State Fair Community College



1651075940871NURS 110PVCNURS 110PVCCourse description: Evidence-based practice concepts in nursing are introduced as they relate to standards of care, behavioral concepts important to the nurse, history of nursing, role identification and responsibility, interprofessional collaboration, the quality improvement process, and ethical and legal aspects of the licensed practical nurse and registered nurse.There is no ATI data associated with this petency 1: Analyze major trends and educational history in nursing Rubric (exam points) - History of Nursing Video Presentation Rubric: #9 the video identifies the various levels of nursing education and the pertinence to each era as well as which levels of nursing education were prominent or developed during your assigned era.Group will score at least a 3 4=Excellent work, no room for improvement, superior critical thinking. Highly accurate, creative, inventive, or mature evidence of the criterion3=Acceptable work, no critical points missing, beginning evidence of critical thinking.Goal Statement:90% of students will score at least a 3 on item #9 of the History Project RubricFall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:90% >331/3122/2223/23100%met Subjective Data: How well do you feel like you mastered the following course competency? (Enter total number of student responses)Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallStrongly Agree612531%Agree2291663.5%Total Responses3022227494.5%MetRubric (exam points)- History of Nursing Video Presentation Rubric: # 13 the video indicates critical thinking and reflection put into how the nursing profession grew and developed and/or changed due to the economy, technology, innovations during each eraGroup will score at least a 68=Excellent work, no room for improvement, superior critical thinking. Highly accurate, creative, inventive, or mature evidence of the criterion6=Acceptable work, no critical points missing, beginning evidence of critical thinking.Goal Statement:90% of students will score at least a 3 on item #13 of the History Project RubricFall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:90% >331/3122/2223/23100%metProgram outcomes:9. Incorporate changing health concepts, technology, and practices as a lifelong learner.Analysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1):Students were able to meet the set benchmark for this competency. No changes considered at this petency 2: Contrast the roles of the practical nurse and registered nurseClass Exam (Question ID 1249): A new LPN has just been hired at a clinic. The LPN took and passed the NCLEX-PN and is licensed in another state (State X). The LPN now lives in MO. In order to work at this facility in MO, which statement provides sound advice in this situation?The effect of current national licensure allows a nurse licensed in one state to work in any other state for a maximum of 2 years without applying for endorsementThe nurse can work legally in any state that borders State X without applying or endorsement.The nurse should contact the MO State Board of Nursing to apply for a MO license.The nurse should apply to take the NCLEX-PN in the state in which he wishes to work.Goal Statement: 80% of students will answer exam question #1249 correctly on competency 2 & 3 exam. Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:80%26/3121/2224/2471/7693.4%metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallStrongly Agree1613951.4%Agree1391245.9%Total # of responses3022227497.3%metRubric (homework)- Compare and Contrast LPN & RN chart worth 21 points. Goal Statement: 90% of students will earn 82.5% or greater on competency 2 Compare and Contrast chart.Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark82.5%30/3110/2221/237680.3%not metProgram outcomes:Apply legal, ethical, and regulatory standards to the licensed practical nurse petency 3: Analyze the legal implications in nursing careClass Exam#1: Exam question # 9 Question ID 1228)- Legally, a student practical nurse on day shift would be held to the level of performanceDescribed in the job description for nursing assistantsDescribed in the outline/syllabus of the course in which the student is enrolledOf the LPNOf the LPN instructorGoal Statement: 80% of students will answer question #9 correctly on competency 2 & 3 exam.Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:80%31/3121/2215/2467/7787%metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 17 SedaliaSpring 18EldonSpring 18 SedaliaOverallStrongly Agree101262837.8%Agree2010164662.2%Total Responses30222274100%Competency 3 Quiz (Legal Language)Goal Statement: 80% of students will meet the scoring standard of 82.5% on competency 3 quizFall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:82.5%6/31N/AQuiz is not found in BB.8/2314/5425.9%Program outcomes:Apply legal, ethical, and regulatory standards to the licensed practical nurse petency 4: Describe the quality improvement process in nursing careClass Exam #2 : Exam question # 33 Question ID 1302)- How will your accountability be judged if you know that you gave a client the wrong oral medication on your shift?How long you have practiced nursing.ANA Code of Ethics.Standards of Nursing Practice.Employee evaluations.Goal Statement: 80% of students will answer question # 1302 correctly on competency 4 & 5 exam.Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:80%18/3121/2224/2463/7781.8%metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallStrongly Agree1210628Agree18121343Total Responses3022227495.9%metRubric (homework)-Evidence Based Practice discussion board post worth 20 points.Goal Statement: 90% of students will score > 82.5% on competency #4 Evidence Based Practice discussion board post.Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:82.5%31/3120/2221/2372/7694.7%metProgram outcomes:6. Implement evidence-based physiological nursing care for individuals and/or groups across the petency 5: Determine ethical practices in nursing careClass Exam#2: Exam question # 10 (Question ID 1279)- A 20-year-old client with Down syndrome is able to live in an assisted environment and work part-time for a local bookstore. The parent of this client is adamant about not initiating a course of treatment whose side effects are unknown with Down syndrome clients. According to the nursing code of ethics, the nurse’s first loyalty is to which of the following? The clientThe parentThe health care providerThe nurseGoal Statement: 80% of students will answer question #1279 correctly on competency# 4 & 5 exam.Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:80%29/3120/2222/2371/7693.4%metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallStrongly Agree1015103547.3%Agree207113851.4%Total Responses3022227498.7%Rubric (homework) Ethics Project Rubric: Develop a case study/scenario about an ethical issue using a journal article, personal account, MO state board of nursing, or newspaper- worth 20 points. Goal Statement: 90% of students will score >82.5% on Ethics Project RubricFall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark: >82.5%31/3121/2223/2375/7698.7%Program outcomes:Apply legal, ethical, and regulatory standards to the licensed practical nurse petency 6: Analyze the inter-professional approach to patient care.Class Final Exam: Exam question #1351- What might you say to the mother who has refused a blood transfusion for her 2-year-old son, but the doctor has asked the court to overrule her refusal? “In your son’s case beneficent paternalism overrules respect for your autonomy.”“In this hospital the doctor knows best because of his/her superior knowledge.”“We have saved many children by ignoring parent’s religious beliefs and doing what is best.”“Your son is too young to understand and make his own choice in something this serious, but we also understand parental decisions can be difficult.”Goal Statement: 80% of students will answer question #1351 correctly on Final exam.Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:80%31/3119/2219/2369/7690.8%metAfter this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallStrongly Agree101283040.5%Agree209134256.8%Total Responses3022227497.3%Competency 6 quizGoal Statement: 80% of students will meet the scoring standard of 82.5% on competency 6 quizFall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallBenchmark:82.5%19/3116/2213/2348/7663.2%This quiz was given via Examsoft as a take home quiz.Program outcome:4. Coordinate care within and across health care settings according to established protocols.Overall grades: Fall 17SedaliaSpring 18EldonSpring 18 SedaliaOverallA1041125B20181149C or less1012What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? 1303361859174NURS 112IPSHNURS 112IPSHIntroductory course assists the new nursing learner to basic concepts of wellness and illness, caring, communication techniques, and growth and development across the life cycle. Special circumstances, such as the impact of violence and abuse as well as the grieving process on the individual and family, will be explored during this class. Special treatment modalities such as medications will be discussed with regard to concepts of mental petency 1: Identify therapeutic communication techniquesClass exam LP 1 & 2: test Question #1. Which personal element, important for communication, is most vital to a successful interaction with a client who is menacing and threatening violence on the unit?Goal: greater than 80% of students answer the identified items correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent91.11%Number of students taking assessment3462427Number of students that identified the items correctly3088.2%6100%2187.5%2592.6%Goal achieved?YESSubjective Data: Evaluation question # 1: How well do you feel you mastered the course competency?Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent98.73%Number of students taking assessment3421825Number of students that Strongly Agree1647.1%150%738.89%14 56%Goal achieved?YESNumber of students that Agree1750%150%1161.11%1144%Number of students that disagree12.9%00In class quiz #1Goal: greater than 80% of students received 82.5% or better.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent59.55%Number of students taking assessment3462227Number of students that achieved >82.5%2058.8%116.7%1463.64%1866.7%Goal achieved?NOCompetency 2: Differentiate between the concepts of wellness and illnessExam LP 1&2: Question #21: Your patient is a single parent who has just been diagnosed with terminal cancer. She is concerned about returning to work and asks many questions. Finally, the patient says,” What do you think I should do?” You say:“I think you should stay busy”“I wouldn’t worry about it.”“What are your thoughts on returning to work?”“Oh, you’ll be just fine. There are lots of people who are worse off than you.” Goal: greater than 80% of students answer the question correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent100%Number of students taking assessment3462427Number of students that identified the items correctly34100%6100%24100%27100%Goal achieved?YESSubjective Data: Evaluation question # 2. How well do you feel like you mastered the following course competency? Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent98.73%Number of students taking assessment3421825Number of students that Strongly Agree1955.9%150%844.44%1560%Goal achieved?YESNumber of students that Agree1441.2%150%1055.56%1040%Number of students that disagree12.9%00LP 1 Wellness and Illness Poster Goal: greater than 80% of students achieve >82.5%CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent100%Number of students taking assessment346NANANumber of students that achieved >82.5%34100%6100%NANAGoal achieved?YESRemoved from assignments in Spring 2018. Now and in-class activity/petency 3: Identify growth and development across the life cycleExam LP 1&2: Test question #38. A parent questions the nurse about her 5-year-old who has begun to masturbate and question the parents about sexual differences among the child's peer mates. The nurse, familiar with Freud's stages of development, responds by saying:“All children are curious, but make sure the child knows that this behavior might be offensive to others.”“You should probably consult a child psychologist if you’re this concerned.”“Let’s make sure to ask your physician at the next appointment.”“This behavior is a normal part of your child’s development.”Goal: greater than 80% of students achieve >82.5%CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia 2018 Overall percent90%Number of students taking assessment3462427Number of students that identified the items correctly2676.5%583.3%2395.83%27100%Goal achieved?YESSubjective Data: Evaluation question #3. How well do you feel like you mastered the following course competency? Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent96.2%Number of students taking assessment3421825Number of students that Strongly Agree1132.4%150%844.44%1352%Goal achieved?YESNumber of students that Agree2058.8%150%1055.56%1248%Number of students the disagree38.8%00Exam LP 1&2: Test question #43: A 20-month-old child is a client on the pediatric unit of a hospital. The nurse notices that this child is lagging in stage 6 of Piaget’s phase of cognitive development. Which activity would indicate that this child is struggling at this stage?The child wants the same toy to sleep with during naptime and bedtime.The child merely watches as the other children pretend-play.The child cries when the parents leave the unit.The child does not cooperate with some of the treatments.Goal: greater than 80% of students answer the identified item(s) correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percentNANumber of students taking assessment6NANANumber of students that identified the items correctly6100%NANAGoal achieved?NA*This question no longer appears on the exam due to the contradictory information between resources on Piaget’s stages of development.* The following question will replace the one above:Exam LP 1&2: Test question 35: The nurse is educating the parents of a client about growth and development. What information will the nursing include in the teaching? Select all that apply.* A:Growth involves physical change and increase in size. B:Skills and function increase with growth. * C:Most humans experience a similar pattern of growth. D:Being able to adapt to one’s environment is an indicator of growth. * E:Children’s growth is monitored by height, weight, bone size, and dentition.Goal: greater than 80% of students answer the identified item(s) correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent45.09%Number of students taking assessment2427Number of students that identified the items correctly1250%1141%Goal achieved?NOCompetency 4: Identify the impact of violence or abuse on an individual and familyExam LP 3: Question #1: A child, age 9, is being evaluated in the ED at the hospital. Her mother reports that the child fell down the stairs in her home. Her mother is with her and describes her as a ‘clumsy kid.” The nurse practitioner suspects child abuse. Which of these findings indicates that physical abuse may be a chronic problem for the child?Bloody nose and blackened eyes.Unhealed fractures revealed on x-ray.Clinging to her mother as she attempted to leave.Struggling with the staff that attemps to obtain a blood specimen.Goal: greater than 80% of students answer the identified item(s) correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent91.01%Number of students taking assessment3462227Number of students that identified the items correctly3294.1%6100%1986.36%2488.9%Goal achieved?YESSubjective Data: Evaluation question # 4: How well do you feel like you mastered the following course competency? Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent96.2%Number of students taking assessment3421825Number of students that Strongly Agree1852.9%150%1055.56%1664%Goal achieved?YESNumber of students that Agree1338.2%150%844.44%936%Number of students that disagree25.9%00unanswered 12.9%00Exam LP 3: Question #8: The nurse is caring for a battered client. Which action by the nurse is most important to the client’s success?Empowers the client to make her own decisionsDevelops the plan and presents it to the womanHas a family conference and mediates among the partiesObtains photo evidence of the battery for use in court. Goal: greater than 80% of students answer the identified item(s) correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent65.17%Number of students taking assessment3462227Number of students that identified the items correctly1750%583.3%1777.27%1970.4 %Goal achieved?NOBeginning in Fall 2018, the LP 1, 2, & 3 Exams will be combined into one exam. The LP 1 and 2 exam have been given together, with the LP 3 exam being an online exam students could take at home. In an attempt to reduce test fatigue and to provide more class time for learning, the exams will be combined into one petency 5: Examine the impact of the grieving process on the family and clientExam: LP 4: Exam paper (Cultural grief and loss case study)Goal: greater than 80% of students achieve >82.5%CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent80.9%Number of students taking assessment3462227Number of students that achieved >82.5%2470.6%6100%1986.36%2385.2%Goal achieved?YESQuiz LP 4: add a question to quiz 4 to address this competencyGoal: greater than 80% of students achieve >82.5%CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percentSee belowNumber of students taking assessmentNANANANANumber of students that achieved >82.5%NANANANAGoal achieved?*No current quiz question addresses this competency. However, the following question will be added to the quiz beginning in Fall 2018. The nurse is planning care for a grieving client who recently lost a close family member. What is the priority intervention for this client?Instruct the client to limit contact with support persons until they are feeling better.Provide the client with information about the grieving process.Advise the client to refrain from using community resources for at least 6 weeks.Encourage the client to be dependent on the nursing staff for support. Subjective Data: Evaluation question #5: How well do you feel like you mastered the following course competency? Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent96.2%Number of students taking assessment3421825Number of students that Strongly Agree1852.9%150%844.44%1976%Goal achieved?YESNumber of students that Agree1441.2%150%950%624%Number of students that disagree25.9%015.56%Competency 6: Analyze concepts of mental health nursingExam LP 5&6: Question #22: You are working with an RN to plan short term goals for a 28 year old hospitalized client with mania. Which is the most important goal?Protection from self-inflicted harmMeals in excess of metabolic requirementStrict participation in unit activitiesEnforced medication complianceGoal: greater than 80% of students answer the identified item(s) correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent85.39%Number of students taking assessment3462225Number of students that identified the items correctly3088.2%583.3%1881.82%2392%Goal achieved?YESSubjective Data: Evaluation question # 6: How well do you feel like you mastered the following course competency? Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent92.4%Number of students taking assessment3421825Number of students that Strongly Agree1235.3%150%633.33%936%Goal achieved?YESNumber of students that Agree1750%150%1161.11%1664%Number of students that disagree514.7%015.56%Exam LP 5&6: ScoreGoal: greater than 80% of students achieve >82.5%CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent66.67%Number of students taking assessment3462225Number of students that achieved >82.5%1955.9%350%1881.82%1872%Goal achieved?NOThis exam is typically challenging for the students, as it contains information about pharmacological therapies. Students have not yet had pharmacology, so this can be tough for them. We have integrated in-class activities, as well as homework to address the knowledge deficit regarding pharmacologic therapies. The test was evaluated by faculty and any revisions needed were completed at this petency 7: Identify special treatment modalitiesExam LP 7: Question #31: The nurse is collecting data from a client who has been receiving treatment for schizophrenia with fluphenazine for one year. The nurse observes that the client has fine, fasciculating tongue movements. The nurse knows that these findings are associated with which condition?A drug-food reaction to grapefruit juice.The client has missed several doses of medication.Early symptoms of neuroleptic malignant syndrome (NMS).Early symptoms of tardive dyskinesia (TD)Goal: greater than 80% of students answer the identified item(s) correctly.CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent90.8%Number of students taking assessment3462225Number of students that identified the items correctly3191.2%6100%1881.82%2496%Goal achieved?YesSubjective Data: Evaluation question # 7: How well do you feel like you mastered the following course competency?Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent88.61%Number of students taking assessment3421825Number of students that Strongly Agree720.6%0527.78%728%Goal achieved?NONumber of students that Agree2264.7%2100%1055.56%1768%Number of students that disagree514.7%0316.67%14%Exam LP 7: ScoreGoal: greater than 80% of students achieve >82.5%CampusFall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 Overall percent77.01%Number of students taking assessment3462225Number of students that achieved >82.5%3088.2%116.6%1568.18%2184%Goal achieved?NoOverall grades: Fall Sedalia 2017Fall 2017 PM/WSpring 2018 EldonSpring Sedalia2018 No data providedA1014B2862118C5003D000What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? Continuing education for instructors related to this course content and possible NearPod subscription for the nurse department. NearPod allows interactive class preparation and also allows interactive content presentations during class. Goals for 2018-2019: 1) Integration of ATI case studies and adaptive quizzing into in class activities 2) Integration of computer adaptive questions once available in Fall 2018 through ATI 3) Further editing and creation of exam questions 4) Combination of exams and reduction in the number of overall exams 5) Reduction of ATI exam points to balance weight of exams once exams are combined143276855871NURS 114FUNDS INURS 114FUNDS ICourse description: Course presents basic nursing skills that every nurse must master to provide competent nursing care. The course integrates knowledge from physical and behavioral sciences with clinical nursing petency 1: Demonstrate medical and surgical asepsisClass Exam: Sterile Gloving RubricFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2022/22100%100%metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree2379.3%151777.3%55Agree620.7%5522.7%16Total Response29202271/71MetClass Exam: Final Question #353The nurse is performing urinary catheterization for a client. After using the non-dominant hand to separate the client's labia for cleansing, how will the nurse consider this hand?ContaminatedAble to evaluate the effectiveness of the catheter balloonSterileCleanFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%N/AN/A**Question was removed from Final Exam after 2017.Class Exam: Final Question #357The nurse is caring for a client with recurrent urinary tract infections. What should the nurse include in the teaching plan for this client?a.Wipe from back to front.b.Have the client increase sugar in the dietc. Encourage the use of bubble bathsd. Instruct the client to empty the bladder completelyFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__N/A19/2021/2240/4295.2%metGoal Statement: 95% of students will receive a grade of 82.5% on the sterile gloving rubric.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will correctly answer Final Exam Question #1.Analysis of data and summary of changes you have made and the impact of these changes:The students were able to meet these goals set for them. There were no changes to report for this competency. The students had ample opportunity to practice their sterile gloving during lab time. Competency 2: Measure vital signsClass Exam: Vital Signs RubricFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2022/22100%100%metProgam outcomes: 5. Assist with health assessment of individuals, families, and groups.Subjective Data: How well do you feel like you mastered the following course competency (enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree1965.5%181568.2%52Agree931%2731.8%18Total Response29202270/7198.6%metClass Exam: Final Question #382The nurse is assessing a radial pulse in a client. The findings are L radial HR 120, irregularly, irregular and 2+. What is the nurse’s best action?Assess the apical pulse for 15 secondsAssess the L brachial pulse for 1 minuteAssess the apical pulse for 1 minuteDocument the findings in the medical recordFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__27/2993.1%19/2019/2286.4%65/7191.5% metGoal Statement: 95% of students will receive a grade of 82.5% on the Vital Signs Rubric.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will correctly answer Final Exam Question 32.Analysis of data and summary of changes you have made and the impact of these changes: The students met all of the goals set for this competency. Based on their evaluations they were very confident with this competency by the end of the semester. The instructors reviewed the exam and the results after it was given. The vital sign rubric was updated and a few changes made. We incorporated SIM chart into this vital sign activity which seemed to go petency 3: Practice principles of safety for nurse and client during activity/exerciseClass Exam: Learning Plan Mid Term Question #1596The nurse is working on a med-surg. unit and needs to transfer her 205 pound, partial-weight bearing client to the bedside commode. She knows that the best practice to minimize the risk of injury is:Wearing a gait belt during the transfer.Maintaining proper body alignment.Using a gait belt and a walker.Calling for additional staff to help with the transfer.Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__27/2993.1%15/2019/2479.2%61/7383.6%not metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree1862.1%161568.2%49Agree1034.5%4731.8%21Total Response29202270/7198.6%metSafe patient handling and movement QuizFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__4/2913.8%19/206/2227.3%29/7140.8%not metGoal Statement: 90% of students will correctly answer midterm question #1596.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will earn a score of 82.5% or greater on the safe patient handling and movement quiz.Analysis of data and summary of changes you have made and the impact of these changes:The students did not meet one of the goals for this competency, which is an improvement from last year. By the end of the semester they feel much better about this competency than they did in the beginning. There were no changes to this competency. Will review and revise quiz/exam as petency 4: Assist with personal care of clientClass Exam: Learning Plan Mid Term Question #1593A client tells the nurse that bathing is done at the sink in the bathroom at home because it is difficult to physically lift the legs to get into the shower. The nurse identifies the factor influencing this client’s hygienic practice as being:ReligionPersonal preferenceCultureHealth and energyFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2020/2290.9%69/7197.2%metSubjective Data: How well do you feel like you mastered the following course competency? (Enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree1758.6%161568.2%48Agree1137.9%4731.8%22Total Response29202270/7198.6%metHygiene Brochure Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__23/2979.3%19/2017/2277.3%59/7183.1%not metProgam outcomes: 6. Implement evidence-based physiological and psychosocial nursing care for individuals and/or groups across the life cycle.Goal Statement:90% of students will correctly answer Mid term question #28.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will earn a score of 82.5% or greater on the Hygiene Brochure project.Analysis of data and summary of changes you have made and the impact of these changes:The students met two of the three goals for this competency. The hygiene brochure rubric will be reviewed for any necessary changes that may be petency 5: Assist with dietary needs of clientClass Exam: Dietary Poster RubricFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2022/22100%71/71100%metSubjective Data: How well do you feel like you mastered the following course competency? (Enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree1241.4%131463.6%39Agree1551.7%7836.4%30Total Response29202269/7197.2%metClass Quiz: Dietary QuizFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__2/296.9%6/202/229.1%10/7114%not metGoal Statement: 90% of students will earn a grade of 82.5% on the nutrition poster.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will earn a score of 82.5% or greater on the Dietary Quiz.Analysis of data and summary of changes you have made and the impact of these changes:The students met two out of the three goals for this competency. The Quiz is typically given at the beginning of class prior to presenting the material. The students are assigned the reading prior to the given class and told there will be a quiz over their reading. This quiz is a newer quiz that was given. The plan is to review the questions and make changes to them as necessary. It may be beneficial to include an activity with this content. Consider giving the quiz at the end of class to allow time for petency 6: Assist with comfort measures of clientClass Exam: Final Question #416A nurse is caring for a postoperative client. The nurse should base pain management interventions primarily on which of the following methods to determine intensity of pain?Vital signsClient’s self-report of painVisual observation for nonverbal signs of painNature of invasiveness of the surgical procedureFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2020/2290.9%69/7197.2%metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree2172.4%141672.7%51Agree827.6%5627.3%19Total Response2070/7198.6%metClass Exam: Final Question #417 The nurse is caring for a client using a patient-controlled analgesic pump (PCA). The nurse enters the room to find the client asleep and his spouse pressing the button to dispense another dose. Which response is most appropriate?“Next time you think he needs more medication, call me and I’ll push the button.”“It’s a good idea to help make sure your husband can sleep comfortably.”“Why do you think your husband needs more medication when he is asleep?”“We need to let your husband be the one who decides when he needs the medication.”Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__28/2996.6%20/2022/22100%70/7198.6%metGoal Statement:90% of students will correctly answer question #67 on the final.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will correctly answer Final exam question #68.Analysis of data and summary of changes you have made and the impact of these changes:All of the goals were met. No changes will be made at this time and none have been made. Competency 7: Identify basic concepts to promote healthy bowel and bladder eliminationClass Exam: Final Question #356The nurse is caring for a client who is 2 days post-op from an abdominal surgery. The client is receiving opioid narcotics for pain control. Which client behavior would indicate that teaching to prevent constipation was effective?The client continues to ask for his pain medication.The client walks around the unit several times a day.The client decreases his fluid consumption.The client refuses to eat the bran flakes on his tray.Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2022/22100%100%metClass Exam: Final Question #447The nurse is preparing an education plan for a client who experiences occasional bouts of constipation. What should the nurse include in the teaching plan? (Select all that apply) A:Use over-the-counter medications to treat constipation. * B:Include high-fiber foods, such as vegetables, fruits, and whole grains, in the diet. * C:Establish a regular exercise regimen. * D:Do not ignore the urge to defecate. * E:Maintain fluid intake of 2000-3000ml a day.Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__N/A17/202/2219/4245.2%not metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree1966.97%171777.3%53Agree927.6%3522.8%17Total Response29202270/7198.6%metElimination QuizFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__24/2982.8%19/2018/2090%61/6988.4%not metProgam outcomes: 3. Provide safe, caring interventions within diverse populations.Goal Statement:90% of students will correctly answer question #4 on the Final Exam.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will earn a grade of 82.5% or greater on the Elimination Quiz.Analysis of data and summary of changes you have made and the impact of these changes:The students did not meet the goal of the Elimination quiz, although, they were not far off. There are no changes for this quiz at the moment. The other two goals were met. This seems to be a repeat occurrence and may need some further investigation. Will review quiz and revise as petency 8: Perform healthy elimination proceduresClass Exam: Final Question #363A client asks the RN why it is more difficult to use a bedpan for defecating than sitting on the toilet. Which of the following is the best response?The sitting position inhibits the urge to urinate, allowing one to defecate.The sitting position increases the downward pressure on the rectum, making it easier to pass stool.The sitting position decreases the contractions of the muscles of the pelvic floor.The sitting position increases the pressure within the abdomen.Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__26/2989.7%18/2019/2286.4%63/7188.7%not metSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Fall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedStrongly Agree1862.1%161568.2%49Agree1137.9%4731.8%22Total Response29202271/71metCath Care RubricFall 2017Sedalia Spring 2018EldonSpring 2018Sedalia Overall PercentGoal AchievedBenchmark _82.5%__29/29100%20/2022/22100%71/71metProgam outcomes: 6. Implement evidence-based physiological and psychosocial nursing care for individuals and/or groups across the lifecycle. Progam outcomes: 3. Provide safe, caring interventions within diverse populations.Goal Statement:90% of students will correctly answer question #363 on the Final Exam.Greater than 90% of students strongly agree or agree they mastered this competency.90% of students will earn a score of 95% or greater on the Cath Care Rubric.Analysis of data and summary of changes you have made and the impact of these changes:Two of the three goals were met. There were issues in the past with the cath care rubric, however, not the case this year. One goal was not far off. Will review the question for possible changes if necessary.Overall grades: Fall 2017Sedalia Spring2018EldonSpring 2018Sedalia A2145B25615C102D10What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? There is a continual need for supplies such as foley kits, gloves, isolation gowns, masks, eye protection, IV catheters, Saline Flushes, Tegaderm, Alcohol wipes, saline locks, etc.Revised 9/6/18Goals: If ok with everyone, remove urine collection from check off’s. Continue to allow them to practice during lab time.2. Review Exams and make the 10% changes each time it is given.3. Review the elimination content and see what modifications may be needed to assist students to be more confident with the content.4. Re-vamp the guided readings, making the instructions more clear. I know they are long, however, the goal is for the students to learn how to properly read the chapters assigned while understanding what they just read.Old goals:Review objective distribution on exams.Revising VS homework to be done on SIM chart and count as exam points.Figure out something for the first 3 or so ATI quizzes. (I made the guided readings to replace those, I believe I used some ATI questions in them.) I would like to see the students taking the ATI quizzes again. I feel that helps them better prepare for the ATI they will be taking.Make a new Comp. 3 quiz.163736180967NURS 117FUNDS IINURS 117FUNDS IICourse description: Presents more advanced essential nursing skills based upon current standards of practice that are required for entry-level nurses. The learner is introduced to the nursing process that is utilized in the delivery of nursing care. Skills are presented through both classroom and hands-on learning experiences and includes development of nursing assessment skills, medication administration, IV therapy, and other technical petency 1: Follow legal, ethical, and regulatory guidelines for documentationClass Exam: Head to Toe Documentation GradeGoal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 75/84 89.3%yes#of students that score ≥82.5%31/3491.2%23/2592%21/2584%Subjective Data: How well do you feel like you mastered the following course competency: Follow legal, ethical, and regulatory guidelines for documentation? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree18151750Agree165728Total Responses34202478/78 100% yesClass Exam: LP 1& 2 Exam Question #6The nurse responds to a client's call light. When entering the room, the nurse sees that the client is lying on the floor, with the bed linens around the legs. The most correctly written chart entry is:Client fell out of bed, but did push the call button for assistance.Client became tangled in the bed linens, then called for assistance after falling out of bed.Recorder responded to client's call light, upon entering the room, found client on floor.Client found on floor, appeared to have fallen out of bed as a result of getting tangled in bed linens.Goal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 59/84 70.2%No#of students that answer questions correctly31/3491.1%9/2536%19/2576%Analysis of data and summary of changes you have made and the impact of these changes: After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. We will continue to do the head to toe documentation assessment in class around week 4 to help with grading and the stress of check-offs for the students. Students will continue to utilize rubric with the documentation petency 2: Conduct a basic head-to-toe client assessment Class Exam: Head to Toe Check Off Goal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 80/84 95.2%Yes#of students that score ≥82.5%32/3494.1%25/25100%23/2592%Subjective Data: How well do you feel like you mastered the following course competency: Conduct a basic head-to-toe client assessment? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree16141848Agree176629Total Responses34202477/78 98.7% yesClass Exam: Learning Plan 3 Exam Goal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 58/84 33.3%No#of students that score ≥82.5%24/3470.6%945%15/2560%Analysis of data and summary of changes you have made and the impact of these changes: After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. Starting Fall 2018 LP 3 and 4 will be combined into one exam to reduce the number of exams in the petency 3: Illustrate the steps of the nursing process Class Exam: Learning Plan Exam 1 and 2 Exam Question #20 A nurse is working with a client who has a diagnosis of Impaired skin integrity, related to immobility, secondary to neurologic dysfunction. Of the following listed, which would be considered an observation intervention?Turn and reposition cleint every 2 hoursCushion prominences with soft foam while in bedProvide ongoing assessment for skin breakdown every shiftApply lotion to dry skin twice dailyGoal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 74/84 88.1%Yes #of students that answer questions correctly34/34100%19/2576%21/2584%Subjective Data: How well do you feel like you mastered the following course competency: Illustrate the steps of the nursing process? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree20151752Agree144624Total Responses34192476/77 98.7%YesQuiz: Learning Plan 2 Quiz Goal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 58/84 69%No#of students that score ≥82.5%22/3464.7%19/2576%17/2568%Analysis of data and summary of changes you have made and the impact of these changes: This quiz is the first quiz in this class and depending on the semester it can be the first quiz in nursing school. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 4: Identify concepts related to altered eliminationClass Exam: Overall Competency 4 Exam Goal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 54/84 64.3%No#of students that score ≥82.5%20/3458.8%18/2572%16/2564%Subjective Data: How well do you feel like you mastered the following course competency: Identify concepts related to altered elimination? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree21131549Agree137929Total Responses34202478/78 100% YesQuiz: LP 4 Overall Quiz Goal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 59/84 70.2%No#of students that score ≥82.5%21/3461.8%20/2580%18/2572%Analysis of data and summary of changes you have made and the impact of these changes: After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. Starting Fall 2018 LP 3 and 4 will be combined into one exam to reduce the number of exams in the petency 5: Insert a foley catheterClass Exam: Foley Catheter Insertion Check-offsGoal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 83/84 98.8%Yes#of students that score ≥82.5%34/34100%24/2596%25/25100%Subjective Data: How well do you feel like you mastered the following course competency: Insert a foley catheter? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree21161956Agree134522Total Responses34202478/78 100%YesClass Exam: Documentation of Foley Catheter Insertion Check-offsGoal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 75/84 89.3%Yes#of students that score ≥82.5%30/3488.2%20/2580%25/25100%Analysis of data and summary of changes you have made and the impact of these changes: Students were very successful with this competency. No other changes or suggestions at this petency 6: Relate the theory of oxygenation to activity and exerciseClass Exam: Learning Plan Exam 6 and 7 Exam Question #16A nurse is caring for a client who has pneumonia. The client's oxygen saturation is 85%. Which of the following should the nurse do first?Administer oxygen at 3 L/min.Notify the provider.Encourage coughing and deep breathing.Raise the head of the bed.Goal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 62/84 73.8 % No#of students that answer questions correctly28/3482.4%16/2564%18/2572%Subjective Data: How well do you feel like you mastered the following course competency: Relate the theory of oxygenation to activity and exercise? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree12121135Agree2281343Total Responses34202478/78 100% YesQuiz: LP 6 Overall Quiz (Vocab Quiz)Goal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 61/83 77.1% No#of students that score ≥82.5%21/3363.6%21/2584%19/2576%Analysis of data and summary of changes you have made and the impact of these changes: Starting Fall 2016 students were allowed to use a note card on the LP 6&7 exam. Also 10 multiple choice questions were added to the exam. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this timeCompetency 7: Relate the theory of sleep and rest to activity and exercise Class Exam: Learning Plan Exam 6 and 7 Exam Question #26The nurse is planning interventions for a client who has difficulty falling asleep. Which intervention regarding sleep times would be most helpful?1. Maintain a regular bedtime and wake-up time for all days of the week.2. If bedtime is delayed on one night, go to bed that much earlier the next night.3. If daytime drowsiness occurs, go to bed earlier that night.4. Sleep at least 1 hour later on mornings you don't have to go to work.Correct Answer: 1Goal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 86/86 100% Yes#of students that answer questions correctly34/34100%25/25100%27/27100%Subjective Data: How well do you feel like you mastered the following course competency: Relate the theory of sleep and rest to activity and exercise? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree18151447Agree165930Total Responses34202477/78 98.7%YesQuiz: LP 7 Overall QuizGoal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 29/83 34.9% No#of students that score ≥82.5%12/3336.4%6/2524%11/2544%Analysis of data and summary of changes you have made and the impact of these changes: Starting Fall 2016 students were allowed to use a note card on the LP 6&7 exam. Also 10 multiple choice questions were added to the exam. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this timeCompetency 8: Identify basic concepts of medication administrationClass Exam: IM administration Check-offsGoal: Greater than 85% will score ≥82.5%Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 84/84 100% Yes#of students that score ≥82.5%34/34100%25/25100%25/25100%Subjective Data: How well do you feel like you mastered the following course competency: Identify basic concepts of medication administration? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree16161244Agree1841234Total Responses34202478/78 100% YesClass Exam: LP 8& 9 Exam Question #3The nurse identifies that the ordered dose for a medication is twice the amount generally administered. What action should the nurse take?1. Administer the medication as it was ordered.2. Check to see if previous shift nurses gave the medication.3. Collaborate with the prescriber about the order.4. Administer only the standard dose of the medication.Correct Answer: 3Goal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 82/84 97.6% Yes#of students that answer questions correctly33/3497.1%25/25100%24/2596%Analysis of data and summary of changes you have made and the impact of these changes: Students continue to struggle with the final exam overall in this class. The final exam continues to be given prior to check-offs.After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. Competency 9: Apply computational skills in safe administration of medications Exam Question: An IVPB is infusing at 100 ml/h. The strength of the solution in the bag is 0.5mg/ml. What is the dosage rate in mg/h? (round to the nearest tenth and enter a numeric value only)Answer: 50mg/hGoal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 61/84 72.6% No#of students that score ≥82.5%27/3479.4%13/2552%21/2584%Subjective Data: How well do you feel like you mastered the following course competency: Apply computational skills in safe administration of medications? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Strongly Agree17151345Agree1651132Total Responses33202477/77 100% YesExam Question: Order: Heparin sodium 8,000 units subcutaneously q12h. the label on the vial reads “10,000 units/ml.” How many milliliters will you administer? (round to the nearest tenth and enter a numeric value only)Answer: 0.8Goal: Greater than 75% will answer question correctlyFall 17Sedalia Spring 18 EldonSpring 18 Sedalia Overall Percent /Goal Achieved? 67/84 79.8% Yes#of students that score ≥82.5%29/3485.3%19/2576%19/2576%Analysis of data and summary of changes you have made and the impact of these changes Starting Fall 2017 two modules were due every other week to break up the work rather than being due at 4 weeks and then at the end of the class. This helped the students actually complete the modules on time. Starting Fall 2018 students will complete a small med-calc quiz on Blackboard that corresponds with each homework assignment. The quizzes will be worth homework points. This will allow the students an additional opportunity to practice as well as give feedback to the instructor.Overall grades: Fall 17Sedalia Spring 18 EldonSpring 18 Sedalia OverallA37919B30171461C0123D0000F1001ATI GradesFall 17Sedalia Spring 18 EldonSpring 18 Sedalia OverallLevel 31001Level 215191751Level 1176730Below Level 11001Other Changes or Suggestions: Changes mentioned previously include combining LP 3 and 4 into one exam to reduce the number of exams in the class. Also the addition of med-calc quizzes worth homework points that will be associated with med-calc assignments. This will allow the students a chance to answer the questions in a format outside of ATI as well as give feedback to the instructor. Hopefully, it will allow the instructor to identify the students that are struggling with med- calc earlier and get them the proper resources to help them. According to the data students continue to do well with check-offs and the documentation of those skills. Student comments of the evaluations suggest more lab time, however it has been noted by instructors that students are not fully utilizing their lab time especially at the beginning of the class. Check-offs continue to be completed in stations rather than in one clump and feedback from students and instructors is positive. Objectives have been analyzed and changed as needed. Plan to submit paperwork to the curriculum committee to change the wording of competencies 6 and 7. Also plan to change the matrix format to allow data from Examsoft that was implemented starting Fall 2017. What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? We have had enough supplies this past year to practice and complete check-offs, but this is something that we should always be monitoring. No other needs at this time. Goals: 1. Identify students struggling with Med-Calc earlier and refer them to appropriate resources 2. Modify matrix to include data from ExamSoft 3. Submit paperwork to curriculum committee to change wording of competencies 6 and 74. Reduce the number of exams 59358351559NURS 118FUNDS II ClinicalNURS 118FUNDS II ClinicalClinical Course description:Skills presented in NURS 114 and NURS 117 will be applied in both long term care and acute care clinical settings. Skills that will be mastered include physical assessment, therapeutic communication, basic nursing care, IV therapy, and nursing documentation.General Clinical Information: CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonNumber of students enrolled in clinical course8262323Number of students who failed the clinical course0001Student/Faculty ratio per clinical group8:15:1 (2 auditors)7:1 (3 auditors)8:1 (1 auditor)Competency 1: Demonstrate therapeutic communication.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree6161117Goal achieved? yesNumber of students that Agree210116Competency 2: Document care according to the guidelines for documentation.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree511912Goal achieved? yesNumber of students that Agree3141411Competency 3: Provide personal care to clients.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree7181621Goal achieved?yesNumber of students that Agree1872Competency 4: Provide comfort measures for client.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree6181617Goal achieved?yesNumber of students that Agree2876Competency 5: Assist with dietary needs of client.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree5211620Goal achieved? yesNumber of students that Agree3573Competency 6: Apply the nursing process.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree581115Goal achieved?Number of students that Agree318128Competency 7: Obtain a health history.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree6101115Goal achieved?yesNumber of students that Agree215128Competency 8: Perform a general survey assessment.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree7151417Goal achieved?yesNumber of students that Agree11196Competency 9: Perform a basic head-to-toe assessment of client.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree6191515Goal achieved?yesNumber of students that Agree2788Competency 10: Identify functional health care patterns.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree481112Goal achieved?yesNumber of students that Agree4181211Competency 11: Demonstrate steps to accurate administration of medications in Simulation.oal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree571114Goal achieved?yesNumber of students that Agree319129Competency 12: Initiate IV therapy via peripheral access.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent78/80 or 97.5% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree512814Goal achieved?yesNumber of students that Agree213159Competency 13: Models the role of a professional nurse.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent80/80 or 100% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree7171318Goal achieved?yesNumber of students that Agree19105Simulation 1: Med Pass SIMGoal: 95% of students will agree or strongly agree the simulation helped them to meet the clinical competencies.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent78/80 or 97.5% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree3111413Goal achieved?yesNumber of students that Agree513910Simulation 2: CHF SIMSubjective Data: Goal: 95% of students will agree or strongly agree the simulation helped them to meet the clinical competencies.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent75/80 or 93.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree3101015Goal achieved?yesNumber of students that Agree414118Additional clinical student evaluation data with analysis: The following resources were beneficial to my clinical learning experience.Nursing Diagnosis HandbookGoal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree7231819Goal achieved?yesNumber of students that Agree1344The following resources were beneficial to my clinical learning experience.Kozier & Erb's Fundamentals of Nursing textGoal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent63/80 or 78.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree31398Goal achieved?noNumber of students that Agree41187The following resources were beneficial to my clinical learning experience.Davis Drug GuideGoal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree7241818Goal achieved?yesNumber of students that Agree1245The following resources were beneficial to my clinical learning experience.Davis Laboratory and Diagnostic textGoal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent67/80 or 83.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree3101017Goal achieved?noNumber of students that Agree21096The following resources were beneficial to my clinical learning experience.Understanding Medical Surgical Nursing textGoal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree5201812Goal achieved?yesNumber of students that Agree36510I was able to utilize the?information I learned in clinical in the classroom.Goal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/80 or 98.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree7141713Goal achieved?yesNumber of students that Agree11269The?clinical paperwork improved my ability to apply the information learned in the classroom to the clinical setting.Goal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent77/80 or 96.25% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree57126Goal achieved?yesNumber of students that Agree3181115Analysis of the student evaluation on the clinical site(s) reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonList site(s)Sylvia Thompson-0%Sylvia Thompson-0% disagree or strongly disagreeSylvia Thompson-0% disagree or strongly disagreeMiller County Care Center- 0%Identify the plan for change if applicable CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonList site(s)N/ABRHC 2SW-0% disagree or strongly disagreeBRHC 2SW-0% disagree or strongly disagreeLake Regional- 0%Identify the plan for change if applicable CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonList site(s)BRHC SNU-0%BRHC SNU- 0% disagree or strongly disagreeBRHC SNU-0% disagree or strongly disagreeMed/Surg. Capital Region 0%Identify the plan for change if applicable CampusFall PM/WFall SedaliaSpring SedaliaList site(s)N/ABRHC Ortho- 0% disagree or strongly disagreeBRHC Ortho-0% disagree or strongly disagreeIdentify the plan for change if applicable CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonList site(s)BRHC Same-day Surgery-IV-0%BRHC Same-day Surgery-IV therapy-0% disagree or strongly disagree BRHC Same-day Surgery-IV therapy-4.348% strongly disagree IV Therapy- Capital Region – 0%Identify the plan for change if applicable CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonList site(s)N/ABRHC PCU- 0% disagree or strongly disagree N/AN/AIdentify the plan for change if applicable The information on the Blackboard shell was clear and adequate.Goal: 90% of students will strongly agree or agree.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent75/80 or 93.75% agree or strongly agreeNumber of students taking assessment8262323Number of students that Strongly Agree4111110Goal achieved?yesNumber of students that Agree4141011On average, how many hours did you spend each week preparing for clinical?Goal: 85% of students should spend no more than 6 hours preparing for clinical each week.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent25/80 or 31.25% spent more than 8 hours37/80 or 46.25% spent between 4 to 8 hoursNumber of students taking assessment8262323I did not prepare for clinical.00001-4 hours75414-8 hours1141012More than 8 hours07810Goal achieved?NoIndicate where you were able to perform the following skills:Foley catheter insertionGoal: 95% of students were able to perform this skill.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent60/80 or 75% were able to perform this skillNumber of students taking assessment8262323Clinical Site0012Goal achieved?NoClinical Skills Lab6141717Both0300Did not perform skill1 (+1 unanswered)954Indicate where you were able to perform the following skills:Tube feedings Goal: 25% of students were able to perform this skill.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent3/80 or 3.75%# of students taking assessment8262323Clinical Site0001Goal achieved?NoClinical Skills Lab0002Both0000Did not perform skill7 (+1 unanswered)262320Indicate where you were able to perform the following skills:Intravenous insertionGoal: 95% of students were able to perform this skill.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent73/79 or 92.4%were able to perform this skill Number of students taking assessment8252323Clinical Site3358Goal achieved?noClinical Skills Lab2130Both3191313Did not perform skill0222Indicate where you were able to perform the following skills:Nasogastric tube insertionGoal: 10% of students were able to perform this skill.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent5/78 6.4%Number of students taking assessment8252323Clinical Site0001Goal achieved?noClinical Skills Lab0111Both0100Did not perform skill7 (+1 unanswered)232120Indicate where you were able to perform the following skills:Tracheostomy suction and careGoal: 5% of students were able to perform this skill.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent2/77 or 2.59% Number of students taking assessment8252323Clinical Site0001Goal achieved?noClinical Skills Lab0001Both0000Did not perform skill7 (+1 unanswered)252320Indicate where you were able to perform the following skills:Head to toe assessmentGoal: 95% of students were able to perform this skill.CampusFall PM/WFall SedaliaSpring SedaliaSpring EldonOverall percent79/79 or 100% Number of students taking assessment8252323Clinical Site4768Goal achieved?yesClinical Skills Lab0010Both4181614Did not perform skill0000PN Dosage Calculation: Fundamentals Medication Calculation ATI scoresCampusFall PM/WSedalia FallSedalia SpringEldon Spring# of students taking exam8252123Number of who below 82.5% on 1st attempt.0213Number of who below 82.5% on 2nd attempt.0003Number of who below 82.5% on 3rdst attempt.0000PN Dosage Calculations: Medical Surgical Medication Calculation ATI scoresCampusFall PM/WSedalia FallSedalia SpringEldon Spring# of students taking exam8252123Number of who below 82.5% on 1st attempt.0223Number of who below 82.5% on 2nd attempt.0013Number of who below 82.5% on 3rdst attempt.0000Analysis of data and summary of changes you have made and the impact of these changes.-Starting in Fall 2017 revised paperwork was initiated. In previous semesters students voiced that they were spending a lot of time doing preclinical paperwork in the acute care setting. The preclinical paperwork was reduced. THe acute care paperwork that was completed following care of patients was also reduced. The older paperwork was repetitive and confusing according to students. Students continue to state that they are spending a lot of time on preclinical according to the end of course survey. -Also one clinical cohort combined the CHF simulation and med pass simulation into one experience in the Spring. All cohort used the scanners during medication pass simulation. For all students who failed this clinical, list the competency failed below and the remediation provided to the student: One Student failed from the Eldon cohort. The following changes were made to the clinical course based on data collected: For Fall 2018 no changes will be made due to major changes that will occur in the Spring semester. We will continue to keep the CHF simulation and med pass simulation on seperate days, but will try to schedule the med pass directly after the CHF day. In the Spring 2019 this clinical will transition to a one day clinical during the acute care rotation. THe long term care aspect will not change. The preclinical paperwork will not change for acute care. The paperwork completed after caring for patients will change to reflect a one day clinical. The one day clinical will give the instructor more time to have personal communication with the students about their patient and their plan of care. Students will complete paperwork during clinical time with all paperwork being due the next day. The competency of initiating an IV will be removed from this clinical due to scheduling constraints. What needs are there related to this clinical course (i.e. equipment needs, faculty professional development needs, etc.), if any?Need to further develop the medication pass simulation to make it more beneficial to the students. 3 Goals:Make changes to clinical paperwork to reflect one day clinical in SpringDevelop a more detailed medication pass simulationHelp students make connections between class and clinical through personal communication in the clinical setting. 1084921130810NURS 119Pharmacology NURS 119Pharmacology Course description: This course is designed to introduce the allied health learner to the basic principles of pharmacology. Basic pharmacodynamic and pharmacokinetic principles of the most common drug classifications and selected drugs will be petency 1: Identify basic pharmacologic terms, abbreviations, and symbols related to medication management.Class Exam: LP 1 & 2 Exam Question While in the hospital, the pediatric client has been receiving amoxicillin 10 mL orally bid, pc. The child will be going home on this medication. What is the best instruction by the nurse for the parents? A.Give 2 teaspoons by mouth, twice a day, after meals. B.Give 2 teaspoons by mouth, three times a day, on an empty stomach. C.Give 2 teaspoons by mouth, twice a day, with meals. D.Give 2 teaspoons by mouth, three times a day, after meals. Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 84/8796.6%Yes#of students that answer questions correctly30/3196.8%8/8100%23/2495.8%23/2495.8%Subjective Data: How well do you feel like you mastered the following course competency Identify basic pharmacologic terms, abbreviations, and symbols related to medication management? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree6414933Agree20391345Total Responses267 of 8 (+1 unanswered)232378/7998.7%Class Exam: LP 1 & 2 Exam Question The client is 3 days post-op, and the physician orders an oral pain medication. The client asks the nurse if it wouldn't be better to get the medication in the intravenous (IV) line. What is the best response by the nurse? A."No, because we are going to take your intravenous (IV) line out." B."No, because pills are more effective than intravenous (IV) medications." C."No, because pills are safer than intravenous (IV) medications." D."No, because you could not medicate yourself intravenously (IV) at home." Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 59/8767.8%No#of students that answer questions correctly19/3161.3%4/850%18/2475%18/2475%Analysis of data and summary of changes you have made and the impact of these changes: This exam was given online via blackboard due to schedule. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 2: Examine federal laws and regulation as they relate to use of medications in clinical practiceClass Exam: LP 1 & 2 Exam Question What is the primary role of a nurse in medication administration?Ensure medications are administered and delivered in a safe manner. Be certain that physician orders are accurate. Inform the patient that prescribed medications need be taken only if the patient agrees with the treatment plan. Ensure patient compliance by watching the patient swallow all prescribed medications. Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 82/8794.3%Yes#of students that answer questions correctly28/3190.3%8/8100%23/2495.8%23/2495.8%Subjective Data: How well do you feel like you mastered the following course competency: Examine federal laws and regulation as they relate to use of medications in clinical practice? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree9612633Agree152111644Total Responses268232377/8096.25%Class Exam: LP 1 & 2 Exam Question The nurse administers an evening medication to the patient in the morning. What is the nurse’s best course of action this time?A.. Change the medication administration time to the morning.B. Assess the client and contact the health care provider..C. Tell the evening nurse to hold the evening dose just for tonight.D. Notify the pharmacy about the error.Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 86/87 98.9%Yes#of students that answer questions correctly30/3196.8%8/8100%24/24100%24/24100%Analysis of data and summary of changes you have made and the impact of these changes: This exam was given online via blackboard due to schedule. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 3 (Learning Plan 7): Explain pharmacodynamic and pharmocokinetic principles of Nervous system medications identifying common drugs and factors affecting eachClass Exam: LP 7 &8 Exam Question 12The client tells the nurse that she has been taking phenytoin (Dilantin) for two years now and is still having too many side effects. She wants to stop taking it. What is the best response by the nurse? A."Side effects are a problem, but they are not as bad as the seizures you were having." B."You have probably been on the medication long enough; I'll let your doctor know you are stopping it." C."This is the best medication for you; we can add another medication to decrease side effects." D."Please do not stop the medication abruptly, as you will have withdrawal seizures." Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 81/82 98.8%Yes#of students that answer questions correctly26/26100%8/8100%24/24100%23/2495.8%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Nervous system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree224311Agree216161861Total Responses268232372/80 90%YesQuiz: LP 7 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 9/81 11.1%No#of students that score ≥82.5%3/2611.5%2/825%combined with LP 83/2313%1/244.2%Analysis of data and summary of changes you have made and the impact of these changes: The LP 7&8 Quiz was combined in the Spring of 2018 due to scheduling issues. Students were allowed to use a notecard on this exam. Quiz consists of 10 questions. Students were allowed time to use their books and notes on this exam. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 4 (Learning Plan 10): Explain pharmacodynamic and pharmocokinetic principles of Cardiovascular system medications identifying common drugs and factors affecting eachClass Exam: LP 10 Overall ExamGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 41/85 48.2%No#of students that score ≥82.5%16/3053.3%5/862.5%13/2356.5%9/2437.5%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Cardiovascular system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree5510424Agree203121853Total Responses268232377/80 96.25%YesQuiz: LP 10 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 58/86 67.4%No#of students that score ≥82.5%25/3180.6%4/850%12/2352.2%17/2470.8%Analysis of data and summary of changes you have made and the impact of these changes: Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 5 (Learning Plan 5): Explain pharmacodynamic and pharmocokinetic principles of Hepatic system medications identifying common drugs and factors affecting eachClass Exam: LP 5 & 6 Exam Question 4A nurse is caring for a client who has thrombophlebitis and has been placed on IV heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses by the nurse is appropriate?A. “It usually takes at least two to three days for heparin to dissolve a clot”B. “The time it takes heparin to dissolve clots varies between clients”C. “Heparin prevents new clots from forming rather than dissolving established clots”D. “The time for heparin to dissolve a clot depends on the size of the clot”Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 82/86 95.3%Yes#of students that answer questions correctly30/3196.8%8/8100%22/2395.6%22/2491.7%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Hepatic system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree437620Agree215131655Total Responses268232375/80 93.75%yesQuiz: LP 5 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 41/86 47.6%No#of students that score ≥82.5%19/3161.3%3/837.5%6/2326.1%13/2454.2%Analysis of data and summary of changes you have made and the impact of these changes: This is the first quiz and written test that includes information about specific drugs starting in Spring 2017. Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 6 (Learning Plan 6): Explain pharmacodynamic and pharmocokinetic principles of Renal system medications identifying common drugs and factors affecting eachClass Exam: LP 5 & 6 Exam Question 35The client is receiving bumetanide (Bumex) and asks the nurse, "What is all this about 'loops' in my medicine?" What is the best response by the nurse? A."This is a loop diuretic, which refers to where it acts in your kidney. Not all diuretics work the same way." B."This is a loop diuretic, which means it works in the proximal loop of your kidney. Not all diuretics work the same way." C."This medication reabsorbs potassium in the loop of Henle in your kidney. It is safer than other diuretics." D."This medication blocks sodium reabsorption in what is known as Bowman's capsule. Not all diuretics work the same way." Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 67/86 77.9%Yes#of students that answer questions correctly28/3190.3%8/8100%15/2365.2%16/2466.7%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Renal system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree547723Agree214151454Total Responses26823237780 96.25%YesQuiz: LP 6 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 46/86 3.48%No#of students that score ≥82.5%17/3154.8%3/837.5%16/2369.6%10/2441.7%Analysis of data and summary of changes you have made and the impact of these changes: This is the first written test that includes information about specific drugs. Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 7 (Learning Plan 3): Explain pharmacodynamic and pharmocokinetic principles of Allergy and Respiratory system medications identifying common drugs and factors affecting eachClass Exam: LP 3 Overall ExamGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 40/81 49.4%No#of students that score ≥82.5%14/2653.8%8/8100%12/2352.2%6/2425%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Allergy and Respiratory system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree535518Agree215171760Total Responses268232378//80 97.5%YesQuiz: LP 3 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 61/81 75.3%No#of students that score ≥82.5%18/2669.2%5/862.5%20/2386.9%18/2475%Analysis of data and summary of changes you have made and the impact of these changes: Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. Competency 8 (Learning Plan 12): Explain pharmacodynamic and pharmocokinetic principles of Anti-infective, Antiviral, Antiretroviral, and Antifungal system medications identifying common drugs and factors affecting eachClass Exam: LP 11 &12 Exam Question 44The physician orders cefepime (Maxipime) [cephalosporin] for a client. What is a priority question for the nurse to ask the client prior to administration of this drug?“Are you pregnant?”“Are you breast-feeding?”“Are you allergic to penicillin?”“Are you allergic to tetracycline?”Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 74/81 91.4%Yes#of students that answer questions correctly24/2692.3%5/862.5%21/2391.3%24/24100%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Anti-infective, Antiviral, Antiretroviral, and Antifungal system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree427518Agree185151654Total Responses268232372/80 90%YesQuiz: LP 12 Overall Quiz Goal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 46/81 56.8%No#of students that score ≥82.5%17/2665.4%3/837.5%13/2356.5%13/2454.2%Analysis of data and summary of changes you have made and the impact of these changes: Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. Students were allowed to use a 3x5 notecard on this exam. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 9 (Learning Plan 11): Explain pharmacodynamic and pharmocokinetic principles of Pain management medications identifying common drugs and factors affecting eachClass Exam: LP 11 & 12 Exam1) Which client receiving morphine would be most concerning to the nurse?A) The client with a history of regular opiod use.B) The client whose last bowel movement was 2 days agoC) The client with respiratory rate of 8 BPM.D) The client with reports of frequent headaches. Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 80/81 98.8%Yes#of students that answer questions correctly25/2696.2%8/8100%23/23100%24/24100%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Pain management medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree757423Agree193161755Total Responses2682323 (+1 unanswered)78/79 98.7%Quiz: LP 11 Overall quizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 70/81 86.4%Yes#of students that score ≥82.5%18/2669.2%7/887.5%23/23100%22/2491.7%Analysis of data and summary of changes you have made and the impact of these changes: Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. Students were allowed to use a 3x5 notecard on this exam. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 10 (Learning Plan 8): Explain pharmacodynamic and pharmocokinetic principles of Anti-inflammatory, Musculoskeletal, and Anti arthritis medications identifying common drugs and factors affecting eachClass Exam: LP 7 & 8 Exam Question 24The nurse plans care for the elderly client receiving non-steroidal anti-inflammatory drug (NSAID) therapy. What is the best outcome for this client as relates to side effects of non-steroidal anti-inflammatory drug (NSAIDs)? A.The client will report any bleeding or bruising while taking the non-steroidal anti-inflammatory drug (NSAID). B.The client will report any mood changes while taking the non-steroidal anti-inflammatory drug (NSAID). C.The client will refrain from taking other medications with the non-steroidal anti-inflammatory drug (NSAID). D.The client will avoid the use of caffeine while taking the non-steroidal anti-inflammatory drug (NSAID). Goal: Greater than 75% will answer question correctlyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 76/81 93.8%Yes#of students that answer questions correctly25/2696.2%6/875%22/2395.7%23/2495.6%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Anti-inflammatory, Musculoskeletal, and Anti arthritis medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree648523Agree194131652Total Responses268232375/80 93.75%YesQuiz: LP 8 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 32/81 39.5%No#of students that score ≥82.5%11/2642.3%1/812.5%combined with LP 83/23 13%17/2470.8%Analysis of data and summary of changes you have made and the impact of these changes: The LP 7&8 Quiz was combined in the Spring of 2018 due to scheduling issues. Students were allowed to use a notecard on this exam. Quiz consists of 10 questions. Students were allowed time to use their books and notes on this exam. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 11(Learning Plan 9): Explain pharmacodynamic and pharmocokinetic principles of Gastrointestinal system medications identifying common drugs and factors affecting eachClass Exam: LP 9 Overall ExamGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 44/81 54.3%No#of students that score ≥82.5%18/2669.2%8/8100%11/2347.8%7/2429.2%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Gastrointestinal system medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree547622Agree214161556Total Responses2682323 (+1 unanswered)78/79 98.7%yesQuiz: Overall LP 9 QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 54/81 66.7%No#of students that score ≥82.5%25/2696.2%6/875%12/2352.2%11/2445.85Analysis of data and summary of changes you have made and the impact of these changes: Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this petency 12 (Learning Plan 4): Explain pharmacodynamic and pharmocokinetic principles of Hormone and Steroid medications identifying common drugs and factors affecting eachClass Exam: LP 4 Overall ExamGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 49/8259.8%No#of students that score ≥82.5%15/2755.6%4/850%13/2356.5%17/2470.8%Subjective Data: How well do you feel like you mastered the following course competency: Explain pharmacodynamic and pharmocokinetic principles of Hormone and Steroid medications identifying common drugs and factors affecting each? Goal: greater than 90% of students strongly agree or agree they mastered this competencyFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonStrongly Agree426820Agree206141454Total Responses248232374/78 94.8%YesQuiz: LP 4 Overall QuizGoal: Greater than 85% of students will score ≥82.5%Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverall Percent /Goal Achieved? 41/82 50%No#of students that score ≥82.5%18/2766.7%1/812.5%10/2343.5%12/24Analysis of data and summary of changes you have made and the impact of these changes: Students were allowed to use their personal drug charts on this quiz. Quiz consists of 10 questions. After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time.Overall grades: Fall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverallA314311B207181762C30148D00000ATI GradesFall Sedalia DaysFall Sedalia E/WSpring Sedalia DaysSpring EldonOverallLevel 331239Level 2137131548Level 1807621Below Level 120103Overall Changes:All exams in the Spring contained two bonus questions. These questions were from past competencies, with the idea that it might help them prepare for ATI at the end of the semester. The Fall semester students used the ATI extra credit quizzes that were completed outside of class. Students are still utilizing the ATI resource Pharm Made Easy for homework but course eval data shows that the students do not find it beneficial and do not use it to its full potential. All exams were blueprinted through examsoft and it was noted that many questions in the LP 1 & 2 exam do not correlate with an objective. Would like to change how LP 1 and 2 is assessed with the students. Possibly having the competency tested over multiple exams or have the students complete a project worth exam points. This would decrease the amount of written exams in class and could possibly help with time management. Considering changing the drug charts that the students complete for homework points and also use on their quizzes. The change would be in the format with the idea of making it more like a guided reading assignment. Possibly at some point in the future this class could benefit from being a flipped classroomWhat needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? None at this time3 goals for Pharmacology:Modify matrix to include Examsoft dataChange how LP 1 and 2 is assessed Change the formats of the drug charts119417956704NURS 122Adult Health I NURS 122Adult Health I Competency 1: Summarize nursing care and treatment for the client with skin care issues including pressure ulcersGoal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent72.86%Number of students taking assessment3182423Group Average of Competency 171.42%81.08%71.70%70.92%Goal achieved?noAfter this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. Subjective Data: I feel like I mastered the following competency for this courseGoal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall 97.5%Number of students taking assessment26 824 23Number of students that Strongly Agree6 (23.077%) 6 (75%)9 (37.5%)13 (56.5%)Goal achieved?yesNumber of students that Agree19 (73.077%)2 (25%)14 (58.33%)10 (43.5%)Neutral or disagree1 (3.846%)01 unanswered Competency 1 correlates with competency 8 in previous years matrixes. For the year Fall 2016 to Spring 2017 the goal was that 80% of students will meet the scoring standard of 82.5% on the competency exam. Overall only 45.3% of the students achieved the benchmark for this academic year. This exam was previously given as a stand-alone exam. However starting in the Spring of 2018 this exam was combined with the competencies 7&8 in an effort to decrease the test burden on the students. With the introduction of ExamSoft reports can be generated that show the overall percentage of correct answers for questions related to a specific competency. The benchmark chosen for the competency is 80%. While the benchmark was not reached in 3 of the 4 courses, improvement overall has been demonstrated in this competency. The subjective data does not align with the objective data and faculty will continue to review and revise exams to align with course petency 2: Predict nursing interventions for clients with vascular problems.Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoft.CampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent76.17%Number of students taking assessment3182223Group Average of Competency 272.47%75.39%80.75%81.84%Goal achieved?noSubjective Data: I feel like I mastered the following competency for this course:Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent96.3%Number of students taking assessment2682423Number of students that Strongly Agree3 (11.538%)2 (25%)11 (45.833%)7 (30.4%)Goal achieved?yesNumber of students that Agree20 (76.923%)6 (75%)13 (54.167%)16 (69.6%)Other or disagree3 (11.538%)0Competency 3: Determine nursing interventions and management for clients with dysrhythmias, cardiac problems, and coronary artery disease.Goal: Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent75.06%Number of students taking assessment3182223Group average of Competency 369.03%66.35%82.73%86.96%Goal achieved?noWhile the overall goal for competency 3 was not achieved the trend is improving significantly.Subjective Data: I feel like I mastered the following competency for this course: Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent 91.3%Number of students taking assessment2682423Number of students that Strongly Agree4 (15.385%)3 (37.5%)10 (41.667%)8 (34.8%)Goal achieved?yesNumber of students that Agree16 (61.538%5 (62.5%)13 (51.167%)15 (65.2%)Number of student that disagree6 (23.077%)01 (4.167%)Competency 4: Select nursing interventions for clients with cardiac output and tissue perfusion problems.Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent81.59%Number of students taking assessment2782223Group average of Competency 480.81%81.94%84.58%81.47%Goal achieved?yesSubjective Data: I feel like I mastered the following competency for this course: Select nursing interventions for clients with cardiac output and tissue perfusion problems.Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent92.6%Number of students taking assessment2682423Number of students that Strongly Agree4 (15.389%)3 (37.5%)10 (41.667%)10 (43.5%)Goal achieved?yesNumber of students that Agree18 (29.231%)5 (62.5%)12 (50%)13 (56.5%)Number of students that disagree4 (15.389%)01 (4.167%)1 unanswered (4.167%)Evaluation: After this examination faculty evaluated questions and completed item analyses for each question. Any item in question was discussed, including questions that the majority of classes missed, questions needing clarification, etc. Any question that needed to be omitted, neutralized, etc. was completed. Faculty collaboration will continue following each examination administration. In the previous academic year the exams for competencies 2, 3, and 4 had been stand-alone exams. In the Spring of 2018 the exams were combined to decrease the student test burden. According to the data, this appears to have been successful, especially for competency 2 and 3. The Sedalia day’s cohort showed an improvement of 9.4% in competency 2 and a 26.7% in competency 3. While this is only one academic year of data the faculty believes that decreasing the test burden has a tremendous impact in student petency 5: Develop and evaluate nursing care for clients with acute alterations in the respiratory system.Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent83.31%Number of students taking assessment2682423Group average of Competency 584.97%86.08%80.59%83.14%Goal achieved?YesSubjective Data: I feel like I mastered the following competency for this course: Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent97.5%Number of students taking assessment2682423Number of students that Strongly Agree5 (19.231%)5 (62.5%)11 (45.833%)8 (34.8%)Goal achieved?yesNumber of students that Agree20 (76.923%)3 (37.5%)13 (54.167%)14 (60.9%)Number of students who disagree1 (3.846%)01 (4.3%)Competency 6: Develop and evaluate nursing care for clients with chronic alterations in the respiratory system.Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoft.CampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent84.30%Number of students taking assessment2682423Group average of Competency 682.63%80.47%89.69%86.58%Goal achieved?yesSubjective Data: I feel like I mastered the following competency for this courseGoal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent98.8%Number of students taking assessment2682423Number of students that Strongly Agree4 (15.385%)5 (62.5%)12 (50%)8 (34.8%)Goal achieved?yesNumber of students that Agree21 (80.769%)3 (37.5%)12 (50%)15 (65.2%)Number of students that disagree1 (3.846%)0Evaluation: After this examination faculty evaluated questions and completed item analyses for each question. Any item in question was discussed, including questions that the majority of classes missed, questions needing clarification, etc. Any question that needed to be omitted, neutralized, etc. was completed. Faculty collaboration will continue following each examination administration. Competencies 5 and 6 were assessed as a single petency 7: Anticipate the different nursing interventions needed by a peri-operative client.Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent87.65%Number of students taking assessment2682423Group Average of Competency 787.02%96.2085.9884.19%Goal achieved?yesSubjective Data: I feel like I mastered the following competency for this courseGoal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent96.3%Number of students taking assessment268 (1 unanswered)2423Number of students that Strongly Agree9 (34.615%)7 (87.5%)10 (41.667%)6 (26.1%)Goal achieved?yesNumber of students that Agree16 (61.538%)014 (58.333%)16 (69.6%)Neutral or disagree1 (3.846%)01 (4.3%)Competency 8: Evaluate the client’s potential for post-operative complications.Goal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverallNumber of students taking the exam268242383.88%Group Average of Competency 886.54%89.72%84.85%82.21%yesSubjective Data: How well do you feel like you mastered the following course competency? Goal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent98.8%Number of students taking assessment2682423Number of students that Strongly Agree8 (30.769%)6 (75%)11 (45.833%)7 (30.4%)Goal achieved?yesNumber of students that Agree18 (69.231%)2 (25%)12 (50%)16 (69.6%)Number of students the disagree1 (4.167%) unansweredAfter this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. Competencies 1, 7, and 8 were combined in the Spring of 2018 into one exam. This was the first exam of the term. The data indicates a small dip in the data from the Fall of 2017. Previously competency 7 and 8 were given as an exam later in the term. The faculty believe the dip in the trend is due to this being the first med-surg course the students take and the first exam of the course. The faculty will continue to revise and collaborate to ensure the exams reflect course petency 9: Formulate the nursing implications for clients with cancerGoal: The students will achieve a group average of 80% or greater in the competency. The data will be gathered from ExamSoftCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent86.08%Number of students taking assessment2682423Group Average of Competency 986.96%87.50%84.38%88.13%Goal achieved?yesSubjective Data: I feel like I mastered the following competency for this courseGoal: greater than 90% of students strongly agree or agree they mastered this competencyCampusFall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverall percent98.8%Number of students taking assessment268 (1 unanswered)2423Number of students that Strongly Agree6 (23.077%)4 (50%)12 (50%)9 (39.1%)Goal achieved?yesNumber of students that Agree20 (76.923%)3 (37.5%)12 (50%)14 (69.565%)After this exam faculty evaluated the questions. We discussed questions that a majority of students missed. If questions needed to be reworded or omitted it was done at this time. Faculty will continue to evaluate after each exam is administered. No other changes or suggestions at this time. Overall grades: Fall 2017 SedaliaFall 2017PM/W Spring 2018 EldonSpring 2018 SedaliaOverallA01247B217191764C or less503210What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? The faculty took the number of exams from 6 to 4 in an eight week course. The hope is that the students will have more time to study and integrate the information resulting in improved outcomes as a whole on the course competencies. For the most part, the data from ExamSoft appears to support this change. The faculty believe that the data provided by ExamSoft analyses provides a better measurement of the students’ achievement of course competencies as a whole and the data available from the reports has been used to complete this matrixes. Continued education for the faculty in regard to item analysis would be beneficial program wide.Up to date continuing education offerings for students related to the competencies in this course would be valuable. Professional development educational conferences or offerings for faculty to improve evidence-based information being taught could only benefit the outcomes of the course117370794899NURS 124Adult Health II NURS 124Adult Health II Basic nursing course addresses principles and nursing care for clients experiencing alterations in neurological and gastrointestinal systems, as well as the client who has developed diabetes mellitus. Basic strategies for leadership and conflict petency 1: Contrast treatments and outcomes for clients with peptic ulcer disease, acute and chronic gastritis, GI bleeding, and duodenal ulcers, esophageal hernias, GI tract cancers. Criteria for insertion and maintenance of nasogastric tubesClass Exam: GI Exam Question #4 The nurse is caring for a patient whose nasogastric (NG) tube, inserted to decompress the stomach for bowel obstruction, is not draining. Which of these nursing actions should the nurse take? D. Irrigate NG tube with 30 milliliters of tap water. BenchmarkSedalia Spring Days 2018Fall Eldon 2017Spring PM/W 2018Fall Sedalia Days 2017Overall Percent/Goal Achieved?90%17/2085%11/1292%8/8100%17/1894%91.37%YESGoal Statement: 90% of students will answer question #3 on Exam #1 correctly. Evaluation: Faculty discussed question and answer options. It was found question is valid, but possibly more explanation in lecture is necessary; goal not met. UGI Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%14/2070%7/1258%7/887.57/1839%60.34%NOGoal Statement: 90% of students will receive an 82.5% on the UGI Quiz. Evaluation: Faculty discussed quiz and found quiz is valid. Possibly more study time between lecture and quiz is necessary; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1066426Agree10521229Total Responses201281655Goal Statement: 90% of students will strongly agree or agree they met Competency #1. Evaluation: 97.1% of students strongly agreed or agree they met Competency #1, will continue to evaluate and make changes as needed, in order to continue to achieve goal; goal achieved. Competency 2: Compare nursing management for clients with non-inflammatory GI disorders (such as IBS, cancer of the colon, hernias, bowel obstructions) with inflammatory GI disorders (such as appendicitis, peritonitis, gastroenteritis, ulcerative colitis, IBS, cholecystitis, pancreatitis, and abscesses)Class Exam: LP 1&2 GI Question # 3713 A nurse is caring for a client with a nasogastric tube following surgery for a bowel obstruction. Which of the following actions should the nurse include in the clients plan of care? (Select all that apply) A. Repositioning every 2 hours B. Encouraging hourly use of an incentive spirometer while awake and C. Documenting color, consistency, and amount of nasogastric drainage.BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017 Overall Percent/Goal Achieved?90%11/2055%0/120%0/100%2/1812%22.41%NOGoal Statement: 90% of students will answer question #31 on exam #1 correctly.Evaluation: Faculty discussed exam #1 question #31 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. LGI Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%8/2040%8/1267%6/875%10/1856%55.17%NOGoal Statement: 90% of students will receive an 82.5% on the LGI Quiz. Evaluation: Faculty discussed LGI quiz after quiz given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1064525Agree10541130Total Responses201281655Goal Statement: 90% of students will strongly agree or agree they met Competency #2. Evaluation: 97.1% of students strongly agreed or agree they met Competency #2; will continue to evaluate and make changes as needed, in order to continue to achieve goal; goal achieved. Competency 3: Develop a community based teaching plan for the client with cirrhosis of the liver (liver failure), cancer of the liver and hepatitis A, B, and C.Class Exam: Exam LP 3 (Hepatic Exam) BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%10/2050%3/1323%8/8100%10/1856%52.54%NOGoal Statement: 90% of all students will meet the scoring standard of 82.5% on competency #3 (Hepatic) exam.Evaluation: Faculty discussed Hepatic exam after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. This exam was given in Examsoft for the first time for the Fall 2017 cohorts. There were issues with some of the questions and the answer key. All of the select all that apply questions need that it is a select all that apply statement on them. The Math needs to have rounding rules for each. Question #15 (3764) needs revised. The math questions need split up and not dependant on the first answer to get the next ones correct. Hepatic Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%12/2060%9/1369%6/875%10/1856%62.71%NOGoal Statement: 90% of students will receive an 82.5% on the hepatic quiz. Evaluation: Faculty discussed hepatic quiz after quiz given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree 863522Agree11551233Total Responses201281755Goal Statement: 90% of students will strongly agree or agree they met Competency #3. Evaluation: 97.1% of students strongly agreed or agree they met Competency #3; will continue to evaluate and make changes as needed, in order to continue to achieve goal; goal achieved. Competency 4: Predict clients at risk for developing diabetes mellitus and complications from the disease processClass Exam: LP 4 Diabetes Question # 45 (3781) What is the major factor in the development of type 1 diabetes? C. An autoimmune response. BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%20/20100%12/1392%8/8100%18/18100%98.30%YESGoal Statement: 90% of students will answer question #3 on exam #3 correctly. Evaluation: Faculty discussed exam #3 question #3 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal met. DM Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%18/2090%11/135/8 62.515/1883%83.05%YESGoal Statement: 90% of students will receive an 82.5% on the DM Quiz. Evaluation: Faculty discussed DM quiz after quiz given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1184730Agree944926Total Responses201281656Goal Statement: 90% of students will strongly agree or agree they met Competency #4. Evaluation: 100% of students strongly agreed or agree they met Competency #4; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 5: Evaluate nursing management of the client with diabetes mellitusClass Exam: LP 4 Diabetes Question #22 (3804) A patient receives Insulin lispro (Humalog) at 8:00 AM. Which time will it be most important for the nurse to monitor for symptoms of hypoglycemia? A. 9:00 BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%15/2075%10/1377%5/862.510/1856%67.80%NOGoal Statement: 90% of students will answer question #1 on exam #3 correctly. Evaluation: Faculty discussed Diabetes exam question 45 (3781) & 22 (3804) after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal met. The students would benefit from question 18 (3808), 26 (3800), 49 (4963) being revised.Diabetes Teaching Project <This was removed from the course.>BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia DaysOverall Percent/Goal Achieved?82.5%Not included in curriculumGoal Statement: 95% of students will meet the scoring standard of 82.5% on the Diabetes Teaching Project.Evaluation: Faculty discussed Diabetes Teaching Project after projects completed. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1184730Agree944825Total Responses201281555Goal Statement: 90% of students will strongly agree or agree they met Competency #5. Evaluation: 100% of students strongly agreed or agree they met Competency #5; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 6: Interpret lab and diagnostic exams to determine care of the client with renal problemsClass Exam: LP 5&6 Question #3862 The nurse is contributing to the plan of care for a patient who is having an intravenous pyelogram (IVP) done to diagnose possible bladder cancer. Which intervention should the nurse recommend for the patient after the procedure? B. Monitor creatinine level. BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%17/2085%10/1377%6/875%13/1877%77.97%NOGoal Statement: 90% of all students will answer question #6 on exam #4 correctly. Evaluation: Faculty discussed exam #4 question #6 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Urinary System Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%14/2070%6/1250%8/8100%8/1844%62.07%NOGoal Statement: 90% of students will receive 82.5% on the Urinary System Quiz.Evaluation: Faculty discussed the urinary system quiz after quiz completed. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree872522Agree11561234Total Responses201281756Goal Statement: 90% of students will strongly agree or agree they met Competency #6. Evaluation: 92.7% of students strongly agreed or agree they met Competency #6; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 7: Prioritize basic nursing care for the client with chronic and acute renal failureClass Exam: LP 5&6 Question 3852The nurse is caring for a patient who has a nephrostomy tube. What action should the nurse take to maintain the integrity of this device? C. Ensure tube is not kinked or clamped. BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%18/2090%13/13100%7/887.5%16/1889%91.50%YESGoal Statement: 90% of students will answer question #9 on exam #4 correctly. Evaluation: Faculty discussed exam #4 question #9 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Renal Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%14/2070%10/1283%6/875%8/1844%65.52%NOGoal Statement: 90% of students will receive an 82.5% on the Renal Quiz. Evaluation: Faculty discussed the renal quiz after quiz completed. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1062422Agree9661334Total Responses201281756Goal Statement: 90% of students will strongly agree or agree they met Competency #7. Evaluation: 98.5% of students strongly agreed or agree they met Competency #7; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 8: Determine nursing care for clients with central nervous system problems, such as headaches, seizures, epilepsy, Parkinson's disease, and Alzheimer's.Class Exam: LP 7&8 3887 The nurse is preparing a patient for an electroencephalogram (EEG). What information should be given to the patient? C. The hair must be clean and dry before the test.BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%20/20100%12/12100%7/887.5%18/18100%98.28%YESGoal Statement: 90% of students will answer question #10 on exam #5 correctly. Evaluation: Faculty discussed exam #5 question #10 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. CNS QuizBenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%12/2060%8/1267%3/837.5%6/1833%50%NOGoal Statement: 90% of students will receive an 82.5% on the CNS Quiz.Evaluation: Faculty discussed the CNS quiz after quiz completed. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1164425Agree9641332Total Responses201281757Goal Statement: 90% of students will strongly agree or agree they met Competency #8. Evaluation: 100% of students strongly agreed or agree they met Competency #8; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 9: Develop a nursing care plan for the client with peripheral nervous system problems, such as myasthenia gravis, Guillian-barre syndrome, peripheral neuropathy, and trigeminal neuralgia, Bell’s palsy, multiple sclerosis, and ALS.Class Exam: LP 7&8 3921 A patient diagnosed with Guillain-Barre syndrome (GBS) asks how the disease developed since the patient rarely has an illness. What nursing response is most accurate? ? B. “It may be an autoimmune reaction to a virus.” BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%17/2085%11/1292%6/875%15/1883%84.48%NOGoal Statement: 90% of students will answer exam #5 question #32 correctly. Evaluation: Faculty discussed exam #5 question #32 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. SamRIOT Group ProjectBenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%20/20100%12/12100%8/8100%16/1889%96.55%YESGoal Statement: 95% of students will meet the scoring standard of 82.5% on the SamRIOT project. Evaluation: Faculty discussed the SamRIOT group project after project completed. Changes made to rubric in order to facilitate more thorough preparation by students. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree864422Agree12541334Total Responses201281756Goal Statement: 90% of students will strongly agree or agree they met Competency #9. Evaluation: 100% of students strongly agreed or agree they met Competency #9; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 10: Customize nursing care of patients with Cerebrovascular disorders.Class Exam: LP 9&10 Question #3962 Which of the following priorities should be included in a routine neurological nursing assessment? B. Glasgow Coma Scale, pupil response, and vital signs BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%19/2095%11/1292%8/8100%15/1889%91.38%YESGoal Statement: 90% of students will answer question #1 on Exam #6 correctly. Evaluation: Faculty discussed exam #6 question #1 after exam given. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. CVA Quiz BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?82.5%16/2080%3/1225%6/875%17/1892%72.41%NOGoal Statement: 90% of students will receive an 82.5% on the CVA Quiz. Evaluation: Faculty discussed the CVA quiz after quiz completed. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1064424Agree8641230Total Responses201281654Goal Statement: 90% of students will strongly agree or agree they met Competency #10. Evaluation: 98.6% of students strongly agreed or agree they met Competency #10; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 11: Prioritize care for clients experiencing spinal cord problems, such as back pain and acute or chronic spinal cord injury.Class Exam: LP 9&10 Question #27 3958?? A woman cares for her husband with a C7 spinal cord injury. The patient requires frequent turning, help with all activities of daily living, catheterization every 3 hours around the clock, and daily wound care for a pressure ulcer. They have three children ages 5 to 12. The wife is exhausted, cannot sleep at night, and has no one to help her. Which of the following outcome criteria would be relevant to a nursing diagnosis of caregiver role strain for this patient’s plan of care? D. Identifies resources available to assist in care BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%18/2090%10/1283%8/8100%18/18100%93.10%YESGoal Statement: 90% of students will answer exam #6 question #32 correctly. Evaluation: Faculty discussed exam #6 question #32 after exam given. Faculty plan to administer this exam in class vs. online in the Fall 2015 semester in order to better complete an accurate test analysis. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Class Exam: LP 9&10 Question #3960 A patient with a spinal cord injury is unable to move the extremities. In which area should the nurse suspect that this patient’s injury occurred? B. C4-C8. BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%17/2085%12/12100%5/862.5%17/1892%87.93%NOGoal Statement: 90% of students will answer exam #6 question #34 correctly.Evaluation: Faculty discussed exam #6 question #34 after exam completed. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree1062523Agree9661233Total Responses201281756Goal Statement: 90% of students will strongly agree or agree they met Competency #11. Evaluation: 98.5% of students strongly agreed or agree they met Competency #11; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved. Competency 12: Coordinate care for a variety of clients in diverse health care settings utilizing leadership principles.Class Exam: LP 11&12 Question #3987: A nursing assistant (NA) did an exceptionally good job by encouraging a resident to leave his room and go to an activity. Select the response by the LPN charge nurse that would best encourage the employee to continue this effort. D. Tell the NA you know how hard she worked to get the resident out of his room and how pleased you are that she is concerned with the resident’s need for socialization.BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%20/20100%12/12100%8/8100%18/18100%100%YESGoal Statement: 90% of students will answer question #6 on exam #7 correctly. Evaluation: Faculty discussed exam #7 question #6 after exam given. Plan to use practice PN Management ATI with focused review in order to help students prepare for PN Management ATI associated with this course. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Class Exam: LP 11&12 Question #4025 An assistive personnel tells the LPN/LVN charge nurse that it is unfair that she has to take care of all the clients who are incontinent. Which of the following responses by the charge nurse is appropriate? A. “I delegate tasks to personnel based on their job description and skill level” D. Can you explain to me why you feel this way?BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%12/2060%9/1275%8/8100%14/1878%74.14%NOGoal Statement: 90% of students will answer question #44 on exam #7 correctly.Evaluation: Faculty discussed exam #7 question #44 after exam completed. Plan to use practice PN Management ATI with focused review in order to help students prepare for PN Management ATI associated with this course. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree654621Agree14741136Total Responses201281757Goal Statement: 90% of students will strongly agree or agree they met Competency #12. Evaluation: 100% of students strongly agreed or agree they met Competency #12; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal petency 13: Apply conflict resolution and leadership strategiesClass Exam: LP 11&12 Question #3997: The action the LPN charge nurse takes independently that would most likely require conflict resolution at the unit level is: A. eliminating morning breaks and adding 10 minutes to the lunch hour.BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall %/Goal Achieved?90%18/2090%9/1275%8/8100%16/1889%87.93%NOGoal Statement: 90% of students will answer question #16 on exam #7 correctly. Evaluation: Faculty discussed exam #7 question #16 after exam given. Plan to use practice PN Management ATI with focused review in order to help students prepare for PN Management ATI associated with this course. Will continue to evaluate and make changes, as needed in future course offerings; goal not met. Class Exam: LP 11&12 Question #4964 How should the scenario that follows be evaluated with respect to the goal of encouraging the nursing assistant to be accountable for learning skills? Nursing assistant: “I do not know how to use the new lifting device to get Mrs. Jackson out of bed. I missed the demonstration the other day.” LPN charge nurse: “I will ask Kay if she has time to get Mrs. Jackson out of bed with the new device while you assist. How can you prepare yourself to use the new device?” Nursing assistant: “I could watch closely when I assist Kay and ask questions. Then, I guess I could watch the videotape that came from the company and practice with a couple of the aides when they have time.” LPN charge nurse: “Good plan. I will plan to observe and evaluate your competency tomorrow afternoon. The scenario should be evaluated as A. a good example of encouraging the nursing assistant to be accountable for learning.BenchmarkSedalia Spring DaysFall EldonSpring PM/WFall Sedalia Days 2017Overall Percent/Goal Achieved?90%20/20100%12/12100%8/8100%18/18100%100%YESGoal Statement: 90% of students will answer question #45 on exam #7 correctly. Evaluation: Faculty discussed exam #7 question #44 after exam completed. Plan to use practice PN Management ATI with focused review in order to help students prepare for PN Management ATI associated with this course. Will continue to evaluate and make changes, as needed in future course offerings; goal met. Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses)Spring Sedalia DaysFall EldonSpring PM/WFall Sedalia Days 2017Strongly Agree653721Agree14751036Total Responses201281757Goal Statement: 90% of students will strongly agree or agree they met Competency #13. Evaluation: 100% of students strongly agreed or agree they met Competency #13; will continue to evaluate and make changes as needed in order to continue to achieve goal; goal achieved.Overall gradesSpring 18 Sedalia DaysFall 17 EldonSpring 18 E/WFall 17 Sedalia DaysOverall58, 100%A521210B151071648C0000D0000ATI GradesSpring 18 Sedalia DaysFall 17 EldonSpring 18 E/WFall 17 Sedalia DaysOverall57, 98.28%Level 31621726Level 24831025Level 102316Below Level 100000What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? 27222597790NURS 126Adult Health Clinical NURS 126Adult Health Clinical Adult Health Nursing Clinical: NURS 126Basic nursing concepts utilizing current standards and evidence-based best practices are applied to the acute clinical setting. The student will provide nursing care to the client and family with altered health status, while evaluating laboratory and diagnostic findings, medication effectiveness and client responses. This is a pass/fail course.General Clinical Information: CampusFall SedaliaSpring SedaliaPM/WFall Eldon ‘17Number of students enrolled in clinical course1620813Number of students who failed the clinical course0000Student/Faculty ratio per clinical group5:15:18:16:17:1Competency 1: Evaluate client response to medication.Subjective Data: I feel like I mastered the following competency: Evaluate client response to medication.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent46/46 100%Number of students taking assessment1610812Number of students that Strongly Agree9467Goal achieved?metNumber of students that Agree7625For the next matrix reporting period all cohorts will be using the newly recommended and required “Medication Sheets” as recommended by the Clinical Change Coalition. Competency 2: Communicate with clients, families, groups and the health care team.Subjective Data: I feel I mastered the following clinical competencies: Communicate with clients, families, groups and the health care team.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent100%Number of students taking assessment1610812Number of students that Strongly Agree11668Goal achieved?metNumber of students that Agree5424No changes have been made during this matrix reporting period and none are planned for the next reporting period.Program outcome:2. Demonstrate effective written and verbal communication petency 3: Utilize technology to enhance positive patient outcomes.Subjective Data: I feel I mastered the following clinical competencies: Utilize technology to enhance positive patient outcomesGoal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent100%Number of students taking assessment169812Number of students that Strongly Agree8558Goal achieved?metNumber of students that Agree8434There were no changes made during this matrix reporting period, however the plan for the next reporting period includes the use of SimChart to enhance student understanding of documentation of assessment, planning, and intervention outcomes. Program outcome:2. Incorporate changing health concepts, technology, and practices as a lifelong petency 4: Document assessments, interventions and progress toward client outcomes.Subjective Data: I feel I mastered the following clinical competencies: Document assessments, interventions and progress toward client outcomes.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent100%Number of students taking assessment1610812Number of students that Strongly Agree7656Goal achieved?metNumber of students that Agree9436There were no changes made during this matrix reporting period, however the plan for the next reporting period includes the use of SimChart to enhance student understanding of documentation of assessment, planning, and intervention outcomes. Program outcome:2. Demonstrate effective written and verbal communication petency 5: Initial IV therapy via peripheral access.Subjective Data: I feel I mastered the following clinical competencies: Initial IV therapy via peripheral access.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent39/4684.7%Number of students taking assessment1610812Number of students that Strongly Agree3337Goal achieved?not metNumber of students that Agree7655Changes for this reporting period include integration of IV therapy skills into a skills lab built into the clinical schedule to address this specific competency. Additionally, instructors should include discussion of this competency to clarify that it does not exclusively include initiation of IV access (IV sticks) but rather initiation of IV therapy (fluids and medications). Program outcome:3. Provide safe, caring interventions within diverse petency 6: Correlate common lab tests used to diagnose disorders with medical and nursing management of clients.Subjective Data: I feel I mastered the following clinical competencies: Correlate common lab tests used to diagnose disorders with medical and nursing management of clients.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent100%Number of students taking assessment1610812Number of students that Strongly Agree7456Goal achieved?metNumber of students that Agree9636No changes have been made during this matrix reporting period and none are planned for the next reporting period.Program outcome:5. Assist with health assessment of indviduals, families, and petency 7: Provide nursing care for clients, families, and groups with health alterations.Subjective Data: I feel I mastered the following clinical competencies: Provide nursing care for clients, families, and groups with health alterations.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent100%Number of students taking assessment1610812Number of students that Strongly Agree8658Goal achieved?metNumber of students that Agree8434No changes have been made during this matrix reporting period and none are planned for the next reporting petency 8: Differentiate the roles of the nurse in the operating room and endoscopy.Subjective Data: I feel I mastered the following clinical competencies: Differentiate the roles of the nurse in the operating room and endoscopy.Goal: 95% of students will agree or strongly agree they mastered the competencyCampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent100%Number of students taking assessment1610812Number of students that Strongly Agree11668Goal achieved?metNumber of students that Agree5424No changes have been made during this matrix reporting period and none are planned for the next reporting period.Simulation 1: Diabetes ManagementSubjective Data: The simulation experience helped me meet the clinical competencies.Goal: 95% of students will agree or strongly agree the simulation helped them to meet the clinical competencies.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent91.3%Number of students taking assessment1610812Number of students that Strongly Agree6136Goal achieved?not metNumber of students that Agree10844This was not met, however, it is close. There are plans to completely change this SIM experience.Simulation 2: CPRSubjective Data: The simulation experience helped me meet the clinical competencies.Goal: 95% of students will agree or strongly agree the simulation helped them to meet the clinical competencies.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent95.6%Number of students taking assessment169812Number of students that Strongly Agree10569Goal achieved?metNumber of students that Agree6421Additional clinical student evaluation data with analysis: Subjective Data: The following resource was beneficial to my learning experience: Textbook associated with this courseGoal: 95% of students will agree or strongly agree that the textbook is beneficial.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent95.7%Number of students taking assessment1610812Number of students that Strongly Agree11659Goal achieved?metNumber of students that Agree5332Subjective Data: The following resource was beneficial to my learning experience: Nursing Diagnosis Handbook.Goal: 95% of students will agree or strongly agree that this handbook is beneficial.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent97.8%Number of students taking assessment1610812Number of students that Strongly Agree14868Goal achieved?metNumber of students that Agree2223Subjective Data: The following resource was beneficial to my learning experience: Lab and Diagnostics Handbook.Goal: 95% of students will agree or strongly agree that this handbook is beneficial.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent60.9%Number of students taking assessment1610812Number of students that Strongly Agree3324Goal achieved?not metNumber of students that Agree6424Students don’t usually catch on that they can use this book.Subjective Data: The following resource was beneficial to my learning experience: Davis Drug GuideGoal: 95% of students will agree or strongly agree that this guide is beneficial.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent95.7%Number of students taking assessment1610812Number of students that Strongly Agree138810Goal achieved?metNumber of students that Agree2201Subjective Data: I was able to utilize the information I learned in clinical in the classroom.Goal: 95% of students will agree or strongly agree that they are able to utilize the information they learned in the clinical in the classroom as well.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent93.3%Number of students taking assessment1610712Number of students that Strongly Agree5549Goal achieved?not metNumber of students that Agree11431Subjective Data: the clinical paperwork improved my ability to apply the information learned in the classroom to the clinical setting.Goal: 95% of students will agree or strongly agree that the clinical paperwork improves their ability to apply the information they learned in the classroom to the clinical setting.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent93.5%Number of students taking assessment1610812Number of students that Strongly Agree5438Goal achieved?not metNumber of students that Agree10643Subjective Data: The information in the Blackboard course shell was clear and adequate.Goal: 95% of students will agree or strongly agree that the information in the Blackboard shell was clear and adequate.CampusFall SedaliaSpring SedaliaPM/WFall EldonOverall percent95.6%Number of students taking assessment169812Number of students that Strongly Agree9557Goal achieved?metNumber of students that Agree7334Analysis of the student evaluation on the clinical site(s) reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusFall SedaliaSpring SedaliaPM/WList site(s)BRHC EndoscopyBRHC ORSurgery Center (Endo)BRHC 2SWBRHC SNU111noneIdentify the plan for change if applicable No change required for BHRC OR. The evaluation will be edited to include the Surgery Center for fall 2016.The evaluation will be audited to address BRHC SNU, as the previous version offered only PCU which we no longer use.No change required.Analysis of the student evaluation on the clinical staff reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusFall EldonList site(s)CRMC EndoCRMC ORCRMC ERCRMC Med-surgCRMC WoundLake Ozark EndoLake Ozark ORLake Ozark ERLake Ozark 2 EastLake Regional SNF1000200001Identify the plan for change if applicable No Changes required at this time.Analysis of the faculty evaluation of the clinical site(s) reveals faculty “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for the students to meet clinical competencies: CampusFall SedaliaSpring SedaliaPM/WList site(s)BRHC EndoBRHC ORSurgery Center (Endo)BRHC 2SWBRHC SNU0000010010000Identify the plan for change if applicable No changes needed, no faculty disagree with the sites.No changes needed, no faculty disagree with the sites.No changes needed, no faculty disagree with the sites.Analysis of the faculty evaluation of the clinical site(s) reveals faculty “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for the students to meet clinical competencies: CampusFall EldonList site(s)CRMC EndoCRMC ORCRMC ERCRMC Med-surgCRMC WoundLake Ozark EndoLake Ozark ORLake Ozark ERLake Ozark 2 EastLake Regional SNF0000000000Identify the plan for change if applicable No changes necessary.Analysis of the clinical site evaluation of the SFCC faculty and students reveal the staff at the clinical site indicated “unsatisfactory” or “needs improvements” on the evaluation: CampusFall SedaliaSpring SedaliaPM/WList site(s)BRHC EndoscopyBRHC ORSurgery Center (Endo)BRHC 2SWBRHC SNU0001400000000Identify the plan for change if applicable No plan needed, no sites found to need improvement or be unsatisfactory.No plan needed, no sites found to need improvement or be unsatisfactory.No plan needed, no sites found to need improvement or be unsatisfactory.Analysis of the clinical site evaluation of the SFCC faculty and students reveal the staff at the clinical site indicated “unsatisfactory” or “needs improvements” on the evaluation: CampusFall EldonList site(s)St. Mary’s EndoSt. Mary’s ORSt. Mary’s ERSt. Mary’s 4 SouthLake Ozark EndoLake Ozark ORLake Ozark ERLake Ozark 1 North00000000Identify the plan for change if applicable No plan for change.SHORT ANSWER: Student Free Text answers for consideration: On average, how many hours did you spend each week preparing for clinical? Fall Sedalia: Answers vary in range from the minimal 1-4 hours, to 4-8 hours, and one spent more than 8 hours. Spring Sedalia:Answers vary in range from the minimal 1-4 hours (4 students), to 4-8 hours (4 students), and two students spent more than 8 hours.PM/W: Answers given ranged from 1-4 hours; 4-8 hours; more than 8 hoursEldon: Answers given ranged from: 1-4 hours - 1, 4-8 hours - 9, more than 8 - 1What was the most beneficial experience during this clinical rotation?Fall Sedalia: Caring for some patients that were acutely ill rather than post-op. Having a patient by myself. I benefited most from hands on experiences with the patient. Observing in the OR was a great experience as it gave me an idea of a possible area I’d like to work. I feel I learned a lot from this clinical rotation. The instructors made this clinical a very pleasant and informative learning environment. The most beneficial experience was the medication administration. I felt that was the best part, especially being able to do med pass on both days.Spring Sedalia: I feel like med pass was the most beneficial experience because I got to learn how to do assessments prior to administration and see the effect that the medication had on the patient.I had a variety of patients that helped me have experiences that gave me great learning opportunities.The surgery rotation was excellentMy time on the floor was by far the most beneficial it gave me opportunities to not only learn more about medications, but become more confident in my med pass, patient communication, charting, patient teaching, and so much more. It was very helpful to get to perform the things we talk about at school. Frequent opportunities to administer medications.The nurses on the SNU floor taught me alot PM/W: Being able to attempt IV access and using IV pumps, ease into patient care on a unit like SNU, inserting foley catheters, passing meds, learning from nurses and instructorEldon: Being in the OR during the code, having the patient who spoke Spanish, and having the patient with the PEG tube; Having all the drugs to do i think was very beneficial. Also being able to perform skills; being able to administer medications; The staff have all been amazing and very helpful; the NG tube; Actually doing nursing skills; getting to see the way different parts of nursing work; administering medications; having the same pt. each week and as much as i hate the paperwork; i learned a lot from it; Being able to actually perform the skills and pass meds along with reassessments after interventions.What could have been done to enhance this clinical?Fall Sedalia: Alternating between floors, more speciality areas. I feel like half my patients were fractures like ortho was and several OB patients. I’m kinda getting bored with all the surgical patients. Allowing us students to rotate from SNU to 2SW to Ortho. Nothing, it was great.Spring Sedalia: More observation days; less paperwork; faculty staff nursing offering to allow students to observe more procedures; getting to move to different departments through different clinicals to increase the variety of patient problems; after 4 weeks being allowed to care for 2 patients. More opportunities to start IV’s and foley catheters. I would have liked to be more challenged on my paperwork and my medication passes. Providing all the medications that the student will be administering in the pre-clinical email. I appreciated that very much because I had enough time to put them into a drug chart format, and learn them adequately. Showing up with only 5 known medications to learn you have to give 11 or 12, yet still work around therapy is too hard for SNU students. It would be understandable on 2 southwest, but not really SNU. Time to do post clinical paperwork at the site. the cpr sim should be earlier in the semester, and the diabetes practice should be added to the skills lab. Rotation to different units at the hospital.PM/W: more simulations, adding clinical sites, more time to practice IV insertion and IV med administration, more time to practice inserting foley's and NG tubes, rotating to a different floor or the ER, less paperworkEldon: more patients; nothing; Finding more opportunities (when possible) to perform tasks such as NG tube insertion, Foley insertion, piggyback meds; more days in specialty lol; I feel like I was sort of left out of clinical.Other comments?Fall Sedalia: I enjoyed almost all of my clinical experiences for this rotation. Enjoyed this clinical rotation the most. More laid back environment made me less intimidated to perform tasks.Spring Sedalia: Instructors were awesome, encouraging, and clinical experts; more opportunities for IV starts would have been nice; deeper discussions about paperwork expectations need to occur earlier in the clinical. I appreciated the instructors that led this course immensely. I sometimes wish they were as equally hard in grading/evaluating skills, because sometimes I felt I was being told how to do something, before my knowledge was tested.PM/W: good clinical instructor, nursing staff was pleasant and understandingEldon: none, nothingFor all students who failed this clinical, list the competency failed below and the remediation provided to the student: No students failed this clinical for this reporting time.The following changes were made to the clinical course based on data collected: Simulation and skills lab have been moved to occur at the start of the clinical rotation. Changes to come to both the SIM and skills day.What needs are there related to this clinical course (i.e. equipment needs, faculty professional development needs, etc.), if any? Continued lab supply needs, for integration of skills lab so students can practice skills when scheduled as mandatory expectations as well as when students desire to practice during open lab time. (sterile gloves, cath kids, trach care kits, NG supplies, SQ, IM an IV supplies with appropriately labeled vials and ampules, pre-mix medication bags for IV preparation)882181105742NURS 128Adult Health IIINURS 128Adult Health IIICompetency 1: Predict teaching priorities for clients with uncomplicated Cushing's syndrome, Addison's disease, SIADH, hyperthyroidism, hypothyroidismClass Exam: Competency 1Goal: 80% of students will meet the scoring standard of 82.5% on competency 1 exam.Fall 17SedaliaFall 17EldonSpring 18PM/WSummer 18 SedaliaOverallBenchmark82.5%15/165/122/820/2042/5675%Subjective Data: How well do you feel like you mastered this course competency? Fall 17 SedaliaFall 17Eldon Spring 18PM/WSummer 18 SedaliaOverallStrongly Agree4/168/121/810/2023/5641%Agree12/164/126/89/2031/5655%96% of students felt like they had mastered this petency 1 QuizGoal: 80% of students will meet the scoring standard of 82.5% on competency 1 quizFall 17SedaliaFall 17EldonSpring 18PM/WSummer 18 SedaliaOverallBenchmark82.5%6/154/124/85/2019/5634%Summary: A new quiz was created for this learning plan for this matrix reporting period and all cohort groups took the new quiz. The intent was for this quiz to be given at the end of the first class in which this content was introduced.Summer 2018 cohort began testing electronically on Exam Soft, with each exam having been updated and questions modified to meet the expectation that at least 10% of questions be newly written, and not from publisher text banks. These exams (and newly written questions) will need evaluation for complexity as more data becomes available.This exam is also intended to be given individually (electronically for Summer 2018) and then in pairs or groups no bigger than 3 (on a paper copy for Summer 2018). The pair or group score is then used to qualify those students for bonus points on their individual exam petency 2: Summarize the differences and similarities of the different types of anemias in terms of pathophysiology, assessment, and interventions.Subjective Data: How well do you feel like you mastered this course competency? Fall 17 SedaliaFall 17EldonSpring 18PM/WSummer 18 SedaliaOverallStrongly Agree5/168/125/87/2025/5645%Agree10/164/123/812/2029/5652%97% of students felt like they had mastered this petency 2 QuizGoal: 80% of students will meet the scoring standard of 82.5% on competency 2 quiz.Fall 17SedaliaFall 17EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%11/167/128/811/2037/5666%Summary: A new quiz was created for this learning plan for this matrix reporting period and all cohort groups took the new quiz.Summer 2018 cohort took an exam over competency 2 & 3 combined, so their data for this exam is reflected only on this page, with competency 2. For the next matrix reporting period it may be better to select a question that reflects mastery of this content for each distinct learning plan, since the overall exam scores will not meet the specific criteria any longer.Summer 2018 cohort began testing electronically on Examsoft, with each exam having been updated and questions modified to meet the expectation that at least 10% of questions be newly written, and not from publisher text banks. These exams (and newly written questions) will need evaluation for complexity as more data becomes petency 3: Differentiate between the etiology, symptomatology and nursing management of clients with anemias, DIC, ITP, Leukemia, Multiple Myeloma, Hodgkin’s Disease, and Non Hodgkin's LymphomasClass Exam: Competency 2&3Goal: 80% of students will meet the scoring standard of 82.5% on competency 3 exam.Fall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%7/160/126/811/2024/5643%Subjective Data: How well do you feel like you mastered this course competency? Fall 17 SedaliaFall 17EldonSpring 18PM/WSummer 18 SedaliaOverallStrongly Agree3/167/121/87/2018/5632%Agree13/165/127/812/2037/5666%98% of students feel like they mastered this petency 3 QuizGoal: 80% of students will meet the scoring standard of 82.5% on competency 3 quiz.Fall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%16/168/125/812/2041/5673%Summary: A new quiz was created for this learning plan for this matrix reporting period. All cohort groups took the new quiz. Student feedback included the desire for this quiz to have included an word bank. (The quiz is a cross word puzzle.)See Competency 2 for exam petency 4: Explain the different nursing management approaches for patients with immune system problems.Class Exam: Competency 4Goal: 80% of students will meet the scoring standard of 82.5% on competency 4 exam.Fall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%15/169/127/810/2041/5673%Subjective Data: How well do you feel like you mastered this course competency?Fall 17 SedaliaFall 17EldonSpring 18PM/WSummer 18 SedaliaOverallStrongly Agree7/167/12**14/2850%Agree9/164/12**13/2846%96% of students felt like they met this petency 4 QuizGoal: 80% of students will meet the scoring standard of 82.5% on competency 4 quiz.Fall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%4/168/124/811/2027/5648%Summary: A new quiz was created for this learning plan for this matrix reporting period and all cohort groups took the new quiz.Summer 2018 cohort began testing electronically on Examsoft, with each exam having been updated and questions modified to meet the expectation that at least 10% of questions be newly written, and not from publisher text banks. These exams (and newly written questions) will need evaluation for complexity as more data becomes available.*Subjective data questions was added 6/26/18: How well do you feel you mastered the following competency? Explain the different nursing management approaches for clients with immune system petency 5: Summarize nursing care for the client with eye and vision problems, ear and hearing problemsClass Exam: Competency 5Goal: 80% of students will meet the scoring standard of 82.5% on competency 5 examFall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%15/1611/128/820/2054/5696%Subjective Data: How well do you feel like you mastered this course competency? Fall 17 SedaliaFall 17EldonSpring 18PM/WSummer 18 SedaliaOverallStrongly Agree8/168/125/85/2026/5646%Agree8/164/123/813/2028/5650%96% of students felt like they mastered this petency 5 QuizGoal: 80% of students will meet the scoring standard of 82.5% on competency 5 quiz.Fall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark82.5%11/166/128/813/2038/5668%Summary: A new quiz was created for this learning plan for this matrix reporting period and all cohort groups took the new quiz. A guided reading assignment may be helpful with increasing overall scores for this quiz.Summer 2018 cohort began testing electronically on Examsoft, with each exam having been updated and questions modified to meet the expectation that at least 10% of questions be newly written, and not from publisher text banks. These exams (and newly written questions) will need evaluation for complexity as more data becomes petency 6: Develop a nursing care plan for the client with musculoskeletal problems. Class Exam: Competency 6Goal: 80% of students will meet the scoring standard of 82.5% on competency 6 exam.Fall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark:82.5%15/1610/127/816/2048/5686%Subjective Data: How well do you feel like you mastered this course competency?Fall 17 SedaliaFall 17Eldon Spring 18PM/WSummer 18 SedaliaOverallStrongly Agree7/168/124/85/2024/5643%Agree9/164/124/814/2031/5655%98% of students felt like they mastered this petency 6 quizGoal: 80% of students will meet the scoring standard of 82.5% on competency 6 quiz.Fall 17 SedaliaFall 17 EldonSpring 18PM/WSummer 18SedaliaOverallBenchmark82.5%15/1610/122/817/2044/5679%Summary: A new quiz was created for this learning plan for this matrix reporting period and all cohort groups took the new quiz. This quiz is true/false. It may be a good learning plan to allow “pair” quizzing, for discussion while answering questions. Summer 2018 cohort began testing electronically on Examsoft, with each exam having been updated and questions modified to meet the expectation that at least 10% of questions be newly written, and not from publisher text banks. These exams (and newly written questions) will need evaluation for complexity as more data becomes available.Overall GradesFall 17SedaliaFall 17EldonSpring 18PM/WSummer 18SedaliaA9545B77415C0000ATI GradesFall 17SedaliaFall 17 EldonSpring 18PM/WSummer 18 SedaliaOverallLevel 3887932Level 27411123Level 110001Below Level 100000Short Answer Comments:Fall Sedalia 2016: I would like to see clearer homework assignments. In the gradebook, there is LP5 homework and another assignment that is due, so it doesn’t give the students or the instructor a clear idea of what is assigned. (Course shell and gradebook modified for Spring PM/W and Summer cohorts based on this feedback.)Students reported that they enjoyed having NCLEX style review questions with each competency, so if we can create some clicker questions for each class I believe that would be beneficial for the students.I had a couple students requesting updated PowerPoints on the blackboard shell for them to utilize and to use the workbook more.The study guides are also not up-to-date on the shell. The students would ask where is the bonus point question for the test that the study guide said there would be. (Study guides were removed from Blackboard for the summer cohort.) {Comments from Nicki.}Fall Eldon 2016: {none from Kayla}PM/W Spring 17: Students spend anywhere from “an hour every night” for this course, to “10-50 hours per week.” More NCLEX style practice question. YouTube videos to remember the diseases and topics learned in class and ATI books were helpful. Enjoyed active class discussion. More hands on activities. They don’t feel prepared to use APA coming into the class. {Comments from Erin T.}Summer 2017: Hours spent on this course varied from “4-8” to “15-20.” Short answer replies included comments like; “use more PowerPoints,” “lecture more,” “NCLEX and clicker questions were very helpful,” “some of the case studies were not helpful to learning,” “the textbook is outdated and hard to navigate,” and “the last two learning plans felt too rushed.” {Comments from Addie.}Fall Sedalia 2017:There was confusion on when assignments were due. The workbook assignments were not helpful. They did not like the crossword puzzle quiz.They would like to see more interactive learning ie. clickers, Kahoot. they liked the classroom discussion with instructor.Fall Eldon 2017:PM/W Spring 2018:Most helpful:”I feel like the workbook helped test me on my knowledge and I could look up and learn what I didn’t know, also guided readers. Doing things up on board as a class [guided reader questions]. YouTube and Quizlet. Used the book and time spent learning the content on my own. Time in class and discussion, the workbook is good.” Summer Sedalia 2018:Students would like to have more clicker questions or other classroom activities. They did not like the case studies or workbook.What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? IV supplies, IV fluids, Foley cath kits, IM/SQ supplies540219115101NURS 130Adult HealthCare CoordinationNURS 130Adult HealthCare CoordinationAdult Health Care Coordination Clinical-“Focuses on the utilization and application of basic skills gained from the practical nursing curriculum and incorporates current standards and evidence-based practice for the entry-level professional nurse role. Emphasis is placed on principles of leadership, conflict resolution, coordinating client care, and applying basic nursing principles across the lifespan.”Faculty and term:Fall 2017 Sedalia: Jennie VanderlindenFall 2017 Eldon: Debbie Yarnell, Kayla AllisonPM/W: Jennie Vanderlinden, adjunctSummer 2018 Sedalia: Addie Courter, Melissa Bussey, Sara Dunn, Kasey FredendallGeneral Clinical Information: CampusFall SedaliaFall EldonPM/WSummer SedaliaNumber of students enrolled in clinical course1612820Number of students who failed the clinical course0000Student/Faculty ratio per clinical group1:3 up to 1:81:61:4 up to 1:8 1:3 up to 1:6 Competency 1: Explore the role of the LPN in the geriatric setting.Subjective Data: I feel I mastered the following clinical competency: Explore the role of the LPN in the geriatric setting.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent100%Number of students taking assessment1412816Number of students that Strongly Agree1071.429%1191.7%787.5%1062.5%Goal achieved?YesNumber of students that Agree428.571%18.3%112.5%637.5%No changes. Competency 2: Coordinate care for a variety of clients in diverse health care settings utilizing leadership principles.Subjective Data: I feel I mastered the following clinical competency: Coordinate care for a variety of clients in diverse health care settings utilizing leadership principles.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent98%Number of students taking assessment1412816Number of students that Strongly Agree1178.571%1191.7%675%956.25%Goal achieved?YesNumber of students that Agree321.429%18.3%225%637.5%No changes. Competency 3: Apply conflict resolution and leadership strategies.Subjective Data: I feel I mastered the following clinical competency: Apply conflict resolution and leadership strategies.Goal: 90% of students will agree or strongly agree they mastered the competency.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent94%Number of students taking assessment1412816Number of students that Strongly Agree964.286%1191.7%562.5%956.25%Goal achieved?YesNumber of students that Agree535.714%18.3%225%531.25%No changes.Simulation 1: Skills Lab with Conflict Resolution Discussions. (There was not a question on the student survey specific to skills lab, outside of asking students if and when they were able to perform skills.)Subjective Data: The simulation experience helped me meet the clinical competencies.Goal: 90% of students will agree or strongly agree the simulation helped them to meet the clinical competencies.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percentNumber of students taking assessmentN/AN/AN/AN/ANumber of students that Strongly AgreeN/AN/AN/AN/AGoal achieved?Number of students that AgreeN/AN/AN/AN/AThis question needs to be added to the survey.Additional clinical evaluation data with analysis: The following resources were beneficial to my clinical learning experience: Davis Drug GuideGoal: 90% of students will agree or strongly agree that Davis Drug Guide is beneficial to learning.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent98%Number of students taking assessment1412816Number of students that Strongly Agree1178.571%12100%675%1275%Goal achieved?YesNumber of students that Agree214.286%0225%425%No changes.The following resources were beneficial to my clinical learning experience: Understanding Medical Surgical NursingGoal: 90% of students will agree or strongly agree that Understanding Medical Surgical Nursing is beneficial to learning.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent100%Number of students taking assessment1412816Number of students that Strongly Agree1392.857%1191.7%562.5%956.25%Goal achieved?YesNumber of students that Agree17.143%18.3%337.5%743.75%No changes.I was able to utilize the information I learned in the clinical in the classroom.Goal: 95% of students will agree or strongly agree that they are able to utilize what they learned in the clinical in the classroom.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent98%Number of students taking assessment1412816Number of students that Strongly Agree964.286%12100%675%956.25%Goal achieved?YesNumber of students that Agree535.714%0225%637.5%No changes.The information on the Blackboard shell was clear and adequate.Goal: 95% of students will agree or strongly agree that the information on the Blackboard shell is clear and adequate.CampusFall SedaliaFall EldonPM/WSummer SedaliaOverall percent92%Number of students taking assessment1412816Number of students that Strongly Agree857.143%975%450%850%Goal achieved?NoNumber of students that Agree535.714%325%337.5%637.5%Modification were made to the acute care portion of the shell, but still need to occur for the long term portion.Analysis of the student evaluation on the clinical site(s) reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusFall SedaliaFall EldonPM/WSummer SedaliaList site(s)Sylvia Thompson: 2 disagree0 strongly disagree2SW: 0 disagree 0 strongly disagreeSNU: 1 disagree0 strongly disagreeThe Bluffs - this information was not on the student surveyCRMC - all strongly agree or agreeLRHS -all strongly agree or agreeSylvia Thompson:4 disagree4 strongly disagree2SW:0 disagree0 strongly disagreePCU:0 disagree0 strongly disagree Sylvia Thompson:0 disagree1 strongly disagree2SW:0 disagree0 strongly disagreePCU:0 disagree0 strongly disagreeSNU:0 disagree1 strongly disagreeIdentify the plan for change if applicable Ask faculty for any clarification they can provide, review student survey feedback, work with coordinator to explore scheduling options, if necessary. Analysis of the student evaluation of the clinical staff reveals students “disagree” or “strongly disagree” that the following site(s) provided me with a positive learning environment: CampusFall SedaliaFall EldonPM/WSummer SedaliaList site(s)Sylvia Thompson: 1 disagree0 strongly disagree2SW: 3 disagree 0 strongly disagreeSNU: 1 disagree0 strongly disagreeThe Bluffs - this information was not on the student surveyCRMC - all strongly agree or agreeLRHS -all strongly agree or agree Sylvia Thompson:3 disagree3 strongly disagree2SW:0 disagree1 strongly disagreePCU:0 disagree0 strongly disagree Sylvia Thompson:2 disagree2 strongly disagree2SW:0 disagree0 strongly disagreeSNU:0 disagree2 strongly disagreePCU:0 disagree0 strongly disagreeIdentify the plan for change if applicable Ask faculty for any clarification they can provide, review student survey feedback, work with coordinator to explore scheduling options, if necessary.Analysis of the clinical site evaluation of the SFCC faculty and students reveal the staff at the clinical site indicated “unsatisfactory” or “needs improvements” on the evaluation: CampusFall SedaliaFall EldonPM/WSummer SedaliaList site(s)2SWArea that needs improvementPositive learning environment re: staff being receptive and helpful to munication with some of the staff regarding completing ADL’s - this was isolated to one staff memberN/AN/AIdentify the plan for change if applicable Possibly the clinical instructor could facilitate/ intervene in negative interactions to turn them into positive interactions.clear outline of objectives with staff during report (this was done however some of the issue is believed to be tied to “old school nursing school”N/AN/AFor all students who failed this clinical, list the competency failed below and the remediation provided to the student: N/AShort answer: What was your most beneficial experience during this clinical rotation?Fall Sedalia: Fall Eldon: PM/W: Opportunity for hands on experience, giving IV medications. Being a leader was an excellent experience. Nurses and clinical instructors helping me learn new skills. Hanging IV fluids. Instructors were amazing.Summer Sedalia: Being able to coordinate care and have more hands on experience. Getting to take care of different problems and patient conditions. Being the team leader and make assignments. Getting to do several IVPB’s. The simulation day and the simulation discussion, I learned so much!!Short answer: What could have been done to enhance this clinical course?Fall Sedalia: Fall Eldon: At first I hated the clinical paperwork, reflecting on it now I think it benefited me so much! The paperwork seemed so overwhelming in the beginning, but each 8 weeks the paperwork built off each other and now the paperwork is a lot lighter. The paperwork we use now is less, but it teaches us how to give report and what information needs to be relayed to the new nurse coming on shift. If we would have just jumped to this paperwork it would have been very hard, but going from the first set of paperwork to now has set us up for success. The paperwork taught me a lot even though I hated it. Skills that I was able to perform within clinical as well as critical thinking with patients. Having the opportunity to work as a team with the hospital nurses was beneficial because it helped me identify the roles on LPNs that we may not cover in class. Running into conflict enabled me to find a way to work through it. PM/W: Select a better clinical site for long term care. Find units where nurses are helpful to students.Summer Sedalia: Reduce stress, provide an example of what each instructor wants especially if it’s going to be different than what I have previously been taught. Teach how to do care planning better if the expectation is going to be higher than previous clinicals. Less pointless paperwork. Ensuring that students rotate among the departments, I was on SNU for every clinical and would have liked different experiences. There needs to be more consistent expectation of clinical paperwork and documentation.What needs are there related to this clinical course (i.e. equipment needs, faculty professional development needs, etc.), if any? Goals for 2018-2019Review end of course survey for appropriateness of questions, and see if they can be made campus specific.Collaborate with clinical instructors to ensure course competencies are appropriate, consider revisions as needed.Collaborate with clinical coordinator and faculty to consider alternative clinical sites for long term care. Review the Blackboard shell to ensure good organization, with specific focus on long term care.157353011430NURS 132NutritionNURS 132NutritionCourse description: Essential nutrient digestion, absorption, metabolism, and excretion are emphasized, throughout various cultures. Diet analysis and current issues in nutrition will aid the student in applying evidence-based practice to the basic concepts of everyday situations throughout the life cycle.There is no ATI data associated with this course. Competency 1: Integrate the role of the nutrition assessment into the dimensions of health Class Exam: Average on LP 1 Written ExamGoal: Greater than 85% of students will score ≥82.5% Fall 17 ?Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved?64.8% goal not met#of students that score ≥82.5% 8/1650% 11/128% 5/683.3% 11/2055% Subjective Data: How well do you feel like you mastered the following course competency: Integrate the role of the nutrition assessment into the dimensions of health?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia Days Strongly Agree 5 6 1 5 31.5%Agree 10 6 5 15 68.5%Neutral Total Responses 16 12 6 20 98.1%Goal met Exam Score: Average on Diet Analysis and Change Contract ProjectGoal: Greater than 85% of students will score ≥82.5% Fall 17 Sedalia DaysFall 17 EldonSummer 18 ?E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 94.4% Goal met#of students that score ≥82.5% 13/1681.25% 12/12100% 6/6100% 20/20100% Analysis of data and summary of changes you have made and the impact of these changes:Students struggle with the first LP’s of this course. ?Look for new teaching strategies to better engage students and improve outcomes. Competency 2: Explain the role carbohydrates play in health promotion Class Exam: Average on LP 2 Written ExamGoal: Greater than 85% will score ≥82.5% Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 53.7% goal not met#of students that score ≥82.5% 11/1668.75% 1/128.3% 6/6100% 11/2055% ?Subjective Data: How well do you feel like you mastered the following course competency: Explain the role carbohydrates play in health promotion?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia Days Strongly Agree 5 74 7 42.6%Agree 10 52 13 57.4%Neutral Total Responses 16 12 6 20 98.1%Goal met Quiz: Average on LP 2 QuizGoal: Greater than 85% will score ≥82.5% Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 53.7%Goal not met#of students that score ≥82.5% 5/1631.25% 2/1216.67% 4/6 66.6% 18/2090% ?Analysis of data and summary of changes you have made and the impact of these changes:Students struggle with the first LP’s of this course. ?Look for new teaching strategies to better engage students and improve outcomes. Competency 3: Relate complete and incomplete proteins to health promotion Class Exam: LP 3&4 Written Exam QuestionQ#5 : People with diabetic kidney disease have different protein requirements than someone with nephrotic syndrome. Individuals with nephrotic syndrome are encouraged to eat protein with high biologic value. Which of the following is an example of a protein with high biologic value? Peanut butterGelatinEggsKidney beans Goal: Greater than 75% will answer question correctly Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 79.63% Goal met#of students that answer questions correctly 12/1675% 10/1283.3% 4/666.6% 17/2085% Subjective Data: How well do you feel like you mastered the following course competency: Relate complete and incomplete proteins to health promotion?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia Days Strongly Agree 4 7 1 8 37.0%Agree 11 5 5 12 63%Neutral 0 Total Responses 16 12 6 20 98.1%Goal met Quiz: Average on LP 3 QuizGoal: Greater than 85% will score ≥82.5% Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 42.59%Goal not met#of students that score ≥82.5% 11/16 68.75%7/12 58% 5/6 83.3% 9/20 45% Analysis of data and summary of changes you have made and the impact of these changes:Students struggle with the first LP’s of this course. ?Look for new teaching strategies to better engage students and improve outcomes. ? Competency 4: Compare the structures and sources of lipids as they relate to fat intake and health Class Exam: LP 3 & 4 Written Exam QuestionQ#7:The nurse is conducting a workshop at a local health fair. After the presentation, the nurse recognizes that the participants understand the recommendations when one states which of the following? “My fat intake should be less than 5% of my total calories per day.”“My fat intake should be less than 10% of my total calories per day.”“My fat intake should be less than 15% of my total calories per day.”“My fat intake should be less than 20% of my total calories per day.”Goal: Greater than 75% will answer question correctly Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved?70.4%Goal not met #of students that answer questions correctly 8/1650% 8/1266.7% 5/683.3% 17/2085% Subjective Data: How well do you feel like you mastered the following course competency: Compare the structures and sources of lipids as they relate to fat intake and health?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia Days Strongly Agree 4 6 1 7 33.3%Agree 11 6 5 13 66.6%Neutral 0 Total Responses 16 12 6 20 98.1%Goal met Quiz: Average on LP 4 QuizGoal: Greater than 85% will score ≥82.5% Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 70.4%Goal not met#of students that score ≥82.5% 14/1687.5% 9/1275% 6/6 100% 9/2045% Analysis of data and summary of changes you have made and the impact of these changes:Students struggle with the first LP’s of this course. ?Look for new teaching strategies to better engage students and improve outcomes. Competency 5: Relate the role of vitamins in preventing deficiencies vs. reducing risks of health related diseases Class Exam: LP 5, 6, 7 Exam QuestionQ#12The nurse recognizes that there are differences between fat-soluble and water-soluble vitamins. Which of the following is one of those differences? Water-soluble vitamins are more essential to life than fat-soluble vitamins.Water-soluble vitamins attach to protein carriers to be transported through the blood.Water-soluble vitamins should be consumed daily.Water-soluble vitamins are stored primarily in the liver and adipose tissue.Goal: Greater than 75% will answer question correctly Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 92.59%Goal met#of students that answer questions correctly 14/1687.5% 12/12100% 6/6100% 18/2090% Subjective Data: How well do you feel like you mastered the following course competency: Relate the role of vitamins in preventing deficiencies vs. reducing risks of health related diseases?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia Days Strongly Agree 36 2 6 31.5%Agree 126 4 12 68.5%Neutral Total Responses 16 12 6 2064.4% Goal met Quiz: Average on LP 5 QuizGoal: Greater than 85% will score ≥82.5% Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 77.78%Goal not met#of students that score ≥82.5% 10/1566.7% 8/1266.7% 6/6 100% 17/2085% Analysis of data and summary of changes you have made and the impact of these changes:Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. Competency 6: Analyze functions of major and trace minerals/electrolytes and list dietary sources of eachClass Exam: LP 5, 6 and 7 Written Exam QuestionQ#22: The nurse is teaching a nutrition class at the local high school. The subject for today is calcium. What is a good source of dietary calcium to teach the class? Fortified orange juiceOrgan meatsEgg yolksPotatoesGoal: Greater than 75% will answer question correctly Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 77.78%Goal met#of students that answer questions correctly 13/1681.25% 9/1275% 6/6100% 14/2070% Subjective Data: How well do you feel like you mastered the following course competency: Analyze functions of major and trace minerals/electrolytes and list dietary sources of each? Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 Sedalia Fall 17 EldonSummer 18 E/WSp 18 Sedalia Strongly Agree 3 6 2 5 29.6%Agree 11 6 4 13 70.4%Neutral Total Responses 16 12 6 2092.6% Goal met Class Exam: LP 5, 6 and 7 Written Exam QuestionQ#25: The nutrition class is learning about minerals. What is a characteristic of minerals that the class should know? Minerals are easily destroyed by light, air, heat, and acids. Minerals are digested primarily in the small intestine. Minerals originate from the earth’s crust. Minerals are broken down and rearranged during metabolism. Goal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 24/28 85.7%Goal met#of students that score ≥82.5% 14/1681.25% 10/12Question deleted prior to this exam Question deleted prior to this exam Analysis of data and summary of changes you have made and the impact of these changes:Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. Competency 7: Identify energy-supplying nutrients and their influence on fitnessClass Exam: LP 5, 6 & 7 Written Exam QuestionQ#5: The nurse is explaining to the client that at rest, the body uses energy that is included in the basal metabolic rate (BMR). What is the BMR? A)The caloric cost of day-to-day activities B)The caloric cost of mild activity C)The caloric cost of staying alive D)The caloric cost of studyingGoal: Greater than 75% will answer question correctly Fall 17 Sedalia DaysFall 17 EldonSummer 18 E/WSpring 18 Sedalia DaysOverall Percent /Goal Achieved? 64.8%Goal not met#of students that answer questions correctly 11/1668.75% 9/1275% 5/683.3% 10/2050% Subjective Data: How well do you feel like you mastered the following course competency: Identify energy-supplying nutrients and their influence on fitness?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 16 SedaliaFall 16 EldonSummer 17 E/WSpring 17 SedaliaOverall Percent /Goal Achieved?Strongly Agree 4 6 2 7Agree 11 6 4 11Neutral Total Responses 1612 6 2094.4% Goal met Class Exam: LP 5, 6 and 7 Exam QuestionQ29: The nurse is discussing calories and the effect they can have on the body. The nurse explains that a person who takes in too many calories on a consistent basis is in what? A negative caloric balance A positive energy balance A negative energy balance A positive caloric balanceGoal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 24/2885.7%Goal met#of students that answer questions correctly 13/1681.25% 11/1291.7% Question deleted prior to this exam Question deleted prior to this exam Analysis of data and summary of changes you have made and the impact of these changes:Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement petency 8: Identify lifestyle factors that affect the gastrointestinal tract and general strategies to reduce disorders of the GI tract over the life span Q5: The nurse is counseling a clinic client with dumping syndrome who asks if there is anything he can do to help control the symptoms. What would be the best response? A)Eat small, frequent meals. B)Choose high-fiber cereals. C)Drink fluids with meals. D)Limit fat intake.Goal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 87.0% Goal met#of students that answer questions correctly 16/16100% 11/1291.7% 6/6 100% 14/2070% Subjective Data: How well do you feel like you mastered the following course competency: Identify lifestyle factors that affect the gastrointestinal tract and general strategies to reduce disorders of the GI tract over the life span?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 SedaliaFall 17 ?EldonSummer 18 E/WSpring 18 Sedalia Strongly Agree 5 6 2 7 37.0%Agree 10 6 4 11 63.0%Neutral Total Responses 16 12 6 2094.4% Goal met Class Exam: LP 8 & 9 Written Exam Question Q19: The nurse is doing client teaching with a client going home to finish recovering from an exacerbation of peptic ulcer disease. What statement by the client lets the nurse know that the client understands the teaching? A)“I should eat what I like when I like.” B)“I should season my food well with the spices I like best.” C)“Drinking caffeine throughout the day is recommended.” D)“I should not eat for two hours before going to bed.”Goal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 90.7%Goal met#of students that answer questions correctly 13/1681.25% 12/12100% 6/6 100% 18/2090% Analysis of data and summary of changes you have made and the impact of these changes:Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. Competency 9: Identify the components necessary for health promotion during each stage of adulthood Class Exam: LP 8 & 9 Written Exam QuestionQ2: Nutrition therapy in the elderly has different goals than at other times across the lifespan. What is a primary goal of diet intervention for the elderly? Maintain quality of life Prolong life Prevent the development of complications Treat chronic diseaseGoal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 94.4%Goal met#of students that answer questions correctly 15/1693.75% 12/12100% 5/6 83.3% 19/2095% Subjective Data: How well do you feel like you mastered the following course competency: Identify the components necessary for health promotion during each stage of adulthood?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 Sedalia Strongly Agree 4 6 1 5 29.6%Agree 11 6 5 14 70.4%Neutral Total Responses 16 12 6 20 96.3%Goal ?met Class Exam: LP 8 & 9 Written Exam Question Q20:Most recommended levels of intake for vitamins and minerals do not change with aging. An exception to this is the recommended dietary allowances of vitamin D, which are higher in adults over age 50 years. What causes the body’s need for vitamin D to increase over the age of 50 years? The ability to absorb calcium, which decreases with age The potential risk for coronary heart disease, which uses vitamin D The increased consumption of coffee and tea interferes with vitamin D synthesis The ability to synthesize vitamin D from sunlight, which decreases with ageGoal: Greater than 75% will answer question correctly Fall 16 SedaliaFall 16 EldonSummer 17 E/WSpring 17 SedaliaOverall Percent /Goal Achieved? 87.0% Goal met#of students that answer questions correctly 13/1681.25% 11/1291.7% 6/6 100% 17/2085% Analysis of data and summary of changes you have made and the impact of these changes:Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. Competency 10: Assess the physical risks related to underweight and overweight Q5: People who are overweight or obese often want to see the weight “fall off” their bodies. However, the recommended rate of weight loss for the first 6 months of treatment is what? 0.5 pounds a week 1 to 2 pounds a week 2 to 3 pounds a week 3 to 4 pounds a weekGoal: Greater than 75% will answer question correctly Fall 16 SedaliaFall 16 EldonSummer 17 E/WSpring 17 SedaliaOverall Percent /Goal Achieved? 100% Goal met#of students that answer questions correctly 16/16100% 12/12100% 6/6100% 20/20100% Subjective Data: How well do you feel like you mastered the following course competency: Assess the physical risks related to underweight and overweight?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 Sedalia Strongly Agree 4 6 3 7 37.0%Agree 11 6 3 12 63.0%Neutral Total Responses 16 12 6 2096.3% Goal met Class Exam: LP 10, 11 and 12 Written Exam QuestionQ15:A person’s body mass index (BMI) tells whether or not the person is in a healthy weight range. What would someone with a BMI of 25 be considered? Underweight Of normal weight Overweight ObeseGoal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 51/54 94.4%#of students that answer questions correctly 15/1693.75% 12/12100% 6/6100% 18/2090% Analysis of data and summary of changes you have made and the impact of these changes: ?Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. Competency 11: Identify the characteristics of the different types of hospital diets and when their use would be most appropriate Class Exam: LP 10, 11 and 12 Written Exam QuestionQ19: There is a difference between peripheral parenteral nutrition (PPN) and central vein total parenteral nutrition. What is that difference? Dextrose Lipid emulsion Vitamins ElectrolytesGoal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 100% Goal met#of students that answer questions correctly 16/16100% 12/12100% 6/6100% 20/20100% Subjective Data: How well do you feel like you mastered the following course competency: Identify the characteristics of the different types of hospital diets and when their use would be most appropriate?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 Sedalia Strongly Agree 4 7 1 633.3% Agree 11 5 5 13 66.6%Neutral Total Responses 16 12 6 20 96.3%Goal met Class Exam: LP 10, 11 and 12 Written Exam QuestionQ26: What is an indication for use of parenteral nutrition (PN) in a client? Recovering stroke victim Drastic weight loss measures Inadequate oral intake expected over a 7- to 10-day period Preparing for major surgery on the digestive systemGoal: Greater than 75% will answer question correctly Fall 16 SedaliaFall 16 EldonSummer 17 E/WSpring 17 SedaliaOverall Percent /Goal Achieved? 81.5% Goal met#of students that answer questions correctly 11/1668.75% 12/12100% 6/6100% 13/2065% Analysis of data and summary of changes you have made and the impact of these changes: ?Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content.t. ? Competency 12: Outline the effects of nutritional status on surgical outcomes and post-operative recovery Class Exam: LP 10, 11 and 12 Written Exam Question Q16: The nurse is caring for a 21-year-old female burn victim. Her parents ask why their daughter has to be fed by a nasogastric tube (NG). What would be the best response? A.“Your daughter’s intestines are not working normally right now so we have to feed her through a tube.” B. “If your daughter were eating normally, she would get sicker because her intestines are not working right.” C. “We need to get a lot of calories and nutrients into your daughter to help her heal, and this is the best way to do that.” D. “Trying to eat normally would just wear your daughter out, so we feed her through a tube to conserve her energy.”Goal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 54/54100% Goal met#of students that answer questions correctly 15/1693.75% 12/12100%6/6100% 20/20100% Subjective Data: How well do you feel like you mastered the following course competency: Outline the effects of nutritional status on surgical outcomes and post-operative recovery?Goal: greater than 90% of students strongly agree or agree they mastered this competency Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 Sedalia Strongly Agree 4 6 1 7 33.3%Agree 11 6 5 12 66.6%Neutral Total Responses 16 12 6 20 96.3%Goal met Class Exam: LP 10, 11 and 12 Written Exam Question Q23:During the stress response, hormonal changes cause metabolic changes in the body. What is an indication that stress hormone levels are declining? An increase in urinary nitrogen excretion A decline in serum glucose levels An increase in serum glucose levels Fluid retentionGoal: Greater than 75% will answer question correctly Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverall Percent /Goal Achieved? 79.6%Goal met#of students that answer questions correctly 15/1693.75% 9/1275.% 6/6100% 13/2065% Analysis of data and summary of changes you have made and the impact of these changes:Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. Overall grades: Fall 17 SedaliaFall 17 EldonSummer 18 E/WSpring 18 SedaliaOverallA 4 0 3 0 7B 10 12 3 20 42C 2 0 0 0 2D 0 0 0 0 0 Overall Changes: What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? Goals:Update quizzes for coming yearIncorporate more active learning into course instructionImprove early student performance (LP 1 -4)Program Outcomes:Program outcome - Demonstrate effective written and verbal communication skillsAssessment - Diet Analysis Paper LP 1Program Outcome - Provide safe, caring interventions within diverse populationsAssessment - Diabetic brochure LP 2Program Outcome - Assist with health assessment of individuals, families, and groupsAssessment - LP 1 Exam 4689618200NURS 134Childbearing FamilyNURS 134Childbearing FamilyCourse number 134: Childbearing FamilyFoundational learning that focuses on the uncomplicated health care and wellness promotion, by using evidence-based care for the family during the reproductive years including the laboring woman, postpartum patient/family, the newborn, and gynecological petency 1: Predict health promotion and nursing care for reproductive issues. Class Exam - Teaching project Comp 1 (exam grade)Goal: Greater than 85% will score ≥82.5%CampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 100%Number of students taking assessment 20 18 8 20Number of students that achieved >82.5% 2018 8 20Goal achieved?Yes/NoSubjective Data: How well do you feel like you mastered the following course competency:Predict health promotion and nursing care for reproductive issues.Goal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 94.57Number of students taking assessment 20 18 8 20Number of students that Strongly Agree 4 6 4 6Goal achieved?Yes/NoNumber of students that Agree 16 9 4 13 Alternate assignment: Class Exam: Comp 1 quiz averageGoal: Greater than 85% will score ≥82.5%CampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 94.6%Number of students taking assessment 20 18 8 20Number of students that achieved >82.5% 20 17 6 18Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1): Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ?Competency 2: Identify alterations in reproductive system Comp 2 and 3 Exam Question: Question ID 2641 - A 25-year-old woman has a family history of breast cancer. The nurse reviews the procedure for breast self-examination with the client. The nurse knows that the client has understanding with what statement?A. The best time for a woman to perform a breast self-examination is a few days before her periodB. The best time for a woman to do a best examination is during her menstrual periodC. The best time for a woman to do a self breast examination is on the last day of menstrual flowD. The best time for a woman to do a self breast examination is one week after the beginning of her periodGoal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonSpringPM/WSummer SedaliaOverall percent 91.1%Number of students taking assessment 20 18 8 18Number of students that answered correctly 2016 5 18Goal achieved?Yes/NoSubjective Data How well do you feel like you mastered the following course competency: Identify alterations in reproductive systemGoal: greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 87.5%Number of students 20 18 8 20Number of students that Strongly Agree 3 4 3 5Goal achieved?Yes/NoNumber of students that Agree 14 12 5 14 Alternate assignment: ?Competency 2 & 3 examQuestion ID # 2646 - What is the most accurate way to measure menstrual flow in a woman with a menstrual disordera. Use a vaginal catheter and collection bagb. Use a perineal collection systemc. Weigh the woman before and after her mensesd. Weigh the perineal pads before and after useGoal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 96.4%Number of students taking assessment 20 18 8 18Number of students that answered the question correctly 20 17 8 17Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1):Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ? Competency 3: Explain nursing care for clients with alteration in reproductive function Class Exam- Competency 2 & 3 exam questionQuestion ID# 2656 - The nurse has explained menstruation to a 13-year-old girl. Which ststatement by the girl indicates she needs additional education?Aa. “My periods last about 5 days.”Bb. “My cycle should get regular in 6 months.”Cc. “I should expect heavy bleeding with clots.”Dd. “My periods come about every 4 weeks.”Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/ wkndSummer SedaliaOverall percent 91.1%Number of students taking assessment 2018 8 18Number of students that answered correctly 1716 8 18Goal achieved?Yes/NoSubjective Data: How well do you feel like you mastered the following course competency: Explain nursing care for clients with alteration in reproductive functionGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 91.1%Number of students 18 18 8 20Number of students that Strongly Agree 4 4 4 5Goal achieved?Yes/NoNumber of students that Agree 12 12 4 14 Alternate assignment: Competency 2 & 3 examQuestion ID #2649 - The nurse is counseling a woman who has been diagnosed with mild osteoporosis. Which of the following lifetstyle changes should the nurse recommend? Select all that apply.a. Eat yellow and orange vegetablesb. Go on daily walksc. Stop smokingd. Consume dairy productsGoal: Greater than 85% will answer the question correctCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 94.6%Number of students taking assessment 20 18 8 18Number of students that answered the question correctly 18 17 8 18Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1):Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ? Competency 4: Predict Anticipatory Guidance and Nursing Care for the Normal Pregnant Client Class Exam- Competency 4 and 5 Exam question Question ID # 1760 - A pregnant woman states, “My husband hopes I will give him a boy because we have three girls.” The nurse explains that:a. The sex chromosome of the fertilized ovum determines the gender of the child.b. When the sperm and ovum are united, there is a 75% chance the child will be a girl.c. When the pH of the female reproductive tract is acidic, the child will be a girl.d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 85.7%Number of students taking assessment 2018 8 18Number of students that answered the question correctly 1716 7 16Goal achieved?Yes/No Subjective Data: How well do you feel like you mastered the following course competency: Predict Anticipatory Guidance and Nursing Care for the Normal Pregnant ClientGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 91.1%Number of students20 18 8 20# of students that Strongly Agree 4 4 4 9Goal achieved?Yes/NoNumber of students that Agree 14 12 4 10 Alternate assignment: Quiz: Competency 4 quizGoal: Greater than 85% will score ≥82.5%CampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 94.6%Number of students taking assessment 20 18 8 20Number of students that achieved > 82.5% 20 16 8 19Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1): Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ? ?Competency 5: Identify Complications of Pregnancy and Child Bearing Class Exam- Competency 4 and 5 Exam question This question was reworded. Question ID #1774 - A pregnant patient tells the nurse that she has been nauseated and vomiting. The nurse explains that hyperemesis gravidarum is distinguished from morning sickness because:a. Hyperemesis gravidarum usually lasts for the duration of the pregnancy.b. Hyperemesis gravidarum causes dehydration and electrolyte imbalances.c. Sensitivity to smells is usually the cause of vomiting in hyperemesis gravidarum.d. The woman with hyperemesis gravidarum will have persistent vomiting without weight loss.Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 78.6%Number of students taking assessment 2018 8 18Number of students that answered correctly 1515 7 15Goal achieved?Yes/No Subjective Data: How well do you feel like you mastered the following course competency: Identify Complications of Pregnancy and ChildbearingGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 94.6%Number of students taking assessment 20 18 8 20Number of students that Strongly Agree 3 6 3 8Goal achieved?Yes/NoNumber of students that Agree 17 9 5 12 Alternate assignment: Quiz: Competency 5 quizGoal: Greater than 85% will score ≥82.5%CampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 96.4%Number of students taking assessment 20 18 8 20Number of students that achieved > 82.5% 19 17 8 20Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1): ?Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ? Competency 6: Outline Nursing Care for Uncomplicated Labor and DeliveryClass Exam- Competency 6 exam Goal: Greater than 85% will score ≥82.5%CampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 62.1%Number of students taking assessment 2018 20Number of students that achieved >82.5% 116 5Goal achieved?Yes/NoSubjective Data: How well do you feel like you mastered the following course competency: Outline Nursing Care of Uncomplicated Labor and DeliveryGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 96.4%Number of students 20 18 8 20Number of students that Strongly Agree 3 11 4 8Goal achieved?Yes/NoNumber of students that Agree 17 5 4 12 Alternate assignment: Comp 6 exam questionQuestion ID #1824 - What is the priority teaching for a patient in the first stage of labor?a. ??????????????????The contractions help dilate and efface the cervix.b. ?????????????????The contractions get the infant positioned for delivery.c. ??????????????????The contractions push the infant into the vagina.d. ?????????????????The contractions get the mother prepared for true labor. Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 75%Number of students 20 18 8 18Number of students that answered correctly 18 14 6 14Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1):New plan for the coming curriculum year is to combine competency 6 and 7 due to related content. ?It is hoped that this change will help streamline the content and assist the student to correlate like content and improve outcomes in the quiz and testing. Competency 7: Explain care of postpartum familyClass Exam- Competency 7-9 exam questionQuestion ID #1690 - Understanding normal involution following delivery, the nurse would expect to find which of the following?A) The uterus well-contracted with its upper border at or just below the umbilicus B) The uterus well-contracted with its upper border three or four fingerbreadths above the umbilicus C) The uterus relaxed with its upper border level with the umbilicus D) The uterus relaxed with its upper border two or three fingerbreadths below the umbilicus Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 92.9% of those taking this questionNumber of students taking assessment 20Question was removed from assessment 8Question removedNumber of students that answered correctly 18 8 Goal achieved?Yes/NoSubjective Data: How well do you feel like you mastered the following course competency: Explain care of postpartum familyGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 92.9%Number of students taking assessment 20 18 8 20Number of students that Strongly Agree 4 6 4 7Goal achieved?Yes/NoNumber of students that Agree 16 9 4 12 Alternate assignment: Competency 7, 8, & 9 exam questionQuestion ID #1693 - A woman will be discharged 48 hours after a vaginal delivery. Following discharge teaching, the nurse knows that understanding by the client has occurred with which of the following statements?A) “Lochia should disappear 2 to 4 weeks postpartum.” B) “It is normal for the lochia to have a slightly foul odor.” C) “A change in lochia from pink to bright red should be reported.” D) “A decrease in flow will be noticed with ambulation and activity.” Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 92.7%Number of students taking assessment 20 18 8 18Number of students that answered correctly 19 16 8 17Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1):While this competency goals were met, the new plan for the coming curriculum year is to combine competency 6 and 7 due to related content. ?It is hoped that this change will help streamline the content and assist the student to correlate like content and improve outcomes in the quiz and testing on both competencies. Competency 8: Summarize nursing care for healthy newborn Class Exam- Competency 7-9 exam questionQuestion ID # 1722 - A first-time mother reports that she is experiencing difficulty breastfeeding her newborn. Which of the following reflex is the priority for the nurse to teach to the mother to elicit in order to facilitate breastfeeding?A) Sucking B) Rooting C) Grasp D) Tonic neck Goal: Greater than 85% answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 85.4%Number of students taking assessment 2018 8 18Number of students that answered correctly 1915 7 15Goal achieved?Yes/NoSubjective Data: How well do you feel like you mastered the following course competency: Summarize nursing care for healthy newbornGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SpringOverall percent 92.8%Number of students 20 18 8 20Number of students that Strongly Agree 5 6 4 4Goal achieved?Yes/NoNumber of students that Agree 15 10 4 14 Alternate assignment: Competency 7 – 9 exam questionQuestion ID #1724 - What statement indicates the parent understands the guidelines for bathing a newborn?a. ??????I’ll use a mild soap to clean all of the body partsb. ?????I am going to add baby oil to the water to keep the baby’s skin soft.c. ??I’ll shampoo the head after washing the rest of the body.d. ?????I’ll wash from the feet upward and change the wash cloth for the face.Goal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 72.7%Number of students taking assessment 20 18 8 18Number of students answering correctly 16 13 7 13Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1):Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ? Competency 9: Identify newborns with complications Class Exam- Competency 7-9 exam Goal: Greater than 85% will answer the question correctlyQuestion ID #1729 - Which statement best indicates the parents understand when to contact the healthcare provider?A) The baby refuses a feeding. B) The baby has an axillary temperature of 97° F. C) The infant has three pasty, yellow-brown stools in 24 hours. D) The infant’s diaper is not wet after 8 hours. (this is a select all that apply question now) CampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 69.1%Number of students taking assessment 2018 8 18- this question was changed to a SATANumber of students that answered correctly 157 7 11Goal achieved?Yes/NoSubjective Data: How well do you feel like you mastered the following course competency: Identify newborns with complicationsGoal: Greater than 90% of students will rate mastery of this competency at a superior or above averageCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 89.3%Number of students 20 18 8 20# of students that Strongly Agree 4 6 4 4Goal achieved?Yes/NoNumber of students that Agree 16 8 4 14 Alternate assignment: Quiz: Competency 8 & 9 quizQuestion ID #1689- The nurse assessing a group of newborns recognizes which baby displays symptom as a sign of hypoglycemia?a. ?An infant with a respiratory rate of 70b.An infant with a temperature of 100.2c. ??An infant with active muscle toned. ?????An infant with an unusually high-pitched cryGoal: Greater than 85% will answer the question correctlyCampusSpring SedaliaSummer EldonEve/wkndSummer SedaliaOverall percent 89.3%Number of students taking assessment 20 18 8 20Number of students that answered the question correctly 20 12 8 20Goal achieved?Yes/NoAnalysis of data and summary of changes you have made and the impact of these changes. (Be sure to include a goal for your benchmark. i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1)Competency is overall successful with learning and outcomes;continue current methods and explore any new opportunities to implement content. ? Overall GradesCampusSedalia SpringEldon SummerSedalia SummerSedalia E/WA 10 3 67B 10 15 141C 0 0 00D 0 0 00 ATI scoresCampusSedalia SpringEldon SummerSedalia SummerSedaliaE/W3 5 8 872 12 8 911 3 2 40Below level 1 0 0 00 Additional course/clinical student evaluation data with analysis:Instructor changes include the following:Combine comp 6 and 7 due to similar content removing comp 7 from the final. ?The final and exam 3 will be revamped as a result.Update quizzes and place on examsoft.Remove the final Newborn project as it is currently as an exam grade. Instructors agreed that there was an overabundance of exam project points as well as too many projects for students. This will be replaced with a homework assignment that is reflective of objectives for comp 8 and 9. Currently there is a great deal of case studies to implement content. ?Braden case study will be removed from homework and be an inclass activity for discussion and given homework points. Program outcomes:Program Outcome:Apply legal, ethical, and regulatory standards to the licensed practical nurse practiceAssessment - Competency 1 – Carrie Case studyProgram outcomes:Implement evidence-based physiological and psychosocial nursing care for individuals and/or groups across the lifecycleIncorporate changing health concepts, technology, and practices as a life-long learnerBoth are assessed in Competency 1 project regarding overall reproductive health Program outcome: Promote, maintain, and restore health and prevent illness through evaluation of cultural diversity and client learning within the LPN scope of practiceAssessment – Competency 6 and 7 quiz and exams. 405130132080NURS 136Childbearing FamilyClinicalNURS 136Childbearing FamilyClinicalNurs 136 Childbearing Family ClinicalFoundational learning that focuses on the uncomplicated health care and wellness promotion, by using evidenced based care for the family during the reproductive years including the laboring woman, postpartum patient/family, the newborn and gynecological issues. General Clinical Information:CampusSpring Sedalia E/WSpring SedaliaSummer SedaliaSummer EldonNumber of students enrolled in clinical course8 20 20 18Number of students who failed the clinical course 00 0 0Student/Faculty ratio per clinical group8:14:15:15:1 Competency 1: Assist with nursing care during labor and deliverySubjective Data: I feel I mastered the following clinical competencyGoal: 85% of students will agree or strongly agree they mastered the competencyCampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaOverall percent 90.12%Number of students taking assessment 8 20 18 20Number of students that Strongly Agree 4 9 11 7Goal achieved?Yes/NoNumber of students that Agree 3 9 5 12 Analysis of data and summary of changes you have made and the impact of these changes. Some students do not get the opportunity to see a labor if there is a low census. Unfortunately, there is nothing that can be done. Competency 2: Provide nursing care for a healthy pregnant womanSubjective Data: I feel I mastered the following clinical competencyGoal: 85% of students will agree or strongly agree they mastered this competencyCampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaOverall percent 97.5Number of students taking assessment 8 20 18 20Number of students that Strongly Agree 2 6 12 9Goal achieved?Yes/NoNumber of students that Agree 6 12 6 11 Analysis of data and summary of changes you have made and the impact of these changes. Competency 3: Provide nursing care for the healthy newbornSubjective Data: I feel I mastered the following clinical competencyGoal: 85% of students will agree or strongly agree they mastered the competencyCampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaOverall percent 97.5Number of students taking assessment 8 20 18 20Number of students that Strongly Agree 2 8 13 9Goal achieved?Yes/NoNumber of students that Agree 6 11 5 11 Analysis of data and summary of changes you have made and the impact of these changes. Competency 4: Provide postpartum nursing care for a healthy womanSubjective Data: I feel I mastered the following clinical competencyGoal: 85% of students will agree or strongly agree they mastered this competencyCampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaOverall percent 100Number of students taking assessment 8 20 18 20Number of students that Strongly Agree 4 8 13 9Goal achieved?Yes/NoNumber of students that Agree 4 12 5 11 Analysis of data and summary of changes you have made and the impact of these changes. Competency 5: Provide health promotion and nursing care for clients with gynecologic issues.Subjective Data: I feel I mastered the following clinical competenciesGoal: 85% of students will agree or strongly agree they mastered the competency.CampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaOverall percent 94.37Number of students taking assessment 8 20 18 20Number of students that Strongly Agree 3 9 13 7Goal achieved?Yes/NoNumber of students that Agree 4 10 4 13 Analysis of data and summary of changes you have made and the impact of these changes. Simulation 1: Year 1 OB Simulation Subjective Data: The simulation experience helped me meet the clinical competencies.Goal: 85% of students will agree or strongly agree the simulation helped them to meet the clinical competenciesCampusSpring Sedalia E/W Spring SedaliaSummer EldonSummer SedaliaOverall percent 93Number of students taking assessment 8 20 18 20Number of students that Strongly Agree 3 10 6 16Goal achieved?Yes/NoNumber of students that Agree 5 10 7 4 Analysis of data and summary of changes you have made and the impact of these changes. We implemented OB Skills Lab to help introduce students to OB terminology and OB assessments. Overall, positive feedback except for students did feel like they were standing around a lot while Sedalia and Eldon students were moving through the lab. Students would have liked another instructor to EDD and TPALM stations because students were arguing with each other. This would be more of an issue during the summer skills labs and may need to implement another plan to help students move through skills labs smoothly next summer. Analysis of the student evaluation on the clinical site(s) reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaWMMC ClinicBRHC ClinicJCMG Women’s ClinicCRMC clinicLRHS clinicLRHS - OBBRHC Clinic - 2/8BRHC-0WMMC-0All Eldon sites - 0 2/8 at WMMCIdentify the plan for change if applicable Students reported that one preceptor did not clean rooms/items properly and felt uncomfortable with that preceptor. Analysis of the student evaluation on the clinical staff reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaBRHCJMHCRMCLRHSBRHC - 2/8BRHC-0All Eldon sites - 0 BRHC-1Identify the plan for change if applicableNA Analysis of the faculty evaluation of the clinical site(s) reveals faculty “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for the students to meet clinical competencies: CampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaList site(s)BRHCJMHLRHSCRMCBRHC - 0 brhc-0All Eldon sites - 0 Identify the plan for change if applicableNAN/A No plan in place. Analysis of the clinical site evaluation of the SFCC faculty and students reveal the staff at the clinical site indicated “unsatisfactory” or “needs improvements” on the evaluation: CampusSpring Sedalia E/WSpring SedaliaSummer EldonSummer SedaliaList site(s)none BRHCAll Eldon sites - 0 BRHC/WMMCArea that needs improvementNone Currently the unit is undergoing construction and having multiple students in this area is hard to manage NoneIdentify the plan for change if applicable Will be utilizing two clinical sites in the summer Analysis of data and summary of changes you have made and the impact of these changes. For all students who failed this clinical, list the competency failed below and the remediation provided to the student:Sedalia Spring- no students failsSedalia Spring E/W – no student failsEldon Summer- no student failsSedalia summer-No students fails The following changes were made to the clinical course based on data collected:Indicate here data and changes made. Data could include advisory board feedback, graduate survey, employer survey feedback, student evaluation data, faculty concerns, etc. What needs are there related to this clinical course (i.e. equipment needs, faculty professional development needs, etc.), if any? Sedalia- I would recommend to have the instructors continue their education through conferences to stay up to date with evidence-based practice.Eldon – continued education for instructors to remain current in practice. Goals:Continue to improve the OB Skills Lab portion of the clinicalWork on different types of alternative assignments for clinical when there is low censusWork on a Labs scenario for labor and delivery.238539124847NURS 140Childrearing FamilyNURS 140Childrearing FamilyCompetency 1: Evaluate the impact of normal growth and development patterns (infancy to adolescence) on nursing careClass Exam: Exam 1 Question #20 (Item ID 221)At about what age does an infant start to recognize familiar faces and objects, such as own hand?1-2 month0-3 months3-4 months12-18 monthsSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas Goal met?Benchmark Answered CorrectlyBenchmark 90% of class will answer correctly 14/2014/197/818 /2153/6878% NoSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas Goal MetSuperior5225Above Average53412Total Response201962138/66 56% NoQuiz 1: Growth and DevelopmentSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% scored >82.5%16/206/194/814/2140/68 59%No2018- Continue with group assignment over growth and development as a class activity. Plan flip classroom with voice over power points over G&D for students to view prior to class. Competency 2: Summarize normal physical assessment from infancy through pre-school ageClass Exam: Exam 1 Question #9 ( Item ID 210)What patterns of growth in a child suggests that additional investigation is required?Previous weight 75th percentile, present weight 25th percentileHeight 90th percentile, weight 75th percentileLast weight 5th percentile, present weight 10th percentileWeight 50th percentile, sibling’s weight at the same age was 75th percentileSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% Answered Correctly19/2018/198/820/2165/68 96% YesSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas Goal met?Superior3225Above Average10469Total Response201982141/68 60%NoQuiz 1 Growth and DevelopmentSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas the goal met?Benchmark 90% scored >82.5%16/206/194/814/2140/68 59%Students achieved the goal of the exam question; they did not meet the goal of the quiz benchmark or felt they mastered the competency. Plan flip classroom with voice over power points over G&D for students to view prior to class. Competency 3: Summarize normal physical assessment from school-aged through adolescenceClass Exam: Exam 1 Question #41 (Item ID 242)What statement characterizes moral development in the older school-aged child? Rule violations are viewed in an isolated context.Judgments and rules become more absolute and authoritarian.The child has knowledge of the rules, but cannot understand the reasons behind them.The child is able to judge an act by the intentions that prompted it rather than just by the consequences.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysBenchmark 90% Answered Correctly19/2014/195/817/2155/68 81% NoSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Superior3245Above Average114212Total Response201982143/68 63%NoQuiz 1 Growth and DevelopmentSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% scored >82.5%16/206/194/814/2140/68 58%NoThis benchmark did not meet the goal. The interactive game to be implemented in the classroom will cover growth and development from infant to adolescent. Goal is to have 90% answer question #41 on Exam 1 correctly.2018- Continue with group assignment over growth and development as a class activity. Plan flip classroom with voice over power points over G&D for students to view prior to class. Competency 4: Identify family-centered nursing care for the child with gastrointestinal health alterations in a variety of settingsClass Exam: Exam 2 Question #4 Item ID 1943The nurse is aware that rapid respirations are a possible cause of dehydration because they:Prevent the child from drinkingIncrease circulation, thus increasing urine productionCause evaporation of fluid on the mucous membranesOften lead to vomitingSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% Answered Correctly18/2016/195/818/2147/68 68% NoSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Superior3245Above Average115210Total Response201982142/68 62%NoQuiz 2: Gastrointestinal/GenitourinarySpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% scored >82.5%11/208/196/810/2135/68 51%NoAnalysis of data and summary of changes you have made and the impact of these changes: *Be sure to include a goal for your benchmark (i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1). Update lecture (PowerPoints). In-class game of content will be utilized for group activity. Competency 5: Identify family-centered nursing care for the child with genitourinary health alterations in a variety of settings Class Exam: Exam 2 Question #40 (Item ID 1979)Three-year-old Ivy is brought to the clinic because of a suspected urinary tract infection. Which of the following is the correct method for collecting the urine specimen?Encourage large amounts of water because Ivy is unable to void at this timeSet Ivy onto the toilet facing the tank to decrease the likelihood of contaminationWait until the first morning voided specimen can be collectedBag Ivy with the bag covering the entire peritoneal areaSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% Answered Correctly15/2017/198/819/2159/68 87% NoSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Superior1245Above Average11647Total Response201982140/68 59%NoQuiz 2: Gastrointestinal/GenitourinarySpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% scored >82.5%11/208/196/810/2135/68 51%NoAnalysis of data and summary of changes you have made and the impact of these changes: *Be sure to include a goal for your benchmark (i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1). Update lecture (PowerPoints). Implement Case Study for in-class group petency 6: Identify family-centered nursing care for the child with neuro/behavioral health alterations in a variety of settingsClass Exam: Exam 3 Question #11 (Item ID 2511)What are the major goals of therapy for children with cerebral palsy?Cure underlying defect causing the disorderReverse degenerative processes that have occurredPrevent spread to individuals in close contact with childd. Recognize the disorder early and promote optimum developmentSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark90% Answered Correctly20/2019/198/821/2168/68 100% YesSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas the goal met?Superior1224Above Average12549Total Response201982139/68 57%NoMeningitis Quiz over Case Study AssignmentSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas the goal met?Benchmark 90% scored >82.5%20/2014/197/821/2162/68 91%YesAnalysis of data and summary of changes you have made and the impact of these changes: *Be sure to include a goal for your benchmark (i.e. 95% of students will meet the scoring standard of 82.5 % on exam #1). Students achieved the goal of the exam question and quiz. They did not feel they mastered the competency. Provide case study to be utilized as a study guide for in-class work. Competency 7: Identify family-centered nursing care for the child with cardiovascular/ respiratory health alterations in a variety of settingsClass Exam: Exam 3 Question #45 ( Item ID 2542)What would the nurse teach parents to do first when a child, diagnosed with croup, is experiencing laryngeal spasm?Place the child in a supine positionBring the child directly to the emergency roomPut the child in the bathroom with a hot shower runningHave the child drink plenty of fluidsSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met? Benchmark 90% Answered Correctly17/2017/198/816/2158/68 85% NoSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Superior3264Above Average95110Total Response201982140/68 59%NoCardiac Group ProjectSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% scored >82.5%20/2019/198/821/2168/68 100%yesThe exam question was re-worded and the content was discussed in class. The percentage of students the answered the question correctly has increased. Update Asthma Case study assignment with current practice petency 8: Identify family-centered nursing care for the child with skin health alterations in a variety of settingsClass Exam: Exam 4 Question #31 (Item ID 2581)The nurse is examining an infant age 10 months who was brought to the clinic for persistent diaper rash. The nurse finds perianal inflammation with a beefy red rash and satellite lesions. The nurse knows that this is likely caused by which of the following:ImpetigoUrine and fecesCandida albicansInfrequent diaperingSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% Answered Correctly17/2013/195/817/2152/68 76% Subjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses) 90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Superior3233Above Average85310Total Response201982137/68 54%NoClass Exam: Exam 4 Question #38 (Item ID 2588)Which statement made by a parent indicates the need for further teaching about strategies to control itching for the infant with eczema?“Wool is the best fabric for the baby’s clothing”“I should avoid laundry detergents with fragrances”“I put cotton gloves on the baby’s hands”“The baby’s fingernails are kept short”SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas the goal met?Benchmark 90% Answered Correctly20/2017/197/818/2160/68 88% NoExam question was re-worded. Continue with class plan of group patho peds presentations covering content. Competency 9: Identify family-centered nursing care for the child with musculoskeletal health alterations in a variety of settingsClass Exam: Exam 4 Question #2 (Item ID 2552)An 18 month-old child admitted to the pediatric with a femur fracture is ordered Bryant's traction. Why does the nurse know Bryant's traction is an appropriate order? (Select all that apply)a. Femur fracturesb. Child under age 5c. Legs suspended verticallyd. Weight of child provides counter tractione. For children weighing 20-30lbs.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Benchmark 90% Answered Correctly13/2011/197/8 15/2146/68 68% NoSubjective Data: How well do you feel like you mastered the following course competency? (enter total number of student responses90% of students will report superior or above average mastery of content.SpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas goal met?Superior3233Above Average84210Total Response201982135/68 51%NoMusculoskeletal Group ProjectSpringSedaliaDaysSummerEldonSpring PM/WSummer SedaliaDaysWas the goal met?Benchmark 90% scored >82.5%20/2019/198/821/2168/68 100%YesExam question re-worded with slight increase in the number of students that successfully answered it correctly. Evaluate lecture notes and update power points. Overall grades: Sedalia/ DaysEldonSedalia/SummerPM/WeekendA4252B1616166C0100D0000F0000ATI scores: PN Nursing Care of ChildrenSedalia Spring 2017Eldon Summer 2017Sedalia Summer 2017PM/Weekend Spring 201734182121591434Below level 1000What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any? NoneChanges for the upcoming year will include Evaluation of exam questions and integrating more analysis and application questions into test bank. Reviewing course evaluation making sure it correctly reflects information taught in the classroom.Creating voice over power points for growth and development competencies. Consider use of Nearpod for this.389614110186NURS 142Childrearing FamilyClinicalNURS 142Childrearing FamilyClinicalChild Rearing Family Clinical2018 Spring Sedalia Days, Spring Sedalia PM/Weekend, Summer Sedalia Days, Summer EldonClinical Summary:Participation in activities to develop skills in family-centered nursing care of children is expected. Experiences will include health promotion activities in the community, providing evidence-based patient centered nursing care of ill children, and promoting interpersonal relationships within the family unit. This is a pass/fail course.General Clinical Information: CampusSpring Sedalia DaysSpring Sedalia PM/ WeekendSummer SedaliaSummer EldonNumber of students enrolled in clinical course2082119Number of students who failed the clinical course0000Student/Faculty ratio per clinical group20:1 with Preceptors8:121:2 with Preceptors19:2Competency 1: Utilize critical thinking skills to select an age appropriate wellness topic and applying the concepts of growth and development when developing a teaching project for preschool age children. Student mastery will determined by earning at least an 82.5% on their teaching project.Subjective Data: Apply the concepts of growth and development to selected clientsGoal: 95% of students will agree or strongly agree they mastered the competency.CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer Sedalia Summer EldonOverall percent85%Number of students taking assessment1481819Number of students that Strongly Agree5865Goal achieved?NoNumber of students that Agree50813Continue to utilize Buckner and Community Health Start in Spring and Boys and Girls Club Carnival in the summer. This summer, the director at Boys and Girls Club accidentally overbooked. This led to confusion on the day of the carnival and there were far fewer children that were involved in the carnival. Plan to contact the director mid-April this year to try and prevent that from happening petency 2: Creating effective communication skills when presenting developmentally appropriate teaching project for preschool age children.Subjective Data: Provide family-centered care for the ill child in a variety of settings.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer Sedalia Summer EldonOverall percent80%Number of students taking assessment1481819Number of students that Strongly Agree2855Goal achieved?NoNumber of students that Agree70812A new site was added in the summer at the Sedalia campus with positive remarks from the students. Students remarked that they were not allowed to observe the nurse practitioner at Riverside. This impaired their ability to engage in their experience. Plan is to utilize TLC Pediatrics and Whistle Stop next spring and summerCompetency 3: Develop life skills while implementing a health promotion-teaching plan to preschool age children.Subjective Data: Promote healthy lifestyle behaviors in well children.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer Sedalia Summer EldonOverall percent81%Number of students taking assessment1481819Number of students that Strongly Agree3856Goal achieved?NoNumber of students that Agree70811Plan is to continue with teaching projects in spring and carnival in the summer. See above analysis and changes. Simulation 1: Appendicitis Simulation Pre-op and post-op careSubjective Data: Provide family-centered care for the ill child in a variety of settings.Goal: 95% of students will agree or strongly agree they mastered the competency.CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer Sedalia Summer EldonOverall percent88%Number of students taking assessment1481819Number of students that Strongly Agree5813Goal achieved?NoNumber of students that Agree801611Sim format was changed this summer. DML format was implemented with positive student feedback. Plan to evaluate pre-sim paperwork and make changes that better reflect the new format. Additional clinical student evaluation data with analysis: Was the information included on the?Blackboard course shell clear and adequate?Goal: 95% of students will agree or strongly agree the shell was clear and adequate.CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer Sedalia Summer EldonOverall percent56%Number of students taking assessment1481819Number of students that Strongly Agree1713Goal achieved?NoNumber of students that Agree71211Continue to evaluate Blackboard shells prior to push to students to effectively communicate objectives. Plan to implement Canvass as the new LMS next summer. How effective were the written assignments in assisting you with correlating clinical to theory?Goal: 95% of students will agree or strongly agree written assignments assisted with correlating clinical to theory.CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer Sedalia Summer EldonOverall percent86%Number of students taking assessment1481819Number of students that Strongly Agree4754Goal achieved?NoNumber of students that Agree611212No change at this time.Analysis of the student evaluation on the clinical site(s) reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHarris Center587NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonE.W Thompson State School58NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonAbilities LLC. Group HomeNANA5NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonCommunity Head Start94NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBuckner Head Start4NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBoys and Girls Club CarnivalNANA16NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Parkview Elementary18NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Sedalia Middle School14NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonShow Me Christian Youth HomeNANA0NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSmith Cotton Jr. High18NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSkyline Elementary14NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHorace Mann0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonRiverside Pediatrics745NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonWhistle Stop Pediatrics1410NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonPettis County WICNA82NAArea that needs improvementIdentify the plan for change if applicable Analysis of the student evaluation on the clinical staff reveals students “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for them to meet clinical competencies: CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHarris Center12817NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonE.W Thompson State School138NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonAbilities LLC. Group HomeNANA2NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonCommunity Head Start04NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBuckner Head Start0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBoys and Girls Club CarnivalNANA4NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Parkview Elementary04NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Sedalia Middle School0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonShow Me Christian Youth HomeNANA2NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSmith Cotton Jr. High0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSkyline Elementary14NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHorace Mann0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonRiverside Pediatrics785NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonWhistle Stop Pediatrics9NA16NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonPettis County WICNANA0NAArea that needs improvementIdentify the plan for change if applicable Analysis of the faculty evaluation of the clinical site(s) reveals faculty “disagree” or “strongly disagree” that the following site(s) provided adequate learning opportunities for the students to meet clinical competencies: CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHarris Center000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonE.W Thompson State School00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonAbilities LLC. Group HomeNANA0NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonCommunity Head Start00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBuckner Head Start0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBoys and Girls Club CarnivalNANA0NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Parkview Elementary00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Sedalia Middle School0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonShow Me Christian Youth HomeNANA0NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSmith Cotton Jr. High00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSkyline Elementary00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHorace Mann0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonRiverside Pediatrics000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonWhistle Stop Pediatrics000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonPettis County WICNA00NAArea that needs improvementIdentify the plan for change if applicable Analysis of the clinical site evaluation of the SFCC faculty and students reveal the staff at the clinical site indicated “unsatisfactory” or “needs improvements” on the evaluation: CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHarris Center000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonE.W Thompson State School00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonAbilities LLC. Group HomeNANA0NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonCommunity Head Start00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBuckner Head Start0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonBoys and Girls Club Carnival0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Parkview Elementary00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSedalia 200 Special Education- Sedalia Middle School0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonShow Me Christian Youth Home0NA0NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSmith Cotton Jr. High00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSkyline Elementary00NANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonHorace Mann0NANANAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonRiverside Pediatrics000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonWhistle Stop Pediatrics000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonPettis County WIC000NAArea that needs improvementIdentify the plan for change if applicable CampusSpring Sedalia DaysSpring Sedalia PM/WeekendSummer SedaliaSummer EldonSkyline Elementary/ Horace Mann Elementary/ Smith Cotton Jr. High00NANAArea that needs improvementIdentify the plan for change if applicable Insert name of Med Calc ATI_(i.e.Med-Surg) Medication Calculation ATI scoresCampusSedalia FallSedalia SpringEldon Fall/SpringNumber of who below 82.5% on 1st attempt.Number of who below 82.5% on 2nd attempt.Number of who below 82.5% on 3rdst attempt.For all students who failed this clinical, list the competency failed below and the remediation provided to the student: All students successfully completed the clinicalThe following changes were made to the clinical course based on data collected: Indicate here data and changes made. Data could include advisory board feedback, graduate survey employer survey feedback, student evaluation data, faculty concerns, etc. Students continued to attend the special education portion of the clinical experience at Parkview special ed. The special education class at Smith-Cotton Jr. High was added as an additional site. Feedback from the students was they had a positive experience. Horace Mann was added and additional school nurse site with positive feedback from the students. Sedalia 200 have been outstanding working with SFCC Nursing to provide experiences for the nursing students. Continue to utilize Abilities LLC Group Homes for the Sedalia Summer Day Clinical schedule. There were no issues this year compared to last year. al experience. Boys and Girls Club overbooked on the date that was chosen for the carnival. This led to some confusion the morning of the carnival and less students were able to experience the event. Plan to contact the director mid-April next year to set a date. Hopefully this will solve the issue for next year. Post-clinical in the summer was changed. Students are still required to attend 4 sessions. There were 6 session times offered so the students could pick which ones worked best with their schedules. This decreased complaints of having to come for post-clinical when they were not scheduled that day to attend a site. Eldon added a couple of new sites for clinical experiences this year. We attended Little Learners Day Care, which was a great site for our students. We also went to Lake Regional Pediatric clinic which was also a great addition for students. We plan to go utilize both again in the future.What needs are there related to this clinical course (i.e. equipment needs, faculty professional development needs, etc.), if any? None89849766703Student SuccessStudent SuccessStudent Success Coordinator 2017-2018Faculty Names and Dates: Danika Doyle, RN, MSNSummary of course and course description: The mission of the Student Success Coordinator is to work with students to help them define, clarify, and achieve their academic, personal, and professional goals.? The Student Success Coordinator connects students who are having difficulty in their courses with the support they may need to succeed.?The Student Success Coordinator is in charge of weekly tutoring for each class, focus review, student support tool, managing mentoring program, building remediation and success plans for students that are struggling or have failed a course, individualized students meetings as needed, and proctoring ATI exams. Summary of Changes made from last year and the impact or success the changes had: The largest change that has occurred, is that the Student Success and Informatics position has now been split into two position. This has led to multiple changes in each of these positions. These changes will be discussed at length throughout the Matrix. It has allowed for time to spend improving previous process as well as added process (i.e. student support tool, tutoring) Summary of Tutoring Survey Results: Overall, students indicate they are satisfied with faculty tutoring sessions. Most students indicate they Agree or Strongly Agree that tutoring is beneficial, content is appropriate, and format is beneficial. Students indicate in year 2 that tutoring longer than needed. After analyzing the survey results for the past year, and eliminating comments such as, tutoring should not be required, decrease the amount of time and so on. Every cohort put many comments about that they enjoy and would like to see smaller group work and or study groups. One comment included they felt this offered more one on one time with the Student Success Coordinator to enhance their learning. Students also stated they felt this decreased side conversations and allowed everyone the opportunity to answer questions. Some felt it would be beneficial for the Student Success Coordinator to choose the groups as well. Other things students would like to see more of include practice questions, workshop information and more simulation/lab time. Students stated they enjoyed, time in the lab/meti practice, small group work, developing study guides and test taking tips with practice. The majority of students are attending tutoring because it’s required only. One student wrote that they do not want to stay after class as they are mentally exhausted and are ready for a break. Summary of anticipated changes based off of survey results: Based off the analysis of survey results, I plan to incorporate more small group work. I want students to have the opportunity to answer questions as well as think through them at their own pace. I feel small groups work better to control the sessions as well. I also will change up these groups as I believe this can help with classroom dynamics as well as show students how they can benefit from different perspectives. We have discussed that when students find a study group that works, the entire group excels throughout the program. I believe tutoring can offer this opportunity for this to happen. I envision a couple of different activities that students can rotate through to keep them engaged as well as offer the ability to cover more content in a session. I think this can include many of the activities students enjoy as well. This should offer the opportunity to include: test taking tips, practice questions, time in the lab, developing study guides, covering anatomy/phys, and med calc. Tutoring Attendance: Fall 20171,11,1 2nd 8 weeksPMWPMW 2nd 8 weeks1,31,3 2nd 8 weeks2,1 2,1 2nd 8 weeks2,22,2 2nd 8 weeksWeek 1M34/347/31(7)8/88/8 (2)18/1810/16 (6)31/318/26 (5)8/26 (5)8/21 (3)3/21 (3)Week 234/34M25/31(25)25/30 (25)8/82 Req8/8 (2)14/188 Req12/16 (6)31/31M7/26 (5)7/21 (3)3/21 (3)Week 324/347 Req23/27 (23)22/26 (22)8/86 Req8/8 (2)13/188 Req9/16 (6)21/317 Req7/26 (5)13/26 (6)3/21 (3)5/21 (3)Week 429/3421 Req20/26 (21)24/26 (25)8/87 Req8/8 (2)10/188 Req9/16 (6)25/317 Req6/26 (6)9/26 (7)17/21 (15)3/21 (3)Week 524/3424 Req25/26(25)25/26 (25)8/87 Req8/8 (2)13/189 Req10/16 (6)23/3116 Req12/26 (7)16/21 (15)9/21 (10)Week 625/3425 Req26/26 (26)8/87 Reqx 12/189 Req9/16 (7)26/31(19)23/31 (19)14/26 (8)17/21 (15)16/21 (10)Week 729/3425 Req26/26 (26)7/87 Req8/8 (2)13/189 Req14/16 (7)24/31 (19)x21/21 (15)20/21 (15)Week 8 32/3425 ReqX8/87 Req8/8 (2)13/189 Reqx25/31(19)x18/21 (15)16/21 (10)Spring 2018: 1,11,1 2nd 8 weeksPMWPMW 2nd 8 weeks1,21,2 2nd 8 weeks2,1 2,1 2nd 8 weeks2,22,2 2nd 8 weeksWeek 1M27/27 23/235/23(3)8/8(2)x19/20(4)6/20 (4)23/23(10)9/21(9)9/21(9)23/25(4)18/26(6)Week 219/27(2)14/23(13)15/23 (13)8/8(2)8/8(2)16/20(4)7/20(4)10/23(10)9/21(9)9/21(9)21/25(4)6/26(6)Week 315/27 (2)15/23(15)15/23(15)8/8(2)8/8(2)10/20(9)7/20(7)23/23(10)15/21(13)15/21(13)22/25(5)6/26(6)Week 4x15/23(15)15/23 (15)8/8(3)8/8(3)12/20(13)12/20 (9)14/23(12)18/21(17)18/21(17)23/25(6)23/25(6)9/26(9)Week 521/27 (16)15/22 (14)15/22 (14)8/8(4)8/8(4)12/20(13)12/20(12)14/23(12)18/21(17)18/21(17)11/25(11)17/26(17)Week 624/27(20)17/22 (15)8/8(4)8/8(6)15/20(13)16/20(16)14/23(12)13/23(12)18/21(17)18/21(17)15/25(11)17/26(17)Week 723/27(20)X8/8(4)8/8(6)16/20(13)17/20(17)14/23(14)18/21(17)18/21(17)15/25(11)24/26(24)Week 8 25/27 (25)Xxx17/20(13)x16/23(16)17/21(17)14/25(11)xSummary of anticipated changes:Based off the above data, the majority of students that attend tutoring, do so because it is require of them. At this time I do not anticipate any changes related to student attendance. ATI Focus Review: Attendance, proctored score resultsATI focus review are currently required for students as it is worth 30 homework points for each class. There is a focus review completed for each proctored ATI students take except for the RN Fundamentals and RN Nutrition. Students appear to have a negative attitude towards these sessions. Five students have been found to not be completing the assignments as outlined and have been missing points. Students stated, “They knew why they missed a question and didn’t need the content review.” When asked why they did not complete their assignment. Other students state they didn’t have time and so they placed old focus review sheets in their binders thinking it would not be noticed. Often times in these sessions I have to reorient students back on topic. The number of students that failed an ATI for the past 4 years was collected and analyzed. There are no significant findings to indicate that students are benefiting from focus review sessions. Both campuses show decline in student performance and then an increase sporadically as well. The data is not supporting a consistent improvement with student results. This could be from the change form cohort to cohort or a change in versions of the exam and be completely unrelated to focus review. Summary of anticipated changes:I believe the focus review process should be reconsidered. It has been implemented since January 2016. This has allowed time to collect data. Utilizing the concept maps with three bullet point per box as proposed by ATI could be beneficial. Offering an optional Focus Review time for students to attend and discuss the topics would also be part of this. Student Support Tool Data: The student support tool was developed a year ago to help provide additional support to students that have additional obstacles as they go through the nursing program. This is providing a proactive approach to help students be successful. In the past our focus has been reactive after students have failed. The support tool has 15 different categories that are assessed with each student at the beginning of each term. Based off their score, students are then classified into three categories; Low, moderate, or high risk. The student is then referred to additional resource(s) and or a plan is developed to meet their individual needs. Over the past year, the numbers for each of these categories include:Fall 2017 1st 8 weeksFall 2017 2nd 8 weeksSpring 2018 1st 8 weeksSpring 2018 2nd 8 weeksSummer 2018High5247324515Moderate8160656245Low142524223 Data has been collected based off the student’s answers and the support tool categories and is being evaluated by institution research (IR). The summary of findings will help base changes to the support tool. The number of hours spent with students has increased over the past year as well. Since the change in the position, this has opened up my schedule to allow for more meetings. There are also an increase in time spent with students that were not remediation students to be able to support the proactive approach with student success. Data has also been collected over retention. It has been noted that the majority of students fail in the first semester of each program. Specifically the PN program first 8 weeks, with fall starts. Summary of anticipated changes:Although this is a new project over the past year, this project is driving this position. The initial data from IR shows that this a beneficial tool for our students. It also shows that it is most beneficial for students in the first semester of each program. I anticipate that the tool will be used in the first semester of each programs and PRN thereafter. I also foresee that there will be changes to the tool categories based off of the summary. My focus is going to turn towards the first semester cohorts. Having an office where I am visible to students will help me to grab students for appointments as well as allow more opportunity to build rapport with them. I also believe increasing my knowledge in study skills, individual learning styles, and how to support these will help support these cohorts. Remediation Students: Over the past year there have been a total of 22 remediation students. The plans for these students have grown over the past year. There is collaboration with the informatics coordinator to focus on clinical success. Students are researching their own strategies for success, taking proctored ATI quizzes and then completing focus review, the test success book has been incorporated, videos over grit as well as reflection. I am now traveling to Eldon every other week to allow for the opportunity to remediate these students as well. Summary of anticipated changes:A course remediation rubric is being developed to be implemented for this upcoming year. This will allow students feedback as well as allow faculty some insight into how their time during remediation went. Plans will continue to be individualized for student needs and encompass both campuses and the informatics coordinator. In what ways did you attempt to ensure student success for this course? Students were required to come to tutoring when they had previous failed a course or once they had failed an exam. This provided students a second opportunity to ask questions and an alternative way to learn subjects from class. Attendance was taken weekly to verify students were present for tutoring. Communication between the student, instructor, and student success coordinator was continued through the entire class. Starfish aided in this communication loop. We are now completely electronic and no longer do a paper trail. Student’s met with the student success coordinator as a requirement when they failed an exam as well as they felt it was need. In these meetings students were helped to identify what may be going wrong in their course and come up with a study plan for success. Student compliance with remediation is tracked to supply data to the student support tool since compliance has been proved statistically significant to student success. Students are taking the ATI Self-Assessment Inventory to help identify their learning style to aid in their success. The support tool has provided many opportunities for success for students through self identification, resources, and success plans. The student success coordinator is also heavily integrated in Student Success Workshops organized by the Nursing Student Success Team. Topics/presentations survey’s over the past year have been collected and continue to be analyzed to support future changes to this initiative. What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any?PN NCLEX books could be used in remediation/student meetings. Any additional resources are always welcomed. Professional development are offered and utilized as often as time allows. The main issue is additional time for student meetings. Students are available often when I am in tutoring which can cause issues with scheduling. I am not sure the solution to this, but this is one of my biggest constraints at this time. -63776122665Informatics CoordinatorInformatics CoordinatorInformatics Coordinator 2017-2018Faculty Names and Dates: Alyssa Schroder, RN, MSN Summary of course and course description: The mission of the Informatics Coordinator is to work with students to help them define, clarify, and achieve their academic and professional goals.? The Informatics Coordinator connects students who are having difficulty in their courses with the support they may need to succeed.?The Informatics Coordinator is in charge of conducting simulation and debriefing, maintaining a safe lab area, ordering lab supplies, data collection, modifying simulations as necessary, creating new simulations, scheduling preventative maintenance for simulators, facilitating open lab sessions, scheduling open lab sessions, collaborating with coordinators on clinical schedules, ATI proctoring, assisting the Student Success Coordinator with tutoring, etc. Summary of Changes made from last year and the impact or success the changes had: Beginning July 1, 2017, the Student Success and Informatics Coordinator position was divided into a Student Success Coordinator and Nursing Informatics Coordinator position. With creation of the Nursing Informatics Coordinator position, simulations have been evaluated and modified as necessary. New simulations have been added to both the year 1 and year 2 curriculum. More open lab dates have been added to allow students more ability to attend. An Interdisciplinary Simulation-Roadrunner Rounds, was developed by the Nursing Informatics Coordinator and Allied Health Directors in order to promote successful communication and understanding of each discipline among students. Summary of Simulation Survey Results: Fall 2017SimulationQuestion 1Question 2Question 3Question 4Question 5Question 6Question 7Question 8Question 9Question 10CHF 1, 1SA-12A-13N-1SA-17A-7N-2SA-20A-6N-0SA-14A-12N-0SA-20A-5N-1SA-21A-4N-0UA-1SA-22A-3N-0UA-1SA-7A-6N-12UA-1SA-17A-8N-0UA-12-10; “several”CPR 1, 2SA-7A-8N-1UA-8SA-13A-3N-0UA-8SA-12A-4N-0UA-8SA-14A-2N-0UA-8SA-13A-3N-0UA-8SA-9A-6N-0UA-9SA-14A-1N-0UA-9SA-9A-3N-3UA-9SA-12A-3N-1UA-91 to 10AHCC 1, 3SA-10A-5N-1SA-8A-6N-2SA-8A-8N-0SA-9A-7N-0SA-6A-10N-0SA-8A-5N-2UA-1SA-12A-4N-0SA-2A-3N-11SA-7A-6N-2UA-11 to 6CHF 2, 1Data unavailable for Fall 2017 semesterOB 2, 1SA-10A-2N-1UA-1SA-9A-5N-0SA-11A-2N-1SA-9A-4N-0SA-10A-3N-1SA-6A-2N-0UA-6SA-6A-2N-0UA-6SA-2A-2N-4UA-6SA-5A-3N-0UA-62 to 8PEDS 2, 1SA-16A-2N-0SA-14A-4N-0SA-13A-5N-0SA-13A-4N-1SA-14A-3N-8SA-8A-4N-0UA-6SA-10A-2N-0UA-6SA-3A-5N-4UA-6SA-9A-3N-0UA-61 to 8Prioritization 2, 1SA-4A-13N-9SA-7A-13N-6SA-10A-12N-4SA-2A-15N-8D-1SA-1A-15N-9D-1SA-9A-14N-3SA-6A-10N-8D-2SA-1A-7N-16D-2SA-1A-18N-6UA-12 to 7MH 2, 1SA-11A-14N-2SA-9A-17N-1SA-14A-11N-2SA-10A-14N-3SA-11A-15N-1SA-11A-15N-1SA-12A-12N-2UA-1SA-5A-9N-12UA-1SA-11A-14N-1UA-11 to 5SCP 2, 1SA-13A-12N-1SA-14A-12N-0SA-13A-11N-1SA-10A-14N-2SA-16A-10N-0SA-16A-9N-0UA-1SA-16A-10N-0SA-9A-12N-5SA-10A-12N-41 to 5Interdisciplinary 2, 2Separate DocumentCPR 2, 2SA-12A-9N-0SA-16A-5N-0SA-17A-4N-0SA-10A-10N-1SA-11A-8N-2SA-17A-4N-0SA-17A-3N-1SA-12A-3N-5UA-1SA-15A-6N-01 to 4RemediationSA-1A-0N-1SA-2A-0N-0SA-2A-0N-0SA-2A-0N-0SA-1A-1N-0SA-1A-0N-1SA-2A-0N-0SA-2A-0N-0SA-0A-0N-22 to 4; 20-25 over 3 sessionsMake-Up SimSA-0A-3N-0SA-1A-2N-0SA-2A-1N-0SA-0A-3N-0SA-2A-1N-0SA-2A-1N-0SA-3A-0N-0SA-2A-0N-0SA-1A-2N-03 to 7SCP-Sim SpecificSA-2A-4SWA-1SD-0D-0SA-4A-3SWA-0SD-0D-0SA-4A-3SWA-0SD-0D-0SA-6A-1SWA-0SD-0D-0SA-7A-0SWA-0SD-0D-0SA-7A-0SWA-0SD-0D-0SA-3A-3SWA-1SD-0D-0SA-5A-1SWA-1SD-0D-0SA-3A-3SWA-1SD-0D-0n/aSummary of Simulation Survey Results: Spring 2018SimulationQuestion 1Question 2Question 3Question 4Question 5Question 6Question 7Question 8Question 9Question 10CHF 1, 1SA-20A-19N-1SA-20A-10N-9D-1SA-27A-10N-3SA-29A-9N-2SA-26A-13N-1SA-35A-4N-1SA-34A-5N-1SA-12A-22N-6SA-15A-17N-7UA-11-10CPR 1, 2SA-8A-10N-2SA-16A-4N-0SA-16A-4N-0SA-18A-2N-0SA-19A-1N-0SA-18A-2N-0SA-20A-0N-0SA-18A-2N-0SA-18A-2N-01 to 5AHCC 1, 3SA-10A-5N-1SA-8A-6N-2SA-8A-8N-0SA-9A-7N-0SA-6A-10N-0SA-8A-5N-2UA-1SA-12A-4N-0SA-2A-3N-11SA-7A-6N-2UA-11 to 6CHF 2, 1SA-20A-14N-0SA-25A-6N-3SA-28A-5N-1SA-17A-2N-5SA-24A-16N-0SA-27A-6N-1SA-27A-6N-1SA-21A-9N-4SA-21A-8N-4UA-11 to 16OB 2, 1SA-25A-10N-0SA-25A-9N-1SA-26A-9N-0SA-23A-12N-1SA-21A-13N-1SA-25A-9N-1SA-28A-7N-0SA-14A-17N-4SA-23A-11N-0UA-11 to 7; “several”PEDS 2, 1SA-27A-8N-0SA-24A-6N-2SA-26A-8N-0SA-13A-4N-0SA-27A-7N-0SA-24A-8N-2SA-24A-7N-0UA-2SA-26A-6N-0UA-2SA-17A-12N-3UA-21.5 to 8UA-2Prioritization 2, 1SA-18A-14N-2SA-18A-12N-4SA-23A-9N-2SA-21A-11N-2SA-17A-12N-5SA-26A-8N-0SA-28A-5N-1SA-15A-17N-2SA-22A-12N-01 to 12MH 2, 1SA-20A-13N-2SA-27A-8N-0SA-23A-9N-3SA-26A-8N-1SA-26A-9N-0SA-32A-3N-0SA-28A-7N-0SA-17A-9N-9SA-24A-10N-130 m to 8 hoursInterdisciplinary 2, 2Separate DocumentCPR 2, 2SA-9A-9N-3SA-13A-8N-0SA-15A-6N-0SA-7A-9N-5SA-8A-12N-1SA-12A-9N-0SA-10A-11N-0SA-5A-10N-6SA-11A-8N-1UA-11 to 5MI Meti 2, 2 SA-12A-11N-2SA-11A-14N-0SA-10A-14N-0UA-1SA-8A-17N-0SA-13A-2N-0SA-8A-16N-1SA-10A-13N-2SA-9A-12N-4SA-9A-15N-14 to 48, “A LOT”Adult III GI Bleed SA-11A-11N-3SA-10A-15N-0SA-8A-14N-3SA-8A-16N-1SA-3A-2N-0SA-11A-12N-2SA-8A-13N-4SA-8A-9N-8SA-9A-15N-12 to 6Make-Up SimSA-5A-5N-0SA-5A-4N-0UA-1SA-7A-3N-0SA-2A-8N-0SA-6A-4N-0SA-7A-3N-0SA-8A-2N-0SA-5A-3N-2SA-5A-5N-02 to 7OB 1, 2SA-2A-8N-3SA-9A-4N-0SA-10A-2N-1SA-4A-6N-3SA-8A-4N-1SA-7A-2N-1SA-7A-5N-1SA-3A-0N-10SA-6A-6N-11 to 5PEDS 1, 2SA-16A-11N-1SA-19A-6N-3SA-21A-6N-1SA-17A-10N-1SA-21A-7N-0SA-19A-8N-1SA-21A-6N-1SA-7A-12N-9SA-17A-11N-01.5 to 5SCP-Sim SpecificSA-3A-15SWA-15SD-1D-1SA-10A-19SWA-4SD-1D-1SA-19A-13SWA-1SD-1D-1SA-22A-12SWA-0SD-1D-0SA-16A-13SWA-4SD-1D-1SA-8A-14SWA-8SD-1D-4SA-16A-17SWA-1SD-1D-0SA-17A-17SWA-0SD-1D-0SA-17A-16SWA-1SD-1D-0n/aSummary of anticipated changes based off survey results: The fall 2019 simulation survey has been revised to capture more student feedback regarding debriefing. SFCC nursing program standardized their debriefing process starting in fall 2019 by using a form of debriefing known as Debriefing for Meaningful Learning (DML). The fall 2019 simulation survey will also more closely assess student’s perception of their critical thinking ability, strengths and weaknesses related to scenario concepts, communication, caring for multiple clients and use of standardized patients. Various patient scenario information/assessment findings were added to some simulations based on student comments. Total number of hours spent on simulation improvement: 48 hours Open Lab Attendance: 7 hours total spent with students in open labDate of open lab-Fall 20178-16-178-21-179-5-179-19-1710-2-1710-16-1711-2-1711-17-1712-5-17# of students in attendance400210003Date of open lab-Spring 20181-16-181-29-182-12-182-26-183-14-183-27-184-5-184-10-184-17-184-23-185-1-185-10-18# of students in attendanceCancelled821500000000Date of open lab-Summer 20186-5-186-11-187-9-18# of students in attendance000Summary of open lab hours: A trend has been noticed this year in regards to when students are more likely to attend open lab hours. 1, 1 students who are preparing for fundamentals check-offs are most likely to attend open lab. Other students who are likely to attend open lab are those who are required as part of a clinical remediation plan or those who need a skill check-off prior to attending clinical. Students were surveyed at the beginning of the second 8 weeks of fall 2017. The survey results suggested students would like later afternoon open lab times versus the lunch hour open labs. An open lab advertisement was also created in order to clarify what students can expect in open lab. The open lab advertisement is placed on various office doors, in the lab and in every nursing classroom. Students are also verbally encouraged to attend open lab throughout the semester. Summary of remediation skills lab: 31 total hours spent with students Students who are in a program remediation plan are required to meet with the Nursing Informatics Coordinator for skills check-offs and simulations. Various approaches to this have been used in the 2017-2018 school year. Students have completed simulations designed by the informatics coordinator and simulations based on assigned case studies. Students complete skills check-offs on the following skills: head to toe assessment, Foley insertion, IV insertion, IM injection and NG insertion. Summary of transitions open lab: 34 hours total spent with students Date of open lab-Summer/ Fall 20177-5-177-17-178-1-1710-2-1710-12-1710-13-1710-16-1710-23-1710-24-1710-27-1710-30-1711-1-17# of students in attendance286020112004Date of open lab-Spring/Summer 20183-27-183-29-184-2-184-3-184-5-184-10-187-17-187-19-187-26-187-27-187-30-18# of students in attendance01111021515Summary of anticipated changes: Possibly reducing scheduled open lab time to 30 minutes versus 1 hour. Students seem to be able to get what they need out of the open labs in 30 minutes. The transitions course will be 8 weeks starting fall 2018, therefore, transitions students will have more time to complete their open lab. The Nursing Informatics Coordinator will also be completing IV insertion and foley check-offs for the transition students starting fall 2018. Transitions students will continue to sign-up for their required open lab on a google doc and will also be required to sign-up for their check-off time on a google doc. Summary of Clinical Remediation (Number of students, hours spent, activities included): A total of 20 students were referred during the 2017-2018 school year for clinical remediation. Activities included in clinical remediation were head to toe assessments, IV pushes, IV insertion, Foley insertion, medication pass practice, clinical day make-up, etc. A total of 47 hours were spent on student referrals during the 2017-2018 school year. Not all referrals made were for clinical remediation. Summary of anticipated changes: No anticipated changes at this time. Summary of Simulation time within Tutoring: Sixteen hours were spent in combination tutoring and simulation, with an additional five hours outside of tutoring time spent to allow students extra practice for the MI meti. Combined simulation and tutoring activities consisted of MI meti practice, year 1 semester 1 CHF simulation practice, stoma/GI disease discussion and demonstration of how to change an ostomy appliance. Summary of anticipated changes: I would like to see the number of hours spent in tutoring with student’s increase, especially with the MI meti withdrawn from the curriculum. I believe tutoring could focus on a variety of things including both skills and content review. I would also like to increase the use of simulation and DML in the two hour tutoring sessions. Simulation: 48 total hours spentSimulation improvement for the 2017-2018 school year included the addition of four simulations to the year to 2 program. An Interdisciplinary simulation (Roadrunner Rounds) was developed in fall 2017 for the year 2 semester 2 students. These students participate in the simulation as part of their capstone clinical. Other health science disciplines participating in the Interdisciplinary simulation include dental hygiene, sonography, radiologic technology, medical assisting and health information technology. The students describe professional communication techniques and their specific disciplines contribution to the plan of care for a variety of patient scenarios. This simulation is conducted as round table discussions. Beginning in fall 2017 students also started participating in Bothwell Regional Health Center training simulations. Through this simulation, year 2 semester 1 students are able to work through scenarios with experienced nurses from our local hospital. This helps students to not only see how experienced nurses can work together, but also helps students build a rapport with nurses they will frequently work with in the clinical setting. In fall 2017, a CPR simulation was also added for the year 2 students based on feedback from an advisory board meeting. The year 2, semester 2 CPR simulation added 4 hours to the capstone clinical. This CPR simulation is different from year 1 in there are four scenarios (hypovolemic shock, tension pneumothorax, drug overdose and hypothermia). Students are put into group of 4 or 5 and each scenario lasts 10 minutes. Halfway through the scenario students switch roles of recorder and charge nurse. This exposes students to the role of recorder, which had been reported as desirable in the advisory board meeting. Students participate in two scenarios per group. A year 2 semester 2 GI bleed simulation was also changed in fall 2017. The simulation transitioned from a round table discussion to a high fidelity simulation focusing on the steps in the blood administration process. Students gain experience in completing a blood administration record and identifying administration complications/reactions. In order to meet Adult Health Care Coordination (AHCC) clinical hours a simulation was added to the clinical beginning fall 2017. This high-fidelity simulation has students participate in pairs, one as the team leader and one as the team member. Students are assigned two patients and can divide the assignment any way they choose. Students are allowed 20 minutes to assess their patients and implement orders, while assisting each other with patient care. The purpose of this simulation is to help students become more comfortable with delegation and caring for multiple patients prior to entering their last clinical. In what ways did you attempt to ensure student success for this course? Student success is ensured by the Nursing Informatics Coordinator by making sure all simulation are up to date with pertinent and valid information, writing new simulations that are evidenced-based, assisting students who are struggling in clinical with skills or clinical paperwork. Student success is also provided by integration of tutoring and simulation. Students are encouraged to arrange meetings with myself if they cannot attend open lab times or have specific skills they want to work on prior to starting clinical for the semester. What needs are there related to this course (i.e. equipment needs, faculty professional development needs, etc), if any?OmnicellMuse software for Meti-manSimulator or tablet to control Laerdal simulator-Eldon campusColor printer for office-will help with making pictures for simulations, etc. more realistic than black and white ................
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