etc.) with plagiarized answers will also receive a score of zero. Any issues of suspected plagiarism or cheating will be referred to the Level II faculty group for consideration of disciplinary action including but not limited to Special Concern with course grade drop.
6. Students must maintain competency for previously learned skills.
7. No student shall copy any documents from a client’s chart unless otherwise instructed by clinical faculty. Confidentiality rules will be strictly enforced.
8. Prior to implementation of any teaching plan, the student must validate the teaching plan and verify appropriateness with instructor or primary RN/preceptor; student must identify resource(s) used in teaching plan development. (Competency 1-C).
9. Note: There is no provision for make-up of missed practicum hours.
10. If unable to attend practicum or arrive on time, the student must notify the main nursing office and the assigned practicum unit prior to the beginning of the assigned practicum shift. Failure to notify the practicum agency and nursing department of an absence or tardy (no call/no show) prior to the start of the assigned shift will result in a “contract” or a “special concern”.
11. Attendance at Pre-Clinical Conference and Hospital Orientations are mandatory. Absence may affect a student’s ability to start a clinical rotation on time.
12. Tests are timed; students will have 1.5 minutes per question for Independent Learning Module (ILM) tests and 3.0 minutes per question for Medication Competency tests.
13. A student arriving late for a test, with an excused tardy, may choose either to take the test with only the allotted time remaining OR take the test at a later time with the 5% point deduction applied per the handbook policy. An excused tardy is one in which the student informs the nursing department that he or she will be late prior to the beginning of class.
14. A student arriving late for a test with an unexcused tardy, will have only the allotted time remaining to complete the test/quiz. An unexcused tardy is one in which the student fails to inform the nursing department of being late prior to the start of class.
15. If there is any discrepancy between answers marked on test hardcopy and Scantron, the Scantron rules.
16. If you are attending practicum at a facility to which you have never been oriented, alert your clinical instructor so that an effort can be made to provide you with adequate orientation to the facility.
17. Invasive procedures/skills (IV start, NG intubation, etc.) may only be performed under the direct supervision of the clinical instructor or a Registered Nurse.
18. Students may not administer intravenous Chemo Therapy.
Point Distribution:
Independent Learning Modules Post-Tests (5 @ 4 pts ea.)
/ 20 /ILM Skills Practice Day / 10
Skills Lab Practice (minimum 6 hrs to obtain points) / 20
Skills Performance Testing / 20
Journal: CH, MH, - OR -
Professional Presentation (Acute Care) / 10
Medication Competency Test (20 questions) / 20
Comprehensive Nursing Care Plan
/ 40Competency Performance Evaluation
/ 100Total
/ 240Grading Criteria:
1. Competency Performance: Students must achieve a 75% on each performance competency (end-of-quarter mean score) before any other points for course assignments or participation will be considered in the calculation of the final grade. If a student achieves a score below 75% on one competency then the grade for that competency will be recorded as the course grade. All students must achieve a minimum final grade of 75% in order to progress to NURS 211.
2. Skills Performance Testing: Should a student fail to demonstrate competency in the required skill performance, remediation and retesting will be required on the same day of testing and the student will receive a score reduction of 10 points. Should a student fail to successfully perform the required skill a second time, the student will receive a score of zero points and must make an appointment with the Skills Lab staff to demonstrate successful performance of the designated skill. A student absent on the day of Skills Performance testing will receive a score of zero, but must successfully complete Skills Performance testing by appointment with the Skills Practice staff. Failure to successfully complete Skills Performance testing by the end of the quarter will result in the administration of an incomplete (“I”) grade contract. Failure to clear the incomplete (“I”) grade contract by the end of the second week of Winter quarter will result in conversion of the (“I”) grade to a ‘C-‘ grade in NURS 210 and the student will not be allowed to progress.
3. ILM Skills Practice Day: If a skills practice day is missed, the student will receive a score of zero and must arrange to make-up the practice hours with the campus lab staff prior to the start of the clinical rotation. If not completed prior to the beginning of the clinical rotation, the student will not be allowed to practice the required skills in the clinical setting. Should a student not make-up skills practice within one week, the current clinical instructor will be notified and scores on competency 3-B and 5-B will be negatively affected.
4. Skills Practice Lab: A minimum of 6 hours in the Skills Practice Lab (practicing skills) is required this quarter to achieve the designated 20 points. Of those 6 hours, a minimum of 3 hours must be logged during the first half of the quarter to obtain 10 points, and a minimum of 3 more hours must be logged during the second half of the quarter to obtain the remaining 10 points.
· Mid-quarter due date: WW: 10-23-09; CLK: 10-21-09
· End-quarter due date: WW: 11-20-09; CLK: 11-17-09
5. Medication Competency Test: If less than 80% is achieved, the student will be allowed to take one remedial exam covering similar content. If 80% is not achieved on the remedial exam, the student will receive a “C-” grade in NURS 210 and will not be allowed to progress.
6. Contracts/Special Concerns: Students not performing at expected performance/critical-thinking levels will be placed on a practicum contract or receive notice of special concern. More than one special concern may be earned. A grade reduction should be expected for each “special concern”. The amount of grade reduction will be determined on an individual basis by the level faculty.
7. Late papers will receive a one-point deduction per school day as described in the Nursing Student Handbook. A school day is defined as any day the school is officially open.
8. Absent scores: It is the student’s responsibility to follow-up on absent assignment scores.
Independent Learning Modules:
Independent Learning ModulesNOTE: Independent learning modules must be completed prior to skills practice day. / Walla Walla
Post-tests / Clarkston
Post-tests
IV Medications / 9-30-09 / 9-30-09
IV Starts and Venipuncture
Central Vascular Access Devices
Blood Administration
Introduction to ECG Interpretation
Critical Elements:
1. Follow all policies as outlined in Nursing Student Handbook.
2. Maintain confidentiality for clients and agency personnel at all times.
3. Consistently follow the 6 rights of medication administration.
4. Consistently ask for guidance and assistance when unsure or in doubt regarding any issues of care delivery.
5. Communicate in a timely manner with staff and/or instructor regarding abnormal/unexpected client assessment data.
6. Consistently follow Clinical Expectations provided by clinical instructor.
7. Show readiness to perform procedures.
8. Consistently perform all procedures according to agency/college policies.
9. Consistently demonstrate timeliness in meeting professional/course expectations.
Performance Competency
Fall 2009
Grading Criteria
STUDENT NAME ______
Competency / PointsPossible / 75%
min. / Rotation
#1 / Rotation
#2 / Mean
1. Demonstrate critical thinking in the use of the nursing process / 30 / 22.5 / + =
2. Demonstrate use of management/leadership principles in the delivery of client/patient care / 10 / 7.5 / + =
3. Perform interventions in a safe and effective manner / 30 / 22.5 / + =
4. Use therapeutic communication / 20 / 15 / + =
5. Demonstrate professional behaviors / 10 / 7.5 / + =
Total / 100 / Total
®
Late Point Deductions ®
/ + =Final Total / ®
Competency performance self-evaluation
NOTE: Failure to follow the instructions below will result in reduction of points
Your Competency Performance Self-Evaluation must be submitted as follows:
· Word processed, single spaced, 12 font; submitted in two-pocketed folders (not 3-ring binders).
· Student name and date of submission on each page
· Each element of each competency identified (i.e., 1A, 2B, etc)
· Each competency must be limited to 1 page (exception: Competency 1 may be two pages).
· In narrative format, provide one BEST, specific example of how each element of each competency was met per rotation.
· For each of the following elements, each criterion (bullet) must be addressed specifically in sequence: 1-A, 1-C, 3-A, & 4-A.
· All competency self-evaluations must be written in past tense – i.e., what you actually DID – (unless specifically directed otherwise by clinical instructor, e.g., CH/MH rotations)
· Consult your clinical instructor for when Competency Performance Evaluations are due
· Academic integrity will be strictly enforced. All reference resources must be cited. Points will be deducted for quoting or copying a source without proper in-text citations. A reference page must be included.
Clinical Competency Evaluation
Competency performance will be evaluated by incorporating:
· instructor observation of clinical performance
· post-conference participation
· evaluative feedback from others
· written assignments related to clinical experience (journaling, client/patient data sheets, etc.)
· student self-evaluation r/t competency performance
Concept – Critical Thinking
PERFORMANCE CRITERIA
Competency / Elements1. Demonstrate critical thinking in the use of the nursing process / A. Use the nursing process to meet the physiologic, psychosocial and developmental client/patient needs from all age groups
· Identify pertinent client/patient data (assessment, labs, diagnostic tests, medical history, etc.) relevant to selected priority nursing diagnosis
· Analyze data and identify the priority nursing diagnosis
· Identify a measurable expected outcome related to the priority nursing diagnosis
· Identify implemented nursing interventions (minimum 3) with rationales (only one may be r/t assessment/monitoring)
· Evaluate client/patient response to care related to the expected outcome with pertinent recommended revisions
B. Demonstrate critical thinking in the provision of nursing care· For the client/patient’s primary diagnosis, integrate knowledge of physiology, pathophysiology and psychosocial elements with pertinent client/patient history, physical assessment data, medications and diagnostic testing with guidance
C. Apply teaching/learning principles in addressing client/patient learning needs · For a selected client/patient or a small group, conduct a teaching-learning project appropriate to the need(s) of your audience:
· Identify a learning need with rationale
· Identify an expected learning outcome
· Prepare and implement a teaching plan
· Evaluate the effectiveness of teaching/learning
D. Complete documentation that reflects beginning organization and application of the nursing process in addressing specifics of client/patient situation· Document according to agency policy
· Document client/patient education
· Develop documentation that:
· Addresses client/patient problem(s)
· Identifies interventions
· Evaluates intervention response
§ Is legible, complete, accurate and concise
Concept – Critical Thinking