School of Nursing  - UT Health Science Center San Antonio

Fall 2008

NURS 3313 Strategies for Professional Nursing: Clinical Skills

This course resides in the Department of Chronic Nursing Care

Course materials will be available on the course website.
Instructions will be provided during orientation and on the first day of class.

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FACULTY

Della F. Wagner, MSN, RN
E-mail: WagnerD@uthscsa.edu
Phone: (210) 567-0879         
Cell Phone: 416-6452

Fax:   (210)567-5376         
Office: 2.122 
Office Hours: 12 Noon - 2:00 PM
 Chronic Nursing Care Department                                 


COURSE DESCRIPTION
The course focuses on clinical nursing skills commonly employed by professional nurses in the provision of competent nursing care to patients experiencing transitions in health status. Emphasis is on the theoretical basis for the skills, correct psychomotor techniques, and customization of these skills in various simulated patient situations. Students are expected to integrate knowledge from the basic physical and psychosocial sciences into the acquisition of new skills. Learning experiences include content presentations/discussions, independent study with various modalities, and supervised laboratory practice.

CREDIT AND TIME ALLOCATION

1 credit theory (15 class hours)
2 credits clinical/laboratory (75 clock hours laboratory and independent study). 

     Students should anticipate at least 3 hours of work time each week for theory and 6 hors for clinical time

     as well as preparation and documentation time.


PREREQUISITES
Admission to the School of Nursing, Flexible Process Track
Prerequisite or Concurrent: NURS 3312 Strategies for Professional Nursing: Pharmacotherapeutics.

COURSE OBJECTIVES
  1. Identify the steps of the nursing process in relation to competent performance of clinical nursing skills.
  2. Assume the professional partnership role with faculty and peers to enhance learning of self and others.
  3. Describe the use of therapeutic communication skills when performing clinical nursing skills.
  4. Demonstrate critical thinking skills and application of scientific principles in performing and customizing clinical nursing skills.
  5. Demonstrate scholarship for the acquisition and application of new knowledge to practice.
  6. Work collaboratively with faculty and peers to improve skills performance of self and others.
  7. Identify the ethical and legal implications of skill performance and medication administration
  8. Participate actively in integrated learning experiences.

CLINICAL OBJECTIVES
1. Identify the steps of the nursing process in relation to competent performance of clinical
    nursing skills.

    - Applies nursing process to skills

2. Assume the professional partnership role with faculty and peers to enhance learning of self
    and others.

    - Notifies instructor if will be late or absent
    - Demonstrates professional manner and values
            - Courtesy
            - Honesty
            - Commitment to learning
    - Demonstrates respect for faculty, teaching assistants, and peers
    - Demonstrates ethical behavior

3. Describe the use of therapeutic communication skills when performing clinical nursing skills.
    - Identify information needed by the patient related to skills

4. Demonstrate critical thinking skills and application of scientific principles in performing and
    customizing clinical nursing skills.

    - Provides rationale for actions
    - Questions current practice
    - Seeks scientific information about best practices
    - Identifies adaptations needed to customize skills

5. Demonstrate scholarship for the acquisition and application of new knowledge to practice.
    - Uses resources to seek additional information
    - Identifies questions/issues related to skills that require additional research
    - Submits written work that meets professional standards
            - In APA format
            - Ideas presented clearly and in an organized manner
            - Grammatically correct, error free

6. Work collaboratively with faculty and peers to improve skills performance of self and others.
    - Accepts constructive feedback
    - Gives constructive feedback to peers
    - Works cooperatively with peers

7. Identify the ethical and legal implications of skill performance and medication administration.
    - Identifies risks for harm related to nursing skills
    - Identifies measures to reduce risks related to nursing skills
    - Demonstrates safe performance of skills in lab setting
    - Correctly calculates drug dosages and IV infusion rates

8. Participate actively in integrated learning experiences.
    - Attends all labs for entire scheduled period
    - Is on time
    - Comes prepared for topics/skills scheduled for each lab session
            - Purpose of skills
            - Preparation
            - Steps of procedure(s)
            - Rationale for specific steps
            - Patient teaching/directions
    - Actively participates in lab sessions
    - Uses time to practice
    - Functions effectively as a group member
    - Participates in discussions, group assignments
    - Focuses on topic of discussion
    - Listens attentively
    - Shows respect for others' viewpoints

CRITERIA FOR EVALUATION / GRADES
Successful completion of the course requires a weighted average of 70% or higher on graded course activities, a minimum of 70% weighted average on examinations*, a minimum of 70% on the calculations exam, and successful achievement of lab objectives.  Students who score less than 70% on the calculations exams will have one opportunity to retake a similar exam for a maximum grade of 70%.
20% - Daily lab quizzes
10% - Review of literature presentation and paper
20% - Mid-term examination*
20% - Final examination*
15% - Dosage calculation examination(s)*
15% - Achievement of lab objectives
100% - Total
Letter grades are based on
A = 90-100%
B = 80-89%
C = 70-79%
D = 60-69%
F = Below 60%

Assessment Technologies Institute®, LLC (ATI) RN Content Mastery Series®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series® & the RN Comprehensive Predictor® practice and proctored exams to assist students in preparing for the NCLEX-RN® exam (generic and LVN flexible process students). Through practice and proctored examinations, students are able to assess their own knowledge and receive feedback and direction for content review throughout the program of study.

The proctored exams are administered in specific courses in both undergraduate tracks (i.e. ATI Pharmacology in N3312 Pharmacotherapeutics; ATI Fundamentals in N3610 Chronic Health Transitions, ATI Leadership in N4410 Leader-Manager, etc.). The proctored exam is required to complete the course.

In order for a student to take the course related proctored exam, documentation of achieving ≥ 70% on the content series practice exam is required. The content practice exams can be taken as many times as necessary to achieve ≥ 70%.

Students will receive additional points added to the corresponding course grade for a Level 3 or Level 2 performance on the proctored exam (after achieving ≥ 70% on graded course requirements). For a Level 3 performance on the exam, 3 points will be added. For a Level 2 performance on the exam, 1 point will be added.


SCHOLASTIC DISHONESTY
Students are expected to be above reproach in all scholastic activities. Students who engage in scholastic dishonesty are subject to disciplinary penalties, including the possibility of failure in the course and dismissal from the university. "Scholastic dishonesty includes but is not limited to cheating, plagiarism, collusion, and submission for credit of any work or materials that are attributable in whole or in part to another person, taking an examination for another person, any act designed to give unfair advantage to a student or the attempt to commit such acts." Regents Rules and Regulations, Part One, Chapter VI, Section 3, Subsection 3.2, Subdivision 3.22.

American with Disabilities Act (ADA) Accommodations
Any student seeking ADA Accommodations under the American with Disabilities Act should contact the Associate Dean for Students within the first week of the semester so that appropriate accommodations may be arranged. A Request for Accommodations (Form 100) must be completed. These forms are available in the Office for Students Room: 1.118-16

REQUIRED TEXT / REFERENCE

Kee, J. L., & Marshall, S. M.  (2008). Clinical Calculations (6th ed.).  Philadelphia:  Saunders. 

Smith, S. F., Duell, D. J., & Martin, B. C.  (2008). Clinical nursing skills:  Basic to advanced skills (7th ed.). 
         Upper Saddle River, NJ:  Prentice Hall.


RECOMMENDED (OPTIONAL) TEXT / REFERENCE
APA Software

CONTENT OUTLINE
  1. Library review related to nursing research.  Learning as partners related to skills, teaching assistancts, skills lab and peers.
  2. Information and technology.  Learning as partners.
  3. Nursing process related to skills.
  4. Legal and ethical issues related to skills.
  5. Health promotion, risk reduction, and disease prevention: Patient and nurse safety.
  6. Illness and disease management: Selected clinical nursing skills.
  7. Communication in the clinical setting

CALENDAR - First Week Only
Please check the Fall 2008 Schedules for recent updates on Class Dates & Room.
Date Topic / Assignment Due

Date: 08/26/08

Time: 1:00 - 5:50 PM

Room:1.222

Course and laboratory orientation. Bring syllabus and course materials packet.