Fall 2018

NURS 4314-001 Care of the Adult I: Clinical Application

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.

Welcome to Adult One Clinical Applications.  This course will guide students in the integration and application of content learned in previous courses and in the Adult One Theoretical Foundations Course. 

This course begins on August 20.  Students must complete an on-line orientation module prior to beginning the clinical rotation.  Additional information regarding clinical orientation is available on Canvas. 

Students will attend clinical two days per week.  Clinical days may be Saturday and Sunday;  Sunday and Monday;  Monday and Tuesday; or Tuesday and Wednesday. 

FACULTY CONTACT INFORMATION

Course Coordinator
Jennie Shaw, MSN, RN, CNE
Clinical Associate Professor
Office 2.208
Office phone:  210 567-0189
Cell phone:  210 392-8647
Email:  shawv@uthscsa.edu

Information on all clinical faculty is available in Canvas.  

COURSE DESCRIPTION

This course provides opportunity for clinical application regarding holistic care of the adult experiencing chronic health alterations.

CREDIT AND TIME ALLOCATION

3 Semester hours (3 hours Clinical)

PREREQUISITES

Completion of Care of the Adult I:  Theoretical Foundations or Concurrent

PROGRAM OUTCOMES

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.

COURSE OUTCOMES

  1. Describe the etiology, clinical manifestations, and nursing management of chronic health problems across the lifespan. (Essential I, IX)
  2. Integrate theory and concepts from liberal arts, sciences, and nursing education to plan for holistic, patient-centered, quality care for adult patients with chronic health problems. (Essential I, IX)
  3. Apply concepts of quality patient care and safety to improve patient care outcomes in adults experiencing chronic health problems. (Essential II, IX)
  4. Participate as partners in the development of customized therapeutic care to promote, and restore optimal health within the context of chronic health problems. (Essential VII, IX)
  5. Demonstrate appropriate use of patient care technologies and information systems that support safe, quality nursing care. (Essential IV, IX)
  6. Demonstrate therapeutic communication principles with adults and their support systems. (Essential II, IX)
  7. Implement evidence-based practice for managing and promoting health across the lifespan of the adult. (Essential III, IX)
  8. Facilitate collaborative relationships within the healthcare team in providing care to the adult with chronic health problems. (Essential VI, IX)
  9. Identify the impact of sociocultural, economic, and legal factors influencing nursing practice and healthcare delivery for adults experiencing chronic health problems. (Essential V, VII, IX)
  10. Demonstrate the professional nursing role in caring for the adult with chronic health problems. (Essential I, VIII, IX)
  11. Recognize the impact of genetics and genomics in caring for the adult experiencing chronic illness. (Essential VII, IX)

CRITERIA FOR EVALUATION / GRADES

This course is a "credit / no credit" course based on student achievement of clinical objectives.

Evaluation

Students receive a Formative Evaluation at the mid-course point and a Summative Evaluation after the last clinical day.
Formative evaluations at mid-course are designed to provide an opportunity for the faculty and student to discuss student progress and areas of improvement in order to successfully achieve the clinical objectives.
Students failing to achieve satisfactory progress toward clinical objectives at the mid-course point must provide a written plan to the clinical instructor outlining goals and methods to improve performance.
Summative Evaluations at the end-of-course point are the final determinant of the student grade of "credit" or "no credit" for the course.

Assignments 

Students are expected to score 100 on the Medication Calculation and Reasoning Quiz.  Remediation is available as indicated.    

Students must complete the online orientation module.

Students must complete the weekly paperwork (data collection, concept map, reflection) and receive a grade of satisfactory. 

Students must complete paperwork, drug-testing, competency check-off, computer training and other site-specific clinical activities.  This information will be provided by clinical faculty.  

Clinical Skills Lab/Simulation

Clinical skills lab/simulation is clinical time. Missed hours in clinical skills lab cannot be made up. Students are accountable for any skills and information covered in a missed lab.

Students must score at least 75% on the post-lab quizzes.

Students must participate in the simulation learning activities. 

Other Information

If phones are allowed in the clinical site, they should be utilized outside of the patient care area and for professional use only. 

Students must comply with HIPPA guidelines;  no photos can be taken in the clinical setting. 

CELL PHONE POLICY

CLASSROOM ATTENDANCE

Attendance in class is an expectation of each student.

CLINICAL ATTENDANCE

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.

CLINICAL ABSENCES:
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.
 
NOTIFICATIONS:
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.

PATIENT SAFETY:
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.

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

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

WRITTEN ASSIGNMENTS

  1. If written assignments are made in a course they are required.
  2. Students are expected to submit written work on the scheduled date and time.
  3. The student must notify the course coordinator prior to the scheduled due date and time if they are unable to submit the written work as scheduled. Failure to make this notification in advance will result in a "zero" for that written work.
  4. If the excuse is accepted as reasonable and necessary, arrangements will be made for an alternative due date and time.
  5. Each student is responsible for making sure that he or she has completed the written work prior to submission.
  6. Late work will be accepted with consequences as outlined per course syllabi.

APA GUIDELINES

The APA Publication Manual 6th edition is required for use in all nursing school programs. 

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.

ADA ACCOMMODATIONS

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.

REQUIRED TEXT / REFERENCE

This course builds on the knowledge, skills, and attitudes learned in previous semesters.
Students will utilize the Foundations textbook, the Medical-Surgical textbook, the drug guide, the lab test diagnostic guide, and the nursing diagnosis book purchased previously.

ATI Review Modules:
ATI Fundamentals for Nursing 2016
ATI Pharmacology for Nursing 2016
ATI Adult Medical Surgical Nursing 2016

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

N/A

CONTENT OUTLINE

Holistic, patient-centered quality nursing care to one to two patients with chronic illness
Medication administration to include clinical reasoning and application of knowledge
Technology in nursing care
Collaboration with patient, family/significant others, healthcare professionals in the planning, delivery, and evaluation of nursing care
Therapeutic communication principles
Evidence based and best practices
Professional nursing role

CALENDAR - 1st Day Only

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

Assignments before clinical orientation:

Course Orientation:  See schedule in Canvas for date and time of orientation.  Orientation is included as part of overall clinical hours. Dress for orientation day is either professional dress or scrubs depending on the clinical instructor. Please verify with your clinical instructor the dress requirements. 


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