Spring 2021

NURS 4533-001 Disease Management III-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/.

Dear Student:  Disease Management Course has three components  - NURS 4501, NURS 4502 and NURS 4533.

Welcome to NURS 4533, Disease Management (DM) III: Clinical Application  

Clinical Course Information:
Course Orientation for NURS 4533, Disease Management III is Wednesday, January 13th, 2021 from 8:00 AM until 12:00 PM in-virtual class.  On this first day, we will discuss the course outline, schedule assignments, and Clinical Skills Lab/Simulation expectations. 

Clinical Skills Lab/Simulation Information:
Each Wednesday you will have a 2-hour Clinical Skills Lab and Simulation. Your lab time will be posted in the CANVAS NURS 4533 DM III Course Information Section by Monday January 11, 2021.

Each student will participate in one of the following Wednesday lab times:
0700 - 0900 hrs

0930 - 1130 hrs

1200 - 1400 hrs

1430 - 1630 hrs

Hospital Rotation Information for Adult Clinical:
You will register for either a Thursday Clinical Rotation Group or a Friday Clinical Rotation Group. Clinical rotations are held one day per week.  Your Clinical Rotation Group assignments will be posted in the CANVAS NURS 4533 DM III Course Information Section by Monday January 11, 2021.

NURS 4533 DM III, Adult Clinical Rotation will run from January 14th until March 26th, 2021.

Hospital Rotation Information for Pediatric/OB Clinical:
Please be aware that you will switch to the Pediatric/OB Clinical Rotation Schedule starting on April 10th and will end on April 28th, 2021.  The potential clinical rotation days for your Pediatric Rotation are Monday, Tuesday, Wednesday, Saturday, Sunday. 

Additional information will be provided by the Pediatric Clinical Coordinator later in the semester.

In order to prepare for Disease Management III - You will need to review all skills and competencies learned during your first and second semesters.  Be prepared to review and demonstrate these skills during the first two weeks of Disease Management III in the Clinical Skills Lab - Room(s) TBA.  

Thank you!

FACULTY CONTACT INFORMATION

GLENN R. ERMER, MS, RN, CCRN-K - Course Coordinator

ermer@uthscsa.edu
Office Number:  210-567-0186
Mobile Number:  210-262-7737
Office Room Number:  2.362-NS
Office Hours: By Appointment

LARK A. FORD, PhD, MA, MSN, RN

fordL2@uthscsa.edu
Office Number:  210-567-0838
Mobile Number:  210-544-1535
Office Room Number:  2.366-NS
Office Hours: By Appointment

COURSE DESCRIPTION

This course is the clinical component for Disease Management I: Theoretical Foundations and disease Management II: Theoretical Foundations that focuses on the nursing care and decision making related to multiple disease concepts across the lifespan.

CREDIT AND TIME ALLOCATION

5 semester hours (5 hours clinical)

PREREQUISITES

Successful completion of NURS 4501-Disease Management I: Theoretical Foundations, and NURS 4502-Disease Management II: 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. Analyze and evaluate patient care outcomes utilizing a systematic approach that incorporates simulation, case scenarios, and direct patient care.  (Essential I, IV)
2. Apply concepts of safety and quality in providing patient care across the lifespan.  (Essential II)
3. Demonstrate the use of various forms of communication, such as SBAR.  (Essential II, IV)
4. Identify a clinical problem through collaboration to evaluate the evidence, formulate conclusions, and make recommendations.  (Essential III)
5. Evaluate the level of evidence of professional journal publications.  (Essential III)
6. Employ opportunities to integrate technologies that support patient care, such as electronic health records, patient monitoring systems, and medication administration systems.  (Essential IV)
7. Evaluate the impact of sociocultural, economic, legal, and political factors on the delivery and practice of healthcare across the lifespan.  (Essential V)
8. Describe the nurse's role as part of the interprofessional team in advocating for safe, high quality patient care.  (Essential VI)
9. Provide health teaching and counseling that promotes health and illness management utilizing various forms of information and communication technologies to facilitate behavioral change.  (Essential VII)
10. Promote the professionalism of nursing through role modeling.  (Essential VIII)
11. Implement evidence-based practice interventions to manage illness and promote health to the care of patients across the lifespan.  (Essential IX)
12. Assess older adults' living environment with special awareness of the functional, physical, cognitive, psychological, and social changes common in this population.  (Essential IX)
13. Adapt technical skills to meet the functional, physical, cognitive, psychological, social, and endurance capabilities of older adults.  (Essential IX)

CRITERIA FOR EVALUATION / GRADES

Pass/Fail Clinical Course:
NURS 4533, Disease Management III: Clinical Application is a Pass/Fail Course based on student achievement of clinical outcomes, clinical attendance, and weekly clinical assignments. 

Grading Criteria is based on the student's achievement of the Clinical Course and Student Learning Outcomes, as well as the weekly clinical assignments. 

You will be required to successfully pass the Mandatory Clinical Medication Administration Calculation Assessment which will be given during your first week of clinical  and a Pediatric/OB Medication Calculation Assessment which will be administered in the first week of Peds/OB clinical (April 10th - April 28, 2021 - specific time to be provided).  

• Students will be required to pass the the Medication Administration Calculation Assessment with a score of 100% in order to participate in clinical.  
• This is one of the methods of evaluating student's ability to provide safe clinical practice regarding medication administration.  
• Students scoring less than 100% will be allowed to retake the Medication Administration Calculation Assessment following math remediation by the Clinical Faculty.  

Medication Administration Calculation Assessment - Adult

• Total number of questions: 25
• Time allotted: 60-minutes
• Students must show their calculations and work on the written assessment.
• Students demonstrate their math proficiency using Dimensional Analysis.

CELL PHONE POLICY

• Respect for classroom and clinical communication processes are necessary for teaching and learning.
• Silence mobile devices / cell phones in classrooms and clinical settings.
• Remove Bluetooth devices prior to entering the classroom and when in ANY clinical setting.
• Failure to do so can / will / may (depending on the faculty) either affect your class participation, clinical or final course grade.
  

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/

School of Nursing Netiquette Guidelines for Online Interaction

Netiquette guidelines provide information for behaving properly online, when using email, tweets or texts so that you may successfully communicate your thoughts in a manner that is respectful and avoids misunderstandings with others.

• Be courteous about what you say to or about others in any electronic format. In electronic communication the golden rule is "Remember the Human." Remember there is a real person with real feelings on the receiving end of your email or post.
• Be respectful and open to opinions and ideas that differ from yours. The exchange of diverse thoughts, ideas and opinions are an important part of the scholarly environment. Keep in mind that the people in your classes may come from different backgrounds and have views that may vary significantly from your own.
• Flaming (defined as posting of messages that are deliberately hostile and insulting in an online social context) is never appropriate. While everyone (learners and instructors alike) is encouraged to share ideas and opinions openly, you should never use insults or resort to name-calling even if you disagree strongly with what someone else has written.
• When responding to messages or posts made by others, address the ideas, not the person.
• It’s often best to avoid using sarcasm and humor online. Without social cues, such as facial expressions and body language, a remark meant as humorous could come across hurtful or offensive. Keep in mind that ‘emoticons’ (such as J) may not convey your tone or intent.
• Capitalizing whole words is generally seen as SHOUTING and is difficult for most people to read. Use all capital letters sparingly, such as to highlight an important word or point.
• Think and reread what you’ve written before you post! Make sure that what you’ve written makes sense (is clear and to the point).
• Remember you are responsible for the content you communicate on CANVAS. What you write represents you, so use appropriate language. Remember that all writing should be professional, consisting of complete sentences, and free of grammatical and spelling errors.
• Be aware that distributing copyrighted materials, such as articles and images, is illegal. Most of the materials on the Internet are copyrighted. The only time it’s ok to distribute materials from the Internet is when you are sure those materials are "fair use." To be safe, if you want to share materials with classmates and/or your instructor, share the web link or URL only.
• To avoid plagiarism, make sure you properly cite all source materials. All materials should be cited unless you are the author of the content.
• Protect your privileges in online communication (avoid posting spam or emailing chain letters).

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

Harding. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Medical surgical nursing: Assessment and management of clinical problems. St.Louis: MO: Mosby. (11th edition). ISBN 978-0-323-55149-6 

Harding. M., Kwong, J., Roberts, D., Hagler, D., & Reinisch, C. (2020). Study Guide for medical surgical Nursing: Assessment and management of clinical problems. St.Louis: MO: Mosby. (11th edition). ISBN 978-0-323-55156-4

London, Ladewig, Davidson, Ball, Bindler, & Cowen (2017). Maternal & Child Nursing Care, 5th Edition, Pearson, ISBN 9780134167220, 0134167228

Potter, P.A., Perry, A.G., Stockert, P.A., & Hall, A.M. (Fundamentals of Nursing (10th edition). St.Louis: Mosby-Elsevier. ISBN 978-0-323-67772-1).

These are the same textbooks that you have used during your 5th and 6th nursing semesters.

RECOMMENDED (OPTIONAL) TEXT / REFERENCE

N/A

CONTENT OUTLINE

Adult Clinical Skills Lab:  Wednesday, Jan 13th until Mar 3rd, 2021

• Medication Administration (IV, ID, SubQ, IVPB, IV Bolus)
• Medication Administration Competency Check-Off
• ECG-Rhythm Strip Analysis
• Tubes and Drains
• Airway Management/Ventilators/Rapid Response
• Blood Administration
• Care of the Complex Patient
• Pediatric Clinical Skills Labs (Dates to be Announced)

Adult Clinical/Hospital Rotation:  

• Starting Jan 14th until Mar 26th, 2021:  Clinical day either Thursday OR Friday

Pediatric/OB Clinical/Hospital Rotation:  

• Starting April 10th until Apr 28th, 2021 (combination of Monday, Tuesday, Wednesday, Saturday or Sunday Rotations)

CALENDAR - 1st Day Only

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

First Day Schedule:  January 13th, 2021
Time:  8:00 AM until 12:00 PM

In-Virtual class

Orientation to Disease Management III:  Clinical Application Course

Welcome to a fast-paced semester!

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