Course Syllabus Skills Lab Course - Palm Beach State College · Course Title: Nursing II Skills Lab Credit/Contact Hours: 1 credit/3 lab hours Course Description: ... tube insertion

Course Syllabus – Skills Lab Course

NUR 1214L-Nursing II Skills 1 Revised May 2013

NURSING II

SKILLS LAB SYLLABUS

NUR1214L



TABLE OF CONTENTS

GENERAL CLASS AND COURSE INFORMATION ............................................. 3

PROFESSORS CONTACT INFORMATION ....................................................... 4

CLASS REQUIREMENTS ............................................................................... 5

CLASS POLICIES & METHODOLOGY ............................................................. 7

COLLEGE POLICIES AND WEB INFORMATION ............................................. 9

DEPARTMENT CONTACT INFORMATION: ................................................... 10

GETTING STARTED .................................................................................... 11

FORMS: SIGNATURE PAGE ......................................................................... 12



GENERAL CLASS AND COURSE INFORMATION Course Number: NUR 1214L Class Reference Number: Multiple Term: 2014-1, 2, 3 Course Title: Nursing II Skills Lab Credit/Contact Hours: 1 credit/3 lab hours Course Description: Students will achieve complex client care skills that are utilized by the nurse to implement the nursing process. Students gain competency by practicing skills in a supportive and supervised environment in the college campus lab. This includes a “Wellness” portion for the development of self awareness of health practices. Special fee required. Course Learning Outcomes: As a result of taking this course, the student will be able to:

1 Demonstrate skills performance in a professional manner, utilizing awareness of legal/ethical and cultural considerations of client across the lifespan.

2 Exemplify the role of the professional nurse in patient care, education, prevention and maintenance of all aspects of patient care for optimum outcomes and quality of life.

3 Demonstrate all necessary skills and dexterity while performing a comprehensive physical assessment also called a full or head-to-toe assessment.

4 Demonstrate ability and dexterity while setting up and administering intravenous therapy, and demonstrate proper techniques of insertion, maintenance and discontinuing of peripheral intravenous sites.

5 Demonstrate aseptic technique while priming and maintaining primary and secondary intravenous tubing and therapies.

6 Demonstrate the ability to assess, maintain and administer medication via the intravenous route.

7 Demonstrate skills and dexterity while maintain aseptic technique during airway clearance and/or suctioning of any airway and tracheostomy management.

8 Demonstrate skill in the care and management of the client with chest tubes.

9 Demonstrate all steps and skills necessary to maintain aseptic technique and perform foley insertion, open bladder irrigation and manage the client with a continuous bladder irrigation.

10 Demonstrate accuracy while caring for clients with urinary and colon diversions or stoma management. This includes manual dexterity and accuracy applying theory learned while measuring and applying ostomy appliances.

11 Demonstrate proper nursing care of the client post joint replacement and status post bone fractures. This includes the care of external fixation devices, casts, traction and CPM.

12 Demonstrate ability to perform client education through short wellness activity or presentation assigned weekly.

13 Demonstrate all steps and skills necessary to maintain aseptic technique and perform nasogastric tube insertion and manage the client with nasogastric tubes.

14 Demonstrate all steps and skills necessary to maintain aseptic technique and perform wound care irrigations, packing wounds, wet to moist dressings and management of the client.



Course Outline for NUR1214L - NURSNG 2 SKILLS LAB Class Schedules: See Class Calendar as schedule is dependent upon section to which student is assigned. A calendar of skills and due dates will be posted on Blackboard and communicated for all skill class groups. All attempts will be made to maintain the schedule. Textbooks Information: Textbooks are listed as Required and Recommended in the NUR 1213 course syllabus. Required:

1. Wilkinson J. & Treas L. (2010) Fundamentals of Nursing 2nd ed, ISBN: 978-0-8036-2354-5

2. Skills Video: Fundamentals of Nursing ISBN: 978-0-8036-2403-0 You may purchase your textbook(s) at any one of Palm Beach State College’s campus bookstores or online. Skills Lab Kits: Supplemental kits for semester 2 will be provided during the first 2 weeks of the semester. Students must bring kits to skills lab for each class and each check-off appointment. All students enrolled in a Nursing course are required to obtain and read the current Nursing Student Handbook and the Palm Beach State College Student Handbook. All Nursing students are responsible for the information contained in these publications. Both of these publications are published on the Palm Beach State College web site. Web Content Information: This course does not have a web component.

PROFESSORS CONTACT INFORMATION

Shernett Demarco, MSN, RN Professor I

CRB 220 (561) 993-1195 Belle Glade Campus

e-mail

Deborah Copeland, PhD , RN Department Chair, Professor III

AH 206 (561) 868-3431 Lake Worth Campus

e-mail

Buddy Herrington, MSN, RN Department Chair, Professor I


e-mail

Margaret Holmes-DeGraw, MSN, ARNP, CNM Professor I


e-mail

http://www.palmbeachstate.edu/asp/IE_ShowOutline.asp?show=Y&CourseID=NUR1214Lhttp://www.efollett.com/http://www.palmbeachstate.edu/programs/nursing/documents/2012-2013_Nursing_Student_Handbook.pdfhttp://www.palmbeachstate.edu/programs/nursing/documents/2012-2013_Nursing_Student_Handbook.pdfhttp://www.palmbeachstate.edu/Documents/Marketing/studenthandbook.pdfhttp://www.palmbeachstate.edu/faculty/index.asp?id=demarcsamailto:[email protected]://www.palmbeachstate.edu/faculty/index.asp?id=copelandhttp://www.palmbeachstate.edu/faculty/index.asp?id=copelandmailto:[email protected]://www.palmbeachstate.edu/faculty/index.asp?id=Herrinbdmailto:[email protected]://www.palmbeachstate.edu/faculty/index.asp?id=holmesmhttp://www.palmbeachstate.edu/faculty/index.asp?id=holmesmmailto:[email protected]



Leslie Kent, MSN, RN Professor II


e-mail

Winsome Vassell, MSN, RN

Professor I AH 213 (561) 868-3576

Lake Worth Campus e-mail

Office Hours are Posted on the Faculty Web Pages and Outside Office

CLASS REQUIREMENTS Each student is required to read, print, and sign the Signature page of the Ethical Agreement (students taking NUR 1213 along with this course do not have to resubmit this form). If a student is only taking NUR 1214L it is the students responsibility to submit this form to the team leader by the first class. The student should place a second copy in their student portfolio. Students are responsible for their Skills Performance Competency as follows:

A. The student must successfully perform each skill safely and accurately by the deadline outlined in the course calendar.

B. If unsuccessful, further practice and re-evaluation with successful completion of the skill is mandatory.

C. Students must make an appointment in Open-Lab for skills check offs. D. Objectives or skills will be evaluated through return demonstration. E. Skills demonstration will be in sequential order. F. Students must have the following required materials for skills return demonstration:

1. Nursing Skills Equipment Kit(s)

2. Skills Performance Record (Kept on file in the Skills Lab)

3. Equipment necessary for the skill (watch, stethoscope, etc.)

4. Student Panther Card and name tag

G. Students that do not adhere to the competency demonstration deadlines in the syllabus and

class calendar as assigned will not pass the course.

H. It is the student’s responsibility to ensure the accurate documentation of the completed skills.

I. It is the student’s responsibility to print procedure checklists from Blackboard and the

NUR1213 Skills Section and bring to skills lab for skills lab class, practice and skills check off.

Open Lab:

A. Students sign up for ONE open Lab appointment time PER WEEK online for skills check-off using

the Palm Beach State College Nursing Home Page at the Lake Worth and Belle Glade campuses.

Belle Glade students may practice skills and be checked off at the Lake Worth skills lab. If the

student is unsuccessful in getting checked off on the skill, another appointment (not on the

same day) is to be arranged. The skill that is practiced with an instructor may not be checked off

on the same day.

B. Open Lab hours will be posted online, and appointments are not required to practice in the Lab.

Appointments are to be made for check-offs and/or practice with an instructor as necessary. If

https://www.palmbeachstate.edu/faculty/index.asp?id=kentlnmailto:[email protected]://www.palmbeachstate.edu/faculty/index.asp?id=vassellwmailto:[email protected]://www.palmbeachstate.edu/programs/nursing/default.aspx



appointments are available on the day of your appointment or practice you may sign up in the

Lab for additional practice time with an instructor.

C. Successful check-off of skills must be done in the order in which the skills are scheduled. (Ex: A

week 7 skill must be successfully completed before the week 8 skill is checked-off.) Additionally,

all skills are to be completed within 6 days of the class. (Ex: Tuesday Lab class skills need to be

successfully completed by close of business the following Monday night. Also note that Monday

classes will have a Saturday deadline.)

D. Students must wear their name tag, have their student ID (Panther card), and sign-in at the

entrance of the Skills Lab.

E. Available resources must be checked out and in, and may not leave the Skills Lab.

F. Faculty must be notified of cancellations. Failure to cancel; before the appointment will result

in a Performance Improvement Plan (PIP) for Non-professionalism.

1. If off campus, leave a message on the lab office phone voice mail:

Lake Worth – 561-868-3411

Belle Glade – 561-993-1453

2. In case of an emergency only, please notify the nursing office.

Lake Worth – 561-868-3412

Belle Glade – 561-868-3431

G. Without proper notification of an absence or cancellation of an appointment, unpreparedness,

or unprofessional behavior, a Performance Improvement Plan (PIP) on Professionalism will be

administered.

Late Assignment Policy: All required assignments must be completed by assigned deadline dates. Incomplete work will result in failure. Class tardiness may result in inability to attend the class, initiation of a PIP for non professional behavior, and require completion of those class objectives before the next class. Grading Scale & Policy: All students must receive a passing grade in each of the Semester 2 Nursing Courses in order to proceed to the third semester. The following courses are considered Semester 2 courses:

NUR 1213 or NUR1213DL or NUR1213HY

NUR1213L

NUR1214L Nursing Department Grading Scale: Skills are signed off by the evaluating instructor on the Skills Performance Record that is posted at the end of this syllabus. Students are graded as follows:

Grades are recorded as satisfactory or unsatisfactory (S/U) scale.

Upon successful performance of the required skills; the Wellness Integrated Activity; and the Final Integrated Skills Demonstration Exam, the student will receive a satisfactory grade for the course.

Any student who does not receive a satisfactory in the course will not advance to the next semester in the nursing program.

Make-up Exam Policy: Ample opportunities are provided to successfully complete each skill by the schedule deadline. There is no make-up exam policy for Skills.



CLASS POLICIES & METHODOLOGY Attendance: Professors are required to take attendance.

1. Missed classes must be made up through practice in the Skills Lab and successful completion of the PIP.

2. Students are required to successfully complete the missed skills before the next class. 3. Students are required be on time and to sign in to each Skills Lab class on the attendance sheet. 4. When the student does not sign the attendance sheet they are considered absent for that class. 5. In the event of an absence the student must notify the skills lab instructor as soon as possible.

All students are expected to attend all classes and clinical/labs. In the event of an absence the student is expected to notify the appropriate faculty member as soon as the absence is expected.

Electronic Device Use: Laptops and Hand-held devices are allowed in class for note-taking purposes, only. The use of Hand-held devices that are iPod capable are encouraged to facilitate downloadable information as learning strategies and study tools. Cell phones must be turned off in class. Visual recording of instructors is not authorized. Visual recording of students may be used as a part of the evaluation or practice of a skill.

Email Policy: All email correspondence must be conducted using the college email system, all students have access to a college email account. It is the responsibility of the student to activate this account in order to be kept current with college, program and course information. College email must be checked, daily. Email communication between faculty and students will only be made using the college email system or Blackboard, so be certain to check these email accounts daily for any updates or changes to coursework and scheduling.

Equipment & Supplies: Required text books; access to a computer with active Internet service; knowledge of password and student ID for program access, word processing and printing capabilities are essential to be successful in this class. Students must have the required materials and paperwork for successful participation and demonstration of skills. Professor’s Expectations and Student Role and Responsibility: Students will arrive to class on time, attend all classes, prepare to practice planned skills, and achieve competency through assignments and practice. Preparation:

1. The student will be prepared for skills lab class by utilizing: a. A-V materials b. Required skills text readings c. Skills lab practice time

Materials: 2. Each student must bring the following to lab class:

a. Skills Lab Equipment Kits I and II (Includes goggles/ scissors) b. Required texts c. Stethoscope

https://www.palmbeachstate.edu/pantherweb/default.aspx



d. Pen light e. Watch with second hand f. Skills performance record (bring to first class) g. Skills competency procedure checklist

Dress Code:

3. Students must bring their Panther Card with photo ID and wear their name tag to gain entrance into the lab.

4. See Nursing Student Handbook for dress code

Station Maintenance: 5. It is the responsibility of ALL students to clean and straighten the practice stations after each

practice or check-off skills session. Clinical Competency Responsibility:

6. The student will be responsible for keeping their clinical instructor informed of the skills that

have been successfully completed in the lab by bringing the Skills Procedure Checklist to the first

clinical day of every week.

Reminder:

Methods of Instruction: Include the following: 1 Demonstrations 2 Audiovisuals 3 Skills Practice and Performance 4 Multimedia Activities 5 Student Return Demonstrations 6 Interactive Educational Activities 7 Critical Thinking Activities 8 Simulations Evaluation Methods: Include the following:

1. Objective skills performance or observations 2. Attendance and participation as previously written. 3. Wellness Activity Completion 4. Satisfactory performance of Integrated Skills Final.

Unique Requirements of the Class: All students enrolled in a nursing course are required to adhere to the policies and procedures as stated in the following:

Palm Beach State College Student Handbook

With any skill (i.e. catheterization) requiring lubricant, do not use water-soluble lubricant on

the mannequins. This will harden when dried and obstruct the orifices. Use only diluted liquid

soap to “lubricate” the tubing.

http://www.palmbeachstate.edu/programs/nursing/documents/2012-2013_Nursing_Student_Handbook.pdfhttps://www.palmbeachstate.edu/catalog/studenthandbook/default.aspx



PantherWeb Student Information

Palm Beach State College Nursing Student Handbook Integrated Skills - Student Exam: interpretation and Directions: The Integrated Skills Student Exam will begin during final exam week. Students may sign up for only one appointment at a time. Students will receive a short case study that combines several learned skills in an integrated manner enhancing critical thinking and planning of client care. Students will have a total of 50 minutes for their integrated skills demonstration.

1. Check in at the desk in AH 106. 2. Arrive 30 minutes prior to your appointment. 3. Bring all supplies as needed for skills lab class and clinical performance:

a. All skills on the entire performance record must be completed prior to integrated. b. Skills lab kit (s) with all equipment from semesters 1 & 2. c. Stethoscope; Penlight; Pen/pencil; Medication Book resource. d. Please dress in uniform scrubs. No cell phones or PDAs will be permitted. Use of cell

phones or PDAs will result in failure for the Final Integrated Skills Exam. e. Wear your PALM BEACH STATE COLLEGE name badge!

4. In the event of unsuccessful integrated skills return demonstration: a. The student must also make another appointment for a second attempt at an

Integrated Skills scenario. (There is only one make-up day) b. If the student is unsuccessful on their second attempt, this will result in an

unsatisfactory grade for NUR 1214L.

COLLEGE POLICIES AND WEB INFORMATION

Academic Dishonesty

Academic dishonesty includes the following actions, as well as other similar conduct aimed at making false representation with respect to the student's academic performance:

(1) Cheating on an exam, (2) Collaborating with others on work to be presented, if contrary to the stated rules of the course, (3) Submitting, if contrary to the rules of the course, work previously submitted in another course, (4) Knowingly and intentionally assisting another student in any of the above actions, including assistance in an arrangement whereby work, classroom performance, examination, or other activity is submitted or performed by a person other that the student under whose name the work is submitted or performed, (5) Plagiarism.

Please refer to the Palm Beach State College Student Handbook for further information.

Classroom Etiquette and Student Behavior Guidelines

Students will demonstrate respect for professors and fellow students. Behavior that is disruptive to a positive learning environment reported by the professor will result in a warning on the first instance; the second instance might result in expulsion from the course or campus.

Computer Competency Component

https://www.palmbeachstate.edu/pantherweb/default.aspxhttp://www.palmbeachstate.edu/programs/nursing/documents/2012-2013_Nursing_Student_Handbook.pdfhttp://www.palmbeachstate.edu/Documents/Marketing/studenthandbook.pdf



Each student will, to the satisfaction of the instructor, demonstrate a fundamental understanding of basic computer operations through various instructor-determined exercises and/or assignments. These exercises/assignments are included in this syllabus.

Disability Support Services

Students with disabilities are advised, in compliance with federal and state laws, that accommodations and services are available through the office of Disability Support Services (DSS). It is the student's responsibility to contact Disabled Student Services Advisors and to submit appropriate documentation prior to receiving services.

Eating, Drinking, and Smoking

Eating and drinking are NOT ALLOWED IN THE SKILLS LAB, and are confined to areas designated on the campus. Smoking is not permitted in any College building and only in areas designated at each campus.

Student Responsibility Policy

When students attend the College, they become subject to its jurisdiction. Students are expected to conduct themselves in a responsible manner, in all areas of campus life. By enrolling, they pledge to obey the rules and regulations of the College and are responsible for observing all College policies and procedures as published in the student handbook, the College catalog and other College publications. The students are responsible for preparing for class, participating in class, and completing assignments on time.

Palm Beach State College Websites of Interest

Withdrawal Policy for Individual Courses: The last day to withdraw from a College course with a "W" grade in this course is posted on the college academic calendar. It is the responsibility of the student to use the PantherWeb system or visit a campus Registrar’s office to withdraw. Without a formal withdrawal from the course, lack of attendance will result in failure. An official withdrawal by the withdrawal date entitles the student to a grade of "W" in the class. Withdrawal or lack of participation in even one nursing course (NUR 1213, NUR 1213L, NUR 1214L,) will result in being removed from all the nursing courses as all nursing courses are to be taken concurrently.

DEPARTMENT CONTACT INFORMATION: Kellie Bassell, EdD, EdS, RN Nursing Program Director AH 110 (561) 868-3412 Fax (561) 868-3452 e-mail

http://www.palmbeachstate.edu/disability/default.aspxhttp://www.palmbeachstate.edu/disability/dss-contacts.aspxhttp://www.palmbeachstate.edu/current/default.aspxhttp://www.palmbeachstate.edu/faculty/index.asp?id=bassellkmailto:[email protected]



GETTING STARTED 1. Make sure you have all the computer system requirements as listed in the Computer Requirements

section of this syllabus.

2. Obtain course materials. The textbook(s) can be purchased at the Palm Beach State College campus bookstore or online.

3. Log onto the course website eLearning-blackboard. Use your PanterWeb log-on information. 4. Explore the different parts of the web page. Be sure you print the syllabus, so you know what is

expected of you during the semester.

Disclaimer Changes may be made to the syllabus at any time during the term by announcement of the

professor. It is the responsibility of the student to make any adjustments as announced.

http://www.efollett.com/https://palmbeachstate.blackboard.com/



FORMS: SIGNATURE PAGE



COURSE SYLLABUS REVIEW “SIGNATURE PAGE”

I, _________________________________________________ have read, understand and Print Name Agree with the course Procedures, Guidelines and Policies for NUR 1214L as stated in the course syllabus. Signature: ____________________________________________________ Date: _______________ Witness: _____________________________________________________ Date: ___________________



SKILLS PERFORMANCE RECORD


NURSING II

Student Name ____________________________________Clinical Instructor ____________________________Skills Lab Class Instructor____________________ Directions: Students will be evaluated and “signed off” on the following skills during Skills Lab, Open Lab and Clinical experiences. It is the responsibility of each student to bring this record to all lab and clinical experiences (NUR 1213L). Instructors will initial skills completed in the appropriate box/column. Legend - S: Satisfactory

Performs safely and accurately during the performance. Demonstrates coordination and dexterity. Generally appears relaxed and confident most of time with occasional display of anxiety. Completes the skill within a reasonable time frame. Focuses on the client initially, but as the skill progresses, focuses on the task. Applies knowledge of the principles of the skill accurately.

U: Unsatisfactory

Requires direction or cues from the instructor. Demonstrates partial lack of dexterity; is awkward. Takes a longer time to complete the skill. Wastes energy due to poor planning/anxiety. Focuses primarily on the task, not on the client. Needs direction in application of the principles of the task. Unable to complete the skill within allotted time.

NOTE: In order to progress, students MUST complete additional practice and meet the criteria for Satisfactory performance of the skill.

Instructor Initials and Signature:


Name LAB COMPETENCY DEMONSTRATED CLINICAL COMPETENCY

DEMONSTRATED

SKILL DEADLINE

DATE

DATE

INITIALS

1ST

ATTEMPT COMMENTS

DATE

INITIALS

2ND

ATTEMPT COMMENTS

DATE

INITIALS COMMENTS

1. PHYSICAL ASSESSMENT

A. Perform a comprehensive health assessment, “head to toe” physical assessment

U S U S U S

2. INTRAVENOUS THERAPY & VASCULAR ACCESS…………………………………………………………..CELLULAR INTEGRITY

A. Perform venipuncture U S U S U S

B. Start an intravenous (IV) infusion; utilize an infusion pump or manually adjust rate

U S U S U S

C. Add medications to IV fluid containers

U S U S U S

D. Administer intermittent intravenous (IV) medications using a Secondary Set

U S U S U S

E. Change IV dressing and assess the venipuncture site

U S U S U S

F. Discontinue Infusion devices

U S U S U S

G. Administer blood transfusions using a y- set; initiate, maintain and terminate a blood transfusion

U S U S U S



DEMONSTRATED

SKILL DEADLINE

DATE

DATE

INITIALS

1ST

ATTEMPT COMMENTS

DATE

INITIALS

2ND

ATTEMPT COMMENTS

DATE

INITIALS COMMENTS

H. Manage Pain- PCA Pump U S U S U S

3. CENTRAL VENOUS CATHETERS

A. Manage central lines U S U S U S

B. Perform central line / PICC line dressing changes

U S U S U S

4. ORTHOPEDICS: MUSCULOSKELETAL & NEUROVASCULAR………………………………………. MOBILITY AND SENSORY/PERCEPTION/COGNITION

A. Integrate care of patient with hip fracture/ hip replacement

U S U S U S

B. Demonstrate care of clients in skeletal traction

U S U S U S

A. Monitor and provide care of the client with skin traction

U S U S U S

B. Provide initial cast care

U S U S U S

E. Provide ongoing cast care

U S U S U S

5. Equipment

A. Demonstrate use of continuous passive motion devise (CPM)

U S U S U S

B. Apply sequential compression devices (SCD’s)

U S U S U S



DEMONSTRATED

SKILL DEADLINE

DATE

DATE

INITIALS

1ST

ATTEMPT COMMENTS

DATE

INITIALS

2ND

ATTEMPT COMMENTS

DATE

INITIALS COMMENTS

6. RESPIRATORY CARE……………………………………………………………………………………………………OXYGENATION / VENTILATION

A. Perform oropharyngial, nasopharyngeal & nasotracheal suctioning

U S U S U S

B. Suction a client with tracheostomy or endotracheal tube

U S U S U S

C. Provide tracheostomy care

U S U S U S

7. CHEST TUBES

A. Assist with chest tube insertion

U S U S U S

B. Maintain chest tube drainage

U S U S U S

C. Assist with chest tube removal

U S U S U S

D. Assist with and care for the patient undergoing thoracentesis

U S U S U S

8. OSTOMY CARE……………………………………………………………………………………………………………REGULATION/ELIMINATION

A. Perform urinary ostomy care

U S U S U S

B Change a bowel diversion ostomy appliance

U S U S U S

9. BLADDER



DEMONSTRATED

SKILL DEADLINE

DATE

DATE

INITIALS

1ST

ATTEMPT COMMENTS

DATE

INITIALS

2ND

ATTEMPT COMMENTS

DATE

INITIALS COMMENTS

A. Performing urethral urinary catheterization

U S U S U S

B. Performing bladder irrigation

U S U S U S

10. WOUND CARE…………………………………………………………………………………………………………..CELLULAR INTEGRITY

A. Perform a damp-to- damp dressing change

U S U S U S

B. Obtain a wound drainage specimen

U S U S U S

C. Demonstrate wound irrigation

11. NASOGASTRIC TUBE

Insert a nasogastric tube U S U S U S