WALLA WALLA COMMUNITY COLLEGE
NURSING EDUCATION
PRACTICUM II
NURS 112
Spring Quarter 2010
To request accommodations related to a disability, contact Claudia Angus, Ph.D., Coordinator of Disability Support Services, at 527-4262 or email on the Walla Walla Campus. Clarkston students may contact Carol Bennett, at 758-1718 or email .
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 shall be provided in writing.
COURSE OUTLINE
Course Identifier: NURS 112
Title: Practicum II
Credits: 4
Clinical/Lab Hrs Per Wk: 8
Catalog Description: An application of theory from NURS 102. The focus is on providing care for clients of all ages in acute care facilities.
Prerequisites: NURS 101 and 111
Corequisites: NURS 102
Teaching Format: Clinical
Demonstration/Simulation
Client Centered Conferences
Workshops
Independent Learning Modules
Location: Walla WallaCampus - Skills Practice Lab; Acute Care Hospitals
Clarkston Campus - Skills Practice Lab; Acute Care Hospitals
Course Topics: Postpartum assessment
Newborn care
NG Tubes (Insertion, Feeding, Medications)
Ostomy Care
Evaluation Devices: Clinical Evaluation Tool
Written Assignments
Medication Computation/Administration Proficiency
Computer Assignments
Skills Performance Validation
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.
GRADING CRITERIA
NURS 112
Name ______
Points Earned: ______Percentage: _____ Clinical Grade: ______
Criteria / Points Possible / Points EarnedJournal Entries (3 points per clinical day, 6 points per clinical week) / 18
Written Competencies / 25
Clinical Tool Points / 38
Prenatal Profile / 30
Skills Practice Lab Activities / 30
Medication Calculation/Administration Proficiency (P/F) Must have 80% to pass (two tries to pass – failure will result in a failing clinical grade regardless of total points achieved) / P/F
Late Points: one per every business day clinical folder is late (handbook p. 17)
Total
/ 141Practicum: ______/ ______/ ______Peds Workshop: ______
· Failure to notify the clinical agency and the WWCC Nursing Department (WW 527-4240 / CLK 758-1702)of an absence will be reviewed by Level I faculty and may result in the issuance of a Contract or Special Concern.
· Failure to notify the WWCC Nursing Department (WW 527-4240 / CLK 758-1702) for any Skills Lab or workshop absence will be reviewed by the Level I faculty and may result in the issuance of a Contract or Special Concern.
· Attendance/Tardiness – see handbook policy. Absences from any NURS 112 activity will result in zero (0) points for missed activities. If tardy or unprepared for clinical, no attendance points will be awarded for that day. Absences and tardiness will be tracked. Three episodes of tardiness, in any combination of NURS 112 activity, equal one absence. Three absences, in any combination of NURS 112 activity, equal a letter grade drop from total points earned. Four absences constitute a clinical failure.
· Students are responsible for any content missed due to absence or tardiness.
· All assignments must be accounted for in order to complete course work.
· Grades are earned by students, not given by instructor
· Grading Scale: See Nursing Student Handbook
FACULTY CONTACT LIST
Walla Walla Campus: Nursing Office: 509-527-4240
Clarkston Campus: Nursing Office: 509-758-1702
Director of Nursing Education: Marilyn D. Galusha, RN, MSN
Walla Walla-based Instructors / Office Number / Email addressesKathy Adamski, RN, MN
(Level I Lead Instructor) / 527-4244 /
Cell: 200-0904
Brenda Anderson, RN, MSN / 527-4327 /
Cell: 240-4084
Grace Hiner, RN, MSN / 527-4421 /
Home: 525-3519
Maribeth Bergstrom, RN, MN / 527-4240 /
Cell: 540-5619
Pamela Gisi, RN, BSN, MBA / 527-4240 /
Cell: 540-5354
Eileen Seifert, RN, BSN / 527-4240 /
Cell: 520-1573
Lana Toelke, RN, BSN
(Walla Walla Skills Practice Lab) / 527-4246 /
Clarkston-based Instructors
Carol McFadyen, RN, Ph.D.
(Clarkston Lead Instructor) / 758-1728 /
Todd Carpenter, RN, BSN / 758-1787 /
Stephanie Macon-Moore, RN, BSN / 758- 1702 /
Cell: 208-596-5371
Hawa Al Hassan, RN, BSN / 758-1702 /
Cell: 509-432-6472
Jennifer Nicholas, RN, BSN
(Clarkston Skills Practice Lab) / 758-1704 /
Individual Conference Session Summary
NURS 112
Student Name:______
Student Self Evaluation: (strengths and plans for growth) complete prior to ICS
Final Instructor Evaluation:
Instructor Date Student Date
______
Instructor Concerns/Repeated Reminders
(performance issues/timeliness/attendance)
Student Name: ______
Any entry on any topic will constitute a concern that could be evaluated by Level I faculty for additional action. The action could include issuance of a Clinical Contract or Special Concern.
Date / Concern / IncidentClinical Contract or Special Concern:
Your clinical grade or progression in the program may be affected by serious problems or repeated incidences related to unsafe and unethical practice. Each concern will be documented and discussed. Documented instances will be handled through appropriate channels and may lower the clinical grade.
Weekly Instructor Feedback
Student Name: ______
JOURNAL TO DESCRIBE CLINICAL EXPERIENCE
Purpose: To assist the learner in reflective thinking regarding the learning opportunities and clinical experiences that occurred during the clinical week
Method: Each student is expected to complete a weekly journal which reflects both days clinical experience. A Reaction Paper will be done for either a Respiratory or Perioperative Follow-through experience and will replace one day’s journal entry for that week. Students assigned to OB will complete an OB Data Packet consisting of an OB Client Data Sheet and a Newborn Assessment Sheet. This packet replaces one day of the weekly journal and is worth 3 points.
Inadequate analysis will result in a reduction of points. No points will be given for areas that are not addressed.
Format: Journal entries should be word processed using 12 pt. font, single-spaced, and no longer than one page in length.
Time Management: (1 point for a two-day clinical week; 0.5 points for a one-day clinical week)
Describe your anticipated plan to efficiently complete required care for your client.
· What part of your anticipated plan went well and/or not so well in terms of time management?
· What changes did you make to your anticipated plan on the second day or could you make in the future to improve time management?
Prioritization: (1 point for a two-day clinical week; 0.5 points for a one-day clinical week)
Describe an example of how you had to prioritize your care based on Maslow’s Hierarchy of
Needs during your clinical shift. (This is based on your decision between 2 or more
activities/skills or based on 2 patients regarding who should be cared for first.
· Identify why your choice of priority was highest in regard to your patient’s needs and
disease process.
• Identify your desired outcome.
· Identify how you met your desired outcome. (How did your decision work out?)
Personal Analysis: (4 points for a two-day clinical week; 2 points for a one-day clinical week)
Analyze your feelings about the practicum experience for the week
Describe your personal accomplishments (may include technical skills accomplished)
Describe what made you most comfortable/uncomfortable?
Describe your plan for continued growth (What will you do differently? What do you need to focus on?)
3 points will be deducted from total points achieved for each clinical absence in a week.
Sample Journal Format
Name:______Date(s): ______Points ______
Time Management:
Prioritization:
Personal Analysis:
RESPIRATORY THERAPY EXPERIENCE REACTION PAPER
Upon completion of your experience in Respiratory Therapy, submit a brief Reaction Paper summarizing the procedures/therapies that you participated in or observed. Place your Reaction Paper in your clinical notebook for grading. This paper will replace one journal page worth 3 points. This is a 4-hour experience.
All papers must be typed and should be no longer than two double-spaced pages.
DO NOT USE THE NAME OF THE CLIENT OR RESPIRATORY THERAPIST IN YOUR PAPER. THIS IS A BREACH OF CONFIDENTIALITY.
Information to be included in the Respiratory Therapy Experience Reaction Paper:
1. Give a brief summary of what you observed in the area such as procedures, therapies,
teaching, etc.
2. What medications did you observe being administered? Discuss the effects on the lungs of each medication given to the client. (How did the breath sounds differ before and after the treatment?) Describe the systemic effects and side effects of each medication given. What effects did you observe in the client? (0.5 points)
3. Interpret one Arterial Blood Gas (ABG) from a client. List the values (pH, PCO2, HCO3-, PaO2) and the reason for the normal or abnormal values. (0.5 points)
4. Write your reactions to this experience (2 points)
· Identify at least one new thing that you learned or observed
· Identify how you will use what you learned or observed in future nursing situations.
· Analyze your feelings about the experience
o What happened to make you feel this way?
o What would you like to keep the same?
o What would you change to make your feelings/perceptions more positive (How could this experience be improved? Be specific)
5. Format, grammar, and spelling
Total Points (3) :______
PERIOPERATIVE EXPERIENCE REACTION PAPER
Upon completion of your experience in the Operative and Perioperative areas, submit a brief Reaction Paper summarizing what you observed. Place your Reaction Paper in your clinical notebook for grading. This paper will replace one journal page worth 3 points. This is a 4-hour experience.
All papers must be typed and should be no longer than two double-spaced pages.
DO NOT USE THE NAME OF THE CLIENT, PHYSICIAN, OR THE NURSE IN YOUR PAPER. THIS IS A BREACH OF CONFIDENTIALITY.
Information to be included in the Perioperative Experience Reaction Paper:
1. Give a brief summary of client data, including age, reason for the procedure/surgery, and any past history of medical problems that need to be considered in caring for the client (heart disease, hypertension, etc.) (0.5 points)
2. Description of Experience (0.5 points)
· Type of anesthesia used (local, regional, general)
· Interventions observed to reduce the risk for injury and risk for infection during the procedure
· Roles of the Circulating Nurse and the Scrub Technician or other anesthesiology staff
· Describe the criteria for discharge from the Post-Anesthesia Care Unit (PACU) for this client. What type of nursing assessment and monitoring was done?
3. Write your reactions to this experience (2 points)
· Identify at least one new thing that you learned or observed
· Identify how you will use what you learned or observed in future nursing situations.
· Analyze your feelings about the experience
o What happened to make you feel this way?
o What would you like to keep the same?
o What would you change to make your feelings/perceptions more positive (How could this experience be improved? Be specific)
4. Format, grammar, and spelling
Total Points (3) :______
SPECIALTY UNIT REACTION PAPER
(Emergency Department, Minor Care, and other units designated by instructor)
Purpose: To assist the learner in reflective thinking regarding the learning opportunities and clinical experiences that occurred in the specialty unit. Replaces one journal page worth 3 points.
Method: Each student is expected to complete a journal which reflects his or her experience in the specialty unit.
Inadequate analysis will result in a reduction of points. No points will be given for areas that are not addressed.
Format: Journal entries should be word processed using 12 pt. font, single-spaced, and no longer than one page in length.
Time Management: (0.5 point)
Describe the nurse’s time management in the specialty unit.
· How did the nurse manage his/her time? Was there a routine that he/she developed
to ensure timely care of patients?
· Describe how the team manages patient flow?
· What was the nurse doing during “down-time”?
Prioritization: (0.5 point)
Describe the triage system in the specialty unit in applicable.
Describe an example of how the nurse(s) prioritized his/her or their care of a patient
based on Maslow’s Hierarchy of Needs. This example should be based on a specific
patient.
• Identify the desired outcome.
· Identify why the choice of priority was highest in regard to the patient’s needs and
disease process.
· Identify how the desired outcome was met. (How did your decision work out?)
Personal Analysis: (2 points)
Analyze your feelings about the practicum experience for the week
Describe your personal accomplishments (may include technical skills accomplished)
Describe what made you most comfortable/uncomfortable?
Describe your plan for continued growth (What will you do differently? What do you need to focus on?)
Total Points (3) :______
OBSTETRICS (OB) EXPERIENCE
*Not all students will have this experience; those who do will submit an OB Client Data Sheet (1 point) and a Newborn Assessment Sheet (2 points) in place of one day’s journal
OB Client Data Sheet
Student Name:
Date of care:
Client initials & age/ Room:
· History of Pregnancy & Labor (include information on length of labor )
Date of Admission:
· Reason for Cesarean Section (if applicable)
Client Needs / AssessmentHt Wt
Allergies
Activity Level
Diet
I & O
IV (solution) Flow Rate
Site:
PCA
Tubes: (Foley Catheter, NG tube, surgical drains
Other: / Vital signs:
Breasts:
Fundus:
Flow:
Episiotomy:
Lower Extremities:
Laboratory/Diagnostic tests
Date / Lab or Diagnostic Test / Test ResultClient Result (Normal Result) / Client specific reason for abnormality / Expected effects
Based on test result
Other:
Postpartum only (info from prenatal record)
Blood Type/Rh:
Rubella Titer:
Other abnormal data:
Source & page number ______
Newborn (NB) Physical Assessment
NURS 112
Describe your assessment data using correct terminology. Highlight abnormal data.
General Appearance:
Vital Signs: Time _____ Temp _____ Pulse _____ Resp _____ BP _____ (if applicable)