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The University of Texas at El Paso School of Nursing

Summer 2017

COURSE NUMBER AND TITLE: NURS 3608: Family Developmental Stressors

COURSE DESCRIPTION: This course will focus on the normal developmental stressors and commonly experienced difficulties that occur and the illness, injury, or mental health alterations throughout the family life cycle that occur during the family life span.

Course Overview: N-3608 involves the application of the nursing process to assess the health needs, as well as planning and implementing care of families across the life span. Nursing care focuses on alleviating or modifying stressors, facilitating adaptive behaviors, and promoting or maintaining health. Clinical practicum is provided in areas in Maternal-Child in-patient settings. N-3608 is designed to expand the student’s knowledge and experience in preparation for a career in nursing.

Course Prerequisites: NURS-2303 and NURS-3604 with a minimum grade of a “C.”

Credit Allocation: 6 Credit hours (3-9-0)

Course Manager Telephone E-Mail

Jennifer Ware MSN, RN, CLNC (915) 747-6353 jjware@utep.edu

(915) 491-9333

Ms. Ware’s Office Hours

School of Nursing #346 Monday 1245-1430 *Or by confirmed appointment

Tuesday 1245-1430

Clinical Instructors Telephone Email

Jennifer Ware MSN RN CLNC (915) 747-6353 jjware@utep.edu

Course Manager (915) 491-9333

Mary Leon MSN, RN (915) 503-9718 mleon@utep.edu

Clinical Instructor

Margaret Garcia-Elliott MSN,RN,

MBA-HCM (915) 494-4308 magarciaelliot@utep.edu

Brandy Natividad MSN RN (915) 274-1476 bcrodriguez@utep.edu

Portia Reeves MSN RN (915) 328-7976 preeves@utep.edu

TEXTBOOKS:

REQUIRED TEXT: Maternal Child Nursing Care, 5th Edition by Perry, Hockenberry, Lowdermilk, & Wilson ISBN: 9780323096102

Strongly Recommended: STUDY GUIDE: Maternal Child Nursing Care, 5th Edition by Perry, Hockenberry, Lowdermilk, & Wilson

ISBN: 9780323096072

Recommended:

American Psychological Association. (2009) Publication Manual of the American Psychological Association (6th ed.). Washington, DC: APA

*Students are expected to have a current Laboratory Test and Diagnostic Procedure Manual, Nursing Diagnosis Book, and a current Nurse’s Drug Guide or Smart Phone or Tablet with these applications. Students are also encouraged to access textbooks used from previous semesters as well as those from concurrent courses. It is also a good idea to have the current textbook for NRSG 3609 as well and the accompanying workbook for this course.

COURSE OBJECTIVES:

1. Describe family structural/cultural variations.

2. Relate current research to family functioning.

3. Apply knowledge of normal growth, development and the family life cycle in assessing families.

4. Identify common stressors in families relating to affective support, roles/responsibilities and communication patterns.

5. Plan, implement and evaluate family oriented interventions to facilitate coping with illness, injury or mental health alterations commonly experienced at various stages of the life cycle.

6. Apply knowledge of normal pre-natal, intra-partum and postpartum expectations in the planning, implementation and evaluation of interventions and outcomes for childbearing families.

7. Apply knowledge of chronic/acute stressors in planning, implementation, and evaluation of interventions and outcomes for the child/childrearing families.

CLINICAL OBJECTIVES:

1. Improve the level of skill performance for those skills learned in NURS 3303 and NURS 3604.

2. Demonstrate a comprehensive understanding and the appropriate nursing care and/or interventions associated with medications administered during the course, including action, safe dose, side effects, and contraindications.

3. Communicate effectively with patients, family, and agency staff, as well as with peers and UTEP College of Health Sciences staff.

4. Observe and practice the principles of safety for self and when caring for patients and families.

5. Utilize the nursing process to prioritize, plan, and provide care reflecting the individual patient and family needs.

6. Demonstrate ability to formulate goals and a plan of care in collaboration with patients, families, and other health care professionals.

7. Document the etiology of problems experienced by the patient and family, utilizing rationale to explain nursing interventions delivered to patients across the life span, including possible related complications.

8. Demonstrate critical thinking in determining nursing diagnoses, possible complications, planning, implementing, and

evaluating nursing care.

9. Demonstrate professional behavior and a commitment to life-long learning.

COMMUNICATION

Faculty members will use a variety of ways to communicate with students. E-mail and Blackboard will be the primary sources of communication. Texting and Group Texting may be used in the clinical setting. Please contact your individual clinical instructor with questions or concerns regarding sharing information via text. Students are expected to share a valid phone number for quick communication for clinical days.

TEACHING METHODOLOGIES: Lecture, group activities, exams, quizzes, case scenario review and evaluation, supervised lab and clinical experience. Group work is assigned and expected that all group members participated equally. The clinical component will consist of direct patient care under the supervision of the clinical instructor within the hospital setting as well as instructional simulation lab.

GRADING POLICY

Rigorous study is required to succeed in the Nursing Program. Multiple hours of preparation are required beyond the classroom periods and clinical experiences. It is expected that students read assigned chapters prior to attending and be prepared to engage in group/classroom activities. Students must be willing to accept this as a condition of succeeding in the program. Students are expected to individually write their own papers and may not use formal papers written from previous classes or by others who have taken this course in the past. Students repeating this course are not allowed to submit any assignments from the previous course; this includes Discharge Teaching Project, Pediatric Perioperative Formal Paper, Clinical Assignments or ATI practice exams or remediation. Students are expected to follow the grading criteria and/or rubric when completing assignments.

A nursing student must meet or exceed the stated minimum requirements in order to pass this course. Cheating in any form will not be tolerated in this class, in theory, clinical or simulation lab.

Didactic Component:

1. Students must maintain a minimum average of 75% on exams, quizzes, and course assignments. This constitutes the didactic component of the course. Any students achieving less than a minimum average of 75.0% in the didactic component will fail the entire course. There is no rounding of grades and faculty will drop fractional points.

2. Any additional assignment grades are factored into the overall course final grade only when the student has passed the course’s didactic component.

Clinical Competency:

In addition to meeting the previously stated requirements, the following also applies to the clinical or lab component:

1. Clinical or lab related assignments must meet the minimum average of 75.0%. These assignment grades are factored into the overall final course grade, only when the student has passed the course didactic component.

2. Therefore, it is imperative that all students engage in rigorous study habits while participating in the didactic, clinical, or lab course components, to avoid a complete course failure. Although a rare occurrence, a student may fail the entire course despite passing the didactic component.

3. A student’s clinical grade will also include a series of written assignments. Each clinical instructor will utilize a grading rubric. For example, one assignment will entail a written scholarly paper worth 4% of a student’s clinical grade. This written assignment’s due date is noted in the course calendar. A 5-point deduction will occur for each day that the written assignment is late. Instructors will not accept any written assignment after 5:00pm on the 5th day past due. A grade of zero will be given for that assignment.

Each clinical week will entail a series of clinical assignments based upon each student’s patient experience. Students will submit their weekly clinical assignments at the end of their second clinical day for the week. Instructors will not accept any past due clinical assignments after 1700 hours the following day. Instructors will deduct 5-points from past due assignments. Students will turn in past due assignments in a HARD COPY format to their respective clinical instructors at a designated location. Instructors will not accept scanned / email submitted past due assignments.

Assessment Technologies Institute (ATI) Standardized Exams

1. Students must take both ATI standardized exams associated with this course. Each ATI exam is scored using proficiency “Levels.” Achieving a “Level – 2” or above meets the School of Nursing ATI exam passing standard. For this specific course, (NURS 3608), each ATI exam will count 5% of Exam 6 for a total of 10%. Refer to the grading schema provided on Page 5 of this syllabus. Each ATI Exam is administered ONCE. Below Level 1 will be scored a 64, a Level 1 will be scored a 70, Level 2 will be scored an 88 & Level 3 as a 100.

2. Although it is encouraged for all students to remediate areas of deficiency, students who do not achieve a Level 2 will complete an assigned remediation exercise, adhering to specific instructions and deadlines. Any student failing to complete this assignment will receive an “I” Incomplete Grade for the course, regardless of didactic and clinical grade.

3. All students will complete assignments and practice exams prior to the proctored exam. Dates will be provided throughout the course. Pay attention to the course announcements. Refer to the ATI policy posted on Blackboard. Remediation policy and instructions are available in Blackboard.

4. The ATI exams are taken electronically and in the proctored classroom. Each student is expected to bring a functioning computer in which the student can take an electronic exam. It is expected that the student will check out a computer from the UTEP library if the student cannot bring in a personal computer. The ATI rules and regulations should be reviewed by each student regarding taking an electronic exam at . It is very important that each student bring a power cord to plug into the desk outlet. PLEASE do not use a cellphone in order to connect to a personal “hotspot”. The use of cell phones or “smart” technology such as watches in any form are NOT allowed

Clinical Performance is evaluated on a **Pass / Fail basis…..as outlined within the clinical evaluation.

Clinical Passing Criteria

Students will completely familiarize themselves with the clinical performance criteria listed below. A student’s failure to comply with ANY one of the listed clinical performance elements will constitute a failure of the clinical course component. Failure of the clinical component results with a student’s failure of the entire course.

All students will:

1) Attend all SIM Lab and Hospital Clinical Sessions and stay the entire time

2) Arrive—on time—at all clinical events, on the assigned dates, and locations.

3) Arrive both physically and mentally prepared. This includes bringing all necessary equipment, such as

stethoscope, penlight, clinical forms, drug book, textbooks, prep work sheets etc.

4) Fully participate in all SIM Lab assignments, and acquire satisfactory skills that will facilitate

competent hospital clinical performance. Participate in group work as assigned.

5) Complete a skills list and have the appropriate nursing signatures attached.

6) Achieve a satisfactory competency level in every area of hospital clinical performance, as

stipulated in the Clinical Evaluation Form.

7) Thoroughly complete and submit all clinical paperwork and written assignments on the prescribed deadline.

GRADING SCALE

90-100 = A 80-89 = B

75-79 = C 60-74 = D < 60 = F

GRADE CALCULATION Didactic 80% of grade Clinical 20% of the final grade

NOTE: Students must pass the didactic portion of the class with a 75% grade average before the clinical grade is averaged in for the final grade.

Didactic 80% NBN/PP Teaching Project 5%

Perioperative Formal Paper 5%

Exam 1 10% Simulation Lab Activities/Quizzes 2 %

Exam 2 10% Weekly Care Plans 3 %

Exam 3 10% Formal Nursing Care Plans 5%

Exam 4 10% 20%

Exam 5 10%

ATI (OB) 5%

ATI (Peds) 5%

Final Exam 20%

80% Clinical Performance/ Clinical Evaluation PASS / FAIL

Medication Administration / Dosage Calculation Exam: PASS / FAIL

Students are required to take and pass the medication administration and calculation exam that is administered at the beginning of this course. Students must score a 90% PRIOR to the beginning of clinical sessions. Any student failing to score 90%, will have the opportunity to remediate and retest twice before clinical rotations begin. Any student who fails to score 90% after 3-exam attempts, is considered ineligible for clinical participation, and must drop the course. Medication Exam scores are not factored in the didactic percentage

COURSE POLICIES

Please review all Academic Regulations in the UTEP Undergraduate Studies Catalog and the College of Nursing and Health Sciences Department of Nursing Undergraduate Nursing Student Handbook for the following policies:

Statement on Disability, Student Injury, Class Attendance, Religious Observances, Clinical Clearances, Academic Honesty, and Policy on Academic Integrity.

Civility Statement

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.

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:

1. Demeaning, belittling or harassing others

2. Rumoring, gossiping about or damaging a classmate/professors reputation

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

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

5. Sending emails that are inflammatory in nature

6. Speaking with a condescending tone

7. Yelling or screaming at instructors, peers, or clinical staff

8. Habitually arriving late to class

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

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

11. Overruling decisions without direct discussion and rationale

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

13. Displays of temper tantrums

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

15. Rudeness that ultimately escalates into threatened or actual violence

16. Electronic harassment via email, Facebook, texting, or any other electronic media or devices, Refer to the Social Media Policy posted In Blackboard.

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

ATTENDANCE

Students are required to attend all classes and arrive on time. If a student is late and disrupts the class, they will be asked to leave. If a student does not come to class for any reason, it is their responsibility to obtain and review class lectures, announcements, or other information. Instructors will not administer “make up” quizzes. If there are extenuating circumstances regarding an absence from class, clinical, or simulation lab sessions, students will notify instructors prior to the affected session(s). Students will not assume that when simply contacting an instructor, he or she will automatically receive an excused absence. The course manager and affected instructor will determine what becomes an excused or unexcused absence.

TARDINESS

Punctuality is the standard for all classroom, clinical, and simulation lab events. Instructors will not tolerate tardiness. Instructors will post classroom, clinical, and simulation lab sessions on the designated calendar. Students are expected to arrive at all assigned instructional sessions on time.

 

If a student anticipates absence or tardiness for any clinical experience, the clinical instructor must be notified FIRST, prior to the absence or tardiness, this will only be tolerated once. Makeup for one incidence of tardiness and/or clinical absence will be at the faculty’s discretion if there are extenuating circumstances. A verbal warning with counseling related to professionalism will be given. A second occurrence will result in clinical failure, and thus, failure in the course regardless of didactic grade. In case of illness, a release from a health care provider will be required to return to clinical.

 

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

 

POLICY ON SCHOLASTIC HONESTY / DISHONESTY

Students are expected to be above reproach in all school activities. Students who engage in scholastic dishonesty will become subjected to disciplinary processes and penalties, including the possibility of course failure and program dismissal. “Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and the submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, 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. Refer to the Office of Student Conduct & Conflict Resolution for more information.

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. Any behavior deemed inappropriate by clinical faculty or preceptors will result in faculty conferences, and completion of a S.O.S. sheet that addresses students’ area of needed Improvement. Possible activities to improve behavior may be stress or anger management counseling. Inappropriate behavior may result in removal from the clinical or classroom setting, and/or an administrative withdrawal from the course and/or dismissal from the program.

DRESS CODE

Students are expected to wear modest and business casual clothing with a lab coat when selecting patients for clinical at assigned hospitals. The wearing of modest jewelry/make-up/nails as well as long hair off the collar is expected in the clinical /community site while wearing the UTEP SoN uniform. No high heels, denim blue jeans material, any type of jeans, shorts, flip flops, sandals, spaghetti strapped blouses, halter tops, tight sports pants are allowed for hospital personnel caring for patients. The same standard holds true for UTEP students who are student/guests in these El Paso hospital and community facilities. UTEP students need to exemplify respect and professional standards when representing UTEP SoN. Students additionally are expected to use good judgement and taste in selecting clothing when attending class. Modest clothing is appropriate in a large classroom, as to not distract others and draw attention to one’s self. Revealing and tight clothing is a distraction in the classroom. Wearing of the UTEP specific uniform in the clinical setting, even when visiting community sites or attending Simulation Lab is mandatory and is addressed in detail in the UTEP SoN Handbook.

It is also expected that students 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 and followed up with a physician before student is allowed back in the classroom. Personal hygiene is part of being a respectful health care professional

LAPTOPS AND ELECTRONIC MEDIA

The use of computers and computer “mini-pad” devices is limited to course related and note taking activities. Student engaging in inappropriate activities such as checking e-mails, reviewing photos on phone, surfing the net and accessing Facebook, will forfeit their computer privileges.

CELL / SMART-PHONES/Smart Technology

Students will silence (not vibrate) all phones BEFORE class begins. Students will not receive incoming nor initiate outgoing calls. In the event of an emergency, calls may be received / made outside of the classroom. Texting is NEVER allowed during any instructional events. Instructors will dismiss (from any affected instructional event) any student who violates cell or smart-phone policy. Students attempting to use or observed using a cell or smartphone/ smartwatch, during any quiz or exam, will receive a 0% grade for the affected quiz or exam. Students will not be allowed to carry their phone in their pocket during quizzes & exams. Students are not allowed to use the camera on the smart phone/watch during the classroom, unless deemed appropriate and permission given by the instructor. No photography of exams, quizzes or written materials is allowed. No videotaping or recording of any type (audio or video) is allowed of the lecture or simulation lab, as well as in any clinical/community site.

BLACKBOARD ACCESS

Students are required to SUBSCRIBE TO AND ACCESS THE COURSE on Blackboard. This site is the main source of communication between faculty and students. Students are expected to access this site on a daily basis, checking Blackboard for updates in the morning and evening. The course syllabus, calendar, outline of scheduled lectures with objectives and assigned readings, and clinical assignment criteria are posted on this site. Test grades and final course grades will be available only through this site. The instructors will communicate via email within Blackboard or via UTEP email. Students will ensure that they have continued Internet access throughout the semester. Should any student encounter any home based Internet service interruption, they are expected to utilize an alternate internet source, such as the UTEP Library or the HELP DESK.

EXAMINATION POLICIES

Examinations are scheduled during the semester (see Calendar).  The questions are from class objectives, lecture material, slides and are based primarily on clinical situations.  All students are expected to take the examinations at the scheduled time.  Students arriving late for examinations will only have the REMAINING scheduled time to complete the examination.  Failure to take an examination results in a 0% for that examination (see UTEP University Catalog, Academic Regulations, and Class Attendance: Absence from Examinations).  Instructor will not provide a make-up exam, unless the course manager has been contacted prior to class time and there is a valid reason to reschedule.  A phone call message on UTEP phone # AND a formal e-mail is required to track this request.

Exams will be on Scantron with #2 Pencils. When time is called at the end of an exam, students must put pencils down. If you are writing on a test or bubbling in answers after time is called, your test will be taken away and you will only receive credit for bubbled in answers on the scantron; this includes drug calculations. PLEASE make sure you have filled in your name and 800 number before you start the test.

The ATI exams will be given pencil and paper OR electronic format. If given in electronic format, the student is required to bring to class a functional computer that is exam ready (Silverlight) and a power cord. Computers may be checked out from the UTEP Library with advanced notice.

ALL handbags, purses, backpacks, jackets, cell phones (off), etc. will be placed in the instructor-designated area during an exam. Nothing may be taken to the testing area except for pencils and erasers. No hats, hoods, caps, jackets, headscarves will be worn during exams. Cell phones are not allowed in the testing area. Students are not allowed to take their cell phones in a pocket or sit on the desk during the exam. Food is not allowed in the examination room, except for hard candy that the instructor may provide. Water is allowed in a clear container, if it has a screw top lid.

EXAM REVIEWS

Reviews will occur within ONE week of each exam. A group review will be held in the classroom. Individual review is restricted to those students who fail to pass any respective exam with a score of 75%. Reviews after this time are at the discretion of the course manager & must be for a valid reason. Appointments for individual review must be made with the instructor in a timely manner.

QUIZZES

Quizzes cover objectives and lecture content. 

A. Students arriving late for a quiz will have only the remaining scheduled time to complete the quiz.  A quiz may be administered at each didactic/lecture day at any time, or online, covering the material for the assigned lectures for Pediatrics and OB.

B. Failure to take a quiz will result in a zero (0% score).  NO MAKE-UP quizzes will be given.  Students who contact the course manager prior to class time and have a valid reason for missing a quiz will also receive a zero (0%). 

C. All individual quiz grades are averaged and count as part of the didactic percentage.

D. Some quiz grades may reflect in class participation.

RETENTION: Students Opting for Success (SOS)

Review of exams for those students who do not achieve a 75% are required as part of the SOS process. Academic referrals (SOS) are given after exam reviews when students are having difficulty in the course. Students, not complying with these referral strategies, will not be given a faculty recommendation for course repeat, should they not be successful.

CHAIN OF COMMAND & COMMUNICATION

Communication is the responsibility of students and faculty. The faculty will keep students informed of progress in both theory and clinical instruction. Students will inform faculty of any perceived deterrent to their success. Students with questions or concerns should first go to the appropriate faculty member & if necessary meet with the course manager.

GRADE CHALLENGE

A student may challenge his/her grade as determined by a member of the faculty of the University during or within one year after the end of any credit course, qualifying or comprehensive examination, for which the student has been enrolled. A challenge to a grade 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. Students must attempt to resolve issues relating to grades by following the proper chain of command:

First contact the faculty member or Course Manager who issued the grade

Second, contact the Assistant Dean for Undergraduate Education

Third, schedule a meeting with the Dean of School of Nursing

Formal grievances MUST be in WRITING and filed through the faculty member, the SON Assistant Dean for Undergraduate Education and the Dean of the SON. Having failed to resolve the matter, after consultation with the above persons, the student may consult with and/or file a challenge with the Chairperson of the University Student Welfare and Grievance Committee.

**Faculty recognize that it is impossible to cover everything about the course in the syllabus and reserve the right to evaluate and correct any elements of behavior and/or performance in both class and clinical when perceived as necessary.

Disability

If you have a disability and need classroom accommodations, please contact The Center for Accommodations and Support Services (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.  Accommodations for proctored course exams are the responsibility of the Student.

CLINICAL POLICIES

CLEARANCE

Before clinical orientation, students are required to obtain clinical clearances that are valid through the end of the semester. Health clearances should be completed through “Verified Credentials”. CPR, insurance, background checks, drug screening and city-wide orientation clearances should be verified by the CHS Compliance Office. It is every student’s responsibility to communicate our Compliance Officer, Mr. Pete Rodriguez to ensure that all of your clearance requirements and documents are processed. Students will not be eligible for clinical participation until all clearances are verified. Failure to meet these requirements will result with an administrative “drop” from the course.

POLICIES: Disability / Pregnancy

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 Accommodation 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.

PREGNANCY

It is the responsibility of the student to inform the instructor of pregnancy limitations. Written guidelines r/t accommodations from CASS must be submitted to the course manager PRIOR to the start of the course/clinical lab.

PLACEMENT

Students are placed into a clinical rotation. All rotations will be EITHER during the day or evening. Wherever a slot is open, you will be placed. It is expected that if you are employed at an assigned facility that you notify the course manger so that an alternative clinical assignment can be made. There willl be NO requests for a specific hospital or an instructor.

PREPARATION

Daily preparation is a major component of the clinical experience. Any student who is not prepared for clinical will not be allowed to care for patients. This violates the departmental safe nursing practice policy (see Safe and Effective Nursing Practice Policy). This will result in a “zero” for the day and could seriously impact the student’s ability to achieve clinical expectations. A 2nd occurrence of non-preparedness will result in an automatic failure in clinical. Clinical faculty will ask students to submit the clinical prep sheets early in the morning for initialing. Generic information such as labs, meds, and physiology/pathophysiology, including a picture of the condition should always be completed BEFORE the UTEP nursing student begins patient care. Completed clinical paperwork (AFTER Thursday afternoon) will be due at an assigned time and place, determined by the clinical instructor.

MASTERY

Mastery of course related competencies in direct patient care AND in Simulation is required to achieve a passing clinical grade in this course. (See Clinical Evaluation Tool). Facilitators are available in the Simulation Lab for additional help as needed. All clinical preparatory assignments and simulation assignments must be completed at a passing level in order to pass clinical. Clinical Instruction Assignments, clinical paperwork, and grading are assessed and individualized by each clinical instructor at each clinical site.

ATTENDANCE

All Clinical HOURS are required and students are expected to be on time. This includes Simulation Lab demonstration, practice sessions, hospital clinical sessions and pre/post conferences. If, for any reason, the student must be absent from any lab experience, the clinical instructor must be notified by phone call and a formal e-mail, a minimum of two hours prior to the absence. It is not acceptable for a student to send a message through another student. A formal e-mail is required and not a text in case of an absence. In case of illness, a release from a health care provider will be required to return to lab/clinical. Any makeup for clinical absence is at faculty discretion but note that an absence from clinical/simulation for more than one session will result in clinical failure.

LUNCH

Students CANNOT leave the HOSPITAL premises for lunch. You are to bring your lunch, or use the cafeteria at the hospital to which you are assigned. If a UTEP nursing student is seen leaving the hospital, or caught doing so when one is supposed to be in clinical, the student will face disciplinary measures and may be removed from clinical, resulting in failure of the course. The UTEP nursing student is responsible for making sure she/he takes a lunch or brings money for the cafeteria. At the discretion of the clinical instructor, he/she may send the student to lunch at certain times. Lunch is not a group activity. Be mindful of HIPAA regulations when one is anywhere with other students. If the nurse working with the student approves, we encourage the student to lunch WITH the nurse as long as the instructor knows. If the UTEP student missed lunch, the nursing student is NOT allowed to leave the assigned unit early (before post-conference) without the instructor’s permission.

CELL PHONES

Cell phones and “smart” technology to include watches must be silenced during clinical and may be used on the clinical unit ONLY to access lab or medication information and should be used away from public viewing during clinical experiences. NO pictures shall be taken on a unit including personnel, patients, or equipment. No personal texting is allowed in the clinical setting except when it is generated from a Group Text and pertains to the clinical group and activity. Refer to previously presented cell or smartphone/smartwatch policy. Please refer to individual hospital policies on cell phone use. When off the unit, cell phones may be used during breaks for brief communications/research.

SIMULATION LAB

Simulation Lab is a part of clinical and has the same requirements as direct patient care relating to attendance, punctuality, preparation and participation. Failing to do so will result in a failure in clinical and a subsequent failure in the course. 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 and be in a complete and neat uniform. Students may be photographed during Simulation Lab. The consent form is offered with the Simulation Lab orientation at the beginning of nursing school. It is the student’s responsibility to communicate a change in status of photographing and declare in writing.

HIPAA

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 or hospital policies.  Failure to comply with HIPAA policies will result in disciplinary action that may include course failure and/or dismissal from the nursing program.  In addition, legal action may be taken against the student. EVEN if you remove the patients’ name, certain information can be traced back to a particular patient. THIS IS FEDERAL LAW. Students could be prosecuted if found to have copies of any part of a patient record.

SAFE AND EFFECTIVE NURSING PRACTICE POLICY FOR THE UNDERGRADUATE NURSING PROGRAM:

The following Safe Nursing Practice Policy is a revision of a similar policy that has been in effect since the nursing program was a part of the University of Texas System (1972).

This policy must be adhered to in order for a student to succeed in clinical nursing courses. The nursing process must be directed toward quality care for the patient/client/family/community/population to promote health, prevent illness, advocate, and treat human responses.

Safe and Effective Nursing Practice is defined as the ability to:

• Demonstrate knowledge about patient/client health status

• Observe, report and record signs and symptoms

• Accurately interpret, report and record changes in patient’s condition

• Demonstrate actions that assure the delivery of quality nursing care

• Set priorities and carry through with appropriate nursing interventions

• Evaluate and make substantive judgments relative to the quality of nursing care

• Calculate and administer drugs safely, including documentation of administration

As professional nurses with a commitment to the welfare of clients/patients, the nursing faculty reserves the right to refuse the opportunity to a student to care for patients if the student's health interferes with performance or if the student gives evidence of unsafe and/or ineffective nursing practice. A student may not render care when under the influence of prescribed or over-the-counter medication which may affect judgment, or if the student imbibes in/or is under the influence of alcohol or illicit drugs. A student who is deemed to demonstrate unsafe practice will fail the course and be dropped from all clinical courses enrolled in at that time. Further progression in the nursing major will be evaluated.

Since the faculty student ratio in the clinical area is 1:10, it is impossible for a faculty member to be present continually with each student to observe every situation. It is therefore imperative that each student assumes personal responsibility to be prepared for each clinical practice experience. Each student is expected to check immediately with the instructor or agency staff if in doubt about patient care or a patient’s condition, and to report to the instructor or staff when leaving the clinical area to assure continuity of care for patients. Students who come unprepared for clinical may be dismissed from the clinical site upon the discretion of the clinical faculty.

SAFE AND EFFECTIVE NURSING PRACTICE POLICY

Adopted by Faculty Organization Committee Meeting.

Revised February 13, 1985, December 14, 1994 and September 2012.

The University of Texas at El Paso School of Nursing

Students Opting for Success (SOS) Retention Plan

NURS _____________

Student Name: ______________________________Semester: ______________ Date: ____________

Instructions:

1. Print out the SOS Retention Plan and establish an initial appointment with the Course Manager.

2. Consult the Academic Coaching Calendar for times that the academic coaches are available.

3. Establish referral appointments.

4. Return the completed SOS Retention Plan to the Course Manager.

Prior to the appointment with the Course Manager, 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?

Schedule an appointment with _______________________________ on or before __________________

Course Manager/Instructor Date

Appointment Time: _________________________________

A scheduled appointment with your Course Manager/Lead Instructor is required. At this session you will engage in a discussion on how to improve your potential for success in the course. During the session there will be an assessment and tracking of identified areas of difficulty that are being experienced in relation to:

1. Quizzes

2. Examinations (Complete a test analysis of the examination and attach to this form)

3. Assignments

4. Clinical Experiences:

A. Simulation expectations B. Competence performance C. Professionalism

At the end of the discussion you and the Course Manager/Instructor will establish required and recommended strategies that are designed to improve your potential for success in the course. These strategies include:

[ ] Self-assessment of knowledge strengths and areas needing improvement.

[ ] Attendance at all lectures/class sessions/workshops.

[ ] Scheduled study sessions with academic coaches (minimum of one hour per week)

[ ] Schedule an appointment with Mr. Flahive (Student Success Coordinator) via email (jflahive@utep.edu).

[ ] Referral to UTEP Testing Center.

[ ] Referral to UTEP Office of Student Disabilities

[ ] Referral to UTEP Counseling Center

[ ] Attend workshop on test taking skills.

[ ] Other:

The completed SOS Retention Plan, with all referral signatures, must be returned to:

______________________________ Course Manager/Lead Instructor on or before ____________________________________ (Date)

(Student Opting for Success (SOS) Retention Plan) -3-

Course Manager’s Signature: ________________________________________________Date: ____________

Student Signature: _________________________________________________Date: ____________

Academic Coaches Signatures:

________________________________________________________________________ Date: _____________

_______________________________________________________________________ Date: _____________

_______________________________________________________________________ Date: _____________

_______________________________________________________________________ Date: _____________

Other Referral Signatures:

_______________________________________________________________________ Date: ______________

______________________________________________________________________ Date: ______________

______________________________________________________________________ Date: ______________

JF/PF/jf 11/2009

SCHOOL of NURSING INCIDENT REPORT

Student Name: ________________________________________UTEP ID #:___________________

Home Address:________________________________________________Phone:_________________________

Time Accident Occurred:_____________a.m./____________p.m. Date: _______________________________

Place of Accident: _______________________________________Number of People Involved: _______________

PART OF BODY INJURED DESCRIPTION OF THE ACCIDENT

Abdomen _____ Foot _____ How did the accident happen? / What was student doing?

Ankl_____ Hand _____ ___________________________________________

Arm _____ Head _____ ___________________________________________

Back _____ Knee _____ __________________________________________

Chest _____ Leg _____ __________________________________________

Ear _____ Mouth _____ __________________________________________

Elbow _____ Nose _____ ___________________________________________

Eye _____ Scalp _____ ___________________________________________

Face _____ Tooth _____ __________________________________________

Finger _____ Wrist _____ ___________________________________________

Other (specify)______________________ __________________________________________

NATURE OF INJURY __________________________________________________

Abrasion _____ Laceration _____ Student’s signature

Bite _____ Needle Stick _____

Bruise _____ Poisoning _____ DEGREE OF INJURY

Concussion _____ Puncture _____

Cut _____ Scratches _____ Non-disability _____

Dislocation _____ Shock (el.) _____ Temporary Disability _____

Fracture _____ Sprain _____ Permanent Impairment _____ Other (specify)____________________________________ Death _____

Faculty/Preceptor in charge when accident occurred

NAME(S)]_______________________________________ Present at scene of accident: YES____NO____

IMMEDIATE ACTION TAKEN

First-Aid Treatment ________By: ______________________________________________

Campus Police Notified (747-5611) ________By: _____________________________________________

EMS notified (911) ________By: ______________________________________________

Sent to STUDENT HEALTH CTR. ________By: _____________________________________________

Sent Home ________By: ______________________________________________

Sent to Physician ________By: ______________________________________________

PHYSICIAN’S NAME:____________________________________ PHONE: _____________________________

Sent to Hospital ________ By: _____________________________________________

HOSPITAL NAME:_______________________________________PHONE: ______________________________

Was a Parent or other individual notified? YES____ NO______ When____________ How____________________

Name of Individual(s) Notified:

______________________________________________By whom? ______________________________________

WITNESSES:

1. NAME:__________________________________ADDRESS/PHONE:_________________________________

2. NAME:__________________________________ADDRESS/PHONE:_________________________________

REMARKS

What recommendations do you have for preventing accidents of this type? _________________________________ _____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________ _____________________________ ________________________

Student Signature Faculty Signature Dean / Asst. Dean / Assoc. Dean

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