Summer 2020

NURS 3273-001 Health Assessment and Promotion: 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.

COVID-19
Students are expected to follow all policies related to COVID-19 found on the university webpage: https://wp.uthscsa.edu/coronavirus/.

NURS 3273-001 Health Assessment & Promotion: Clinical Application


NOTE: Our campus has enabled the Canvas Learning 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 Canvas
Please be sure to check the Current Computer Requirements

Welcome to NURS3273, Health Assessment and Promotion: Clinical Application. The purpose of this course is to apply and practice theoretical concepts of Health Assessment, enabling you to effectively take a patient history, conduct a physical examination and provide teaching for health promotion. These foundational nursing skills are the basis for diagnostic reasoning and will be constantly utilized throughout your education and nursing practice. Preparation prior to class and diligent practice during lab are essential to the development of assessment skills.  

Review Canvas calendar prior to your first lab day.  Bring your laptop and wear your UT clinical uniform and ID badge. 

FACULTY CONTACT INFORMATION

Rebecca Fenton, DNP, MSN, RN
Course Coordinator
Assistant Professor/Clinical 
Email:  fentonr@uthscsa.edu  
Office:  NS 2.340
Office phone:  210-567-6118
UT Health-School of Nursing
Office of Faculty Affairs and Diversity

COURSE DESCRIPTION

This course provides an opportunity for application of health assessment theory and development of skills in a simulated practice setting.   

CREDIT AND TIME ALLOCATION

2 semester hours (2 hours clinical skills laboratory)

PREREQUISITES

Co-requisite with Health Assessment and Promotion: Theoretical Foundations

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. 
  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. Collect and record a complete health history. (Essential VI, VII, IX)
  2. Demonstrate application of selected assessment tools. (Essential VI, VII, IX)
  3. Use effective interviewing and communication skills when conducting a health history and performing physical examination. (Essential VII, IX)
  4. Demonstrate physical examination of each designated body system. (Essential IX)
  5. Demonstrate an integrated head-to-toe physical examination. (Essential IX)
  6. Apply principles of infection control and patient safety during the assessment process. (Essential IX)

CRITERIA FOR EVALUATION / GRADES

Successful completion of NURS.3273 requires:

1.  Satisfactory achievement of 
all course objectives.
2.  Satisfactory completion of the Spector's Heritage/Cultural & Spiritual Belief's  
     Assessment, The Interview: Complete Health History Write-Up with Self-        Evaluation.      

3.  Completion of v-Sim Case Scenarios mastering 80% on each Simulation and
     100% on Pre-Quizzes and Post-Quizzes.

4.  Minimum score of 85% on the Final Integrated Physical Assessment
     Demonstration. 
A student who earns less than 85% will have only One 
     opportunity to repeat 
this demonstration.
5.  Clinical attendance consistent with the Clinical Attendance Policy.
6.  Adheres to professional code of conduct as to a UT Health Nursing Student
    (See Student Guidelines on Canvas NURS.3273).

Grading Scale:  
Pass/Fail

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 Undergraduate Studies 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 7th 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.



PROFESSIONAL CODE OF CONDUCT

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.

http://catalog.uthscsa.edu/schoolofnursing/policiesandprocedures/

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

Note:  this Product/textbook is the same as NURS 3272 Health Assessment and Promotion:  Theoretical Foundations.


Product/Text:


Lippincott CoursePoint+ for Hogan-Quigley, Palm & Bickley: Bates Nursing Guide to Physical Examination and History Taking
, 2nd ed.

ISBN: 9781496356673

(This CoursePoint+ bundle includes and eBook of the Bates' Nursing Guide to Physical Examination and History Taking, 2nd ed. Book). Below is the purchasing link.


Purchase the product online with Discount:

https://lippincottdirect.lww.com/NursingEducation/c/5899

 


Instructions for entering your class code in Lippincott CoursePoint+ for Hogan-Quigley, Palm, and Bickley: Bates' Nursing Guide to Physical Examination and History Taking, 2nd ed:
1. If you do not already have access, redeem your ACCESS CODE and complete registration at http://thePoint.lww.com/activate. 

2. From the "My Content" page, click on Lipponcott CoursePoint+ for Hogan-Quigley, Palm, & Bickley: Bates' Nursing Guide to Physical Examination & History Taking, 2nd ed.

3. On the welcome screen or from "My Classes", select "Join a Class", enter your CLASS CODE:______ and click "Enroll" 

If you experience any problems, check the code again and re-enter it. If it does not work, contact Lippincott Online Product Support at 1-800-468-1128 or techsupp@lww.com for assistance. 

Student Class Codes for v-Sim – Summer 20 NURS.3273

 

Lab Section

Faculty

CP+ Class Code

CL01

Hughes

4740BF9A

CL02

McGowan

44359CA9

CL03

Contreras

26AE9AA6

CL04

McGowan

7732FDB4

CL05

Fenton

6F5ADC8

CL06

Johnson

AEC74229

CL07

Benavides & Farrell

F57E597C

 

 



CONTENT OUTLINE

1.  Developmental, cultural and social considerations
2.  Interview and complete health history with self-evaluation
3.  General survey, measurements, vital signs, pain, nutritional status and
     health promotion 
4.  Skin, hair and nails assessment 
5.  Head, neck, eyes, ears, nose, mouth and throat assessment
6.  Thorax and lungs assessment
7.  Heart/neck vessels and peripheral vascular assessment
8.  Breast, regional lymphatics, genito-urinary and abdominal assessment
9.  Musculoskeletal assessment
10. Neurological and mental status assessment
11. Integrated physical assessment and focused assessment
12. Virtual Case Scenarios to enhance online learning (Lippincott - 
v-Sim)

CALENDAR - 1st Day Only

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

Thursday, Group A - July 2:   8:00 am-12:00 pm & 1:00 pm-5:00 pm

Friday, Group B - July 3:   8:00 am-12:00 pm & 1:00 pm-5:00 pm

Please come prepared for clinical in UT scrubs/badge with laptop 

Location: Skills Lab Classroom in the Center for Simulation Innovation (CSI)

       Introductions: Faculty & Students

       Orientation to Clinical & v-Sim (both am & pm labs)

       Safety & Infection Control
       General Survey, Measurements & Vital Signs: Pain Assessment

    
For full Course Calendar and details, please refer to Canvas NURS.3273

© School of Nursing | The University of Texas Health Science Center at San Antonio external link
Links provided from Health Science Center School of Nursing pages to other websites do not constitute or imply an endorsement of those sites, their content, or products and services associated with those sites.

School of Nursing - UT Health Science Center San Antonio