Fall 2020

NURS 4420-001 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.

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

The first day of class will include orientation to the course and the clinical expectations.

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

See required dates below:

1.      Immersion Clinical Site Preference Process(Virtual) 

9/11/2020     3:30 pm –  4:00pm

2.      Course Orientation (Virtual)                                                        

11/2/2020     1:00 pm –  4:00pm

3.      Simulation (CSI)                                                               

11/03/2020   7:00 am –   6:00 pm

11/05/2020   7:00 am –   6:00 pm

11/09/2020   7:00 am –   6:00 pm

11/11/2020   7:00 am –   6:00 pm

11/12/2020   7:00 am –   6:00 pm

4.      ATI Predictor Exam #1 (Virtual)                                                 

11/06/2020    12:30 pm-   3:30 pm

 Makeup ATI Predictor Exam #1 (Virtual)                        

11/13/2020   9:00am – 12:00 pm

5.      Nutrition ATI Exam (Virtual)                                                      

11/10/2020    12:30 pm–  2:00 pm

 Makeup Nutrition ATI Exam (Virtual)                             

11/17/2020   9:00am – 10:30 pm

6.      ATI Predictor Exam #2 (Virtual)                                                 

12/1/2020      12:30 pm –  3:30 pm

 Makeup ATI Predictor Exam #2 (Virtual)                        

12/4/2020     9:00 am – 12:00 pm

7.      Repeat Nutrition ATI Exam (Virtual)                                         

12/8/2020      12:30pm -   2:00 pm

 Makeup Nutrition ATI Exam (Virtual)                             

12/11/2020   9:00am -  10:30 pm

8.     ATI Critical Thinking Exam (Virtual)                                          

12/9/2020      12:30pm –  1:30 pm

9.     Immersion Presentations (Virtual)                                 

12/9/2020     2:00 pm-   4:30 pm

10.  Liaison Meeting                                                                               

12/9/2020     4:30 pm-   5:00 pm

*Permission to take a makeup exam requires clinical instructorapproval.

Clinical Schedule



Dr. Cynthia O’Neal, PhD, RN
Associate Professor
Office Phone: 210-567-1079
Cell Phone: 806-392-6567
Office: NSG 2.110
Office Hours: By appointment

Victoria (Vicky) Dittmar
Assistant Professor/Clinical
Office Phone: 210-567-5796
Office: NSG 2.210

Dr. Brandi Farrell
Assistant Professor
Office Phone: 210-450-8695
Office: NSG 2.336

Deborah James
Assistant Professor/Clinical
Office Phone: 210-567-2228
Office: NSG 2.120

Dr. Nancy McGowan
Associate Professor/Clinical
Office Phone: 210-567-5310
Office: NSG 2.222

Virginia (Jennie) Shaw
Associate Professor/Clinical
Office Phone: 210-567-0189
Office: NSG 2.208

Dr. Kevin Voelker
Assistant Professor/Clinical
Office Phone: 210-567-3837
Office: NSG 2.504

Dr. Viola Benavente
Associate Professor/Clinical
Office Phone: 210-567-5844
Office: NSG 2.627


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 NURS 4317 Population Focused Health: Theoretical Foundations, NURS 4217 Population Focused Health: Clinical Application, NURS 4319 Leadership and Management: Theoretical Foundations, and NURS 4320 Leadership and Management: Clinical Application


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.


  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.     Achieve all clinical objectives noted on the Clinical Evaluation Tool.

2.     Participate in one scheduled simulation.

3.     Complete 120 precepted clinical hours (an example of achieving the required clinical hours:10 twelve-hour shifts [0645-1915] or 15 eight-hour shifts) with 2 additional hours designated for the initial preceptor meeting and completion of agency requirements.

4.     Participate in the evaluation process. 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 completed at the conclusion of the course. More frequent evaluations and assessments of student progress may be conducted by the faculty as needed.

5.     Earn at least 75 points (75% of 100 total points) for assignments 1 and 2.

6.     Earn a minimum raw score of 74.0% (96% predicted probability of passing the NCLEX-RN) on one of the two ATI RN Comprehensive Predictor Exams. Complete a focused handwritten review after Comprehensive Predictor Exam #1. Completion of the Virtual ATI Modules 1-5 is required instead of the focused review after Comprehensive Predictor Exam #2. If a74.0% raw score is not achieved on either attempt, the student must complete ATI Virtual Modules 6 through Module 9 Leadership and Management(this includes meeting expected benchmark requirements on assessments, and remediation). Students will earn an incomplete for this criterion if only modules 6-9 are incomplete by the end of the term.

7.     Complete ATI Nutrition Content Mastery Exam (CME)–No minimum score is required (this exam is not a designated CME and is excluded from the ATI policy described on the next page). Practice A & B must be completed to sit for the proctored exam. If less than a level 2 is attained,students are required to complete a focused review and retake the Nutrition CME.

8.     Complete ATI Critical Thinking Content Mastery Exam (CME)-No minimum score required (this exam is not a designated CME and is excluded from the ATI policy described later).

9.     Complete Virtual ATI Modules 1-5.


Final date for submission of modules 1-5 is Dec.11th @ 2359. A failing grade is earned if all 5 modules are not completed by the end of the term.



Attendance in class is an expectation of each student.

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 ATI RN Content Mastery Exams (CME) are administered in specific courses in both undergraduate tracks

1. For a student to take the ATI content mastery exam:

•Completion of Practice A and B exams with a minimum score of 90% on both exams is required. Practice exam attempts include a 24 hour wait period between attempts.
•Students will be ineligible to take the initial administration of the ATI Content Mastery Exam (CME) if the practice exams are not completed by the due date outlined in the course calendar displayed in the institutional Learning Management System.

oUpon completion of Practice A and B with a 90% or better, student is only eligible to sit for the second CME exam and will receive the score commiserate with the second CME exam. Thus, student will not be eligible for a retake of the CME.

2. To strengthen the Practice A and B review method:

•Students who did not achieve a 90% or greater on the practice exam should understand the rationales for each distracter. It is recommended that students complete a Focused Review for the practice assessment to address gaps in knowledge.

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

oAn exception to this policy applies to NURS 4502 Disease Management II. The Content Mastery Exams which comprises 15% of the total course grade for NURS 4502 Disease Management II is split between the ATI Nursing Care of Children Content Mastery Exam (CME) and ATI Maternal Newborn Content Mastery Exam (CME). Each exam is worth 7.5%.

                   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, complete focused review** and must retake exam

0% of points

Less than Level 1*

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

0% of points

•If a Level 1* or Less than Level 1* is achieved, an individualized student success plan will be developed and implemented in conjunction with faculty to help student attain content mastery.

o**A mandatory focused review is required to complete before retaking the Content Mastery Examination and consists of:

The RN Comprehensive Predictor will be given twice in NURS 4420 (traditional BSN track) and NURS 4423 (accelerated BSN track). The first RN Comprehensive Predictor will be given at the beginning of the course. The second RN Comprehensive Predictor will be given at the end of the course.

1.Each student will enroll in the designated comprehensive review course.
2.The student will complete two RN Comprehensive Predictor exams.
3.The student is expected to obtain a 74.0% or greater on one of the RN Comprehensive Predictor exams (96% predicted probability of passing the NCLEX-RN).
4.If the student makes less than a 74% on the first RN Comprehensive Predictor, the student will engage in a required handwritten focused review** on all missed items under “Topics to Review”. The student will submit the focused review along with their ATI “Report” to the institutional Learning Management System (LMS) within 10 business days.

•If the student has not completed the required focused review, the student will not be eligible to take the second RN Comprehensive Predictor exam and will not successfully pass the course.

5.A second RN Comprehensive Predictor will be given before the end of the semester. It is not required to complete a focused review however it is encouraged to complete a focused review to improve your comprehension of the content.

•If the student does not achieve the required 74.0% or greater on their individual score with either the first or second RN Comprehensive Predictor (96% predicted probability of passing the NCLEX-RN), the student will complete ATI Virtual Modules 6-9 (Module Six OB, Module Seven Pediatrics, Module Eight Mental Health, and Module Nine Leadership-Management).


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 andother reference texts required in the previous semesters are used in N4423Transition 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.

See First Day Announcements above.

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