(TEMPLATE FOR COURSE SYLLABUS)



The University of Texas at El Paso School of Nursing

COURSE NUMBER AND TITLE: N4714 Adult Health Nursing 2

COURSE DESCRIPTION/COURSE OVERVIEW: This course focuses on the care of adult patients with medical and/or surgical health alterations. Emphasis is placed on the care of patients with alterations in selected body systems. Concepts of health promotion, health education, evidence-based practice, and interdisciplinary collaboration will be integrated throughout the course. Clinical experiences provide the student an opportunity to apply theoretical concepts and implement safe care to patients and selected groups in a variety of settings.

COURSE PRE-REQUISITES: NURS-3300, NURS-3314, and NURS-3709 with a minimum grade of “C” or better. Nursing major fee required.

CREDIT ALLOCATION

FACULTY INFORMATION

|NURS 4714 Teaching Team: |

|Faculty |Office |Extension |E-mail |Office Hours |

|Ms. Tracey Merworth |308 |7286 |tsmerworth@utep.edu |Tuesdays |

| | | | |1200-1600 |

|(Course Manager) | | | | |

|Ms. Yvonne Elias |337 |7220 |yelias3@utep.edu |Tuesdays |

|(Co-Lecturer) | | | |TBA |

|Ms. Patricia Herbias |351 |8217 |pherbias@utep.edu |TBA |

| | | | | |

|Ms. Summer Gonzalez | | |sgonzalez31@utep.edu |By appointment |

|Ms. Regi Johny | | |rjohny@utep.edu |By appointment |

| | | | | |

| | | |johnyregi@ | |

|Mr. Raul Garcia | | |rrgarcia4@utep.edu |By appointment |

TEXTBOOKS: A current drug manual or Phone application.

Hinkle, J. L. & Cheever, H. H. (2014). Brunner & Suddarth’s Textbook of Medical-Surgical Nursing (14th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

ISBN 9781469886633 – ebook with Course Point + (this is an access code on a card stocked by the bookstore).

OR

ISBN 9781469890371 – Hard copy book with Course Point + (this is a hardcopy book with an access code inside stocked by the bookstore).

PLEASE NOTE: THIS IS THE SAME TEXTBOOK THAT WAS REQUIRED IN ADULT HEALTH I COURSE LAST SEMESTER

HIGHLY RECOMMENDED RESOURCE

“Pharmacology Made Easy” 3.0 Available at in the on-line store

TEXTBOOKS FROM PREVIOUS SEMESTERS (References)

Pediatrics/OB textbook

Pathophysiology Textbook

Laboratory Test Manual

Nursing Skills Textbook

UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration*, Evidence Based Practice*, Quality Improvement*, Safety*, Informatics*, Professionalism, Leadership, Communication, Systems-Based Practice, Health Promotion & Education

BSN Essentials (AACN): Essential I, II, III, IV, V, VI, VII, VIII, IX

Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *version year 2010

Member of the Profession A, B, C, D

Provider of Patient-Centered Care A, B, C, D, E, F, G, H

Patient Safety Advocate, A, B, C, D, E, F

Member of the Health Care Team A, B, C, D, E, F, G

COURSE OBJECTIVES

1. Perform a general health assessment of adult patients with deviations from normal that contribute to complex alterations in health.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care

b. BSN Essentials (AACN): BSN 4, BSN 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care C, Provider of Patient-Centered Care E, Provider of Patient-Centered Care G

2. Develop individualized, evidence-based plans of care that include cultural, spiritual, and developmentally appropriate interventions and health promotion recommendations for adult patients with complex medical/surgical health alterations.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, BSN 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care E, Provider of Patient-Centered Care G

3. Collaborate with members of the inter-professional health care team while acting as a patient advocate in the provision of safe, quality care for adult and older adult patients with complex health alterations.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Safety

b. BSN Essentials (AACN): BSN 4,5, 6

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession B, Provider of Patient-Centered Care D, Patient Safety Advocate B, Member of Health Care Team A, Member of Health Care Team E

4. Demonstrate clinical judgment when providing direct patient care to adult and older adult patients experiencing complex alterations in health.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*

b. BSN Essentials (AACN): BSN 3, 7, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Patient Safety Advocate C, Patient Safety Advocate F, Member of Health Care Team F, Member of Health Care Team G

5. Integrate knowledge of pharmacology, pathophysiology, nutrition, and established evidence-based practices when caring for adult and older adult patients with complex alterations in health.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Evidence-Based Practice

b. BSN Essentials (AACN): BSN 1,3,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care A

6. Use verbal and nonverbal communication that promotes caring, therapeutic relationships with patients and families, as well as professional relationships with members of the healthcare team.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Communication

b. BSN Essentials (AACN): BSN 1,6,7,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care C, Provider of Patient-Centered Care H

7. Use health information systems and patient care technologies in an effective and secure manner when assessing and monitoring patients.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Evidence-Based Practice, Informatics

b. BSN Essentials (AACN): BSN 3,4,5

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Health Care Team E

8. Apply evidence-based knowledge in the provision care to patients with complex health alterations.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Evidence-Based Practice

b. BSN Essentials (AACN): BSN 1, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: : Provider of Patient-Centered Care A, Provider of Patient-Centered Care C

9. Use organizational, time management, priority-setting, and decision-making skills in the provision of care to patients with complex health alterations.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Leadership

b. BSN Essentials (AACN): BSN 2,5,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Patient Safety Advocate B, Patient Safety Advocate F, Member of Health Care Team F, Member of Health Care Team G

10. Implement strategies that provide a safe environment for patients, self, and other while supporting quality improvement initiatives.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Quality Improvement

b. BSN Essentials (AACN): BSN 2

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Patient Safety Advocate B, Patient Safety Advocate E

11. Adhere to ethical, legal, and professional standards in the provision of care to adult and older adult patients with complex alterations in health.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Informatics, Professionalism

b. BSN Essentials (AACN): BSN 5, 7

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession A, Patient Safety Advocate A, Patient Safety Advocate E, Patient Safety Advocate F

12. Provide health and safety related education to patients and families using a variety of teaching methods.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Health Promotion and Education

b. BSN Essentials (AACN): BSN 7

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care E, Provider of Patient-Centered Care G, Patient Safety Advocate C

CLINICAL OBJECTIVES:

1. Use the nursing process as a framework for providing nursing care/ Perform a general assessment of patients.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

2. Use the nursing process as a framework for providing nursing care/ Develop of a plan of care based on data collected during a general assessment.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

3. Use the nursing process as a framework for providing nursing care/ Select cultural and age-appropriate interventions for inclusion in the plan of care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Safety

b. BSN Essentials (AACN): BSN 1,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession B

4. Use the nursing process as a framework for providing nursing care/ Implement nursing care that is safe and based on the established plan of care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Safety

b. BSN Essentials (AACN): BSN 1,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession B

5. Use the nursing process as a framework for providing nursing care/ Use clinical decision making when providing patient care and participating in the evaluation of patient outcomes.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

6. Promote continuity of health care within the health care team and across various settings/ Participate as a member of the health care team.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Safety

b. BSN Essentials (AACN): BSN 2, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Health Care Team D

7. Promote continuity of health care within the health care team and across various settings/ Communicate patient-related information to designated members of the health care team in a timely manner.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Safety

b. BSN Essentials (AACN): BSN 2, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Health Care Team D

8. Promote continuity of health care within the health care team and across various settings/ Plan and provide health-related education as a member of the health care team.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Health Promotion and Education

b. BSN Essentials (AACN): BSN 7

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care G, Provider of Patient-Centered Care H

9. Promote continuity of health care within the health care team and across various settings/ Use information technology to document patient information and communicate with members of the health care team.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Safety

b. BSN Essentials (AACN): BSN 2, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Health Care Team E

10. Use scientific principles and evidence-based practice as a foundation for nursing practice/ Apply knowledge of pathophysiology, pharmacology, and nutrition into patient care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

11. Use scientific principles and evidence-based practice as a foundation for nursing practice/ Identify best practice resources used as a basis for nursing care and clinical decision making.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

12. Provide high-quality nursing care in an environment that is safe for the patient, self, and others/ Implement actions that promote safe practice and a safe environment for patients, self, and others.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Safety

b. BSN Essentials (AACN): BSN 2

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care D, Provider of Patient-Centered Care G, Patient Safety Advocate A, Patient Safety Advocate F

13. Provide high-quality nursing care in an environment that is safe for the patient, self, and others/ Advocate for the patient when nursing care issues arise.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care

b. BSN Essentials (AACN): BSN 8,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession A, Provider of Patient-Centered Care E, Patient Safety Advocate E

14. Provide high-quality nursing care in an environment that is safe for the patient, self, and others/ Identify patient care concerns related to the quality of care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Quality Improvement

b. BSN Essentials (AACN): BSN 2

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care G

15. Provide high-quality nursing care in an environment that is safe for the patient, self, and others/ Participate in quality improvement activities that address patient care concerns.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Quality Improvement

b. BSN Essentials (AACN): BSN 2

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care G

16. Provide high-quality nursing care in an environment that is safe for the patient, self, and others/ Use organizational and priority setting skills in the provision of patient care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

17. Practice nursing in a professional, ethical, and legal manner/ Practice nursing in accordance with established standards of practice and institutional policies and procedures.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Evidence-Based Practice

b. BSN Essentials (AACN): BSN 3, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession D, Provider of Patient-Centered Care A, Provider of Patient-Centered Care C, Provider of Patient-Centered Care F, Patient Safety Advocate C

18. Practice nursing in a professional, ethical, and legal manner/ Use the ANA code of ethics as a framework for ethical practice.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care

b. BSN Essentials (AACN): BSN 8,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession A, Provider of Patient-Centered Care E, Patient Safety Advocate E

19. Practice nursing in a professional, ethical, and legal manner/ Practice nursing in accordance with the Nurse Practice Act and other regulatory guidelines.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care

b. BSN Essentials (AACN): BSN 8,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession A, Provider of Patient-Centered Care E, Patient Safety Advocate E

20. Practice nursing in a professional, ethical, and legal manner/ Maintain professional accountability and responsibility when communicating with patients and in the delivery of patient care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care

b. BSN Essentials (AACN): BSN 8,9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Profession A, Provider of Patient-Centered Care E, Patient Safety Advocate E

21. Use communication that promotes an effective exchange of information, shared decision-making, and achievement of optimal patient outcomes./ Use verbal and nonverbal communication that promotes caring, therapeutic relationships with patients.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Communication

b. BSN Essentials (AACN): BSN 6,8

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care B, Provider of Patient-Centered Care F, Member of Health Care Team A

22. Use communication that promotes an effective exchange of information, shared decision-making, and achievement of optimal patient outcomes./ Integrate changes in communication and use of self in relation to barriers identified during assessment of patient, family, and selected groups.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Communication

b. BSN Essentials (AACN): BSN 6,8

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Provider of Patient-Centered Care B, Provider of Patient-Centered Care F, Member of Health Care Team A

23. Use communication that promotes an effective exchange of information, shared decision-making, and achievement of optimal patient outcomes./ Use standardized hand-off communication tools when transferring care responsibilities to other members of the health care team.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Safety,

b. BSN Essentials (AACN): BSN 2, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Health Care Team D

24. Use communication that promotes an effective exchange of information, shared decision-making, and achievement of optimal patient outcomes./ Communicate effectively with the health care team and report issues that indicate conflict is impacting patient care.

a. UTEP SON PLOs (Level 2 Program Outcomes) & QSEN Competencies *: Patient-Centered Care*, Teamwork & Collaboration, Safety,

b. BSN Essentials (AACN): BSN 2, 9

c. Differentiated Essential Competencies (DECs) for Baccalaureate Degree (BSN) *2010: Member of Health Care Team D

TEACHING METHODOLOGIES

The course consists of assigned readings, lecture, examinations (course exams and ATI assessment exams), clinical activities, and on-line activities. The clinical component will consist of direct patient care under the supervision of the clinical instructor in the hospital setting as well as experiences / assignments / quizzes / and testing in the Simulation Lab. It is the student’s responsibility to review material taught in previous courses that may affect learning in this course (i.e. anatomy, physiology, nutrition, pharmacology, pathophysiology, assessment, and fundamental care content).

STUDENT EMPLOYMENT

The UTEP School of Nursing Undergraduate program is very rigorous and time-consuming.  Students are strongly encouraged to carefully evaluate their personal and employment commitments to maximize their potential for success.

GRADING POLICY AND STRUCTURE

Rigorous study is required to succeed in the Nursing Program. Multiple hours of preparation are required beyond the classroom periods and clinical experiences. Students must be willing to accept this as a condition of succeeding in the program.

GRADING POLICY AND STRUCTURE

1) Students must pass exams and/or quizzes with a minimum of 75%. This constitutes the didactic evaluation of a course. Achieving less than75% in the didactic portion of the course results in course failure. There is no rounding of grades and fractional points will be dropped.

 

2) Additional assignments (papers, presentations, posters, etc.) must also meet the minimum 75% passing criteria. Additional assignments grades/points are factored into the overall course grade only if the student has passed a course’s exams and/or quizzes with the minimum of 75%. Written assignments will have 5 points per day deducted for lateness. Written assignments will not be accepted after one week and will result in a zero (0).

 B. Didactic course with a clinical lab - In addition to meeting the conditions stated in the section above (didactic courses without a clinical lab), the following apply to courses with a clinical lab component:

 

     1) Clinical lab related assignments must meet a 75% minimum standard and grades, or points given for clinical lab related assignments are factored into the overall course grade only if the student has passed a course’s exams and/or quizzes with the minimum of 75%.

 

      2) The didactic and the clinical components of a course must be passed. Failure of either component results in failure of the entire course, i.e. failing to meet the clinical lab requirements results in a failing grade for the entire course regardless of meeting the minimum of 75% criteria for exams and/or quizzes and failing didactic results in failure of the entire course regardless of success in clinical.

 

A. Students must pass both theory and clinical to pass the course. Achieving less than

75% in the didactic portion of the course or failing to pass clinical results in course

failure. There is no rounding of grades and fractional points will be dropped.

B. Clinical performance is evaluated on a Pass/Fail basis

Pass = 1) Successful demonstration of competency in course designated simulated scenarios and successful completion of all associated paperwork (quizzes and reflections) AND

2) Achieving Level II or better in every area of clinical performance.

Fail = 1) Non-achievement of competency in course designated simulated scenario assignments

OR

2) Non-achievement of Level II competency expectations in any one or more areas of clinical performance.

3) Any serious infraction involving professionalism, confidentiality and/or safety related issues for assigned patients.

**Students are required to take and pass the medication calculation test at a 90% level PRIOR to participating in hospital clinical experiences. (See statement under Clinical Policies).

A. Students must pass both theory and clinical to pass the course. Achieving less than

75% in the didactic portion of the course or failing to pass clinical results in course

failure. There is no rounding of grades and fractional points will be dropped.

GRADING SCALE:

• Grading Breakdown: Didactic: 75%; Clinical Assignments: 25%;

Test I 17%

Test II 17%

Test III 17%

Med Surg ATI 10%

Pharm ATI 10%

Final Exam 20%

Quizzes 9%

Care Maps 10%

Concept Paper 10%

Skills Testing 5%

Total: 100%

Dosage Calculation: Pass at 90%

(Three attempts maximum prior to clinical placement)

Clinical Performance

(Competency in care setting AND in simulation) Pass/Fail

**VIEW RUBRIC/DIRECTIONS/GRADING SCHEMA for clinical assignments on BlackBoard**

COURSE POLICIES:

Academic Regulations: Review in UT El Paso Undergraduate Student Catalog and

the School of Nursing Student Handbook the following policies: Religious Observance, Clinical Compliance, Ethical and Responsible Use of Social Media, Policy on Academic Integrity, Professional Attire and Uniform Guidance, Progression Policy, and Effective Nursing Practice Policy, Statement on Disability, and Student Injury.

ATI: It is a course requirement for all students to take the nationally standardized exam provided by Assessment Technologies Incorporated (ATI). Students not achieving a passing standard will be required to remediate and to submit documentation of this remediation in accordance with Course Manager’s protocol. Students will receive an ‘Incomplete’ in the course until/unless this remediation is accomplished. See the School of Nursing Student Handbook for the ATI Policy and Procedures.

Attendance: Students are expected to attend all classes and to arrive on time. Late comers are asked to enter quietly and unobtrusively. Students are responsible for content and/or announcements presented in class or clinical sessions whether present or not.

Blackboard: Students are required to subscribe to and access the course Blackboard site. Blackboard is the main source of communication between faculty and students. Students are encouraged to access this site on a daily basis. Course syllabus, calendar, topical outline of scheduled lectures, assigned readings, and clinical assignment criteria are posted on this site. Grades will be made available ONLY through this site.

Communication: Communication is the responsibility of both students and faculty. The faculty will keep students informed of progress in both theory and clinical. Students with questions or concerns should:

-First go to the appropriate faculty member.

-If not resolved, then follow the appropriate chain of command in the sequence as identified below:

Course manager

Director of Undergraduate Education

Assistant Dean for Undergraduate Education

School of Nursing Dean

Grievances: Challenges to grades may be pursued only on the basis of malice, bias, arbitrary or capricious grade determination or impermissible discrimination. In no event shall a challenge be pursued only on the basis of the standards employed in setting grades, so long as those standards are employed impartially. Grievances MUST be in WRITING and filed through the faculty member, the SON Assistant Dean for Undergraduate Education and the Dean of the SON. If the student is not satisfied with the outcome after using the chain of command, the student may consult with and/or file a challenge with the Chairperson of the University Student Welfare and Grievance Committee.

Policy on Scholastic Dishonesty:

• Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the School of Nursing and/or university. Scholastic dishonesty includes but is not limited to reproducing test or quiz materials from memory, copy/paste or Xerox, cheating, plagiarism, collusion, the submission for credit or any work or materials that are attributable in whole or in part to another person, taking an examination for another person, and any act designed to give unfair advantage to a student or the attempt to commit such acts. Regents' Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

• Since scholastic dishonesty harms the individual, all students, and the integrity of the School of Nursing and the university, policies on scholastic dishonesty will be strictly enforced. See detailed procedure in the Handbook of Operating Procedures (HOP) available in the Office of the Dean of Students.

Policy relating to Disability / Pregnancy/ CASS:

• Disability: Nursing is a physically and mentally challenging profession. Nurses are required to think critically and quickly in order to respond to patient care needs. Nurses are also expected to be able to assist patients in transfer, ambulation and in activities of daily living. In order to do this, nurses must be able to lift, bend and be on their feet for extended periods of time. Nursing students are expected to be able to perform these functions. It is therefore the responsibility of the student to inform the course manager of any limitations they may have in completing course expectations. Nursing students with limitations in any of the above abilities are advised to discuss these matters with The Center for Accommodations and Support Services (CASS) to determine if reasonable accommodations could be provided. Written guidelines r/t accommodations from CASS must be submitted to the course manager PRIOR to the start of the course. If you have a disability and need classroom accommodations, please contact CASS at 747-5148, or by email to cass@utep.edu, or visit their office located in UTEP Union East, Room 106.  For additional information, please visit the CASS website at sa.utep.edu/cass. CASS’ Staff are the only individuals who can validate and if need be, authorize accommodations for students with disabilities.

• Pregnancy: It is the responsibility of the student to inform the instructor of pregnancy limitations. Written guidelines r/t accommodations from The Center for Accommodations and Support Services (CASS) must be submitted to the course manager PRIOR to the start of the course.

Professional Behavior:

• Students are expected to behave professionally at all times with faculty, peers, preceptors, and clients and in any setting in which the student is a representative of UTEP. Bullying, verbal abuse, insubordination, or personal attacks will not be tolerated in any form. Any behavior deemed inappropriate by faculty and/or preceptors will result in faculty conference(s), and completion of a Student Opting for Success (SOS) plan that addresses the student’s areas of needed improvement. Possible activities available to assist the student in attaining the SOS objectives include stress and/or anger management counseling sessions. Inappropriate behaviors may result in removal from the clinical setting and/or an administrative withdrawal from the course and/or dismissal from the program.

• Civility is the art of treating others, as well as ourselves, with respect, dignity, and care. Civility is apparent when we are sensitive to the impact that our communications, practices and behaviors have on others, and when we acknowledge each person's self-worth and unique contributions to the community as a whole.

o According to the American Nurses Association, “incivility” is described as: “Incivility may be exhibited through behaviors such as rudeness, open disdain, passive aggressiveness, bullying, psychological abuse, or deliberate undermining of activities. These types of incivility may lead to a non-supportive learning climate in which students feel pressured by peers to look the other way, and thus fail to support the person experiencing such incivility.”

• Examples of uncivil behavior are below but not inclusive:

o Demeaning, belittling or harassing others

o Rumoring, gossiping about or damaging a classmate/professor’s reputation

o Habitually interrupting as others speak; this includes excessive “side bar” conversations during lecture

o Not paying attention or listening to others who address you; not responding to email, letters or voice mail that requires a reply

o Sending emails that are inflammatory in nature

o Speaking with a condescending tone

o Yelling or screaming at instructors, peers, or clinical staff

o Habitually arriving late to class

o Knowingly withholding information needed by a peer, instructor, or clinical staff

o Discounting or ignoring solicited input from instructors/faculty regarding classroom and/or clinical performance or professional conduct

o Overruling decisions without direct discussion and rationale

o Threatening others; this refers to physical threats, verbal/nonverbal threats, and implied threats

o Displays of temper tantrums

o Using up supplies or breaking equipment without notifying appropriate staff/faculty

o Rudeness that ultimately escalates into threatened or actual violence

o Electronic harassment via email, social media including Facebook, texting, or any other electronic media or devices

o It is important that we ALL have a respectful manner in speech and body language with each person we come in contact with in all personal exchanges with patients, staff, faculty, fellow students, or visitors.

• Students displaying uncivil behaviors towards other students, faculty, staff, or hospital/agency personnel will be result in faculty conference(s), completion of a Student Opting for Success (SOS) plan that addresses the student’s areas of needed improvement, and referral to the Office of Student Conduct, with the recommendation that the student be placed on disciplinary probation for the remainder of the time enrolled in the nursing program. Possible activities available to assist the student in attaining the SOS objectives include stress and/or anger management counseling sessions. Inappropriate behaviors may result in removal from the clinical setting and/or an administrative withdrawal from the course and/or dismissal from the program.

• The following addresses expectation of infection control, safety, and hygiene applying to classroom and clinical practice settings. Students are expected to be mindful of personal hygiene and cleanliness of clothing and personal baggage.  Aseptic techniques should be used when coughing, sneezing, and disposing of personal tissues.  Students and faculty must be careful to create an image of cleanliness and health, avoiding personal body odors and excessive use of perfumed chemicals.  Hair should be clean and neatly kept, skin should be clean and intact. Open wounds with drainage/swelling/ or lacerations should be cleansed/bandaged for the classroom setting; however, a physician note is needed to be allowed into the skills practice lab or into a clinical rotation in the nursing program.

Retention: Students Opting for Success (SOS): When a student is not progressing in the course as expected, or is not successful on an examination, or is not meeting clinical expectations, they will be required to meet with the instructor to discuss strategies for success as outline on the SOS form. The SOS plan will identify recommendations for improving the student’s success potential and will specify time lines for completion of these recommendations. The SOS form (with all recommendations completed and all signatures in place) must be submitted to the course manager by due date. Students who are not successful in the course should be aware that non-compliance with SOS recommendations jeopardizes eligibility for the opportunity to repeat the course in the subsequent semester. See respective Blackboard home page for SOS form.

UTEP Tobacco Policy: The University of Texas at El Paso (UTEP) appreciates your cooperation as we are a smoke and tobacco-free campus. The policy is part of the university’s promotion of respect toward our environment and community. The use of tobacco products (including but not limited to cigarettes, cigars, pipes, water pipes, bidis, kreteks, electronic cigarettes, smokeless tobacco, snuff, chewing tobacco or all other tobacco products) is prohibited in university buildings, grounds, sidewalks, walkways, and university-owned property and applies to all students, faculty, staff, contractors, and visitors. For more information, visit: tobaccofree.utep.edu.

My Learning (Goal Performance) Policy: The My Learning Templates and Reflection Prompts will be utilized for evaluation of:

1) Student self-reflection of course outcome achievement/student success

2) Faculty review of course (Formative/Summative) regarding cohort achievement of End-of-Course objectives/outcomes.

a. The reflection assignment is a mandatory assignment in all Traditional Pre-Licensure and RN-BSN courses. The assignment is due at the end of the course. Students who do not submit a completed document will receive an Incomplete in the course and not be allowed to progress until the assignment is completed.

DIDACTIC POLICIES

Laptops, PDAs, and Recording devices

1) Set your laptop volume control to mute or off before coming to class. Students who engage in unauthorized communication or entertainment (web surfing, instant messaging, chat room chatting, DVD viewing, music playing, game playing, etc.) during class unless it is part of the lesson will be asked to leave the classroom. Recording devices are permitted in the classroom setting, however, you must obtain the expressed permission of the speaker.

2) Cellular telephones will be turned off in class and during examinations. For emergency calls please have persons call the Front Desk at 747-7280 and provide the name of the student and the Course number. Personnel at the front desk will get the message to the classroom. Text messaging and web browsing are unauthorized during classroom activities. Picture taking in the classroom is strictly prohibited.

Cell Phone Policy

1) Students’ phone, watch, or any other electronic device ringing/alarming/vibrating during the exam is a disruption to the class and/or considered as cheating (distracting the proctor).

2) All cell phones are required to be turned off and placed in the student’s book bag, purse, etc. Simply placing the phone on vibrate mode is not acceptable.

3) If a cell phone, watch, or electronic device placed in the student’s book bag, purse, etc. ring/alarm/vibrate during an exam, faculty will attempt to identify the device and have the student claim their belongings in order to turn the device off. The faculty member will permit the student to complete the exam and will refer the student to Office of Student Conduct and Conflict Resolution (OSCCR) for violating policy.

4) If a student elects not to claim their “ringing/alarming/vibrating” belongings, the faculty member will turn over the belongings to the UTEP Police Department. Students are to retrieve their belongings from the UTEP Police Department. The faculty member will contact the UTEP Police Department to obtain the student’s name associated with the belongings and the student will be reported to the OSCCR.

5) The grade will remain “blank” in the gradebook until OSCCR has reviewed the incident. Note that a grade of “I” (Incomplete) will be recorded for a course grade should there be a delay in OSCCR conclusion of the investigation. That may delay ranking and/or progression.

The following actions will be reported to the OSCCR for implementation:

1) First infraction will have a deduction equal to 10% of total possible exam points.

a. Example 1: Exam is 100 points (10% =10 points). Student gets 94% on the exam. After deduction, exam grade is 84 points.

b. Example 2: Exam is 100 points (10%=10 points). Student earns a 96% on the exam. After deduction, exam grade is 86%.

c. Example 3: Exam is 5 points. (10%=0.5 points). Student earns 4.5 out of 5 points. After deduction, exam grade is 4.0 out of 5 points.

d. The second infraction will result in an exam grade of “0”.

Examinations:

1) Examinations are scheduled during the semester. The questions are written from the class objectives and lecture material and are based primarily on hypothetical clinical situations. Examination questions are directed toward the application, analysis, and synthesis of knowledge. All quizzes, ATI exams, unit exams and the final are on-line.

2) All students are expected to write the examinations at the scheduled time. Students arriving late for examinations will have only the remaining scheduled time to complete the examination. Failure to take an examination results in a zero (0) for that examination (see UTEP University Catalog, Academic Regulations, Class Attendance: Absence from Examinations). No make-up exams will be given unless the course manager has been contacted prior to class time and there is a valid reason to reschedule. Documentation from a healthcare provider, court documents, etc. is required and must be signed and on official letterhead. Students have the remainder of the exam week to complete a make-up exam subject to the course manager’s availability. Failure to do so will result in a zero (0).

3) Faculty will monitor student devices during the exams. If there is any program open other than the browser utilized to take the exam, then the student will be asked to open that program. If there is anything there that would give the student an unfair advantage on the exam, then the student will earn a 0 and be referred to the Office of Student Conduct.

4) If students have technical issues or questions during testing, please consult a faculty member for assistance.

5) All cell phones, tablets, or other electronic devices that are not in use for the quiz or exam must be turned off during testing or quizzes as many of these devices connect automatically to WiFi and the buzzing sound associated with putting the device in vibrate mode is a distraction to many. Please be considerate to your fellow students.

6) The use of a cell phone as a mobile hot spot is prohibited unless expressly approved by the course manager.

7) All cell phones must be placed on the table or in your backpack in the front during testing and quizzes. Calculators and scratch paper will be provided by course faculty. Students must turn in scratch paper at the end of the exam with their name written on each page.

8) All backpacks and personal items (including electronics) must be brought to the front of the room.

9) Only one attempt is allowed on any exam. The exam will remain open until all students have completed it. This does not mean that you can access the exam again.

10) Any student accessing the exam a subsequent time will receive a 0 and be referred to the Office of Student Conduct.

11) All personal items including books, backpacks, electronic devices (including cell phones) purses and briefcases will be left in the front of the room during exams. Cell phones must be brought to the front of the room and turned off. Jackets, cardigan style sweaters, or any type of hats are not permitted, so dress warmly if necessary. Items at individual desks/chairs are limited to pencils, water, and tissues. Hands are always to be kept on the desk during examinations. Tapping (with pencils or other items) and hand gestures are prohibited during examinations.

12) Time allotted for unit examinations is one (1) hour and 30 minutes. The exams will consist of 65 items.

13) Exams I – III may not be used as study guides for the Final Exam.

14) Time allotted for the final examination is two (2) hours and 45 minutes. The exam will consist of 137 items. The final examination is comprehensive.

15) Examinations are reviewed only once. Examinations will not be reviewed after 8 days.

16) Exams are online in Blackboard and are proctored. Students will be required to bring their own device which allows Blackboard access and use. Google Chrome is the preferred browser for Blackboard, therefore, students are expected to download the most recent version of Google Chrome (available at no charge). There are a limited number of lap tops available for check out from the library.

17) The above standards apply to all students including those that take the exam at other approved locations.

Quizzes

1) Quizzes during the semester are on-line in Course Point +. Quizzes cover objectives, lecture and textbook content. Quizzes are online in Course Point +. Failure to take a quiz will result in a zero (0). No make-up quizzes will be given.

2) Quiz grades are averaged. There will be a total of 10 quizzes.

3) Quizzes during the semester are on-line in Course Point +. Quizzes cover objectives, lecture, and textbook content. Quizzes are online in Course Point +. Failure to take a quiz will result in a zero (0). No make-up quizzes will be given. Below is a breakdown of the points awarded based on Mastery Level achieved on quizzes in Course Point+

|Mastery Level |Points |

|1 (missed quiz, no questions attempted) |0 |

|1 (some questions answered) |10 |

|2 |20 |

|3 |40 |

|4 |60 |

|5 |80 |

|6 |100 (90 when mastery level is set at 7) |

|7 |100 |

Statement on Preparation of Formal Papers:

1) APA Format is used for the Concept Paper. Students may use a variety of available resources to assist with the technical aspects of writing. Students are not to provide other students with their written papers, nor should students ask others for their concept papers. Failure to site references or copy the work of others is plagiarism. Such papers will be sent to the Office of Student conduct and disciplinary action will be taken with the involved student(s). There is a 5-point penalty per day for late papers. Late papers will not be accepted after 7 days from the due date, resulting in a zero (0) for the assignment. Each student is required to submit a completed team participation rubric separately to their clinical instructor by the due date or is subject to a 5-point penalty per day for lateness. The due date for the team participation rubric is the same for the paper.

ATI Proctored Assessments:

1) Level 2 is the UTEP SON Benchmark for passing all Proctored Content Mastery Series

a. Examinations.

2) 2. Pharmacology and Adult Medical Surgical ATI Policy:

a) In addition to the ATI Content Mastery Series for the course 4714: Adult Health Nursing II, students will also take the ATI Pharmacology exam.

b) Students will take both exams, and each will count 10% for a total of 20% of the grade for the course as outlined in the ATI policy. (The standard point allocation is listed in the ATI policy).

c) Students who do not pass the Pharmacology ATI at or above (level 2) will be required to remediate and to submit documentation of this remediation in accordance with Course Manager’s protocol.

a. Additional remediation in the 8th semester will include the Pharmacology Made Easy modules as a "ticket" to take the RN Comprehensive Predictor.

d) Remediation as outlined in the ATI policy, will be required of both exams.

CLINICAL POLICIES

Clinical Group Assignments:

• Assignment to clinical groups/facilities are made randomly and special requests will not be considered.

Attendance:

• Punctual attendance for all clinical activities is required and tardiness and/or absenteeism will not be tolerated.

• The days and times for clinical experiences are clearly posted on the class/clinical schedule and students are expected to be where assigned and to be on time.

• If a student anticipates absence or tardiness for any clinical experience, the clinical instructor or Course Manager must be notified prior to the absence or tardiness and this will only be tolerated for a single occurrence. Makeup for one incidence of tardiness and/or clinical absence will be at the faculty’s discretion if there are extenuating circumstances. In case of illness, a release from a health care provider will be required to return to clinical with documentation that is signed and on an official letterhead.

• Students who are tardy and/or absent from any clinical experience will receive a formal verbal and written counseling relating to this lack of professionalism. A second occurrence of tardiness and/or absence from clinical activities will result in failure of clinical, and thus, failure of the course.

• Required clinical experiences include hospital orientation, clinical orientation, computer orientation as required by the agency, lab demonstrations, practice sessions, simulation hospital days, pre/post conferences and direct patient care. 

Clinical Preparation

Any student who is not adequately prepared for clinical will not be allowed to care for patients if doing so would violate the departmental safe nursing practice policy (see Safe and Effective Nursing Practice Policy). Daily preparation is a major component on the clinical evaluation. Preparation includes:

a. An assessment of the patient's condition and needs based upon a brief bedside observation and chart review the day before the clinical session. Students must present themselves in professional attire including a lab coat with a School of Nursing name tag. Long hair must be restrained. Students should introduce themselves to the staff taking care of the patient and patient with whom they'll be working the next day. Faculty permission is needed to visit the hospital units at other than designated times.

b. The following addresses expectation of infection control, safety, and hygiene applying to classroom and clinical practice settings. Students are expected to be mindful of personal hygiene and cleanliness of clothing and personal baggage. Aseptic techniques should be used when coughing, sneezing, disposing of personal tissues. Students and faculty must be careful to create an image of cleanliness and health, avoiding personal body odors and excessive use of perfumed chemicals. Hair should be clean and neatly kept, skin should be clean and intact. Open wounds with drainage/swelling/ or lacerations should be cleansed/bandaged for the classroom setting; however, “a physician note on official letterhead is needed to be allowed into the skills practice lab or into a clinical rotation” in the nursing program.

c. A written assessment, a nursing care plan, and calculation of all doses and demonstrated knowledge of the nursing implications of all medications prescribed for the patient are expected. Calculations must be checked with faculty or staff nurse before administration of medications to the patient. Nursing care plans and assessments will be turned in weekly for grading.

d. Specifics regarding clinical requirements are outline on the document entitled “Clinical Readiness Checklist”. This can be found in Appendix C of the syllabus and it also posted on Blackboard under course content.

5. Meals:  Students are entitled to 30 minutes per clinical day for a meal and are asked to either bring their meals or take advantage of on-site venues. You CANNOT leave the premises for lunch. If you are seen leaving the hospital, or are caught doing so during clinical time, you will face disciplinary measures and you may be removed from clinical which may result in failure of the course.

6. Tardiness: Students arriving late for clinical may be required to write a complete an alternative assignment (subject at the instructor’s discretion). Students will receive an “Incomplete” until this alternative assignment is completed. This applies to post conference as well.

7. Statement on Pregnancy: It is the responsibility of the student to inform her instructor of a pregnancy. Written guidelines (i.e., lifting limitations) from your health care provider must also be submitted to appropriate clinical faculty on official letterhead.

8. Clinical Clearance: Students are required to have clinical clearances that are valid through the end of the semester. Health clearances should be verified through the Student Health Services. CPR, insurance, background checks, drug screen and community-wide orientation clearances should be verified by the Compliance Office in the Student Support Center. Students will not be eligible for clinical participation until all clearances are verified and will be administratively dropped from the course if these are not submitted by the deadline.

9. HIPAA Statement: “HIPAA (Health Insurance Portability and Accountability Act of 1996) is a mandatory federal law that protects patient health information.  In keeping with HIPAA guidelines, nursing students shall not, under any circumstance; photocopy, fax, or remove from the agency premises, any component of the patient’s medical record.  Failure to comply with HIPAA policies will result in disciplinary action which may include course failure and/or dismissal from the nursing program.  In addition, legal action may be taken against the student.” Under Federal Law, IT IS ILLEGAL to copy any patient records including partial records. Removing the patients’ name is not effective as certain information can be traced back to a particular patient. Students could be prosecuted if you are found to have copies of any part of a patient record.

10. Smartphone use in clinical is restricted to applications needed to research medications, disease states, etc. and communication with your clinical instructor. Picture taking in patient care areas, the use of any form of social media (Facebook, Twitter, Snapchat, etc.), phone calls and texting that is not related to clinical practicum are STRICTLY PROHIBITED.

• The first violation of this policy will result in the student being sent home and an alternative assignment will be given at the clinical instructor’s discretion.

• The second violation of this policy will result in a clinical failure (and thus a course failure) and the student will be referred to the Office of Student Conduct for adjudication.

Skills Validation:

• Evaluation of clinical skills will be done through clinical evaluation tool during clinical and simulation activities.

Dosage Calculation Exams:

• Students are required to take and pass the dosage calculation test given in this course. The test must be passed at 90% PRIOR to the start of clinical. If the test is not passed at 90%, students will have the opportunity to remediate and retest before the clinical rotations start. Students unable to pass the medication administration and calculation test after three attempts will be required to drop the course based on ineligibility for clinical participation

Clinical Simulation Learning

• Simulation teaching/learning is a mandatory component of upper division clinical courses. SIMULATION IS CLINICAL and it is the expectation that all students will approach the simulation experience with professionalism and a positive attitude. In keeping with best practice strategies for teaching and learning, students may be videotaped in the simulation lab. Instructors, team members and individuals will have access to these tapes for the purpose of critiquing and improving the clinical performance of students. These tapes will be erased when students have completed all requirements of the BSN program. All students need to be aware of and willing to participate in this process. In addition, successful completion of Assignments, Quizzes and Performance Evaluations in the Simulation Learning Center are required to obtain a passing clinical grade in this course. Satisfactory achievement of simulation and course related objectives is required to achieve a passing clinical grade in this course. Facilitators are available in the Simulation Lab for additional help as needed.

Skills Teaching and Testing

• Students are required to complete 3 hours of open lab PRIOR to skills testing.

• Open lab hours must be completed AFTER skills teaching to ensure that students have been taught the skill in accordance with the proper skill procedures

• Students who complete open lab hours prior to skills teaching will have to repeat the open lab hours

• Documentation of open lab hours must be completed in accordance with the Center for Simulation’s procedures.

• Students must enter their FULL NAME (no initials) to receive credit for open lab hours.

• Students not completing open lab hours will receive a maximum of 75 points for skills testing (5% of clinical grade).

• Students will be tested on one skill only which is selected randomly.

• Students can miss or perform incorrectly only 2 of the performance criteria in order to successfully complete the skills testing.

• In the event that 3 or more performance criteria are missed or performed incorrectly, the student has unsuccessfully completed the skills testing and the student must practice the skill in open lab and re-test in the afternoon.

• Students who has unsuccessfully completed the skills testing on the 1st attempt will receive a maximum of 75 points for skills testing (5% of clinical grade).

• Students who are not able to successfully complete skills testing on the 2nd attempt will be assigned a zero (0) for skills testing.

• Skills testing is scheduled for the entire day and students are expected to be available for the entire day.

STUDENT RESOURCES:

• Instructors: Conferences with the faculty may be scheduled as needed at the discretion of the student and/or individual faculty member. If a student desires a conference, he/she may see the instructor during the instructor’s posted office hours or by appointment.

• Simulation Laboratory: (747-8204) Simulation Laboratory personnel are available to assist students with skill performance. Students who have difficulty with particular skills in the clinical area may be asked to return to the simulation lab for additional practice and check-off.

• Student Health Center (747-5624) The Student Health Center documents immunization and other student data required for clearance to participate in nursing clinical practicum. Assistance with stress management and other health concerns is available.

• Tutorial Services: The Tutoring and Learning Center is located in the UTEP Library, 3rd floor (747-5366). Free services are available including peer tutoring and individualized assistance. See your instructor or course coordinator for times and places of specific course tutoring.

*Syllabus is subject to change, students will be notified as soon as the modification has occurred.

The University of Texas at El Paso-School of Nursing-Undergraduate Program

Policy for Student Injury in the Clinical Setting

The following policy will apply to students injured while currently registered in the nursing program and participating in School of Nursing (SON) related courses. Injuries/incidents include but are not limited to needle sticks, exposure to communicable diseases and physical injuries from falls.

1. The School of Nursing is at no time responsible for student health care costs. Students will maintain responsibility for their own health care insurance and/or costs related to health care treatment, whether the injury occurred on/off UTEP campus or in the clinical setting.

2. Students who incur injuries and/or exposures at a clinical facility must comply with that facility’s policy and procedure pertinent to the injury/exposure sustained. This includes completing all required documentation and reporting to the facility Risk Management Office.

3. Life Threatening Emergency treatments will be implemented at the clinical facility if emergency treatment is available. If emergency treatment is not available on site, 911 will be activated.

4. If the clinical facility does not provide care indicated for the injury/incident or it is a non-emergent type situation, the student may select a health care provider of his/her choice for treatment. Students may be evaluated at the UTEP Student Health Center for non-emergency care.

5. The student will be responsible for completing and signing the Incident Report and submitting it to faculty. Faculty will assure completeness of the report and sign it. Faculty will then send the original to the office of SON Assistant Dean for Student Affairs for placement in student’s file, and notify the SON Dean about the incident.

6. Students may refuse treatment. Signed documentation of refusal (student will fill in student information at top of form and draw a line through assessment with the words refused) will be maintained in the student’s file in the office of SON Assistant Dean for Student Affairs.

7. Students will be required to submit to course manager a physician’s statement or statement from the Student Health Center indicating;

a. Clearance to continue clinical experience,

b. Resolution of the injury or plan of follow-up as warranted. This statement will be placed in student’s record at the office of SON Assistant Dean for Student Affairs.

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Appendix B

The University of Texas at El Paso-School of Nursing-Undergraduate Program

Students Opting for Success (SOS) form

Name: _________________________________ID: _____________________ Date: _______________

Course: ______________________________ Faculty: _______________________________________

Remediation/Counseling initiated by: _____________________________ for ___didactic ___lab ___clinical ______ mentorship

|Faculty description of identified need: |

| |

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|Student description of identified need: |

| |

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| |

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Student Profile:

A. Schedule an appointment with _______________________________ on or before _______________ Course Manager/Instructor Date

B. Prior to the appointment with the Course Manager/Instructor, please respond to the following questions:

1. Are you currently employed? [ ] Yes [ ] No If so, how many hours per week? _______

2. Are you currently in a study group? [ ] Yes [ ] No If so, how many hours per week?____

3. How many hours per week do you study by yourself? ___________

4. Describe how you prepared for ______________________ (area of difficulty):

5. What adjustments do you think you need in order to be successful in this course?

Didactic remediation activities:

|REQ |REC |Activity |Due Date |

| | |Attend _____ Academic Coaching sessions for course_________________ | |

| | |Attend exam reviews | |

| | |Attend study sessions/Join a study group | |

| | |Complete ________ online/ATI tutorials | |

| | |Complete Academic Coaching Videos/Tutorials | |

| | |Attend test taking strategies at UTEP Testing Center | |

| | |Referral to the Center for Academic Support Services | |

| | |Referral to the UTEP Student Counseling Center | |

| | |Attend all lectures | |

| | |Other: | |

Simulation/Skills Remediation Activities:

|REQ |REC |Activity |Due Date |

| | |Complete _______ hours of open lab to remediate on __________________ skills | |

| | |Attend Academic Coaching for dosage calculation remediation | |

| | |Complete ATI tutorials on Critical Thinking strategies | |

| | |Complete ATI tutorials on Prioritization | |

| | |Complete ATI tutorials on communication | |

| | |Other: | |

Clinical Site Remediation/Counseling Activities:

|REQ |Sent Home |Clinical Failure|Activity |Date of Occurrence |

| | | |Counseled on Tardiness: Student was ___________(min/hrs) late to clinical | |

| | | |____________________________(date) | |

| | | |Counseled on Absenteeism. Required to attend open lab, make up clinical, or clinical failure. | |

| | | |Counseled for lack of clinical preparation. Student to come to Clinical with all assigned paperwork, | |

| | | |effective __________________ | |

| | | |Counseled for unsafe clinical practice (specify): | |

| | | |Counseled for noncompliance with dress code (specify): | |

| | | | | |

| | | | | |

| | | |Student to uphold dress code. | |

| | | |Counseled for violating client confidentiality (HIPAA) (specify). | |

| | | |Counseled for not communicating honestly with faculty/staff (specify). | |

| | | |Counseled for not following faculty instructions (specify): | |

| | | |Other: | |

|Faculty Comments |Student Comments |

| | |

| | |

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| | |

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| | |

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| | |

Signature/Date: _______________________________________________________________________

Signature/Date: _______________________________________________________________________

Signature/Date: _______________________________________________________________________

Signature/Date: _______________________________________________________________________

Appendix C

Clinical Readiness Checklist

This checklist is designed to assist you in preparing for your clinical experience and also to serve as a reminder of what to bring to clinical every day.

The day before clinical:

• Print the “Clinical Patient Assignment Documentation Packet” posted in the course content section and under the folder named “Clinical Weekly Paperwork” of Blackboard and the document entitled “Clinical Patient Selection”

o Go to your assigned clinical site to select your patient

▪ You do not need to go the day before if you are assigned to the ED or Cath Lab

o Fill out the all sections of this form except the nurses notes and reflection sections

o SMC ONLY: On the document entitled “Clinical Patient Selection”, write the patient’s initials, room number, and your name. Give this completed form to the charge nurse.

o The Evening Before Clinical:

▪ Research the patient’s condition making note of the patient’s current status including VS, lab results and/or the significance of the results of pertinent diagnostic studies (x-rays, CT scans, surgeries, procedures, etc.)

▪ Complete the medication list and include the recommended dosage range for the patient. Medications may not be administered if this form is not completed in its entirety. This is due on the first day of clinical.

On Clinical Days:

• Print the following documents and bring with you:

o Nursing Assessment

o Clinical Evaluation (BRING EVERY DAY)

o Nursing 4714 Skills Checklist

▪ This document must be brought EVERY DAY of clinical

▪ Keep up to date by having faculty or staff sign you off on the skills AS THEY OCCUR. Do not wait until the end as if will be extremely difficult (if not impossible) to have the form completed.

• The night after your first clinical day, you will then formulate your plan of care utilizing the document entitled “Nursing Care Plan”.

o Only print out the pages that are pertinent to your patient

o You are required to have 4 nursing diagnoses: The top 3 and one other (psychosocial, etc.)

o It is recommended that utilize the “Care Plan Rubric” as a guide as it contains the criteria by which your paperwork will be graded.

o Each care plan is due on Thursday during clinical.

Appendix D

CRITERIA FOR NURSING CARE PLAN

OBJECTIVE: Relate class content to a selected patient by utilizing the nursing process as it applies to a given clinical situation. Assessment, medical diagnosis, and nursing diagnosis should be included.

Grading Criteria:

1. ASSESSMENT . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . …. . … . . . … 4 pts___________

The “Critical Care Nursing Assessment”, “Health History , “Medication List” and “Supporting Diagnostic Studies” forms are completed accurately thoroughly.

2. NURSING DIAGNOSIS . . . . . . . . … . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . .4 pts___________

a. Under the nursing diagnosis. List subjective and objective data, treatments, medications, and medical history data related to the nursing diagnosis.

b. Number the nursing diagnosis according to priority.

3. GOALS/EXPECTED OUTCOMES. . . . . . . . . . . ……………………………….….. . 4 pts____________

Written expected outcomes must be appropriate, realistic, measurable, patient specific, and be achievable within the two-day clinical experience.

4. INTERVENTIONS . . . . . . . . . . . . . . . . . . . . . . …………………………… . . . . . . . . 4 pts____________

List actual interventions (with rationale) done by the student for each day (medications, procedures, collaborations, teaching, etc).

5. EVALUATION ………………………………………….…………………………….. 4 pts____________

At the end of the second day of clinical or the day the patient is transferred or discharged, complete the evaluation. Include recommended changes for any unmet goals. Turn it in for a final grade.

Your Grade_______________________

Total Possible Points: 20

Appendix F

CRITERIA FOR CONCEPT PAPER

OBJECTIVE: Relate class content, altered tissue perfusion, to a selected patient by discussing the pathophysiology of the concepts and the nursing process as it applies to a given clinical situation. Patient selection should be based upon each student’s NURS 4614 clinical experiences and approved by the faculty. Grading criteria:

1. Discussion of Concepts . . . . . . . . . . ………… . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 points _________________

a. Identify and discuss in depth the concept of Impaired Gas Exchange or Altered Tissue Perfusion. – 10 pts__________________

b. Relate the concept to major pathophysiology occurring in the selected patient. - 10 pts__________________

2. Individualize and Integrate Discussion of Nursing Process with Concepts and Pathophysiology . . 45 points __________

a. Integrate patient's clinical status. – 10 pts______________________

b. Incorporate three (3) priority nursing diagnosis. – 10 pts_______________

c. State patient’s goal with measurable and objective expected outcomes. – 10 pts__________________

d. Integrate individualized nursing independent and collaborative interventions aimed at assisting the patient to achieve identified goals/outcomes. – 10 pts____________________

e. Evaluate and recommend changes for any unmet goals/outcomes. – 5 pts_____________

3. Discussion of Psychosocial Concepts: . . . . . . . . . . . ………………. . . . .. . . . . .. 10 points ___________________

a. Describe the psychosocial, growth and development, spirituality, and teaching readiness that the patient, family, or significant others exhibited.

5 pts__________________

b. Describe the effects of pathological processes, therapies, nursing interventions and influence of significant others on recovery/outcome and discharge planning. – 5 pts________________

4. Discussion of a National Practice Guideline …………………………………..… 5 points_______________

Select one clinical practice guideline from: The guideline must relate to your patient. Select three aspects of the guideline to discuss. Compare and contrast the guideline with actual care received by your patient (differences and similarities). Investigate whether there is an existing written policy that addresses each aspect of care. If a policy does not exist, what determines how care is provided (nurse/physician preference, tradition, etc). Students must clear the guideline with their clinical instructor prior to writing the paper. Supply a copy of the guideline with your paper.

5. Team participation…………………………………………………………………………….10 points______________

6. Format of Paper: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ……... . . . . . . . . . 10 points_______________

a. Type paper in APA format. – 2 pts_____________

b. Include title page, abstract, introduction, body, summary and references. – 1 pts__________

c. Limit introduction, body and summary of the paper to 8-12 double-spaced pages. – 1 pt__________

d. Use documentation from primary sources (includes nursing journal articles). Paper should include a minimum of 10 references. Five (5) references must be from current periodicals (< 5 years old) and at least one (1) from on-line electronic resource (must include a web site that concludes with .org, or .gov) – 2 pts___________

e. Utilize correct grammar, spelling, and sentence structure; proofread before submitting paper. – 4 pts_________

Total points = 100

Your Grade____________________________

Appendix G

Team Participation Rubric

Course: N-4714 Student Evaluator:________________________Clinical Instructor: _______________________

Use the following rubric to score yourself and each of your team members on the Team Concept Paper

A = 32 to 40 (10 points) B = 24 to 31(8 points) C = 16 to 23(6 points) D = 8 to15 (4 points) F = 0 to 7 (0 points)

| |5 = Outstanding |3 = Very Good | 1 = Very Poor |SCORE |

|COMPONENTS |4 = Excellent |2 = Good |0 = Unacceptable |(List each team member, including yourself) |

|ACCOUNTABILITY |Always completes assigned work |Usually completes assigned work at |Seldom completes and assigned work|1. |

|Meets Team Deadlines |prior to or at the appointed |the appointed deadline |at the appointed deadline | |

| |deadline | | | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

|RESPONSIBILITY |Always accepts appointed tasks and |Usually accepts appointed tasks and|Seldom accepts appointed tasks and|1. |

|Assumes Appointed |volunteers for additional share of |responsibilities. |responsibilities. | |

|Tasks/Responsibilities |tasks/responsibilities. | | | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

|COMMITMENT |Always develops high quality work |Usually develops high quality work |Seldom develops high quality work |1. |

|Produces High Quality Work |with no revisions required. |with minimal revisions required. |with multiple revisions required. | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

|COLLABORATION |Always works well with others and |Usually works well with others and |Seldom works well with others and |1. |

|Acknowledges Others and Provides |always provides constructive |usually provides constructive |seldom provides constructive | |

|Constructive Feedback |feedback. |feedback. |feedback. | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

|COOPERATION |Always respectful of others and |Usually respectful of others and |Seldom respectful of others and |1. |

|Respects Individual Differences |always effectively negotiates a |usually able to effectively |seldom effectively negotiates a | |

|and Seeks Effective Compromise |compromise. |negotiate a compromise. |compromise. | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

|COMMUNICATION |Always available for group meetings|Usually available for group |Seldom available for group |1. |

|Makes Time to Meet with Team |and keeps in close contact with |meetings and usually keeps in close|meetings and seldom keeps in close| |

|Members |others. |contact with others. |contact with others. | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

| | | | | |

|PARTICIPATION | | | | |

|Active Participant in Team |Always actively participates in all|Usually participates in all team |Seldom participates in all team |1. |

|Activities |team activities. |activities. |activities. | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

|LEADERSHIP |Always willing to take the |Usually willing to take the |Seldom willing to take the |1. |

|Provides Leadership and Team |leadership role when appropriate |leadership role when appropriate |leadership role and seldom | |

|Support |and always provides team support. |and usually provides team support. |provides team support. | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

| | | | |1. |

|TOTAL SCORE | | | | |

| | | | |2. |

| | | | |3. |

| | | | |4. |

Scores will be converted to points by your clinical instructor.

|COMMENTS: |

| |

| |

| |

| |

| |

| |

| |

| |

-----------------------

Grading scale:

90-100 = A 80–89 = B 75–79 = C 60–74 = D < 60 = F

75%

Weighted

25%

Weighted

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