Spring 2018

NURS 4420-01 Transition to Professional Nursing: Clinical Immersion

All students are responsible for checking their UTHSCSA Livemail account regularly (i.e., daily or several times every week) to obtain Official University Communication regarding their courses, program and student status.

NOTE: Our campus has enabled the CANVAS MOBILE LEARN application. CANVAS tools such as discussions, quizzes or videos May or May NOT function on all mobile devices. This is because mobile devices are available with rapidly changing and different configurations. Hence, students must not depend on only a mobile device to access course materials. Students must have access to a laptop or desktop device to access course materials and complete assignments.

This course is Web Enhanced with WebCT icon
Please be sure to check the Current Computer Requirements


Each scheduled class day’s activities contribute to the clinical hours required for the course and the achievement of course objectives.  Attendance is required.









Make-up Date/Time*


1.       Immersion Clinical Site Preference Process


Friday, January 19







2.      Course Orientation


Thursday, March 8







3.      Clinical Orientation


Friday, March 9




Per clinical faculty



4.      First ATI Predictor Exam



Friday March 23





Pestana Hall


Monday March 26





5.      ATI Nutrition CME




April 12




3.104-A Pestana Hall


Monday April 16




6.      Second ATI Predictor Exam



Monday April 23




3.104-A Pestana Hall


Thursday April 26




7.      Repeat ATI Nutrition CME



Monday April 30




3.302 ALTC


9.      Immersion Presentations



Friday May 4




3.302 ALTC


 *Make-updates and times are non-negotiable. Approval from thecourse coordinators must be obtained in order to be afforded a make-upopportunity.

 Clinical Schedule


·   • · 


Janis Rice, MSN, RN, CNS-Critical Care

Clinical Associate Professor 
Office Phone: 210-567-5612
Cell Phone: 210-862-7931 (call or text)

Office Fax: 210-567-5822
Office: Rm. 2.601
Office Hours: Monday 0900-1200 and By appointment


This course is a clinical immersion experience designed to provide comprehensive learning opportunities that promote integration of baccalaureate learning outcomes to prepare the graduate for professional nursing practice.


 semester hours (4 hours clinical)


Completion of all courses in the traditional Undergraduate program


At the completion of the baccalaureate program the student will demonstrate the following:

  1. Incorporate knowledge, skills, and attitudes from the liberal arts and sciences in professional nursing education and practice.
  2. Apply knowledge and skills of organizational and systems leadership, quality improvement and patient safety in promoting safe, high-quality care for diverse patients across healthcare systems and environments.
  3. Analyze and apply evidence from research and other information sources as a basis for nursing practice.
  4. Incorporate knowledge and skills in using information systems and a range of patient-care technologies to facilitate delivery of quality patient care.
  5. Advocate for financial and regulatory healthcare policies, processes, and environments that improve the nature and functioning of the healthcare delivery system and nursing practice.
  6. Collaborate and communicate effectively with healthcare professionals to promote positive working relationships, improve patient health outcomes, and deliver quality, safe patient care.
  7. Promote individual and population health by assessing factors that influence individual and population health and apply principles and culturally appropriate health promotion and disease-prevention strategies. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  8. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct.
  9. Integrate the knowledge, skills, and attitudes expected of baccalaureate prepared nurses by providing professional nursing care to diverse patients and populations across the lifespan, healthcare settings, and healthcare environments.


  1. Demonstrate knowledge, skills and attitudes from  liberal arts and sciences into a specific organization with a defined patient population and clinical setting.(Essential I)
  2. Apply the concepts of organizational and systems leadership in achieving safe, high quality patient care outcomes. (Essential II)
  3. Analyze and apply the use of evidenced based practice. (Essential III)
  4. Incorporate healthcare technologies and information systems into practice to provide patient care.(Essential IV)
  5. Apply an understanding of financial and regulatory healthcare policies that improve healthcare delivery and patient outcomes.(Essential V)
  6. Collaborate and communicate effectively with healthcare professionals, clients, and families. (Essential VI)
  7. Integrate culturally appropriate principles and strategies into the promotion of health and disease prevention.(Essential VII)
  8. Demonstrate consistent application of the core values of the discipline of nursing and the professional standards of moral, ethical, and legal conduct. (Essential VIII)
  9. Incorporate the knowledge, skills, and attitudes expected of a baccalaureate prepared nurse by providing culturally sensitive professional nursing care within an interprofessional team. (Essential IX)



This course is a "credit / no credit" course based on student successful achievement of each of the following criteria.  Each criteria must be met to earn a passing grade for the course. Failure to meet one or more of the criteria will result in course failure.

1.       All clinical objectives

2.      120 precepted clinical hours (an example of achieving the required clinical hours: 10 twelve hour shifts [0645-1915] or 16 eight hour shifts) with 2 additional hours designated for the initial preceptor meeting and completion of agency requirements.

        Immersion clinical starts March 24 to April 28, 2018 (35 days)

 Students are formally evaluated at the mid-course point and again at the end of the course.

·        Evaluations will be completed by the clinical faculty using the feedback documented by the preceptor/mentor and student.

·        Formative evaluations at mid-course are designed to provide an opportunity for the faculty and student to discuss student progress.  Areas of improvement for the successful achievement of clinical objectives will be identified. 

·        Summative evaluations will be given at course completion. 

·        More frequent evaluations and assessments of student progress may be conducted by the faculty as needed.

3.      80 total points for assignments 1-4:

Assignment #1     25 points

Assignment #2    25 points

Assignment #3    25 points

Assignment #4    25 point

Total                      100 points

4.      Minimum raw score of 74.0% (96% predicted probability of passing the NCLEX-RN) on one of the two ATI RN Comprehensive Predictor Exams.

·        If a 74.0% raw score is not achieved on either attempt, the student must complete ATI Virtual Modules 1 through Module 9 Leadership and Management (this includes meeting expected benchmark requirements on assessments, and remediation).

5.      ATI Nutrition Content Mastery Exam (CME) completion – No minimum score is required (this exam is not a designated CME and is excluded from the ATI policy described on the next page).

·        If less than a level 2 is attained, students are required to complete a focused review and retake the Nutrition CME. 

6.      180 points for Completion of  Virtual ATI NCLEX Review Modules 1-5 (see the table below for due dates):

Module 1       25 points        Virtual survey, online classroom orientation

     Module 2      25 points         Test Taking Strategies Module, Nurse Logic Advanced Assessment

Module 3      50 points        Fundamentals (module, assessment, and remediation)

Module 4      50 points        Pharmacology (module, assessment, and remediation)

Module 5      50 points        Medical/Surgical (module, assessment, and remediation)

Total           200 points

 If the module is not completed on required submission date, 5% (2.5 points) will be deducted from the points allocated for each module. If the module is not completed within 1 week of the required submission date, 5%  will be deducted from the points allocated for each module.


The Virtual ATI Program begins April 5, 2018 and all assigned modules must be completed no later than May 4, 2018 at 0800.  


Points per module

Required Submission


Complete Virtual ATI Survey

    -necessary to complete to begin the

     ATI 1:1 NCLEX Review

Online Classroom Orientation



25 points


April 7, 2018

Test-Taking Strategies Module 2

Nurse Logic Advanced Assessments



25 points


April 10, 2018

Fundamentals Module 3

(module, assessment, and remediation)



50 points


April 17, 2018


Pharmacology Module 4

(module, assessment, and remediation)



50 points


April 25, 2018


 Medical-Surgical Module 5

(module, assessment, and remediation)



50 points


May 4, 2018



200 points


180 points




Attendance in class is an expectation of each student.


The School of Nursing faculty expects that its students will recognize that they have entered a profession in which commitment to full participation in clinical experiences is an essential component as students are considered to be part of the nursing team. Therefore, regular attendance in clinical, laboratory and simulation experiences is mandatory.

Missed hours can prevent adequate development and assessment of the required knowledge, skills, attitudes and clinical judgment. Absence from clinical/lab/simulation jeopardizes the student’s ability to successfully meet the required clinical course outcomes and competencies.

Punctuality is expected in professional workplaces. Students are expected to arrive on time for clinical/lab/simulation experiences and stay for the entire time allotted for that clinical/lab/simulation experience. Important information affecting patient care is communicated to students at the start of clinical experiences. Therefore, tardiness for clinical/lab/simulation experiences jeopardizes the student’s ability to give safe nursing care.

Absences from clinical experience are closely monitored by faculty and should occur only in rare circumstances. Clinical absences will be evaluated on an individual basis. If the student has any clinical absences during the semester, clinical may be made up through a plan developed by the clinical/lab instructor. However, the opportunity to make up absences may not be possible, depending on the length of the clinical rotation, the availability of the faculty and/or the agency to which the student is assigned and may result in inability of the student to meet course outcomes.

If it is determined by the faculty team that a student will be unable to meet course objectives due to clinical absences or if a pattern of absence develops or excessive absences exist, the appropriate course coordinator will refer the student the Associate Dean for Academic Affairs to determine progression in the program.
A student who is unable to attend a clinical experience must contact the clinical faculty personally prior to the beginning of the clinical experience. Leaving a message or e-mail for the faculty is not acceptable. Faculty will share specifics regarding appropriate means of communicating during orientation.

Travel to surrounding communities may be necessary.

Students are expected to demonstrate achievement of clinical objectives by the end of a clinical course. If, in the instructor‘s professional judgment, a student is consistently unable to provide safe nursing care to patients and cannot remedy the deficit in the given clinical time, the student will receive a grade of ―F for the course. Faculty, or staff in the clinical agency, has
the right to remove a student from the clinical area at any time for any cause.

Students are required to maintain a clinical passport and have this on their person at all times while in the clinical setting.

Students are required to maintain American Heart Association Health Care Provider Basic Life Support certification.

Assessment Technologies Institute®, LLC (ATI) RN CONTENT MASTERY SERIES®

UTHSCSA School of Nursing utilizes the ATI RN Content Mastery Series®, RN Comprehensive Predictor® practice and proctored exams, and the ATI Virtual "greenlight" program to assist students in preparing for the NCLEX-RN® exam. 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.

In order for a student to take the course related proctored exam, students will take the non-proctored (Practice A and B) tests individually, as often as they wish with a minimum of a 24 hour wait period between attempts. The student should engage in a minimum of one hour focused review on missed topics and/or identify three critical points to remember. Achievement of a 90% or higher individual score is required prior to taking the proctored test. Students may be required to show documentation by submitting a printed copy of the individual student transcript to the faculty prior to testing. Non-proctored tests are pass/fail.

To strengthen the review method, if students did not achieve a 90% or greater on the practice exam, students should understand the rationales for each distracter. It is recommended that students review 5-15 questions at a time with ample time given to review each of the rationales. When the student logs in again, the exam will continue from where the student had stopped previously.

Content Mastery Exams will comprise 15% of the total course grade. The following provides guidelines for inclusion of the CME in the course grade.

                   Content Mastery Examinations Requirements


 1st ATI Exam  (15% of Course Points)

2nd ATI Exam      (15% of Course Points)


100% of points  

85% of points


90% of points

80% of points    


*0% of points, develop focused review** and must retake exam

0% of points

Less than Level 1

*0% of points, develop focused review** and must retake exam

0% of points

*Level 1 and below: An individualized student success plan will be developed and implemented in conjunction with faculty to help student attain content mastery.

* Focused review consists of printing out the specific proctored “report” and using either the available ATI templates or a plain piece of paper to handwrite all of the missed items under “Topics to Review” and label each missed item with the topic descriptors. This handwritten remediation will be stapled with the student’s proctored “report”. 

The RN Comprehensive Predictor will be given in Nurs 4420 (traditional BSN program) or Nurs 4423 accelerated BSN program).


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.


Students who are nurses or are preparing to enter the profession of nursing are expected to treat others with respect and compassion. “The principle of respect for persons extends to all individuals with whom the nurse interacts. The nurse maintains compassionate and caring relationships with colleagues and others with a commitment to the fair treatment of individuals, to integrity-preserving compromise and to resolving conflict. This standard of conduct precludes any and all prejudicial actions, any form of harassment or threatening behavior, or disregard for the effects of one’s actions on others” (American Nurses Association Code for Nurses, Interpretive Statement 1.5).

The students, faculty, Department Chairs, Associate Deans, and the Dean of the School of Nursing of the University Texas Health Science Center San Antonio subscribe to the highest standards of conduct. Our aim is professional behavior beyond reproach. Failure to abide by the signed code of professional conduct may lead to suspension and/or permanent dismissal from the UTHSCSA SON. In particular, we subscribe to the provisions of the Code of Ethics for Nurses (http://bit.ly/1mtD5p2) and the following points of conduct.



Any student seeking reasonable accommodations through the Americans with Disabilities Act (ADA) should contact either the Associate Dean for Admissions and Student Services within the first week of the semester or schedule a meeting with the UTHSCSA ADA Compliance Office so that appropriate accommodations may be arranged. A request for accommodations (Form ADA-100: http://uthscsa.edu/eeo/form100-Faculty-student-resident.pdf) must be completed and submitted to the Executive Director of the ADA Compliance Office before accommodations can be provided. Additional information can be provided in the Student Success Center, Room 1.118 or through the ADA Compliance Office website: http://uthscsa.edu/eeo/request.asp.


1. All textbooks, medication and other reference texts required in the previous semesters are used in N4420 Transition to Professional Nursing: Immersion.

2. No new text books or reference books are required for this course.





CALENDAR - 1st Day Only

Please check the schedule for recent updates on Class Dates & Room.

How to Choose Immersion Clinical Site
Friday, January 19, 2018

Room TBA

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