Spring 2022

NURS 3110-002 Health Assessment: 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/.

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



I would like to welcome you to NURS 3310:  Clinical Applications.  This course is designed to reinforce what you have learned in NURS 3204:  Health Assessment.


This is a "hands on" course.  You will be expected to perform clinical skills on a partner while in the lab setting.  If for any reason you would like a specific partner or any other issue, please contact your Clinical Lab Instructor.


You will be assigned to a clinical lab time.  Please make every effort to attend each lab, as "make up" labs will be difficult.  


Any questions or concerns, please do not hesitate to contact either myself or your Clinical Instructor.


Nancy McGowan, RN, PhD, CEN

NURS 3110 Course Coordinator

FACULTY CONTACT INFORMATION

 

Nancy McGowan, RN, PhD, CEN

Associate Professor/ Clinical

mcgowann@uthscsa.edu

Office phone:  210-567-5310

Office hours:  please contact me regarding any meetings

COURSE DESCRIPTION

This course provides an opportunity for application of health assessment theory and skills in a simulated practice setting with emphasis on the adult and geriatric populations.

CREDIT AND TIME ALLOCATION

1 semester hour (1 hour clinical skills laboratory)

PREREQUISITES

Admission to the Traditional Undergraduate Program is required.
Co-requisite: NURS 3204: Health Assessment-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

Criteria for Evaluation/Grades:



Skills Lab Attendance / Participation 

(3 points each lab –1 point each hour in attendance)

20%


Weekly Quizzes (Competency/CANVAS Quiz) 

10%

VSIM Cases

10%

Reflective Journal Entries 

5%

Vital Signs Skills Test

10%

Vital Signs Log

complete or incomplete

Peer to Peer Evaluations:   

HEENT and Cardiac & Respiratory

complete or incomplete

Write-ups:

--Spector’s Heritage Assessment/Health Illness Belief and Practices

--Complete Health History

--Health History Interview Self-Assessment

-- Subjective and Objective Documentation based on VSIM Christopher Parrish Scenario (Respiratory)

--Subjective and Objective Documentation based on VSIM Jared Griffin Scenario

(Cardiovascular)

--Subjective and Objective Documentation based on VSIM Sara Lin Scenario

(Gastrointestinal & Renal Systems) 

----Subjective and Objective Documentation based on VSIM Vernon Russell Scenario

(Musculoskeletal)

15%


Final Head to Toe Physical Assessment- Must pass with an 85% or better to pass the course

30%

Total     

100%

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

Required Text:

Lippincott CoursePoint+ for Hogan-Quigley, Palm & Bickley;  Bates’ Nursing Guide to Physical Examination and History Taking; 2nd Edition

ISBN   9781496356673

 (This CoursePoint+ bundle includes an ebook Bates’ Nursing Guide to Physical Examination and History Taking


The information to access the Lippincott Course Point will be given when the 

sections for clinical lab have been determined.

 



 


RECOMMENDED (OPTIONAL) TEXT / REFERENCE

You may purchase the hardback book for---You must have either the hardback book or the ebook.  This is the ISBN to the hardback book.


Bates’ Nursing Guide to Physical Examination and History Taking;  2nd Edition

ISBN   9781496389800


CONTENT OUTLINE

ClinicalObjectives:

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 ahealth 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 theassessment process. (Essential IX)


CALENDAR - 1st Day Only

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


Please come to your appropriate clinical lab section.  Course expectations, grading, and clinical lab requirements will be discussed during this time.


Dr. McGowan


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