COURSE SYLLABUS – SUMMER 2015degreeplans.tstc.edu/Syllabi/docs/SU2015/RNSG2362_su15.pdfCOURSE SYLLABUS – SUMMER 2015 Course Name Clinical Registered Nursing Course Number RNSG

COURSE SYLLABUS – SUMMER 2015

Course Name Clinical Registered Nursing

Course Number

RNSG 2362

0 - 0 - 3 - 12 Lecture - Lab – Credit - Ext

Co-requisites

RNSG 2121 & RNSG 2362

This syllabus has been reviewed and is current on the date indicated.

Prepared By: Date

Julie Elizabeth Reams MSN, RN, CEN 04/19/15 Instructor Reviewed and Approved By:

Kate Woehl, MSN, BNSc, RN 04/19/15 ADN Program Director/ DC

RNSG 2362 Clinical Registered Nursing Course Syllabus Page 2 I. Instructor Information

Name Contact Information Position Office Hours

Elizabeth Reams 325-669-2534 [email protected]

Instructor By Appointment

II. Class Times, Location Various clinical sites with clinical dates and times to be scheduled.

III. Course Description & Introduction

A. WECM/ACGM 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.

B. WECM/ACGM End-of-Course Outcomes: As outlined in the learning plan the

student will be able to: Apply the theory, concepts, and skills involving specialized materials, tools,

equipment, procedures, regulations, laws, and interactions within and among political, economic, environmental, social, and legal systems associated with the occupation and the business/industry.

Demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, appropriate written and verbal communication skills using the terminology of the occupation and the business/industry.

C. Principles and concepts of health promotion, complete patient assessment,

analysis of data, critical thinking utilizing the nursing process, team participation, and treatment modalities related to the nursing care of clients and their families are integrated into the curriculum.

D. Graduates are able to use therapeutic communication in the patient setting. E. Successful graduates utilize critical thinking skills and a systematic problem-

solving process as a framework for providing care to clients and families experiencing health problems.

F. Graduates have acquired skills enabling them to explain the roles of the

professional nurse in caring for clients and families experiencing health issues and diseases.

RNSG 2362 Clinical Registered Nursing Course Syllabus Page 3

IV. Learning Outcomes based on the Texas Board of Nursing DECs

A. As a Member of the Profession, the student will:

Effectively demonstrate the legal and ethical guidelines of the nursing profession, agency policy, school policy, and Nurse Practice Act (NPA).

Maintain acceptable and workable relationships with colleagues and peers. Integrate accountability and responsibility for actions and quality nursing care

into professional practice. Analyze own critical and analytical thinking in decision making process. Evaluate behaviors that support advocacy for clients. Evaluate nursing advocacy in various health care interactions. Function within the nurse’s legal scope of practice and in accordance with the

policies and procedures of the health care institution or practice setting. Assume responsibility and accountability for the quality of nursing care provided

to patients and their families. Participate in activities that promote the development and practice of professional

nursing. Demonstrate responsibility for continued competence in nursing practice, and

develop insight through reflection, self-analysis, self-care, and lifelong learning. B. As a Provider of Patient-Centered Care, the student will:

Critically evaluate situations from different perspectives to develop an in depth comprehensive assessment for multiple clients with predictable or unpredictable health care needs.

Incorporate critical thinking approach to analyze assessment data and select appropriate nursing diagnosis for assigned patients. Function as a member of the interdisciplinary team by demonstrating clinical

skills, with minimal supervision, in caring for multiple clients with chronic predictable or unpredictable health care needs.

Demonstrate nursing actions to meet client needs while maintaining client dignity and rights.

Coordinate care for multiple clients using time management and cost containment principles. Anticipate, report, and document clients’ responses to medications, treatments, and procedures. Evaluate interventions within legal and ethical parameters as determined by the Texas Board of Nursing (BON) and NPA.

Use current technology to gather evidence based information in clinical decision-making in nursing actions.

Integrate valid research in planning care for clients with chronic health care


needs. Demonstrate principles of nursing leadership including delegation, time

management, and conflict resolution. Demonstrate knowledge of psycho/pathophysiology in the care of clients with chronic healthcare needs.

Analyze assessment data to identify problems, formulate goals/outcomes, and develop plans of care for patients and their families using information from evidence-based practice in collaboration with patients, their families, and the interdisciplinary health care team.

Provide safe, compassionate, comprehensive nursing care to patients and their families through a broad array of health care services.

Implement the plan of care for patients and their families within legal, ethical, and regulatory parameters and in consideration of disease prevention, wellness, and promotion of healthy lifestyles.

Evaluate and report patient outcomes and responses to therapeutic interventions in comparison to benchmarks from evidence-based practice, and plan follow-up nursing care.

Develop, implement, and evaluate teaching plans for patients and their families to address health promotion, maintenance, and restoration.

Coordinate individuals, information, and materiel resources in providing care for patients and their families.

C. As a Patient Safety Advocate, the student will:

Implements nursing procedures safely, accurately, and within legal and ethical parameters, including scope of practice.

Utilize critical thinking skills to make safe and ethical clinical decisions. Demonstrate knowledge of the Texas NPA and the Texas BON Rules that

emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards.

Implement measures to promote quality and a safe environment for patients, self, and others.

Formulate goals and outcomes for patient care using evidence-based data to reduce patient risks.

Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.

Comply with mandatory reporting requirements of the Texas Nursing Practice Act.

Accept and make assignments and delegate tasks that take into consideration patient safety and organizational policy.

D. As a Member of the Health Care Team, the student will:


Collaborate with other health care providers and clients and their families to provide care and education for clients with complex health care needs with consideration of developmental needs.

Collaborate in multidisciplinary planning to provide care for clients/families with complex health care needs.

Apply therapeutic communication skills with diverse clients and families having complex health care needs.

Coordinate, collaborate, and communicate with patients, their families, and the interdisciplinary health care team to plan, deliver, and evaluate patient-centered care.

Serve as a health care advocate in monitoring and promoting quality and access to health care for patients and their families.

Refer patients and their families to resources that facilitate continuity of care, health promotion, maintenance, and restoration, and ensure confidentiality.

Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families.

Communicate and manage information using technology to support decision making to improve patient care.

Assign and/ or delegate nursing care to other members of the health care team based upon an analysis of patient or unit need.

Supervise nursing care provided by others for whom the nurse is responsible by using evidence-based nursing practice.

E. 21st Century Skills Set/Essential Competencies – the student will:

Solve problems and building employability skills such as good listening, a positive attitude, critical thinking, adaptability and work ethic.

Use critical thinking skills to complete assignments correctly and on time. Exhibit professional principles to perform skills on time within due dates. Use adaptability skills to complete assignments and perform skills in a timely

manner along with other course work. Use listening skills to complete assignments correctly as per requirements. Exhibit a positive attitude in completing class work on time and correctly. Exhibit professional principles by coming to class on time and calling in as

required when absent. Use critical thinking skills to identify methods, requirements, and standards to

enhance and develop professional nursing practice.

Students may vary in their competency levels on these abilities. As a student, you can expect to acquire these abilities as you honor all course policies, attend classes regularly, complete all assigned work in good faith and on time, and meet all other


course expectations described. V. Assessment Methods & Grading Policy

Teaching Methodologies: Online Lecture methods/Group Interactions Labs/Hands on Demonstration/Team Activities Video Online Learning Environments Online resources Simulation Clinical Performance Letter grades assigned to final course averages for all nursing courses are:

A = 90.0 to 100

B = 80.00 to 89.99 C = 70.00 to 79.99 D = 60.00 to 69.99

F = Below 60

FINAL GRADES ARE NOT ROUNDED

COURSE/CLINCIAL ASSIGNMENTS: Due to the nature of the Nursing program, it is essential that the student recognize the imperative nature of his/her commitment to be present for all planned experiences. The student is expected to be present for all scheduled clinical experiences—See Nursing student handbook regarding absentee policy for clinical. Clinical evaluations are the basic component of the clinical experience and clinical grade. A Weekly and Midterm/Final Evaluation will be completed on every student. The weekly clinical evaluations compiled create a midterm and final evaluation score in a progressive rubric. A student must meet minimal scores as set in the clinical evaluation tools by the final to successfully pass the course. No extra credit or points is given at any time. The formative Clinical Rubrics are progressive in nature leading to a competency level for successfully passing the clinical course.

See the TSTC LVN-RN Student Handbook for attendance policy and further details. SIMULATION LAB CLINICAL


During the course, students may be participating in simulation lab experiences. The schedule will contain days, times, and location for simulation lab exercises. SIM Lab is mandatory clinical time and counts towards the mandatory hours set forth by the Texas Board of Nursing (BON). All simulation activities are treated just as clinical, the same expectations of behavior and guidelines for clinical will be upheld. Failure to attend Simulation lab will result in absenteeism that counts towards the maximum allotted hours-see handbook for attendance policies.

HOSPITAL CLINICAL ROTATIONS

In some clinical facilities, students will be required to review their assigned client’s chart by going to the hospital/clinic agency with their assigned clinical instructor’s permission wearing clinical uniform according to the Nursing Student Handbook wearing your name badge for identification. Post conference sessions will be included as part of clinical and lab and will be held in a hospital/clinical agency conference room when available. Discussions and activities will be held regarding clinical experiences. Hospital rotations will be either 8 hours on the floor plus a 1 hour post conference (9 total hours) or 11 hours on the floor plus a 1 hour post conference (12 total hours). Any orientations set up for clinical facilities are mandatory, failure to be present at an orientation will result in clinical failure, as facilities will only hold one orientation for students. Orientations, if any, will be in the clinical schedule.

COURSE ASSIGNMENTS/EVALUATION METHODS

Clinical courses are considered to be a progressive competency. The expectation of students is growth from a beginning/developing level at the beginning of the course, to a competent or accomplished level at the end of the course. As part of ongoing formative student evaluations, each week the student is in the clinical facility, he/she will complete a weekly clinical evaluation form. On the left side of the form, the student will evaluate their views/observations of clinical and report any new skills completed, (along with having it signed off using the skills check-sheet). On the right side of the form the instructor or preceptor will provide weekly feedback to the student. The weekly scoring is derived from direct patient care, documentation demonstrated in assigned weekly clinical packets, and professionalism/ethics during clinical. Formal midterm and final evaluations will also be completed with each student. If a student receives 2 weekly evaluations with Developing or below in two or more areas, a student action plan will be initiated to formally notify the student of expected improvements and a timeline to allow for remediation.


As part of the clinical assignments, each week the students will submit a packet of clinical paperwork after participating in clinical—see Clinical Instructions and Paperwork File under corresponding Learning Management System course. All written work is expected to be turned in on time.

The clinical evaluation rubrics are scored according to the following criteria:

Scale/Score Standard Procedure Performance Quality Assistance

4 - Accomplished SAFE/ACCURATE

Proficient, coordinated, confident. Expedient use of time. Without direction

3 - Competent SAFE/ACCURATE Efficient, coordinated, confident. Expedient use of time. With occasional physical or verbal

direction

2 -Developing MOSTLY SAFE AND ACCURATE

Partial demonstration of skills. Inefficient or uncoordinated. Delayed

time expenditure. Frequent verbal and/or physical direction

1 - Beginning QUESTIONABLE SAFE AND QUESTIONABLE ACCURATE Unskilled and inefficient. Considerable

and prolonged time expenditure. Continuous verbal and/or physical

direction

0 - Deficient UNSAFE/INACCURATE Unable to demonstrate procedures.

Lacks confidence, coordination, and/or efficiency.

Continuous verbal and/or physical direction; and/or attempts

procedures/skills/medications without proper instructor supervision

Clinical evaluation rubrics are used at midterm and at the end of course to evaluate and provide a summary of student progress based on weekly evaluations, clinical simulation learning experiences and assignments. Upon completion of each clinical course, the student must have demonstrated mastery of the competencies laid out in the clinical evaluation meeting 75% of total points possible in each section of the clinical evaluation rubric to receive a “Satisfactory” for the course. The student must achieve a score of “A” or “B” to satisfactorily pass course. Students will develop various clinical paperwork packets with each various clinical activity, i.e. lab/simulation or direct patient care. Functional health assessment forms and Care Plans developed for this clinical will be reviewed, critiqued, and returned to students each week. The clinical instructor will expect to see growth throughout the semester in each student’s thought processes and critical thinking skills. Students who fail to achieve growth will be identified and will be required to spend time in “Open Lab” with an instructor to remediate and


become successful. OTHER CLINICAL ASSIGNMENTS

Concept Mapping and Case Studies are clinical in nature, and are part of the total clinical hours of the nursing program. Failure to submit these assignments as scheduled and on time, will result in MISSED CLINICAL HOURS.

CLINICAL MED TEST Students will be given clinical med tests. Level III students must achieve 100% in order to pass clinical. You have 3 attempts to pass clinical med test. Failure to pass med test will result in a failing grade for clinical. Please note: All written work is expected to be turned in on time. Any work turned in after the designated date will be late and points or clinical hours deducted accordingly. All written/typewritten work must be legible with correct spelling and grammar and must be written in APA format as applicable. Although some assignments will not receive an actual ‘letter/number’ grade, their assigned ratings will be part of the evaluation process for weekly, mid-term and final evaluations. Review plagiarism and copyright guidelines prior to writing the paper.

The student must pass RNSG 2331 in the same semester to successfully progress in the program. If a student repeats any of the above courses, he/she must enroll in the co-requisite courses.

TIPS TO ENSURE TIMELY SUBMISSIONS A student should always copy his/her self on an email, this will send a copy of the email back the student who originated it, (and whomever you have sent it to) so that it verifies that it was sent. If the student did not receive his/her own email, the student can assume neither did the recipient they were trying to get it to. Please resend.

Follow up all submissions that are concerning with an email request or phone call for verification; also follow up all faxes with email verification as well. This helps ensure the student does not receive a zero if there is a technology issue. ATI TESTING AND BENCHMARKS All students purchase ATI Mastery Series (CARP) books and/or e-books that assist in remediation and follow through the entire nursing program. In all levels, the students also purchase the Virtual ATI system. This is an assessment and remediation system that follows the student after completion of a Nursing program and assists in preparation for


NCLEX-PN or NCLEX-RN as appropriate. Research has shown with correct utilization, if the student gets the “green light” during their remediation, pass rates on NLCEX are around 99%. ATI Assessments-Course Specific Assessments

Specific ATI Proctored assessments will be administered throughout the course. The required Benchmark for the ATI Mastery Series Exam can be found in the

individual Syllabus/Course Guides. ATI Comprehensive Predictor-For Level 3 (Final Semester) students

The First ATI Comprehensive Predictor will be given in the last semester. Students failing to meet the benchmark will do the focused remediation as

instructed per the instructor. The ATI program was designed and adopted to help the student become as prepared as possible to enter the role of Graduate Nurse and successfully complete NCLEX required for licensure. Students should make every effort and attempt to complete the suggested remediation and focused reviews as indicated to help ensure success. Failure to comply with the ATI Program and policies can result in dismissal from the TSTC Nursing Programs.

ATI Benchmarks


A student meeting the criterion for Proficiency Level 1:

is expected to just meet NCLEX-RN® standards in this content area. should demonstrate the minimum level of knowledge in this content area required to

support academic readiness for subsequent curricular content. should meet the absolute minimum expectations for performance in this content area

. A student meeting the criterion for Proficiency Level 2:

is expected to readily meet NCLEX-RN® standards in this content area. should demonstrate a level of knowledge in this content area that more than adequately

supports academic readiness for subsequent curricular content. should exceed minimum expectations for performance in this content area.

A student meeting the criterion for Proficiency Level 3:

is expected to exceed NCLEX-RN®standards in this content area. should demonstrate a high level of knowledge in this content area that confidently

supports academic readiness for subsequent curricular content. should exceed most expectations for performance in this content area.

Note that these definitions were based on the expertise of the nurse educators who participated in the cut score study. No empirical study was conducted relating NCLEX-RN® performance to performance on the Content Mastery Series, nor was any study conducted demonstrating a statistical relationship between Content Mastery Series performance and actual job performance. These Proficiency Level definitions were used by cut score study participants for the purpose of making their empirical ratings of item difficulty.

ATI COMPREHENSIVE PREDICTOR BENCHMARK


Reference: www.atitesting.com


VI. Textbook/Reference Materials

All text required for corresponding didactic courses will be used to facilitate learning this course and can be utilized as reference resources.

VII. Additional Resources & Supplies

The textbooks listed above are primary sources for the student. However, in order for the learner to achieve mastery of particular nursing principles and skills, the faculty may use and/or recommend additional materials. The student has the responsibility to utilize this material for optimum development. Students are encouraged to explore all additional learning resources, including the Internet, which can be accessed in the computer lab/library. • Laptop/Computer Access • Internet Access (High Speed recommended)

VIII. Class Participation Policy & Student Conduct

REMEDIATION AND STUDENT ACTION PLANS Student action plans are communication tools used within the TSTC nursing programs for various reasons. These documents serve as a communication method for remediation, absenteeism, status in course, and disciplinary issues. Therefore, these documents should not be necessarily viewed as a “negative” focus unless it is of discipline in nature. These tools help identify areas of concern and/or weakness with a plan or action to assist the student to remediation on such issues. A student action plan that is labeled “Unprofessional Conduct” is disciplinary and is reserved for offenses as identified by the Texas Board of Nursing, Nurse Practice Acts, or within the standards of nursing that constitutes a serious concern or offense. A student written up on Unprofessional Conduct more than once (two times) will be dismissed from the program. See excerpt from student handbook below: Per LVN-RN Student Handbook: Any student a receiving formal counsel designated and states “UNPROFESSIONAL CONDUCT” on a Student Action Plan for 2 occurrences of any type of unprofessional conduct for the duration of their time as student in the nursing program will be immediately dismissed by the Director and will not be allowed to reapply to the nursing program. SCHOLASTIC and ACADEMIC DISHONESTY


The College expects every student to engage in all scholastic pursuits in a manner that is beyond reproach. Students are required to maintain complete honesty and integrity in the classroom and/or laboratory. Any student found guilty of dishonesty in scholastic work is subject to disciplinary action. The TSTC Nursing program sets the same minimum standards as set forth in the TSTC Student Handbook regarding scholastic honesty. See the TSTC Student Handbook for further details.

A. Scholastic dishonesty includes, but is not limited to, cheating on scholastic work, plagiarism and collusion.

B. Cheating on scholastic work includes: Copying from another student’s test paper or other scholastic work. Using, during a test, materials or equipment not authorized by the person

administering the test. Collaborating, without authority, with another student during an

examination or in the preparation of scholastic work. Knowingly using, buying, selling, stealing, transporting or soliciting, in

whole or in part, the contents of an un-administered test. Soliciting, bribing or coercing an instructor or student grader to alter the

score or grade achieved on a test or other scholastic work. Substituting for another student, or permitting another student to substitute

for one-self, to take a test or prepare other academic work or laboratory assignments/experiments.

Soliciting, bribing or coercing another person to obtain an un-administered test/examination or information about an un-administered test/examination.

Using thoughts, words, or expressions of other’s works, including web-based information, as one’s own (plagiarism).

ACADEMIC DISHONESTY WITHIN THE NURSING DEPARTMENT All student conduct will support academic honesty. Any student who is cheating on an exam or uses the thoughts or words of others without proper citation/reference in a written assignment will receive an “F” or zero grade. Academic Dishonesty constitutes unprofessional conduct and lack of good professional character in the judgment of the Texas Board of Nursing. Any student participating in any form of academic dishonesty will be required to see the Director of the program and may be dismissed from the program. Please refer to Student conduct in the Nursing Student Handbook. The department goal is that each student completes his or her own work in order to master the skills needed to compete in the job market.


NETIQUETTE—PROPER ONLINE ACTIVITY BEHAVIOR All students are expected to maintain professional demeanor and behavior in all TSTC nursing online activities. Postings are to be constructive and non-judgmental. Please do not type in ALL CAPS as this represents someone shouting a response. Please be mindful of the variety of different cultural and personal communication styles within any group. Always think before posting and carefully read responses. A posting that demonstrates unprofessional conduct will result in the student being notified and given a Student Action Plan with remediation assignments. Any student receiving two Unprofessional Conduct—Student Action Plans will be required to see the Director of the program and may be dismissed from the program. Please refer to Student conduct in the Nursing Student Handbook. CLINICAL AND CLINICAL-LAB DRESS CODES

For all clinical and lab experiences the official student uniform must be worn. Name pins and ID tags are to be worn at all times when in uniform. Nametags should be firmly affixed to chest, not hanging from the waist. Hair must be clean, neat and off the collar. All hair must be contained in a bun, twist etc. No loose hair allowed. Nails must be manicured, short and without polish. Artificial nails are prohibited in the clinical setting. A watch and plain wedding band are the only jewelry allowed in clinical. No

raised stones, no body jewelry, all body jewelry will be removed for clinical/lab settings.

The clinical uniform is the required scrub set with the TSTC embroidery logo. Lab coats must have TSTC patch and be displayed on the left sleeve.

Students may wear a solid plain white, black, or gray cotton turtleneck or t-shirt with instructor approval.

Uniform shoes are solid white leather/vinyl, closed heel and toe with white soles. Shoes and laces must be clean. Clinical uniform must not be wrinkled. Any visible tattoos or self-inflicted body markings must be concealed to where

they are not visible. Students are not allowed to wear earrings or tongue rings, eyebrow rings, etc. Hair coloring must be natural in appearance. No off colors are allowed (purple,

green, orange, hot pink, etc.). Chewing gum/candy while in uniform is not permitted.

Failure to adhere to the clinical dress code will result in zeros in areas of professionalism on weekly evaluations and can result in failure of the course.


SMOKING POLICY Smoking is not allowed in any of the TSTC buildings or any of the clinical sites. Designated smoking areas are provided outside of the buildings at TSTC for breaks during classes. Smoking is not allowed during any clinical rotations or during clinical hours. Any student smoking at a clinical site will be written up for unprofessional conduct. TELEPHONE AND ELECTRONIC DEVICES Students are not permitted to have cell phones, beepers, or any electronic messaging device turned on while in the classroom or clinical setting, unless designated by the instructor. If this occurs the student will be asked to leave the classroom and or clinical site. Clinical site allows the student a fifteen minute break as well as a thirty minute lunch. You can be reached during those times and you should notify your family to that affect so that you are not interrupted during class or clinical hours. Students are not to receive personal phone calls or texts in the clinical setting. Instruct your family and day care providers to contact the Program Director at TSTC, Kate Woehl, to reach the instructor during clinical hours for any emergency.

IX. Safety

Campus building occupants are required to evacuate buildings when a fire alarm activates. Alarm activation or announcement requires exiting and assembling outside.

Familiarize yourself with all exit doors of each classroom and building you may occupy while receiving instructions. The nearest exit door may not be the door you used when entering the building.

Students requiring evacuation assistance should inform the instructor during the first week of class.

In the event of evacuation, follow the faculty’s or class instructor’s instructions. Do Not re-enter a building unless given instructions by the Fire Department,

Campus/Local Police, or Fire Prevention Services.

X. Special Needs If you have a documented disability that will impact your work in the class, please contact the ADA Coordinator, so that the appropriate arrangements for your accommodations can be made. The counselor on your campus can assist you in this


process. In accordance with the Federal law, a student requesting accommodation must provide documentation of his/her disability to the ADA Coordinator. For more information, call (325) 236-8292 or email [email protected]. If you have a condition, such as a physical or mental disability, which will make it difficult for you to carry out the work as outlined, or which will require extra time on examinations, please notify the Counseling and Testing Office during the first week of the course so that appropriate arrangements can be made.

XI. Course Schedule

Online class attendance means you will participate in all scheduled discussion and reply to all assigned discussion and assignments.

Failure to participate in online activities timely may result in dismissal.

**Instructor reserves the right to change the schedule as needed in order to meet the objectives of the course.

WEEKLY OBJECTIVES AND COURSE SCHEDULES

Weeks

Lecture Content (Topic) Clinicals

Required Reading & Assignments

Weekly Objectives—See Corresponding Learning Objectives in Co-Requisite Course – RNSG 2331

Week 1 5/12/15

Clinical 5/15/15 Clinical 5/16/15

Overview of Critical Care Nursing

Week 2 5/19/15

Clinical 5/19/15 Clinical 5/20/15 Clinical 5/21/15

Ethical and legal concerns related to end of life care. Pain and anxiety in the critically ill patient. Assessment and management challenges associated with critically ill patient.

Week 3 5/26/15


Review the anatomy and physiology of the cardiac system. Discuss dysrhythmia interpretation and management. Discuss causes of dysrhythmias. Review of hemodynamic monitoring


Weeks



Weekly Objectives—See Corresponding Learning Objectives in Co-Requisite Course – RNSG 2331 modalities. Discuss cardiac output and monitoring. Review other techniques of hemodynamic monitoring

Week 4 6/2/15

Exam day-Thursday 6/4/15

Focus on Patient with Respiratory Problems, mechanical ventilation, advanced life support measures during a code situation.

Week 5 6/9/15


Concept map over shock. You must complete (2) maps-pick from the 4 types of shock

Review patient care with various types of shock. Develop an individualized plan of care that includes nursing diagnosis, expected outcomes, nursing interventions, and rationale

Week 6 6/16/15

Clinical 6/20/15


Review patient care with cardiovascular alterations.

Week 7 6/23/15


Review patient care with neurological deficits. Plan of care for the patient having an acute stroke.

Week 8 6/30/15



Review patient care with Respiratory Problems.

Week 9 7/7/15


Review patient care with immunocompromised and bleeding disorders

Week 10 7/14/15

Mrs. Reams/Boot Camp 7/15-7/19


Review of patients with Gastrointestinal alterations

Week 11 7/21/15


Review of Patients with Diabetes Mellitus and Endocrine Diseases


Weeks



Weekly Objectives—See Corresponding Learning Objectives in Co-Requisite Course – RNSG 2331

Week 12 7/28/15


Review of the trauma patient.

Week 13 8/4/15

ATI review 8/3-8-5 2015

ATI Review Review of the immune system

Week 14 8/11/15

Hurst review 8/14-8/16 2015


HURST REVIEW

Week 15 8/18/15

FINAL-COMPREHENSIVE EXAM Final Clinical Evaluations

FINAL EXAM THURSDAY 8/20/15

FRIDAY 8/12/15 PINNING 12-4 GRADUATION 7 PM

ATI Review dates to be announced. Student must pass with a Satisfactory to pass the clinical course


XII. Instructor CV- Julie Elizabeth Reams, MSN, RN, CEN

Education Name of Institution Degree Earned Date EarnedAngelo State University Master of Science in Nursing August 2013 Angelo State University Bachelors of Science in Nursing December 2002 Cisco Junior College Associated of Applied Science in Nursing December 1999 Cisco Junior College Certificate of Completion VN Program (LVN) December 1997

CertificationsName of Certification Date Expires Date Earned

Advanced Cardiac Life Support (ACLS) Certified Emergency Nursing (CEN) Emergency Nursing Pediatric Course (ENPC) Pediatric Advanced Life Support (PALS) Trauma Nursing Core Course (TNCC) instructor

Since 2000 Since 2005 Since 2000 Since 2000 Since 2004

Industry, Teaching or Training, and Other Experience Relevant To Course

Description of Experience Related To Course Date Ended Date Began Texas State Technical College (TSTC) West Texas Adjunct Faculty Instructor Supervise clinical sites and clinical student’s rotations for ADN nursing students.

Current September 2013

Hendrick Medical Center, Abilene, TX Night Emergency Room charge nurse Duties included taking care of clinical and trauma patients, all ages. Supervised shift; census, staffing, and patient care.

Current May 2013

Hendrick Medical Center, Abilene, TX RN staff nurse Worked as an RN in the emergency room. Duties included taking care of clinical to trauma related injured patients, patients on ventilators, acute and chronic illness in patients of all ages.

May 2013 January 1999

Hendrick Medical Center, Abilene, TX Relief charge nurse in the ED Duties included taking care of clinical and trauma patients, all ages. Supervised shift; census, staffing, and patient care.

May 2013 July 2003

Hendrick Medical Center, Abilene, TX Relief Nursing Supervisor Worked as relief night house supervisor. Duties included supervising house-wide hospital census, staffing, and administrative issues.

January 2008 January 2006

Hendrick Medical Center, Abilene, TX LVN staff nurse-neurology floor Worked as a licensed vocational nurse while pursing RN education. Duties included admission of patients, patient care, patient teaching, family education, med administration, discharge planning, and assisted with patients that came through the emergency room.

February 1998 January 1999


Abilene Regional Medical Center, Abilene, TX LVN Staff Nurse-pool Duties included admission of patients, patient care, patient teaching, family education, med administration, discharge planning, and assisted with patients that came through the emergency room

1998 1999


Student Acknowledgement:

This is to acknowledge that I have received a copy of the syllabus for the course RNSG 2362 –

Clinical Registered Nursing. I understand that it is my responsibility to read and understand the

syllabus and to abide by the guidelines presented therein.

__________________________________ ________________________________ Student Printed Name Signature

_______________ Date

Documents

COURSE SYLLABUS – SUMMER 2015degreeplans.tstc.edu/Syllabi/docs/SU2015/RNSG2362_su15.pdfCOURSE SYLLABUS – SUMMER 2015 Course Name Clinical Registered Nursing Course Number RNSG