RN Remedial/ Refresher Course · intervention session is to develop and implement an intervention program to help students learn new ways to save and manage time. NOTE:

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RN Remedial/ Refresher Course

Place and Time of Class Meeting

Location: Express Training Services, 3631 SW Archer Rd (STE A), Gainesville, FL.,

32608

Time: Classroom: See Attached Schedule from 9:00 AM TO 4:30 PM

Name and Contact Information of Instructor

Lisa Winegardner RN, BSN, MSN

352-514-8072 Cell

[email protected] (email)

Book required

(Express Training Services recognizes the use of the textbook in the classroom as part of the

educational methodology and strategy applied in diverse materials. The textbook is part of

the curriculum and is used to reach the student in an effective manner in the classroom.

Every student is expected to acquire and use the textbook.)

RN: Print: 9780323358514 List price: $66.95 After coupon:

$50.21 https://evolve.elsevier.com/cs/product/9780323358514?role=faculty

Ebook <instant access> 9780323391313 List price: $66.95 After coupon:

$50.21 https://evolve.elsevier.com/cs/product/9780323391313?role=faculty

HESI Saunders Online Review <instant access>

9780323297363 lIst price: $110.00

EAQ-RN

9780323429139 list price: $119.00

Classroom expectations for students

Attendance Policy

Students are responsible for following school policy on attendance. Students must attend 90% of their class. Students who miss 10% of their class must meet with their instructor before attending the next class session. Students who miss more than 10% of their classes will be dropped from the class, forfeit all equipment fees, and must have written approval from the Director of Admissions to re-enroll. The tuition will be refunded in accordance with the refund policy in the catalog.

mailto:[email protected]

https://evolve.elsevier.com/cs/product/9780323358514?role=faculty

https://evolve.elsevier.com/cs/product/9780323391313?role=faculty

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Clinical days may not be missed and must be made up. Two make up clinical days will be permitted per class unless there are extenuating circumstances. . Students must be on time to clinicals and may be sent home if late depending on the circumstances Students with extenuating circumstances, including but not limited to, hospital confinement, personal problems, and extended illness, may appeal to the Director of Admissions for any exceptions to the absence rule. Documentation of the extenuating circumstances may be required.

Student Tardiness Policy

A student is considered tardy/late if he/she comes to class 05 minutes late. With three tardies

the student accumulates one full absence. If the student misses half of the class period, it is a

full absence. When a student has more than 3 tardies, the instructor will contact the Director

of Education and request and intervention session with the student. The goal of the

intervention session is to develop and implement an intervention program to help students

learn new ways to save and manage time.

NOTE: Plagiarism is defined as the use, without proper acknowledgment, of the ideas, phrases,

sentences, or larger units of discourse from another writer or speaker. Plagiarism includes the

unauthorized copying of software and the violation of copyright laws. Students who commit

plagiarism will obtain a grade of “Failure” on their exam or assignment.

Course Description

This course is open:

- To inactive RN's reactivating their FL license

- To nursing candidates who have not passed the NCLEX exam after three

consecutive attempts.

- To nursing candidates who want a Review Course to bolster their confidence

prior to taking the NCLEX-RN exam

- To nursing candidates who need a refresher course after passing the NCLEX

exam that may be applying for Florida licensure by endorsement from another

state

Applicants required to take a remedial course will need to contact the Board Office at

(850) 245-4125, ext. 3615 and request a letter of authorization prior to enrollment.

The Nursing Remedial/Refresher Course is a theory and clinical experience designed to

assist the student in applying the nursing process and other essential skills to the care of

clients experiencing common health alterations. The course focuses on the nurse

attempting to pass the NCLEX and/or the nurse who desires to refresh her skills and

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knowledge. Clinical emphasis is placed on the management of clients in both acute and

long term care. Students are required to complete all components of this course.

The purpose of this course is to assist nurses to pass the NCLEX examination and refresh

nursing skills.

Contact Hours:

90 hours of didactic / 13 classroom days

96 hours of clinical (24 hours in long term care) / 12 days of clinical practice.

In order to receive a certificate of completion for the didactic portion of the course a

student must achieve a passing score of at least 75% on at least one of three offered

NCLEX exams and pass a Math exam with at least 90%. A student cannot pass on to the

clinical portion without passing the didactic portion first. A failure in the didactic portion

will require the student to retake the course at the student’s expense.

The clinical experiences are graded on a pass/fail basis. If your assignment is late it is a

failed grade for that week. Two failed grades for assignments will result in clinical failure

and will require the student to retake the class at the student’s own expense.

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Learning Objectives

Upon completion, the student should function as providers of care, managers of care, and

members within the discipline of nursing as they:

1. Integrate the nursing process as a framework for the management of care of clients

and families. The student will be able to collect data and assess the client and

family, analyze the data, form a nursing diagnosis, develop and implement a nursing

plan of care with goals and outcome criteria, evaluate the plan of care, and make

changes to the plan of care as needed to restore the health of the client or to provide

the client with respectable end of life care.

2. Apply organizational and interpersonal communication strategies in managing the

care of clients, families, and other health care workers. This includes effectively

reporting and recording patient information and plan of care and integrating teaching

and learning strategies for client and family education.

3. Integrate cultural, spiritual, psychological, and developmental influences when

managing client care.

4. Integrate the principals of pharmacology safely and competently when providing

client care. This includes being knowledgeable of the medication/classification,

(brand & generic names, Route, Dose and Times) mechanism of action, side effects,

adverse reactions, and nursing implications for your client receiving this medication,

precautions of commonly prescribed medications as well as safe administration of

oral, parenteral, and intravenous medications, utilizing the six rights of medication

administration and adhering to two patient identifiers before administration.

Interpret lab values and the significance of altered values as they relate to a client’s

condition/diagnosis.

5. Integrate the principles of safety when providing care to clients and families.

6. Incorporate the principles of nutrition for maintaining optimal healthcare for clients

and families.

7. Value the legal, ethical, and professional parameters when managing client care.

8. Apply concepts of leadership, autonomy and management to the practice of

professional nursing.

9. Utilize the knowledge and skill to practice independently and collaboratively with

other health professions.

10. Practice professional nursing competently in diverse settings using critical thinking

and therapeutic nursing interventions with individuals, families, aggregates and

communities at any developmental stage and with varied lived health experiences.

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Topical Outline and Schedule

DATE DAY 1

SPECIFIC OBJECTIVES

Introduction to Syllabus, Library and Elsevier Online Instruction Identify factors influencing client needs and nursing care Discuss basics of nursing practice Identify integral aspects of nursing care

TOPIC (S) Concepts from Sociology Maslow’s Hierarchy of Needs Erickson’s Stages of Development Individual factors affecting health Stress response Grieving process Health-Illness Continuum and Rehabilitation Levels of Preventive care The Nursing Process and review the components of the functional, physiologic, psychosocial and environmental domains in nursing practice. Communication Teaching-Learning; health education and health promotion Leadership and Management; Principles of management and delegation Nursing practice and the law/HIPPA Medication Administration including basic nursing math Pain Infection control/PPE Fluid, electrolyte, and acid-base balance and basic lab values Perioperative care Emergency situations

LEARNING ACTIVITIES

Lecture on topics Group Discussion Practice NCLEX questions

HOMEWORK & ASSIGNED READINGS

Assigned Elsevier online work Review material covered today

DATE DAY 2

SPECIFIC OBJECTIVES

Discuss Growth and Development of the Adult Explain nursing care of clients with circulatory system (cardiovascular, blood and lymphatic systems disorder) Neoplastic Disorders

TOPIC (S) The young adult (age 20-44 years) The middle age adult (age 45-59 years) The young-older adult (age 60-74 years) The middle-older adult (age 75-84 years)

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The old-older adult (age 85+ years) Review of anatomy and physiology of the circulatory system Blood groups Regulatory mechanisms affecting circulation Related Pharmacology to the circulatory system Related procedures for the circulatory system Major disorders of the circulatory system and nursing care Nutrition and diets related to circulatory disorders Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to circulatory system disorders Classifications of neoplasms Related Pharmacology to neoplastic disorders Related procedures for neoplastic disorders Nutrition and diets related to neoplastic disorders Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to neoplastic disorders Review of using the nursing process in patient education and counseling related to the circulatory system

LEARNING ACTIVITIES




DATE DAY 3

SPECIFIC OBJECTIVES

Explain nursing care of clients with respiratory system disorders Explain nursing care of clients with gastrointestinal system disorders Explain nursing care of clients with endocrine disorders

TOPIC (S) Review of the anatomy and physiology of the respiratory, gastrointestinal and endocrine systems Related Pharmacology to the respiratory, gastrointestinal and endocrine systems Related procedures for the respiratory, gastrointestinal and endocrine system Major disorders of the respiratory, gastrointestinal and endocrine systems and nursing care Nutrition and diets related to respiratory, gastrointestinal and endocrine disorders Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to respiratory, gastrointestinal and endocrine system disorders Review of using the nursing process in patient education and counseling related to the respiratory, gastrointestinal and endocrine systems

LEARNING Lecture on topics

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ACTIVITIES Group Discussion Practice NCLEX questions



DATE

Day 4

SPECIFIC OBJECTIVES

Explain nursing care of clients with integumentary system disorders Explain nursing care of clients with neuromusculoskeletal system disorders Explain nursing care of clients with urinary/reproductive system disorders

TOPIC (S) Review of the anatomy and physiology of the integumentary, neuromusculoskeletal and urinary/reproductive systems Related Pharmacology to the integumentary, neuromusculoskeletal and urinary/reproductive systems Related procedures for the integumentary, neuromusculoskeletal and urinary/reproductive systems Major disorders of the integumentary, neuromusculoskeletal and urinary/reproductive systems and nursing care Nutrition and diets related to the integumentary, neuromusculoskeletal and urinary/reproductive disorders Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to the integumentary, neuromusculoskeletal and urinary/reproductive systems disorders Review of using the nursing process in patient education and counseling related to the integumentary, neuromusculoskeletal and urinary/reproductive systems

LEARNING ACTIVITIES




DATE Day 5

SPECIFIC OBJECTIVES

Explain nursing care of clients with infectious diseases Explain community based nursing practice Explain ethical decision making in nursing

TOPIC (S) Review the etiology and pathophysiology of major infectious diseases Related Pharmacology to infectious diseases Nutrition and diets related to infectious diseases Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to infectious diseases

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Review of using the nursing process in patient education and counseling related to infectious diseases Home health care and services provided Community resources and referrals Hospice Care Ambulatory settings School health programs Occupational health programs Cultural diversity and vulnerable populations Ethical theories and approaches to ethics Confidentiality End of Life Issues

LEARNING ACTIVITIES




DATE DAY 6

SPECIFIC OBJECTIVES

Explain the Foundations of mental health/psychiatric nursing Examine Mental Health/psychiatric nursing Examine care of clients with disorders usually first evident in infancy, childhood or adolescence Explain nursing care of clients with disorders related to alternations in cognition and perception

TOPIC (S) Review psychophysiologic disruptions Discuss cognitive, behavioral and Maslow’s theories Defense mechanisms Dysfunctional patterns of behavior Crisis intervention Domestic violence Therapeutic modalities Pharmacology related to psychiatric problems Pharmacology related to Alzheimer’s disease Learning disorders, motor skills disorders, ADHD, Autistic disorder, TIC disorders, developmental disorders Dementia Schizophrenic and delusional disorders Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to mental health/psychiatric disorders Nutrition and diets related to mental health Review of using the nursing process in patient education and counseling related to psychiatric problems

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LEARNING ACTIVITIES




DATE Day 7

SPECIFIC OBJECTIVES

Explain nursing care of clients with disorders related to anxiety and alterations in mood Explain nursing care of clients with disorders related to alterations in behavior Explain nursing care of clients with sexual and gender identity disorders

TOPIC (S) Anxiety and somatoform disorders Disorders related to alterations in mood Disorders related to alteration is behavior such as anorexia, bulimia nervosa, substance abuse and alcohol abuse Disorders related to sexual and gender identify such as sexual dysfunction Review of using the nursing process in patient education and counseling related to disorders in anxiety and mood Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to disorders in anxiety and mood.

LEARNING ACTIVITIES




DATE Day 8

SPECIFIC OBJECTIVES

Explain nursing care to promote childbearing and women’s health Explain nursing care related to major disorders affecting women’s health

TOPIC (S) Review the female and male reproductive systems Review contraceptive methods and family planning Related Pharmacology : estrogens and progestins Related procedures to women’s health Major disorders affecting women’s health and nursing care Nutrition and diets related to women’s health Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to women’s health disorders Review of using the nursing process in patient education and counseling related to women’s health disorders

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LEARNING ACTIVITIES




DATE Day 9

SPECIFIC OBJECTIVES

Explain nursing care of women during uncomplicated pregnancy, labor, childbirth and the postpartum period Explain nursing care of women at risk during pregnancy, labor, childbirth and the postpartum period Explain nursing care of the newborn

TOPIC (S) Review the prenatal period and development of the fetus Review the physiologic process of labor and birth( the intrapartum perod) and the postpartum period for uncomplicated as well as for at risk clients Review the nursing care during labor, birth and postpartum for uncomplicated as well as for at risk clients Related Pharmacology during labor, birth and postpartum for uncomplicated as well as for at risk clients Related procedures during labor, birth and postpartum for uncomplicated as well as for at risk clients Review of using the nursing process in patient education and counseling related to labor, birth and postpartum for uncomplicated as well as for at risk clients Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to labor, birth and postpartum for uncomplicated as well as for at risk clients Parent-infant relationships Adaptation to extrauterine life Nursing care common for all newborns Breastfeeding Nursing care of high risk newborns Related Pharmacology for newborns Related procedures for newborns Review of using the nursing process in patient education and counseling related to newborns

LEARNING ACTIVITIES




DATE Day 10

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SPECIFIC OBJECTIVES

Review the Foundations of Child Health Nursing Review nursing care of infants Review nursing care of toddlers Review nursing care of preschoolers

TOPIC (S) Growth and development of the child Function of play Function of the family Age related responses to pain and nursing care related to pain assessment Principles related to medications for children Nutrition related to growth and development Immunizations Nursing care of infant, toddler and preschooler for health problems in all systems Related Pharmacology to infant, toddler and preschooler for health problems Nutrition related to infant, toddler and preschooler for health problems Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to health problems in the infant, toddler and preschooler. Review of using the nursing process in patient and family education.

LEARNING ACTIVITIES




DATE DAY 11

SPECIFIC OBJECTIVES

Review nursing care of school-age children Review nursing care of adolescents

TOPIC (S) Growth and development of the schoolage child and adolescent Common health problems and nursing care of the school age child and adolescent. Related Pharmacology for school age children and adolescents with health problems Nutrition related to school age children and adolescents with health problems Function of the family Review of the functional, physiologic, psychosocial and environmental domains in nursing practice related to health problems in the school age child and adolescent. Review of using the nursing process in patient and family education with schoolage children and adolescents.

LEARNING ACTIVITIES


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Assigned Elsevier online work Review material covered today NCLEX Preparation

DATE Day 12

SPECIFIC OBJECTIVES

General Review of Material presented in course Q&A Testing

TOPIC (S) Math Test in AM NCLEX Exam offered in AM

LEARNING ACTIVITIES

Remediation of test answers


Review for testing

DATE Day 13

SPECIFIC OBJECTIVES

General Review of Material presented in course Q&A Testing

TOPIC (S) NCLEX offered in AM and PM

LEARNING ACTIVITIES

Remediation of test answers


End of Class

Instructional Methods

The following strategies may be used in this class:

Lecture/Discussion

Assigned Readings

Case Studies

Care Planning

Clinical Experience

Clinical Evaluation

Textbook Assignments

Performance Objectives

Audio/visuals with study guides

Worksheets

Power point presentations (ppt)

Demonstration of skills with return demonstration

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Instructional Materials and References (Optional)

Bruner & Suddarth’s Textbook of Medical-Surgical Nursing, Janice Hinkle and

Kerry Cheever, 13th

ED. Wolters Kluwer/Lippincott Williams & Wilkins, 2014

Fundamental & Advanced Nursing Skills Handbook, 3rd Edition.

Altman, G., Buchsel (2009). Delmar: United States. ISBN: 9781418052331

Nursing Drug Handbook (current and of your choice)

Medical Dictionary (Tabers or your choice)

Laboratory Diagnostic Textbook (current and of your choice)

Adams, M. & Urban, C. Pharmacology: connections to nursing practice., 2nd ed. Upper Saddle River, NJ: Pearson Education, Inc. – Published Feburary 4, 2012 - ISBN-13: 978-0132814423 | ISBN-10: 0132814420

Huether, S. & McCance, K. (2008). Understanding pathophysiology, 5th ed.. St. Louis, MO: Mosby Elsevier – Published December 19, 2011 - ISBN-13: 000-0323078915 | ISBN-10: 0323078915

Nutrition and Diet Therapy, 6th Edition Carroll A. Lutz, Erin Mazur, & Nancy Litch FA Davis Company Copyright © 2015 ISBN-13: 978-0-8036-3718-4

Date Syllabus Was Last Reviewed – May 8, 2015

Class Schedule

Week 1: Thursday, Friday 9AM-4:30PM

Week 2: Thursday 9AM-4:30PM




Week 6 Friday 9AM-4:30PM

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BEGIN CLINICAL 96 hours

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Clinical Rotation The purpose of this course is to provide the student or nurse with the necessary knowledge to care for clients with disorders and diseases of all the systems of the body. Clinical opportunities within medical and surgical acute care settings will be provided. The nurse’s role in assisting with the client care plan and the importance of clear, concise observation, reporting and documentation is stressed. The importance of maintaining the nutritional needs of the clients will be learned in the classroom and applied in the clinical setting. Medication theory will be learned in the classroom and applied to practice in the clinical setting in a progressive manner. An emphasis on a client centered holistic approach to nursing care will be stressed at all times, also to involve the client and family in education if applicable. Learning Objectives

1. Identify basic needs of clients and apply components of the nursing process to develop a plan of care to meet those needs.

2. Identify nursing care that contributes to the enhancement of the health care delivery setting and protects clients and health care in collaboration with the healthcare team members in a protective safe environment as related to, intravenous therapy, the surgical client, and medication administration, the study of body systems and related disease processes within the nurse’s scope of practice.

3. Perform/Demonstrate intermediate and advanced skills upon availability. These skills may include: administering medications, monitoring intravenous therapies, reducing the development of complications related to treatments, procedures or existing conditions, and providing care in clients with acute, chronic, or life-threatening health conditions within the nurse’s scope of practice.

4. Discuss client’s ability to cope, adapt and problem solve health related events. 5. Identify/Demonstrate safety and infection control procedures to protect clients and

health care personnel. 6. Use reflective and critical thinking skills using Maslow’s Hierarch of Human Needs

and Erickson’s Stages of Development to implement the nursing process. 7. Identify the legal, ethical, and professional responsibilities of a nurse as a member

of the health care team in a variety of health care settings. 8. Demonstrate the use of the “six rights” of medication administration 9. Administer medications to assigned clients, after dosages are verified by clinical

instructor with 100% accuracy.. 10. Demonstrate attitudes and behaviors of caring in nursing. 11. Illustrate documentation of all aspects of the nursing process for a client. 12. Use the scientific rationale necessary to meet the basic physical, psychosocial and cultural needs of all clients based on evidence-based practice 13. Plan and justify care for two or more assigned clients. 14.State the rationale for all aspects of care administered to clients including laboratory, nutritional and medication order. 15. Demonstrate effective patient and family teaching and counseling

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16. Apply concepts of leadership, autonomy and management to the practice of professional nursing.

Books Required Fundamental & Advanced Nursing Skills Handbook, 3rd Edition.

Altman, G., Buchsel (2009). Delmar: United States. ISBN: 9781418052331

Nursing Drug Handbook (current and of your choice)

Medical Dictionary (Tabers or your choice)

Laboratory Diagnostic Textbook (current and of your choice)

(Optional) Bruner & Suddarth’s Textbook of Medical-Surgical Nursing, Janice

Hinkle and Kerry Cheever, 13th

ED. Wolters Kluwer/Lippincott Williams &

Wilkins, 2014

Clinical Ethics and Conduct

Academic misconduct or disruptive behavior will not be tolerated. Examples of disruptive behavior include: Cheating, plagiarism, excessive talking, excessive late arrivals or early departures, leaving for unscheduled breaks, break in confidentiality, failure to be prepared for class activities or discussion, inappropriate language, lack of respect for diversity, use of cellular phones or any behavior that can disrupt class. No text messaging during clinical. Cell phones need to be off or vibrate and cannot be carried on the clinical unit or site. They must be left in a prearranged clinical area or in your car. In case of an emergency, please leave the phone number of the facility with the appropriate party. Anyone found on their cell phone texting or calling without the instructor’s permission will be given one warning and if the behavior persists, asked to leave the clinical with an absence counted. Food and drink are not allowed on the unit or site except for designated locations. Smoking is allowed only in a pre-determined area by the facility. Students are to report to clinical in uniforms which are neat and clean. Name badges are mandatory. Please bring a stethoscope, watch with a second hand, necessary books, pen and paper and any food items for lunch. Breaks must be taken within the facility and are limited to 15 minutes. Lunch may be taken out of the facility and is limited to 30 minutes. An instructor or mentor must be notified when breaks or lunch is taken. A refrigerator may be provided for perishable items.

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Pre or Post Conference Guidelines

Pre-Conference Prior to the beginning of client care, a clinical preconference will be held. The time and location of the preconference is at the discretion of the clinical instructor. Each student will be assigned a client/clients as their clinical assignment. The pre-conference is intended to be brief. The clinical instructor will assist in identifying care priorities, learning opportunities and organizational needs. Post-Conference Post conferences are intended to discuss nursing care for the benefit of all the students and to share ideas. Nursing care plans for each client may also be chosen for discussion. The location and time for clinical post conference will be scheduled by the clinical instructor. The clinical instructor will facilitate the post conference discussion. Each student is expected to participate in evaluating the learning experiences. The presentation of special topics may be addressed at this time.

Rotation

Clinicals will be held every Thursday and Friday for 6 weeks. Each student will be given an individual clinical rotation schedule. Assignment due dates will be announced by the clinical instructor. Care plans will be expected in the acute and long term care facilities weekly and a site report will be due after an observational clinical site experience. Clinical data and/or assessments must be completed each day the student is in the acute or long term care setting. The clinical experiences are graded on a pass/fail basis. If your assignment is late it is a failed grade for that week. Two failed grades for assignments will result in clinical failure and will require the student to retake the class at the student’s own expense

Basic Rotation Long Term Care: 24 hours Acute Care: 32 hours Mental Health: 16 hours Pediatrics: 8 hours Community: 8 hours OB simulation: 8 hours

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Observational Clinical Experiences

Each day the student will complete and submit the Site Observation sheet when assigned to any of these clinical areas. Please observe that the sheets must be signed by a staff member at the site.

The Palms Medical Group (various locations adult and pediatric sites)) Clinical hours: 8:00AM-5:00PM

During the clinical experience the student will:

Observe care of the adult and pediatric client based on hierarchy of needs.

Observe the health concerns of the community

Observe for Erickson’s Developmental stages

Take and record vital signs, height and weight.

Assist in assembling equipment needed for examination.

Assist in collecting specimens as available: urine, throat, sputum etc.

Observe minor surgery (cysts, warts, moles ).

Observe and assist with blood draws.

Assist with administering injections.

Observe and assist with suture and staple removal

Assist with testing for STDs

Give emotional support to the patient and family and observe the function of a family

Observe various treatment of wounds and dressings of wounds

Observe the staff dispense medication, assess clients, provide physical care and education

Observe nutritional needs of clients

Observe all facility policies and safety protocols.

Observe OB/GYN care of the client

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Long Term Care Facilities Clinical hours: 7:00AM-3:30PM

The Terrace 7207 SW 24th Ave. Gainesville, Fl 32607 Phone-352-333-0600 Parklands Rehab and Nursing Center 1000 SW 16th Ave Gainesville, Fl 32601 Phone-352-376-2461

Acute Care Facility Clinical hours: 7:00AM-3:30PM

Promise Hospital 5050 County Road #472 Oxford, Fl 34484

Mental Health Facility

Meridian Behavioral Healthcare

4300 SW 13th

St.

Gainesville, Fl 32608

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SITE EXPERIENCE

Student Name____________________________Date______________

Clinical Site_____________________________Hour In & Signature_______________

Hour out& Signature___________________

Must be signed by facility representative. Failure to have signature will result in student making

up full clinical day. Schedule at the Palms sites is 8AM-4:30PM. Students are not allowed to

leave clinical earlier without permission of faculty at Express Training Services. Students are

expected to shadow and observe facility staff and ask questions attentively. Students who are

allowed hands-on experience will be monitored by facility staff.

1. Describe some of the experiences you saw while at this site.

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2. What new skills did you learn at this site?

3. What experiences did you encounter at this site that helped you combine and

understand theory?

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Site Comments for Express Training Services Students

Fax 352-240-1530

Email: [email protected]

Date_________________ Facility________________________Signature & Title___________________

We welcome comments about the strengths and weaknesses our students and their learning

experience at your facility. Please comment on the students that you have mentored in your facility so

that we can assist them in reaching their goal of becoming an LPN. Thank you for your time and effort.

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CLINICAL DATA COLLECTION

STUDENT_______________________________PATIENT INTIALS_________AGE_________SEX__________ ROOM NUMBER________OCCUPATION____________________DATE OF CARE_________RELIGION______ DIAGNOSIS AND BRIEF EXPLANATION: PERTINENT HEALTH HISTORY: SIGNIFICANT FAMILY AND/ENVIRONMENTAL CIRCUMSTANCES DIET_____________STATE OF NUTRITION/NUTRITIONAL ASSESSMENT: HT_______WT________

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MEDICATION ORDER: TRADE/GENERIC NAME: DOSE: ACTION: PURPOSE FOR THIS PATIENT: SIDE EFFECTS: NURSING IMPLICATIONS: MEDICATION ORDER: TRADE/GENERIC NAME: DOSE: ACTION: PURPOSE FOR THIS PATIENT: SIDE EFFECTS: NURSING IMPLICATIONS:

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OBJECTIVE AND SUBJECTIVE DATA

COLLECTION

EXISTING NURSING DIAGNOSES

PATIENT GOALS

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NURSING INTERVENTIONS RATIONALE PATIENT RESPONSES

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LAB TEST AND DATE PATIENT VALUES NORMAL VALUES SIGNIFICANCE

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Student Name: ______________________________________ Date: ________________________ Client Initials ________ Age ________ DOB _________ Gender ____Profession______________ WT ________ HT _________ Admission Date: _________ Allergies: ___________________________ Admission Diagnosis/Current Diagnosis: _________________________________________________________________________ Secondary Diagnosis: ___________________________________________________________________ Pathophysiology (textbook reference): ____________________________________________________________________________ ____________________________________________________________________________ Vital Signs T ___________ P ___________ RR _________ B/P _____________ Sensory/Perception/Cognition: LOC/ Visual or auditory deficits ʈ awake ʈ alert ʈ oriented ʈ asleep ʈ confused ʈ obtunded

ʈ none specify: _________________________ Mood ʈ appropriate ʈ depressed ʈ anxious ʈ angry ʈ euphoric ʈ labile Behavior ʈ cooperative ʈ uncooperative ʈ apprehensive ʈ agitated ʈ lethargic

Speech/Primary language ʈ clear ʈ appropriate ʈ inappropriate ʈ aphasia ʈ impaired hearing Primary language: ____________________ Pupils (L) _______mm ʈ brisk ʈ sluggish ʈ nonreactive

(R) _______mm ʈ brisk ʈ sluggish ʈ nonreactive Pain Score:___________ location:__________ description:_____________ Medicated Y* N Growth & Development (Erikson) Stage (Actual Stage) ______________________________ AEB______________________________________ *Alteration in S/P/C None present R/T__________________________________ Cellular Integrity: Skin temperature/moisture ʈ warm ʈ cool ʈ cold ʈ dry ʈ moist ʈ diaphoretic

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Color/turgor ʈ pink ʈ pale ʈ cyanotic ʈ mottled ʈ jaundiced ʈ elastic ʈ tenting

Edema ʈ none ʈ present ʈ location____________________ pitting +1 +2 +3 +4

Mucous membranes ʈ pink ʈ pale ʈ moist ʈ dry ʈ lesions Rash/lesion/wound ʈ none ʈ present site describe ______________________________location_____________________ *Alteration in Skin Integrity none present R/T_________________________________ Oxygenation: Respiratory: Effort ʈ unlabored ʈ dyspneic ʈ nasal flaring ʈ abdominal ʈ stridor

ʈ grunting ʈ retractions Regular irregular Lung sounds ʈ RUL_____ ʈ RML_____ ʈ RLL_____ ʈ LUL_____ ʈ LLL_____ Clear Decreased Absent Rales Rhonchi Wheezes

O2 therapy/O2 saturation ʈ none ʈ O2 therapy ______ lpm / % ʈ NC ʈ Mask ʈ saturation level _________% Cough/Respiratory Treatments ʈ nonproductive ʈ productive_____________________ tx’s _____________________________________________ *Impaired Gas Exchange None present R/T____________________

Cardiovascular: Apical ʈ regular ʈ irregular Extremities: Capillary refill/ Peripheral pulses < > _______ seconds {0 – 3} R/L brachial________ R/L radial ________ R/L dorsal pedalis ______ R/L posterior tibial _________ other _____________________________

Monitors None specify:___________________ ʈ O2 saturation ʈ cardiorespiratory

ʈ other___________ ʈ alarm parameters verified and on *Alterations in tissue perfusion None present R/T_____________________ Regulation: Abdomen/LBM

Diet______________ ʈ soft ʈ firm ʈ rigid ʈ distended ʈ round ʈ flat ʈ tenderness/LBM ____________

ʈ continent ʈ incontinent Bowel sounds RLQ__ RUQ__ LUQ__ LLQ__ + present absent ++hyperactive +/-hypoactive NG/GT none specify_______________

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*Alteration in nutrition none present R/T___________________ size __ ʈ gravity ʈ suction

GU ʈ no problems ʈ foley ʈ dysuria ʈ hematuria ʈ frequency ʈ continent ʈ incontinent LMP

Intravenous Fluids ʈ none specify/solution & rate _______________________

*Alteration in elimination ʈ none For shift: total in __________ total out _______ ʈ present R/T___________ Mobility: Muscle tone/strength/ Range Of Motion ʈ strength equal bilaterally UE and LE ʈ weakness (specify) ______________ ʈ Full Range Of Motion ʈ limitations: ___________________

Gait/fall risk ʈ steady ʈ unsteady ʈ pre-ambulatory ʈ paralysis/describe ________________

Functional ability ʈ independent ʈ total assistance ʈ requires assistance (explain)________________________________ Casts/Assistance devices none specify_____________________ *Alteration in Mobility none present R/T__________________ *for abnormal findings, see additional notes SN signature:

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Clinical Evaluation

STUDENT NAME______________________________________ COURSE_________INSTRUCTOR_________________________ CLINICAL ABSENCES____________TARDIES_______________ EVALUATION: _______SATISFACTORY __________UNSATISFACTORY KEY: S= SATISFACTORY N=NEEDS IMPROVEMENT U=UNSATISFACTORY

COMPETENCY KEY COMMENTS

PROVIDER OF CARE

Uses basic concepts of anatomy, physiology, drug interactions, communications, interpersonal relationships, spirituality, cultural diversity, nutrition, legal and ethical aspects of nursing to provide nursing care.

Assists in collecting data for individual patients.

Delivers care as delegated

Adheres to agency policies and procedures

Recognizes sociocultural differences affecting care

Utilizes the principles of basic therapeutic communication to establish/maintain nurse-patient relationship

Documents care appropriately

Identifies common needs and problems and assists with the formulation of a plan of care.

Implements changes in care as directed

MANAGER OF CARE

Accepts management direction from supervisory personnel

Understands role as a member of the health care team

Organizes and provides care for assigned patient(s) based on prioritized needs

Identifies change and brings to

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attention of supervisory personnel

Makes effective, efficient use of equipment and supplies while assuring quality care and patient satisfaction.

PREPARATION

Demonstrates preparation for the assigned clinical experience

Demonstrates good technique with skills

MEMBER OF THE PROFESSION

Identifies behaviors and practices within an ethical framework

Seeks guidance appropriately

Demonstrates a positive personal and professional image of nursing

Respects cultural differences among other health care team members

Maintains confidentiality

Communicates concerns related to health care delivery within the practice setting

Assumes responsibility and accountability for care provided

Assesses own abilities and potential and sets goals that demonstrate ongoing personal and professional growth.

Student Comments: Instructor Comments: Student Signature_________________________Instructor Signature______________________ Date__________________________________

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CRITERIA AND SCORING FORM FOR NURSING CARE PLAN

NAME: __________________________________________________________

Hand in scoring form with completed care plan by specified date.

Assessment:

List only data pertinent to the selection of the nursing diagnoses

Correctly identify subjective vs. objective data 2 pts.

Nursing Diagnosis:

List 3 NANDA nursing diagnoses (2 physical & 1 psychosocial)

Provide a scientific rationale for each diagnosis listed

Rationales are properly referenced using APA format 2 pts.

Planning:

I. Long and Short Term Goals:

Goals are realistic and measurable.

List 3 goals for each diagnosis

A. 2 short term

B. 1 long term

II. Interventions:

All planned activities necessary to meet short term and long term goals. 2 pts.

Nursing Implementation:

List interventions actually performed during a specific period of care.

Scientific rationales are provided for each implemented intervention.

Rationales are properly referenced using APA format.

Delegation appropriately assigned to RN, LPN or CNA 2 pts.

Evaluation:

State the response (subjective or objective) to implemented interventions

State if goals were met, unmet, or partially met – why or why not 2 pts.

Recommend to change/revise, continue, or stop implemented interventions

(Passing grade is 7 out of 10 or greater) Point total _____

Percent grade _____

Comments:

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