Spring 2022

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/.

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


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

Course Activity 
Makeup Date/Time/Location
Immersion Clinical Site  
Preference Process 
Fri, Jan 21 noon 
Sun Jan 23 2359 

Online Survey 

Course & Clinical Orientation

Tues, Mar 29 @ 1000-1300


ATI Critical Thinking ExamTues, Mar 29 @ 1400-1500 3.301-ALTCFri, Apr 1 @ 1400-1500 
ATI Predictor Exam #1 
Wed, Mar 30 @ 1000-13003.301-ALTC Tues, Apr 5 @ 1000-1300 
Wed, Mar 30  
Thurs, Mar 31 
Fri, Apr 1
Mon, Apr 4
Fri, Apr 15
Fri, Apr 29
Assigned times between 0800 and 1700 
ATI Nutrition CME Mon, Apr 4 @ 1300-14303.302-ALTCFri, Apr 8 @ 1300-1430
Retake ATI Nutrition CME 
Mon, Apr 18 @ 1300-1430 
3.302-ALTC Mon, Apr 25 @ 1300-1430 
ATI Predictor Exam #2 

Tues, Apr 19@ 1000-1300               
3.301-ALTC Wed, Apr 27 @ 1000-1300
Immersion Presentations 
Wed, May 4 @
Liaison Meeting 
Wed May 4 after class 

*Make-up dates and times are non-negotiable. Approval from the course coordinator must be obtained in order to be afforded a make-up opportunity.

Clinical Schedule

Clinical experiences will be precepted with an RN and each student's schedule will differ.  The student must schedule Immersion clinical dates based on the preceptor's schedule.



Dr. Cynthia O’Neal, PhD, RN
Associate Professor
Office Phone: 210-567-1079
Cell Phone: 806-392-6567
Office: NSG 2.106
Office Hours: By appointment


Ms. Jennie Shaw
Associate Professor/Clinical
Office Phone:  210-567-0189
Office:  NSG 2.208

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

Ms. Vicky Dittmar
Assistant Professor/Clinical
Office Phone:  210-567-5796
Office:  NSG 2.210

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

Dr. Nancy McGowan
Associate Professor/Clinical
Office Phone:  210-567-5310
Office:  NSG 2.

Ms. Joyce Ornelas
Adjunct Assistant Professor
Cell Phone:  210-410-7322
Office:  NSG 2.218


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 successful achievement of these criteria.  Each criterion 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.




Attendance in class is an expectation of each student.


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.

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.
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.

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.

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

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

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 and other reference texts required in the previous semesters are used in N4423 Transition 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.

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