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VNSG 1261: Introductory Clinical Syllabus (16 weeks) 17/Spring COURSE SYLLABUS VNSG-1261 Introductory Clinical-Practical Nursing COURSE (CATALOG) 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. Instructors: Nancy Duran LVN Heather Sauceda RN Office Hours: Mon./Tues/Thurs. Mon./Wed./Fri. 1-3 pm/9-11 am 2-4 pm E-mail Address: [email protected] [email protected] Office Phone: 956-364=4970 956-364=4762 MAJOR COURSE REQUIREMENTS: The practicum setting provides the vocational nursing student with hands on clinical experience and provides an arena for further development of nursing skills learned in the simulation lab setting. Demonstration and return demonstration; supervised clinical practice; clinical pre- and post-conferences; foundations of nursing, pharmacology and nursing skills provide the basis of clinical practice. Students must pass with satisfactory performance in clinical setting. . LEARNING OBJECTIVES: Student Learning Objectives for Critical Thinking The student will 1. Demonstrate the ability to identify the essential question, issue, and/or problem. 2. Demonstrate the ability to gather data relevant to the essential question, Issue and/or problem. 3. Demonstrate the ability to interpret appropriate data effectively. 4. Demonstrate the ability to recognize and evaluate assumptions, major alternative points of view and related theories, principles, and ideas relevant to the question, issue, and/or problem. 5. Demonstrate the ability to develop informed conclusions/solutions. 6. Demonstrate the ability to articulate implications and consequences that emerge from the conclusions/solutions. 7. Demonstrate the ability to communicate any or all parts of the above process in written or oral form.

Instructors: Nancy Duran LVN Heather Sauceda RN … Introductory Level is an introductory skills level for the Vocational Nursing Student. Competencies must be achieved in order to

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VNSG 1261: Introductory Clinical Syllabus (16 weeks) 17/Spring

COURSE SYLLABUS

VNSG-1261 Introductory Clinical-Practical Nursing COURSE (CATALOG) 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.

Instructors: Nancy Duran LVN Heather Sauceda RN Office Hours: Mon./Tues/Thurs. Mon./Wed./Fri. 1-3 pm/9-11 am 2-4 pm E-mail Address: [email protected] [email protected] Office Phone: 956-364=4970 956-364=4762

MAJOR COURSE REQUIREMENTS: The practicum setting provides the vocational nursing student with hands on clinical experience and provides an arena for further development of nursing skills learned in the simulation lab setting. Demonstration and return demonstration; supervised clinical practice; clinical pre- and post-conferences; foundations of nursing, pharmacology and nursing skills provide the basis of clinical practice. Students must pass with satisfactory performance in clinical setting. . LEARNING OBJECTIVES:

Student Learning Objectives for Critical Thinking The student will 1. Demonstrate the ability to identify the essential question, issue, and/or problem. 2. Demonstrate the ability to gather data relevant to the essential question, Issue and/or problem. 3. Demonstrate the ability to interpret appropriate data effectively. 4. Demonstrate the ability to recognize and evaluate assumptions, major alternative points of view and related theories, principles, and ideas relevant to the question, issue, and/or problem. 5. Demonstrate the ability to develop informed conclusions/solutions. 6. Demonstrate the ability to articulate implications and consequences that emerge from the

conclusions/solutions. 7. Demonstrate the ability to communicate any or all parts of the above process in written or oral form.

Student Learning Objectives for VNSG 1261 At the end of this course the student will be able to:

1. Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting.*

2. Assume responsibility and accountability for the quality of nursing care provided to patients and their families.*

3. Report data to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care team.*

4. Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice.*

5. Identify therapeutic communication skills. 6. Identify and employ components of the nursing process. 7. Safely and competently care for two clients rendering basic bedside care, ambulation,

documentation, and completion of a care plan on a weekly basis. 8. Provide safe, compassionate, basic nursing care to assigned patients with predictable

health care needs through a supervised, directed scope of practice. Safely and competently render basic bedside nursing skills – bathing, oral hygiene, linen changes, transfers, ambulation and feeding, etc. *

9. Identify and report alterations in patient responses to therapeutic interventions in comparison to expected outcomes.*

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

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

12. Utilize technology in the clinical setting to include computerized documentation, online research sources, and patient care equipment. *

13. Supervise nursing care provided by others for whom the nurse is responsible.*

* DIFFERENTIATED ESSENTIAL COMPETENCIES OF GRADUATES OF TEXAS VOCATIONAL NURSING EDUCATIONAL PROGRAMS, Texas Board of Nursing

MATH COMPETENCY: A Math Medication Dosage Calculation Competency must be passed, after being graded on a Pass/Fail, in order to progress to the next level. The student will have a total of three chances to take the competency assessment. (A Math Competency exam will be given in each level). Note: No grade value will be earned with any assignment, practice/review assessment, or final medication

dosage calculation competency

WEEK TOPIC/LECTURE/EVENT PLACE OF CLINICAL SITE

1 01/09/17-01/15/17

CLINICAL FORMS/POLICIES AND PROCEDURES

ROOM 107/BLDG SS

2 01/16/17-01/22/17

HOLIDAY/MLK (01/16/2017) ------CLINICAL SKILLS LAB

ROOM 107/BLDG SS

3 01/23/17-01/29/17

CLINICAL SKILLS LAB

ROOM 107/BLDG SS

4 01/30/16-02/05/17

CLINICAL SKILLS LAB

ROOM 107/BLDG SS

5 02/06/17-02/12/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

6 02/13/17-02/19/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

7 02/20/17-02/26/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

8 02/27/17-03/05/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

9 03/06/17-03/12/17

CLINICALL SKILLS LAB

ROOM 107/BLDG SS

10 03/13/17-03/19/17

SPRING BREAK

11 03/20/17-03/26/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

12 03/27/17-04/02/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

13 04/03/17-04/09/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

14 04/10/17-04/16/17

RETAMA MANOR NURSING CENTER 802 CAMELOT DR. HARLINGEN, TEXAS

MONDAY & WEDNESDAY 5:45 AM TO 10:00 AM

15 04/17/17-04/23/17

CLINICAL SKILLS LAB/SIMULATIONS

ROOM 107/BLDG SS

16 04/24/17-04/30/17

FINAL WEEK-----CLINICAL SKILLS LAB

ROOM 107/BLDG SS

REQUIRED TEXT AND MATERIALS: ALL ATI BOOKS WILL BE PROVIDED IN CLASS/WEB-SITE

EVOLVE web-site: https://evolve.elsevier.com Dewit /O’Neill, Fundamental Concepts and Skills for Nursing Skills 4th Edition, 2014/Saunders/Elsevier Inc, ISBN 978-1-4377-2746-3 Dewit /O’Neill, Study Guide Fundamental Concepts and Skills for Nursing 4th edition 2014 Paperback Saunders/Elsevier Inc, ISBN-9781455708451 ******optional*******

Davis's Drug Guide For Nurses 15th Edition 1,478 pages | Soft cover | 2017 ISBN-9780803657052, Paperback Publisher: F.A. Davis

Taber's Cyclopedic Medical Dictionary (Thumb-indexed Version),

22nd Edition 2013 Hardback 2850 pages ISBN-13: 978-0-8036-2977-6 ATI Books INTRO TO CLINICAL PHARMACOLOGY 8 th Ed. Author: EDMUNDS ISBN: 9780323187657 MOSBY; Edition: 8; 2016 Calculate with Confidence, sixth edition author: Deborah Gray Morris/2014, ISBN 978-0-323-08931-9, Mosby /Elsevier Inc. Medical-Surgical Nursing, 3rd Edition by Susan C. DeWit author, Stromberg, Holly author, Dallard, Carol author ISBN: 978032324378-0 | Copyright 2017 Saunders Comprehensive Review For NCLEX-PN examination, 6th edition, Linda Anne Silvestri, ISBN 978-0-323-28931-3, Copyright 2016 Recommended: Dewit /O’Neill, Study Guide Fundamental Concepts and Skills for Nursing Skills 4th Edition

paperback, 2014/ Saunders/Elsevier Inc, ISBN- 9781455708451 *****optional**** Study Guide for Introduction to Clinical Pharmacology, 8th Edition ISBN: 9780323076968 Copyright: 2013 Mosby

Study Guide for Medical-Surgical Nursing, 3nd Edition

ISBN: 9780323243834 Copyright: 2017 ******Optional****** Pens, Pencils, Student Nurse Kit, Scantrons VN Clinical Nursing Skills Record Booklet VN Clinical Nursing Skills Check Off Sheets

GRADING CRITERIA: All grades are based on a perfect grade of 100 Weekly evaluation of skills and daily paperwork 70% Professionalism Skills Rubric 30% Total: 100% GRADING SCALE: for VNSG 1261 is consistent with the VN Grading scale listed in the VN Student Handbook A = 90.00 - 100.0 B = 80.00 - 89.99 F = BELOW 60 C = 70.00 - 79.99 D = 60.00 - 69.99

NOTE: STUDENT MUST ACHIEVE A GRADE OF 80 OR BETTER IN EACH COURSE TO BE

ELIGIBLE TO ADVANCE TO THE NEXT SEMESTER AND TO COMPLETE THE

VOCATIONAL NURSING PROGRAM.

***Please Note: Grades will not be rounded. Example: A grade of 79.5 to 79.99 will not be passing. METHODS OF EVALUATION: Clinical grading system The first four weeks of clinical will be in the classroom lab area. The student will complete the skill check-offs lists as assigned. At the end of the fourth week, the student will participate in a clinical simulation and be evaluated using the Clinical Evaluation Tool (70%). Student will also be evaluated using the Professionalism Evaluation Rubric (30%) and will receive a composite grade (100%) for the four week period. From the 5th week until the end of the semester, the student will be evaluated by using the Clinical EvaluationTool each week and will receive a weekly grade each week. At mid semester and end of the semester, the student will again be evaluated using the Professionalism Evaluation Rubric (30%). Weekly clinical grades (70%) and the Professionalism grade (30%) will be used to calculate the end of semester grade. (100%)

The clinical rotation is independent of the theory class.

The student is graded using a set of clinical objectives that become increasingly complex; essential competency based; and in which the student is expected to perform with increasing independence.

Clinical Introductory Level is an introductory skills level for the Vocational Nursing Student. Competencies must be achieved in order to complete this program. Each category shall be evaluated as NI= Needs Improvement = 0 point U=Unsatisfactory = 1 point S= Satisfactory = 2 points The student will need to pass each clinical rotation in order to continue to progress to the next semester.

***Grades below 80 % are unsatisfactory for advancement in the program.

Student Acknowledgement of Grading Standards:

Student will sign the Student Acknowledgement of Grading Standards form weekly to acknowledge understanding of current course grade and the no rounding and no extra credit work policy Please note: Grades will not be rounded. Example: A grade of 79.5 to 79.99 will not be passing. . It is highly recommended that any student making a score of less than 80% on any paper or test make an appointment with the instructor for that course, the student should ask for assistance and guidance on study skills that can be used to pass the next examination. Keep up with your grades (Extra credit work will NOT be given.)

Mandatory Remediation/Retention Policy and Counseling Process:

In order to maintain student enrollment the following policy is instituted. The retention process will begin at orientation. Learning needs and obstacles to student success will be identified and addressed. Remediation of at risk students will include counseling, mentoring opportunities and help sessions. At the discretion of the instructors, mandatory remediation in any course may be implemented in order to master required material. Failure to complete the remediation may lead to failure of course (s). Educational resources such as computer assisted instruction modules, practice exams, and additional instructional materials will be used to enable faculty to assess entry level knowledge, enhance faculty instruction, improve mastery of course objectives, and track student performance. Under the circumstances in which problems exist in performance behaviors, a mandatory conference utilizing the student action plan record will allow a cooperative effort in exploring possible ways to remediate or correct deficiencies. If the problem continues to exist after counseling, student will receive a write up and an action plan will be drawn up between the faculty and student which include plans of stipulation (or behavior changes) and a date set for correction of the problem or deficiency.

NURSING TUTORIAL POLICY:

Students are responsible for monitoring their success in this course and in the program.

The instructor of this course is responsible for keeping you informed of your course

grade. The weekly tutoring session for this course is preset in your schedule. This

session is strictly for tutoring, this is not a class/test makeup session. If you fall below an

80% overall average in this course, you will be expected to attend the weekly tutoring

session until your grade is above 80%. This weekly tutorial schedule is set-up by the

student when the Student Acknowledgement of Grading Standards form is given to the

student. An appointment is required.

TUTORING STATEMENT:

The Supplemental Instruction & Tutoring Program at TSTC offers free tutoring and

academic support services to help you achieve your academic and career goals. Regular

participation in tutoring can also help you earn the grades you need to avoid Academic

and/or Financial Aid Probation or Suspension. You can access the most up-to-date

Supplemental Instruction & Tutoring Schedule, as well as MyTSTC Video Tutor Library,

by visiting:

https://portal.tstc.edu/student/Student_Learning/Pages/Tutoring.aspx (Tutoring Program

Webpage)

(shortened link: goo.gl/Z9vJvY )

https://www.youtube.com/user/MyTSTCVideoTutor/playlists (MyTSTC Video Tutor

Library)

Please note that the Tutoring Schedule will be available after the first week of school.

For more information, please contact the Office of Student Success at 956.364.4163 or

the Supplemental Instruction & Tutoring Program at 956-364-4170.

DEPARTMENT PARTICIPATION POLICY:

ATTENDANCE AND PARTICIPATION IS REQUIRED FOR ALL CLASSES AND LABS. Classroom: A total of nine (9) absences per program with no more than three (3) absences per semester are allowed. A student exceeding these limits may be dropped by the instructor, if in the opinion of the instructor; the student would have difficulty in successfully completing the course. Repeatedly leaving the classroom will not be tolerated. You may be given an absence for the day. Clinical: Clinical absences cannot exceed 12 hours in Semester I, 18 hours in Semester II, and 18 hours in Semester III or the student WILL be dropped from the Vocational Nursing program.

If a student must be absent from class/clinical all instructors should be notified via e-mail and phone call with message at least one hour before the beginning of your clinical rotation. Lack of notification will result in the student being written up for unprofessionalism Tardiness: • Any arrival (to class or clinical) 30 minutes past the scheduled class or clinical time will be counted as 1 Full Day's Absence. No half-day absences are allowed. ● A student who cannot report for clinical must call and e-mail within 1 hour, leaving a message to the appropriate instructor and on each absent day. Failure to call may result in dismissal from clinical. A tardy is defined as any arrival after the scheduled clinical and/or class time.

EXAMPLE: Scheduled clinical time: 6:45 a.m. Tardy: Arrival between 6:45 a.m. – 7:15 a.m. Absence: Arrival after 7:15 a.m.

Three (3) tardies constitutes one absence.

• A doctor's clearance is required for all illnesses or health conditions that put the student or faculty, classmates, and patients at risk.

CLASS POLICIES:

1. Cell Phones: CELL PHONES ARE NOT ALLOWED IN CLASS/CLINICAL SITE. When cell

phones ring during class/clinical sites they interrupt our activities and disturb the entire class; therefore, all cell phones will not be allowed during class/clinical time. Students caught with a phone or texting during class or clinical time are subject to dismissal for the day.

2. Students will be expected to conduct themselves in a mature and attentive

demeanor at all times. Excessive laughing and or talking will not be tolerated

3. It is impossible to cover all material in class, therefore READING assignments are

crucial. You may be tested on any material that has been assigned.

4. The instructor must be notified prior to leaving instructional area for any reason.

5. Dress code as outlined in your student handbook will be adhered to at all times.

6. Do not bring children to clinical site; they are not permitted in instructional buildings

on campus or clinical sites.

FRATERNIZING:

The establishment of a relationship between student and preceptors/facility employees at

clinical sites is prohibited during the rotation of each facility and during the semester.

Any behavior such as this, the student will be held responsible for ensuing consequences

and will be dealt with on an individual case. This behavior is forbidden and will not be

tolerated.

ACADEMIC INTEGRITY:

Academic dishonesty is an assault upon the basic integrity and meaning of a College. Cheating, plagiarism, and collusion in dishonest activities are serious acts which erode the College’s educational role and cheapen the learning experience not only for the perpetrators, but also for the entire community. It is expected that TSTC students will understand and subscribe to the ideal of academic integrity and that they will be willing to bear individual responsibility for their work. Materials (written or otherwise) submitted to fulfill academic requirements must represent a student's own efforts.

COPYRIGHT STATEMENT:

The materials used in the course [textbooks, handouts, media files (podcast, MP3, Videos, RSS (Feeds), and all instructional resources on the colleges Learning Management System (Moodle)] are intended for use only by students registered and enrolled in this course and are only to be used for instructional use, activities associated with, and for the duration of the course. All materials generated for this course, which includes but are not limited to syllabi, quizzes, exams, lab problems, in-class materials, review sheets, and any additional materials. These materials may not be retained in another medium or disseminated further. They are provided in compliance with the provisions of the Teach Act. These materials may not be reproduced, displayed, modified or distributed without the express prior written permission of the copyright holder or TSTC. For further information contact your instructor. GRIEVANCES: A grievance committee is available within the TSTC Health Cluster to hear such and make appropriate recommendations. ALL GRIEVANCES must be documented and submitted on the TSTC student request form. They then will be/must be channeled to the appropriate office. All GRIEVANCES should be settled at the lowest level possible. It is in the best interest of the school, department, instructor and student to settle any grievance as quickly as possible. ACCOMMODATION STATEMENT:

If you have a documented disability which will make it difficult for you to carry out the work as the instructor has outlined and/or if you need special accommodations due to a disability, please contact (956) 364-4520 or visit Support Services located in the Tech Prep Bldg. P as soon as possible to make appropriate arrangements.

SAFETY: Inform your instructor immediately of anything you see in inside and outside of the classroom that may present a danger to people. Some safety tips for the classroom are:

Always adhere to the classroom policies and rules posted in the classrooms.

Always wear appropriate BSI for labs and scenarios.

Be careful where you place your book bags and materials.

Never pull hard on any computer cables. Alert your instructor to any “frayed” wires missing insulation to your instructor or lab assistant.

Alert your instructor to any broken furniture or chairs that may present a safety problem.

Be careful of water on the floors of the building, especially after a rain.

Do NOT bring any containers filled with liquid and place them near any electrical component.

If there is an accident, regardless of the injury, notify your instructor, another instructor, or building staff immediately.

● In case of any emergencies, follow the instructions of your instructor. TSTC Harlingen faculty, staff, and students are asked to report all threats, perceived or real, immediately to College Police located in the Auxiliary Building. If the threat is imminent, the College Police emergency phone line at 364-4234 or 9-911 should be called. College Police will

then coordinate the proper response in accordance with State and federal laws and TSTC System/College rules and regulations.

Emergency/Safety Requirement

In the event of an emergency, students should familiarize themselves with building and classrooms emergency exits/evacuation routes and be able to locate the nearest fire extinguisher. When an emergency alarm is activated, students should immediately leave the classroom, exit the building, and go to a designated safe area until clearance is given to go back into the building. Students should also register and be familiar with the Emergency Notification System.

.

Communication with instructor: (MyMail E-Email System)

All official college E-mail to students is sent through MyMail, the official student e-mail system at TSTC Harlingen. When communicating with instructors and/or employees of the college, you are required to use your TSTC MyMail student e-mail address. If you choose to forward your e-mail to another account, please be advised that you must respond from the MyMail account

NOTE: Any changes to this syllabus will be provided in writing to the student and updated on all

posted locations (HB 2504, course Moodle sites, building offices, etc.).

The Vocational Nursing Department reserves the right to make changes.

CLINICAL INTRODUCTORY SEMESTER I

Clinical Expectations/Dress Code

I have thoroughly read through the VNSG 1261 clinical syllabus. I understand that it is my responsibility to arrive at the assigned clinical site by the assigned time. • Any arrival (to class or clinical) 30 minutes past the scheduled class or clinical time will be counted as 1 Full Day's Absence. No half-day absences are allowed. ● A student who cannot report for clinical must call and e-mail within 1 hour, leaving a message to the appropriate instructor and on each absent day. Failure to call may result in dismissal from clinical. A tardy is defined as any arrival after the scheduled clinical and/or class time.

EXAMPLE: Scheduled clinical time: 5:45 a.m. Tardy: Arrival between 5:45 a.m. - 6:15a.m. Absence: Arrival after 6:15 a.m.

Three (3) tardies constitutes one absence. This will be counted as an absence for the entire clinical day, even though the instructor may elect to have me remain at the clinical site and perform the patient care assigned to me. If I arrive tardy it is mandatory that I contact my instructor PRIOR to beginning patient care that day-no exceptions. • A doctor's clearance is required for all illnesses or health conditions that put the student or faculty, classmates, and patients at risk. I fully understand that if I arrive unprepared for patient care (out of dress code in any way, lacking any portion of required paperwork) that I will be sent home for that day and counted absent. I fully understand that the required dress code is as follows: designated uniform with patch on correct sleeve. If hair touches the collar, it will be neatly pinned back (no pony tails allowed). No artificial nails of any kind (this includes overlay’s of any type or nail tips). Nails will be kept short. No earrings other than small stones (no more than ¼ inch in diameter) and only one PAIR (one earring in each ear). No body piercing of any kind. No tongue piercing. Any tattoos will be covered and NOT visible in any way. White tennis shoes/nursing shoes. This dress code applies at all times, even for data collection. I understand that non-compliance with this dress code will not be tolerated and that I will be sent home for the day and receive an absence. (See student handbook) It is my understanding that when I am not presenting in clinical I am counted absent. ALL absences are recorded whether it is an illness, accident, jury duty, death in family, family situation, car trouble, etc. If the student should exceed the allotted clinical hours a review committee will determine if any of the absent hours may be considered an “extenuating circumstance”. Student Signature_____________________________ Date____________________ Print Name_______________________________________

TSTC-HARLINGEN VOCATIONAL NURSING PROGRAM

CLINICAL EVALUATION BOOKLET

VNSG 1261

Introductory

CLINICAL-PRACTICAL

NAME: ________________________________

Introductory Clinical-Practical

The vocational nursing student will be able to apply theoretical, practicum and knowledge-based concepts when rendering patient care. The student will be able to safely and competently care for 1-2 patients rendering basic bedside care, ambulation, documentation, and completion of a care plan on a weekly

basis.

PERFORMANCE COMPETENCIES INTRODUCTORY CLINICAL OBJECTIVES

At the conclusion of the clinical introductory level, the student will be able to:

1. Function within the nurse’s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or

practice setting.* 2. Assume responsibility and accountability for the quality of nursing care provided to patients and their families.* 3. Report data to assist in the identification of problems and formulation of goals/ outcomes and patient-centered plans of care in collaboration with

patients, their families, and the interdisciplinary health care team.* 4. Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice.* 5. Identify therapeutic communication skills. 6. Identify and employ components of the nursing process. 7. Safely and competently care for two clients rendering basic bedside care, ambulation, documentation, and completion of a care plan on a weekly

basis. 8. Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised, directed scope of

practice. Safely and competently render basic bedside nursing skills – bathing, oral hygiene, linen changes, transfers, ambulation and feeding, etc. * 9. Identify and report alterations in patient responses to therapeutic interventions in comparison to expected outcomes.* 10. Implement measures to promote quality and a safe environment for patients, self, and others. * 11. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices.* 12. Utilize technology in the clinical setting to include computerized documentation, online research sources, and patient care equipment. * 13. Supervise nursing care provided by others for whom the nurse is responsible.*

* DIFFERENTIATED ESSENTIAL COMPETENCIES OF GRADUATES OF TEXAS VOCATIONAL NURSING EDUCATIONAL PROGRAMS, Texas Board of Nursing

VOCATIONAL NURSING PROGRAM CLINICAL EVALUATION TOOL Introductory Level Semester 1

VNSG 1261 Points Comments

Role Model Behaviors 2 1 0

1. Identifies the responsibilities and limitations of a student

2. Seeks opportunities for learning

3. Incorporates appropriate suggestions into learning experience

4. Upholds legal and ethical standards of the profession in the clinical facility by maintaining confidentiality of all

material pertinent to each client, including refraining from gossip.

5. Reports to clinical on time.

6. Reports on and off unit to appropriate personal with appropriate information

7. Maintains professional behavior and appearances.

8. Participates in pre and post conferences.

9. Protects client from physical and emotional harm.

10. Demonstrates evidence of preparation for clinical experience

11. Adheres to school and health care agency policies.

12. Accepts professional guidance and criticism.

13. Demonstrates self-confidence.

14. Assumes responsibility for own actions.

Nursing Process

1. Demonstrate the ability to gather objective and subjective data

2. Demonstrate the basic components of nursing assessment on adult patients

3. Records data accurately and descriptively according to assessment

4. Identifies basic health-related needs and actual or potential problems for patients

5. Develops a list of common client problems

6. Relates NANDA nursing diagnoses to common client problems

7. Uses principles of growth and development in providing care for adult clients

Teaching/Learning

1. Identifies common learning needs in relation to wellness and preventing illness

2. Explains procedures, treatments, and nursing care to assigned patients

3. Emphasizes safety teaching when appropriate

Communication

1. Demonstrates basic communication techniques

2. Obtains a nursing history, using effective interviewing techniques

3. Identifies and utilizes nursing behaviors that demonstrate caring and compassion and assist in developing a

trusting relationship with adult clients of all developmental stages

4. Communicates appropriately with other team members

Technical Skills

1. Maintains patient’s safety with compassion and a caring attitude.

2. Consistently uses techniques for medical and surgical asepsis client care

3. Consistently uses correct CDC techniques for observing blood and body fluid precautions

CLINICAL INTRODUCTORY PERFORMANCE LEVEL 1

Student: ______________________________________________________________Date: _______________________________ Instructor(s): ___________________________________________________________Date(s):______________________________ ______________________________________________________________________ ______________________________ (All instructors to be listed for this rotation, including lab and clinical/ Attached Schedule) Clinical Introductory Level is an introductory skills level for the Vocational Nursing Student. Competencies must be achieved in order to complete this program. Each category shall be evaluated as S= Satisfactory = 2 points N = Needs Improvement = 1 point U = Unsatisfactory = 0 points STUDENT MUST ACHIEVE A GRADE OF 80 OR BETTER TO BE ELIGIBLE TO ADVANCE TO THE NEXT SEMESTER AND TO COMPLETE THE VOCATIONAL NURSING PROGRAM.

Texas State Technical College

Vocational Nursing Program

Professionalism Skills Rubric

Student: Dates of Evaluation: through

Semester:

All program students will be evaluated using the Professionalism Skills Rubric for each Clinical Course in the Vocational Nursing Program twice a semester; at

midterm and at the end of the semester. The student will be evaluated by what the instructor of the listed course observes both in, as well as outside, the classroom.

All “Needs Improvements” or “Unsatisfactory” MUST have comments and/or documentation provided. This evaluation is worth 30% of the student’s course grade.

Instructor Comments:

Student Comments:

Instructor Signature Date Student Signature Date

Category Score

Attendance/Promptness/Participation

Attitude/Behavior

Work Quality

Teamwork/Communication

Problem Solving/Critical Thinking

Ethical Behavior

Total Score divided by 6 = Grade

Grade:

Characteristi

c

Exceeds Expectations

20 pts. for each number

Meets Expectations

16 pts. for each number

Needs Improvement

12 pts. for each number

Unsatisfactory

8 pts. for each number

Attendance,

Promptness,

Participation

1.

2.

3.

4.

5.

Always on time and stays for entire class

period. Regularly attends classes; always notifies

instructor if absence is emergency; always

takes responsibility for any make-up work. Assignments always on time.

Always alert and engaged in instruction.

Always refrains from disruptive behavior, texting, talking, sleeping, etc.

1.

2.

3.

4. 5.

Usually on time and stays for entire class

period. Attends most classes; always notifies

instructor if absence is emergency;

usually takes responsibility for any make-up work.

Assignments usually on time.

Usually alert and engaged in instruction. Usually refrains from disruptive

behavior, texting, talking, sleeping, etc.

1.

2.

3. 4.

5.

Often late, or leaves early.

Misses classes without excused absence, may not notify instructor, or take

responsibility for making up work.

Assignments frequently late or missing. Does not participate fully in instruction.

May engage in disruptive behavior,

texting, talking, sleeping, etc.

1.

2.

3. 4.

5.

Rarely on time, leaves early often.

Excessive absences without notifying instructor; does not take responsibility for

making up missed work.

Assignments late or missing. Does not participate in instruction.

Behavior interferes with learning of

others.

Score

Attitude and

Behavior

1.

2.

3.

4.

5.

Always respectful and courteous to others.

Always demonstrates positive attitude;

stressful situations treated as challenges.

Always focuses on task at hand, rarely bring personal problems to the workplace.

(No Fraternizing)

Always takes responsibility for own actions.

Always willingly; complies with

directions and requests from supervisors.

1.

2.

3.

4.

5.

Usually respectful and courteous to

others. Usually demonstrates positive attitude;

deals with stressful situations

adequately. Usually focuses on task at hand, rarely

bring personal problems to the

workplace. Usually takes responsibility for own

actions. Complies with directions and requests

from supervisors.

1.

2.

3.

4.

5.

Not always respectful and courteous to

others. May complain about difficulties, or fail

to perform under stressful situations.

Sometimes allows personal problems to interfere with work performance.

May blame others or make excuses,

rather than take responsibility for own actions.

Does not always willingly comply with directions and request from supervisors,

may do things the way she/he wishes

instead of according to directions.

1.

2. 3.

4. 5.

Disrespectful and rude to others.

Complains, fails to try if challenged. Allows personal problems to interfere

with performance.

Makes excuses, blames others for errors. Shows insubordination and ignores

requests and instructions.

Score

Work Quality 1.

2.

3.

4.

5.

Always strives for excellence in work quality.

Always completes work on his/her own

independently without prompting from instructor.

Documentation associated with task is

always accurate, complete, and grammatically correct.

Always focuses on task at hand, does not

bring personal problems to the workplace. Always strives to improve work

efficiency.

1.

2.

3.

4.

5.

Usually strives for excellence in work quality.

Usually completes work on his/her own

independently without prompting from instructor.

Documentation associated with task is

usually completed accurately, completely, and grammatically correct.

Usually focuses on task at hand, rarely

bring personal problems to the workplace.

Usually strives to improve work

efficiency.

1.

2.

3.

4.

5.

Sometimes strives for excellence in work quality.

Requires some prompting from

instructor to complete his/her work. Documentation associated with task is

often incomplete, inaccurate, or contains

grammar errors. Sometimes allows personal problems to

interfere with work performance.

Sometimes strives to improve work efficiency.

1. 2.

3.

4.

5.

Work is of poor quality. Requires prompting from instructor to

complete his/her work.

Documentation associated with task is consistently incomplete, inaccurate, or

contains many grammatical errors.

Allows personal problems to interfere with performance.

Does not try to improve work efficiency.

Score

Teamwork/

Communicati

on

1.

2.

3.

4.

5.

Always courteous and respectful to all

persons.

Always promotes teamwork by

appropriate communications and actions.

Consistently contributes positive ideas for

improvement. Consistently helps others achieve their

potential and is concerned with their rights

and needs. Consistently does more than expected in

group.

1.

2.

3.

4.

5.

Usually courteous and respectful to all

persons.

Usually promotes teamwork by

appropriate communications and actions.

Sometimes contributes positive ideas for

improvement. Often helps others and shows concern for

their rights and needs.

Does fair share of work in group.

1.

2.

3.

4.

5.

Is not always courteous and respectful

to all persons.

Sometimes uses inappropriate language,

communications or actions.

Does not suggest improvement.

Does the minimum to help others, is not concerned with others’ rights and needs.

Does minimal amount of work in group.

1.

2.

3.

4.

5.

May be rude and disrespectful.

Frequently uses in appropriate language,

communications, or actions.

Makes negative comments without

suggestions for improvement.

Inconsiderate of others’ rights and needs. Rarely helps others or may refuse to

participate. Is disruptive in any way.

Does not do fair share of work, expects others to do their work.

Score

Characteristic Exceeds Expectations

20 pts. for each number

Meets Expectations

16 pts. for each number

Needs Improvement

12 pts. for each number

Unsatisfactory

8 pts. for each number

Problem

Solving/Critica

l Thinking

1.

2.

3.

4.

5.

Always analyzes situations to prevent

potential problems with pro-active interventions.

Consistently plans and suggests solutions

to problems for self and others. Always recognizes and takes

responsibilities for own errors, and utilizes

critical thinking to improve outcomes; demonstrates flexibility and positive

attitude when faced with changes.

Always seeks mutually beneficial solutions to conflict, using direct, positive

solutions.

Always welcomes constructive feedback,

incorporating suggestions into future

situations.

1.

2.

3.

4.

5.

Usually analyzes situations to prevent

potential problems with pro-active interventions.

Usually plans and suggests solutions to

problems for self and others. Usually recognizes and takes

responsibilities for own errors, and

utilizes critical thinking to improve outcomes; usually demonstrates

flexibility and positive attitude when

faced with changes. Usually seeks mutually beneficial

solutions to conflict, using direct,

positive solutions.

Usually welcomes constructive feedback,

incorporating suggestions into future

situations.

1.

2.

3.

4.

5.

Student reacts to problems rather than

taking action to prevent them. Does not suggest or refine solutions;

will try solutions suggested by others.

Sometimes recognizes and takes responsibility for own errors, tries to

correct the problems created, sometimes

inflexible or has poor attitude when faced with changes.

Sometimes has trouble resolving

conflict, may not look for solutions that are mutually beneficial.

Does not welcome feedback, or utilize

suggestions for improvement.

1.

2.

3.

4.

5.

Problems frequently arise because of

failure to analyze situations. Does not try to solve problems or help

others solve problems.

Unaware of own errors, and expects others to “fix it,” inflexible, negative or

refuses to deal with change.

May create conflict by actions or attitudes. Does not seek mutually

beneficial solutions.

Ignores, and does not utilize suggestions for improvement.

Score

Ethical

Behavior

1.

2.

3.

4.

5.

Always truthful and honest in all

interactions.

Always follows rules and laws of profession and jurisdictions.

Always acts in a manner to protect the

safety of self and others. Always puts needs of others first.

Always respects confidentiality of client

or patient.

1.

2.

3.

4.

5.

Consistently truthful and honest in all

interactions.

Consistently follows rules and laws of profession and jurisdictions.

Consistently acts in a manner to protect

the safety of self and others. Consistently puts needs of others first.

Consistently respects confidentiality of

client or patient.

1.

2.

3.

4.

5.

Usually truthful and honest in all

interactions.

Usually follows rules and laws of profession and jurisdictions.

Usually acts in a manner to protect the

safety of self and others. Usually puts needs of others first.

Usually respects confidentiality of

client or patient.

1.

2.

3.

4.

5.

Not truthful and honest in all interactions.

Does not follow rules and laws of

profession and jurisdictions. Fails to act in a manner to protect the

safety of self and others.

Does not put needs of others first. Violates confidentiality of client or

patient.

Score