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The University of Texas at Austin

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The University of Texas at Austin ...

    N127P Fall 2009

    N127P Clinical Nursing Skills I

    Practicum

    Betty Jensen, PhD, RN

    (Course Facilitator)

    Fall 2009 The University of Texas at Austin

    School of Nursing

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N127P Fall 2009

    The University of Texas at Austin

    School of Nursing

    N127P Clinical Nursing Skills I Practicum

    Fall 2009

    Course Schedule

    WEEK DATES TOPIC ASSIGNMENT 1 Orientation to Course 8/26/09 ? All students for all Thursday

    Standard Precautions 8/27/09 sections meet together at

    Hand Hygiene beginning of class in Room

    4.176. 2 Infection Control *9/2/09 ? Syllabus PLUS watch videos

    Safe Patient Handling 9/3/09 from week 1

    Restraints and Alternatives

    3 AM Care: Bathing * 9/9/09 ? Syllabus

    Personal Hygiene & Grooming 9/10/09

    Feeding/ I&O

    4 AM Care: Bedmaking * 9/16/09 ? Syllabus

    Bowel Elimination /Bedpan/Enemas 9/17/09

    Stool Specimen Collection

    Documenting and Reporting

    5 * 9/23/09 Meds I ? Syllabus

    Safe Medication Administration 9/24/09

    Nonparenteral Med Administration

    6 * 9/30/09 Meds II ? Syllabus

    Safe Medication Administration 10/1/09

    Insulin, Capillary Blood Glucose

    7 * 10/7/09 Meds III ? Syllabus

    Safe Medication Administration 10/8/09

    Injections

    8 PERFORMANCE EXAM I + 10/14/09 ? Medication Administration

    10/15/09 (Syllabus) 9 Documentation (Documentation Exercise Due) * 10/21/09 ? Syllabus

    Oxygenation 10/22/09

    Heat and Cold Therapies

    10 Sterile Technique *10/28/09 ? Syllabus

    Wound and Pressure Ulcer Care 10/29/09

    11 PERFORMANCE EXAM II + 11/4/09 ? Sterile Dressing Change

    11/5/09 (Syllabus) 12 Urinary Elimination/Catheter Management * 11/11/09 ? Syllabus

    11/12/09

    13 PERFORMANCE EXAM III + 11/18/09 ? Catheterization of a Female

    11/19/09 (Syllabus) 14 THANKSGIVING 11/25/09

    11/26/09

    15 Skills practice 12/02/09 ? Syllabus

    Course Evaluations 12/03/09 * Quiz in Learning Center prior to class.

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N127P Fall 2009

+ Skills performance examination. NO FORMAL LAB MEETING. Arrive at skills lab room 10 minutes

    prior to assigned testing time and wait your turn to perform the skill.

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N127P Fall 2009

    The University of Texas at Austin

    School of Nursing

    N127P Clinical Nursing Skills I Practicum

    Fall 2009

Course: N127P Clinical Nursing Skills I Practicum

Course Credit: 1 semester hour: 2 skills lab hours per week

Placement in Curriculum: First Semester, Junior Year

    Pre-requisite: Concurrent enrollment in N325P

Course Facilitator: Betty Jensen, PhD, RN

     Office: NUR 5.188

     Phone: 512-471-7947 (office)

     E-Mail: bjensen@mail.nur.utexas.edu

Course Faculty: Anne Hagen MSN RN

     Office: NUR 4.145

     Phone: 512-471-3491 (office); 512-497-9920 (preferred)

     E-Mail: TXANNE2@aol.com

Course Faculty: Mary P. King, PhD, RN, CPNP-PC

     Office: NUR 5.169

     Phone: 512-947-5128 (mobile)

     E-Mail: maryp.king@mail.utexas.edu

     Office Hours Wednesday, 2-3 pm

Course Faculty: Patty Hamilton-Solum, MSN, RN

     Office: NUR 3.165 BB

     Phone: 512 917-9644

     E-Mail: plhs@mail.utexas.edu

Course Faculty: Beth Nurmi, MSN, RN

     Office: NUR 5.146

     Phone: 512 232-4715 (office)

     E-Mail: bnurmi@mail.nur.utexas.edu

Course Faculty: Gina Stokes, MSN, RN

     Office: NUR 5.192

     Phone: 471-8630 (office)

     E-Mail: rstokes@mail.nur.utexas.edu

SimLab Faculty: Shannon Patton, MSN, RN

     Office: NUR 5.146

     Phone: 512-471-9076

     E-Mail: spatton@mail.nur.utexas.edu

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N127P Fall 2009

Office Hours: TBA

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N127P Fall 2009

Course Description: Laboratory instruction and practice in clinical nursing skills. Once the skill has been

    learned in the lab, students may perform it under the supervision of the instructor in the clinical setting.

Course Objectives: Upon completion of this course the learner will be able to:

1. Demonstrate knowledge of purpose, procedure, and rationale of varied health assessments and

    related nursing interventions.

2. Apply knowledge of purpose, procedure, and rationale of varied health assessments and related

    nursing interventions.

Teaching/Learning Strategies:

1. Textbooks, readings from professional journals, CD-ROMs, videos.

    2. Discussion, demonstration of skills and return demonstration by students.

    3. Simulated clinical experiences in the Skills Lab and Learning Center.

    4. Application in the clinical area (N325P, Adult Health Nursing Practicum I).

Student Evaluation:

N127P is graded Credit/No Credit. The following criteria are used for evaluation:

    ? 9 Computerized Quizzes Each quiz must receive a minimum passing grade of 70%

    ? 3 Skills Performance Examinations Pass or No Pass

    ? Weekly Evaluation of Professional Behaviors

    ? Attendance at All Class Meetings Required

A minimum grade of 70% on each of 9 quizzes, satisfactory performance on both skills performance

    examinations, and adherence to policy of professional behaviors are necessary to receive credit for this

    course.

1. Quizzes: Students must have the theoretical knowledge base for the skill(s) prior to the scheduled

    skills class in order to effectively use their practice time in skills lab. Complete assignments in

    syllabus (reading and other media) then take the computerized quiz prior to the didactic/practice

    portion of each of ten classes listed in the course schedule. Dates with an asterisk (*) indicate that a

    quiz is required prior to attending class. Note: first class day exception on schedule. Each quiz will

    be based on the pre-laboratory objectives.

    Please see ―Policies Regarding N127P Computerized Quizzes.‖

    2. Skills Performance Examinations: There are three skills performance examinations that require the

    student to perform a nursing skill for their professor and/or teaching assistant in a simulated

    clinical setting. The required skills performance examinations are: (1) intramuscular injection or

    subcutaneous injection and one non-parenteral medication (oral, topical, drops), (2) sterile dressing

    change, and (3) intermittent catheterization with specimen collection. The student will be

    allocated 20 minutes to perform the required skill. This will require the student to practice

    during open lab sessions in order to become proficient in his/her performance. The

    performance criteria for these skills are delineated in this syllabus under the sections ―Skills

    Performance Evaluation Criteria.‖

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    N127P Fall 2009

     ALL skills taught in this course are pertinent and critical for the student’s growth in this nursing

    program and growth toward becoming a registered nurse. Logistics preclude faculty from

    evaluating the student on all skills in this course. Therefore, specific skills have been selected to aid

    the student in preparing for the Skills Performance Evaluations. Students are expected to be

    knowledgeable and reasonably competent and independent in performing ALL skills learned in this

    course by the end of the semester.

    The student must pass all three skills performance examinations. If a student receives ―no credit‖ for any skills performance exam, he/she is allowed a maximum of two repeats per exam. A student

    who fails a skills performance evaluation will do remedial practice in the open skills lab under the

    supervision of faculty, staff and/or a teaching assistant prior to retaking the skills exam. All

    repeats must occur within one week from the originally scheduled date of the skills performance evaluation and must be completed prior to the next scheduled lab class. It is the student's

    responsibility to schedule an appointment time to repeat the performance evaluation. If a student is

    unsuccessful after a total of three attempts within one week to pass a skills performance exam, this

    results in ―no credit‖ for the course.

    3. Evaluation of Professional Behaviors: Students will be evaluated by faculty, staff and teaching assistants during each skills class for the following behaviors: safety, knowledge, communication,

    accountability, technical competence, nursing process, and interpersonal skills/caring. If the

    instructor is aware of behaviors, which in his or her judgment indicate that the student is not

    meeting any one of these behaviors at a satisfactory and passing level, the student will not receive

    credit for this course, regardless of the numerical grade earned on the quizzes or passing of the

    skills performance evaluations. See ―Student Responsibilities‖ and ―N127P Skills Evaluation

    Form‖ in this syllabus for further descriptive criteria of expected professional behaviors.

    Student Responsibilities:

    1. Preparation - Students are required to complete all assignments listed under ―Required Reading

    and Viewing‖ and be thoroughly familiar with the steps and rationale for skills as noted in Potter &

    Perry. Students are required to bring the textbook Clinical Nursing Skills & Techniques to all

    class meetings. Students who do not come prepared will be dismissed from that day’s lab. Students

    are allowed to take notes during class when the skill is being demonstrated.

Specific class days require the student to bring to class additional materials or special equipment.

    Students are expected to note these instructions in the syllabus and follow directions. Additional

    reading and media viewing may be required for certain skills as the semester progresses. Should

    this be the case, an announcement will be made by email, in class, or on Blackboard and students

    are fully responsible for completing the assignment.

Schedule, class objectives, and assigned readings/media are subject to change. Students will be

    notified by and are responsible for announcements posted on Blackboard, by email, and/or by

    announcements in class.

    2. Attendance This skills course is considered a practicum course and therefore classified as a

    clinical course. The following information is the attendance policy dictated by the School of

    Nursing. Students who are absent in practicum courses may not have sufficient time to learn

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    N127P Fall 2009

necessary skills and professional responsibilities and therefore faculty may not have sufficient time

    to evaluate the student.

Attendance is mandatory at all scheduled laboratory sessions and instructors are required to take

    attendance at the beginning of the class. Students are required to be prompt for class at the

    scheduled starting time and to stay the full 2 hours of class time to practice, reinforce, and integrate

    the learning of skills taught in this class. If a student feels he/she have met the class objectives

    before the end of class, the student must remain in class and assist his/her peers in learning and

    practicing the skill. Students are required to stay in the lab section and time period for which they

    are registered.

In the event that special circumstances make it impossible for the student to be present for a quiz,

    performance examination, or class, the student must notify and make arrangements with the faculty

    instructor in advance of the class time. If the student will arrive late, the instructor must be notified

    prior to the scheduled starting time or as soon as possible when emergency circumstances arise. If

    the instructor cannot be contacted, the student must leave a message on the instructor’s voice mail.

    The student is responsible for all material discussed and all announcements made, even if the lab

    session was missed in part or whole.

     ―No credit‖ for the course will result if the student has two unexcused absences or two

    unacceptable reasons for missing lab class. In the event that a student is absent from a quiz or

    skills performance examination without having made prior arrangements with the faculty instructor,

    he/she may not be permitted to take the quiz or skills performance examination and a ―No credit‖

    for the course will result.

Observance of a religious holy day. A student who is absent from a class or examination for the

    observance of a religious holy day may complete the work missed within a reasonable time after

    the absence, if proper notice has been given. Notice must be given at least fourteen (14) days prior

    to the classes scheduled on dates the student will be absent. For religious holy days that fall within

    the first two weeks of the semester, notice should be given on the first day of the semester. It must

    be personally delivered to the instructor and signed and dated by the instructor, or sent certified

    mail, return receipt requested. A student who fails to complete missed work within the time allowed

    will be subject to the normal academic penalties. Special regulations of colleges and schools,

    required by the unique nature of their programs of study, may be enacted through the normal

    legislative process and printed in The Undergraduate Catalog. These special regulations may not

    conflict with University regulations on class attendance and absence.

    3. Absence from Lab - All missed labs and associated quizzes must be made up the same week as the

    missed lab. It is the responsibility of the student to confer with the faculty instructor to determine

    on what day the lab and quiz will be completed. This conference between instructor and student

    must occur within 24 hours of the missed lab or exam.

    4. Open Lab - Faculty expect students to attend open skills lab regularly during the semester to

    reinforce learning. This is a necessity if the student desires to gain confidence and competence in

    skills for implementation in the clinical setting. Open lab hours are announced in class and posted

    near the Skills Lab.

    5. Clean Up - Students are required to clean up their practice area before leaving lab for the day. This includes throwing away trash, returning equipment and straightening the bed linens.

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    N127P Fall 2009

    6. Charting - Students are required to chart after practicing the skill(s) for the day. At the discretion

    of the instructor, charting requirements may be fulfilled on the computer or using paper and pen.

    Remember to include your name and date on your charting. Refer to Clinical Nursing Skills &

    Techniques ―Recording and Reporting‖ section at the end of each skill for guidance on what and

    how to chart.

    7. Clinical Application - Students are highly encouraged to read the policy and procedure in their

    assigned clinical area for the skill to be learned during the next scheduled skills class. This learning

    strategy will strongly reinforce the application of the skill and demonstrate acceptable health care

    agency modifications in skill performance while still maintaining standards of care.

     If a student misses a skills lab class or does not successfully pass the skills performance exam any

    given week, it is the responsibility of the student to notify his/her N325P clinical professor. Patient

    safety requires the student to communicate with the clinical professor regarding any remedial

    issues.

    8. Honor Code - The profession of nursing has a legacy of public respect and trust. We provide

    specialized care for the health needs of individuals and the community with integrity, honesty,

    compassion, and state of the art knowledge and skills. Learning and practicing responsible and

    ethical professional behavior is a vital part of professional education. The Institutional Rules on

    Student Services and Activities given in the General Information Catalog (Chapter 11) and The

    University of Texas at Austin’s Honor Code apply to all nursing students:

     The core values of The University of Texas at Austin are learning, discovery, freedom, leadership,

    individual opportunity, and responsibility. Each member of the University is expected to uphold

    these values through integrity, honesty, trust, fairness, and respect toward peers and community.

    Additionally, the School of Nursing has its own honor code:

    As a student in The University of Texas at Austin’s School of Nursing, I pledge myself to be

    honest in all of my student activities including, but not limited to, all of my scholastic work and

    interactions with patients, members of the community, faculty, and peers. Furthermore, I will not

    use any substance prior to or during my interaction with patients that could alter my judgment or

    ability to render safe care: this includes but is not limited to any use of alcohol, illegal drugs, and

    prescription or over-the counter drugs that may impair my mental and/or physical abilities required

    to perform safe patient care. I will disclose to my instructor any violations of the above standards

    of conduct.

    9. Student Conduct Policy - Students and faculty in The School of Nursing each have responsibility

    for maintaining an appropriate learning environment. Faculty have the professional responsibility

    to treat students with understanding, dignity and respect and to guide the teaching/learning process.

    Students are expected to refrain from verbal and nonverbal behaviors in the classroom and clinical

    that may be distracting to others, such as, but not limited to: arriving late or leaving early, side

    conversations, text messaging, note passing, surfing the internet or answering e-mail on laptops,

    and answering cell phone or pager. Students who persistently engage in behaviors that are

    disruptive to the teaching/learning process may be required to leave the setting. For further

    information refer to General Information, Institutional Rules on Student Services and Activities,

    Chapter 11: Student Discipline and Conduct.

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N127P Fall 2009

     Behavior Concerns Advice Line (BCAL) - If you are worried about someone who is acting

    differently, you may use the Behavior Concerns Advice Line to discuss by phone your concerns

    about another individual's behavior. This service is provided through a partnership among the

    Office of the Dean of Students, the Counseling and Mental Health Center (CMHC), the Employee

    Assistance Program (EAP), and The University of Texas Police Department (UTPD). Call 512-

    232-5050 or visit http://www.utexas.edu/safety/bcal

    10. Scholastic Dishonesty Policy and Professional Integrity - Refer to the General Information for

    information on the Scholastic Dishonesty Policy Sec. 11-802. Scholastic dishonesty includes, but is

    not limited to cheating, plagiarism, collusion, falsifying academic records, and misrepresenting

    facts. The Dean of Students Office records acts of dishonesty and notifies the School of Nursing of

    each incident. In addition to all of the University statements and policies relative to academic

    dishonesty, the School of Nursing recognizes the strong link between honesty in academic work

    and professional integrity. Any act of academic dishonesty, including fabrication of reports or

    records of interactions with clients, is considered incompatible with ethical standards of nursing

    practice. The School of Nursing does not admit students who have a record of violations to the

    professional sequence. Students who engage in scholastic dishonesty may be subject to dismissal

    and may jeopardize their eligibility for licensure as a registered nurse.

11. Academic and Program Accommodations for Students with Disabilities - Refer to the General

    Information for information on Academic and Program Accommodations for Students with

    Disabilities or contact the Services for Students with Disabilities office in the Office of the Dean of

    Students at 471-6259. The School of Nursing works to ensure that students who have disabilities

    have equal access to the University’s programs and services.

     If you have any questions about services or accommodations for students with disabilities, please

    talk with the faculty member, the Assistant Dean for Undergraduate Programs, or the Assistant

    Dean for Student and Clinical Affairs or directly call the Office of the Dean of Students, Services

    for Students with Disabilities, 471-6259.

12. Emergency Evacuation Policy - Occupants of buildings on the UT Austin campus are required to

    evacuate and assemble outside when a fire alarm is activated or an announcement is made. Please

    be aware of the following policies regarding evacuation:

    ? Familiarize yourself with all exit doors of the classroom and the building. Remember that the

    nearest exit door may not be the one you used when you entered the building.

    ? If you require assistance to evacuate, inform me in writing during the first week of class.

    ? In the event of an evacuation, follow the instructions of class instructors.

    ? Be familiar with Building Evacuation Plan in this syllabus (last two pages).

13. Q drop Policy - The State of Texas has enacted a law that limits the number of course drops for

    academic reasons to six (6). As stated in Senate Bill 1231: ―Beginning with the fall 2007

    academic term, an institution of higher education may not permit an undergraduate student a total

    of more than six dropped courses, including any course a transfer student has dropped at another

    institution of higher education, unless the student shows good cause for dropping more than that

    number.‖

14. Latex Allergy notify your instructor and the skills lab director if you have an allergy to latex so

    that appropriate accommodations can be made.

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