1 RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY Rutgers School of Nursing - Camden Course: 50-705-201 Basic Clinical Nursing Competencies Credits: 3 Pre-Requisites: Successful completion of Seminar on Professional Nursing, Chemistry I and II, General Biology Co-Requisites: Anatomy and Physiology I Location: Class (1:20-4pm) Walt Whitman Auditorium or Fine Arts 108. Lab (1:20-4pm or 420-7pm): Armitage Nursing Skills Lab or Cooper University Hospital Simulation Lab (lab sections will be assigned based on needs) Hours: See above Faculty: Theory Kevin Emmons, DrNP, RN, CWCN, DAPWCA Course Director [email protected]4 th Floor Armitage, Office 465 215-279-1827 Susan Norris, PhD, RN [email protected]Lab Instructors Kathleen Polimeni RN, MSN, PCCN [email protected]Rowena Rippa, RN, MSN, PCCN [email protected]Jan McFetridge, MSN, RN [email protected]Correinne McKenna, MSN, RN [email protected]
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RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY Rutgers School of Nursing - Camden
Course: 50-705-201 Basic Clinical Nursing Competencies Credits: 3 Pre-Requisites: Successful completion of Seminar on Professional Nursing, Chemistry I and II, General Biology Co-Requisites: Anatomy and Physiology I Location: Class (1:20-4pm) Walt Whitman Auditorium or Fine Arts 108.
Lab (1:20-4pm or 420-7pm): Armitage Nursing Skills Lab or Cooper University Hospital Simulation Lab (lab sections will be assigned based on needs)
Hours: See above Faculty: Theory
Kevin Emmons, DrNP, RN, CWCN, DAPWCA Course Director [email protected] 4th Floor Armitage, Office 465 215-279-1827 Susan Norris, PhD, RN [email protected] Lab Instructors Kathleen Polimeni RN, MSN, PCCN
_____________________________________________________________________ Course Description This course is designed to introduce the baccalaureate nursing student to clinical skills required to provide safe, high quality, evidence-based patient care. Students examine the scientific basis and evidence for the use of clinical skills in nursing practice. Opportunities for skills practice and mastery will be provided in the Clinical Skills Laboratory, followed by selected patient care experiences in structured nursing settings. These skills establish the foundation for care of patients with a range of health care needs in subsequent nursing courses. The course provides opportunities for students to explore the design of nursing care plans and concept/care maps, integrating nursing process, nursing care standards, issues of cultural and spiritual diversity, scientific evidence, and ethical and legal principles related to nursing practice. Students will complete a variety of assignments designed to help them develop critical thinking skills, which are the basis for professional nursing practice. Course Objectives: At the completion of this course, the student will:
1. Explain the scientific rationale and evidence for the use of various clinical nursing skills
2. Demonstrate competency performing and documenting selected clinical skills based on nursing care standards in simulated and actual patient care situations
3. Integrate ethical, legal, safety and quality principles into the basic care of patients. 4. Use knowledge from natural, behavioral and social sciences, the humanities, and
nursing science in the design and delivery of nursing care at a beginning level 5. Acknowledge the influence of cultural and spiritual diversity in planning,
implementing and evaluating nursing care. 6. Demonstrate critical thinking by using the nursing process to develop and
implement basic plans of care to address selected patient care needs. 7. Distinguish between therapeutic and non-therapeutic communication when
establishing a client relationship and providing nursing care.
Methods of Instruction: Teaching methods include lecture, discussion, written assignments, audio-visual media, computer programs, self-study materials, independent assignments, clinical skills laboratory sessions, demonstration and return demonstration, off-campus clinical experiences, and conferences with faculty.
Methods of Evaluation:
Quizzes, exams, successful return demonstration of skills, demonstration of therapeutic communication skills, simulation exercises, documentation, clinical evaluation, and care plans/care or concept maps for selected patients.
Course Content:
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1. Principles of nursing care related to: Development of a therapeutic nurse-patient relationship Legal, ethical, cultural, and spiritual context for health care Safety and quality Standards of care Design of care and nursing process Basic assessment of patient condition and needs Comfort Infection control Hygiene and personal care Fluid-electrolyte balance Oxygenation Mobility Nutrition Bowel and bladder elimination Administration of medications Documentation
2. Clinical skills Communication and interviewing Handwashing Vital signs Personal hygiene and care Bedmaking Isolation technique Sterile technique Wound care Fluid management and calculation of intake and output Intravenous therapy Administration of oxygen and respiratory care Comfort measures Nutrition measures Nasogastric and gastrostomy tube care Body mechanics and range of motion exercises Transfer and ambulation techniques Urinary catheterization Enemas Ostomy care Collection of specimens Medication dosage calculations Medication administration
Required Textbooks:
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Taylor, C., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art & science of nursing care (7th ed.). Philadelphia: Lippincott, Williams & Wilkins, bundled with the videos.
American Psychological Association. (2009). Publication manual of the American
Psychological Association (6th ed.). Washington, DC: Author. ISBN: 978-1-4338-0561-5 (required for all nursing courses)
Gray-Morris, D.C. (2010). Calculate with confidence (5th ed). St. Louis: Mosby ISBN-13: 978-
0323056298 Foundation of Nursing Package (2010). Guide to the Code of Ethics for nurses: Interpretation
and application; Nursing: Scope and standards of practice; Nursing's social policy statement, 2nd Edition. Go to: http://www.nursesbooks.org/Homepage/Featured-Items/Foundation-of-Nursing-Package.aspx (required for all nursing courses)
Gulanick, M. & Meyers, J.L. (2007). Nursing care plans (6th ed.). St. Louis, Missouri: Elsevier.
1. Attendance at all scheduled class and laboratory sessions is required. Students are to notify the course faculty, either by phone or email, prior to any absence. If absent, students are responsible for any material covered in class or lab.
2. Students must notify the course faculty preferably the night prior to the exam if an exam cannot be taken or morning of for urgent health issues. Students who do not comply with this policy will have 10 points deducted from their exam grade. Students must make arrangements within 24 hours of the original exam date with the course faculty to take a make-up exam. Students who do not make these arrangements within the 24 hours or who do not take the make-up exam at the agreed upon time, will receive a zero (O) as a grade for the exam. Make-up exam
format will be at the discretion of the faculty and may be in an alternate format.
3. Students are responsible for reviewing the policies regarding Test Time Allotment and Clinical Laboratory Experiences as described in the Rutgers School of Nursing – Camden, Student Handbook 2011-2012. Students must contact the course coordinator if they are unable to attend a lab session or any clinical component time the day prior to the session. Uniforms information can be found in the student handbook.
4. Assigned readings and videos are to be completed prior to class discussion and lab.
5. Students must earn a passing score on all clinical skills return demonstrations and must achieve a satisfactory evaluation of clinical performance. Students who do not master all clinical skills or who do not demonstrate satisfactory clinical performance will not earn a passing grade in the course, regardless of examination and quiz grade averages.
6. All graded assignments are expected to be the sole work of each student unless the faculty state otherwise. Students are required to follow University Policy prohibiting
7. All assignments are due on the date specified unless the student has corresponded with the Professor prior to the due date and a new submission date has been negotiated. Late assignments will receive a 2 point deduction per day until received.
8. A satisfactory grade in this nursing course is a C+ or higher, plus a passing score on all clinical skills return demonstrations and a satisfactory clinical performance evaluation.
9. Computer technology is an important form of information sharing in healthcare today; so, it is essential that all healthcare providers have a basic literacy in computer technology. The Rutgers School of Nursing – Camden has moved toward incorporating computer technology into all aspects of the program. Some resources necessary to successfully progress through the program are only available via the Internet. Therefore, students enrolled in this course are expected to utilize the online course resources and log into the eCollege course page several times per week (Go here to login: https://ecollege.rutgers.edu/index2.jsp). Students are also expected to check their camden.rutgers.edu email daily.
Demonstrates safe infection control practices in simulated and actual patient care situations (course objectives1, 2, 3,4,6)
1. Proper handwashing technique 2. Proper use of precautions 3. Recognizes need for condition-specific infection control practices 4. Identifies breaches in isolation techniques and self-corrects
Vital signs Assesses vital signs with 100% accuracy in a simulated situation (course objectives 1,2,3,4,6)
1. Correct TPR technique 2. Accurate TPR assessment (100%) 3. Correct BP technique 4. Accurate BP assessment (100%)
Personal care skills Uses proper body mechanics in providing personal care to patient in a simulated situation (course objectives 1, 2,3,4,5,6)
1. Correct body mechanics 2. Makes bed using correct infection control and patient movement practices 3. Provides personal hygiene (bedbath, bedpan, mouth care, skin protection) 4. Performs passive ROM with correct technique 5. Correctly positions immobile patient using assistive and positioning devices 6. Safely transfers patient from bed to chair 7. Recognizes need for additional assistance
Sterile technique Uses sterile technique to safely perform urinary catheterization in a simulated situation (course objectives 1,2,3,4,5,6)
1. Establishes sterile field 2. Recognizes breaches in sterile technique and self-corrects 3. Correctly inserts urinary catheter in female and male
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mannequin
Urinary catheterization Uses sterile technique to safely perform urinary catheterization in a simulated situation
1. Establishes sterile field 2. Recognizes breaches in sterile technique and self-corrects 3. Correctly inserts urinary catheter in female and male mannequin
Medication administration
Uses the 7 rights to accurately administer and document administration of oral and injectable medications in a simulated situation (course objectives 1,2,3,4,6)
1. Identifies and interprets prescription 2.Accurately calculates medication dosages 3. Accurately measures medication 4. Identifies additional data to be gathered and interpreted 5. Safely administers dosage based on ‘rights’ of medication administration 6.. Documents administration
Communication Establishes and maintains a therapeutic nurse-patient relationship in simulated and actual patient care situations (course objective 7)
1. Appropriately initiates interaction and introduces self 2. Establishes and maintains eye contact 3. Clearly explains nursing activities 4. Responds appropriately to patient interactions
Documentation Accurately documents patient care using a nursing process framework in simulated situations (course objectives 2,3,6)
1. For every skill, clearly and accurately documents: a. Patient condition, baseline, or need b. Intervention c. Patient response and/or evaluation of care
*other skills can be added as necessary
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Topical Outline DATE TOPICS READINGS SUPPLIES WK 1 9/5
COURSE INTRODUCTION AND EXPECTATIONS; INTRO TO NURSING, CULTURAL DIVERSITY, HEALTH AND ILLNESS, INDIV/FAM/COMMUNITY
HEALTH, EBP, SAFETY/SECURITY/EMERGENCY
PREPAREDNESS
TAYLOR: CHAPS 1-5 &
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SYLLABUS, NOTES/PPTS
WK 2
9/12 DOSAGE CALCULATIONS DOSAGE CALC GRAY-
MORRIS BOOK: CHAPS 1-
5, 14-16, 22, 25
PRACTICE
CLACULATIONS, CALCULATOR, PENCIL
AND PAPER WK 3
9/19 NURSING PROCESS, ASSESSING, DIAGNOSING, OUTCOME IDENTIFICATION AND PLANNING, IMPLEMENTING, EVALUATING, DOCUMENTING, REPORTING, CONFERRING, AND USING