Spring 2022

NURS 4316-001 Care of the Adult II: 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.

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

Clinical Information for 4316 - Please note: 4316 begins before 4315

Each student will attend the Skills Fair (clinical skills lab, orientation, and simulation) scheduled on March 7, 8 and 9.

Attendance is mandatory. Plan to be available all 3 days from 7:45 am to 5:00 pm (you will be notified later which days you're scheduled to attend). We will work around your scheduled Pediatric Clinical and Simulation dates.

Please check Canvas regarding specific information related to the first day of clinical.


Faculty: Team Taught

Course Coordinator:

Kevin G. Voelker, JD, MN, RN, CNE

Assistant Professor/Clinical
Office: 210.567.3837
Cell: 210.410.8997
Office Fax (210) 567-1719
Email: voelkerk@uthscsa.edu

Office Hours: Mondays 8 AM-12 Noon, by Appt.


This course provides clinical experience for holistic, patient-centered care of the acutely and critically ill adult experiencing complex health alterations within acute care settings.


3 semester hours (3 hours clinical)


Completion of Care of the Adult II: Theoretical Foundations or Concurrent


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. Perform comprehensive assessments of acutely and critically ill adult patients. (Essential IX)
  2. Utilize clinical decision making in assessing, planning, delivering, and evaluating quality nursing care for acutely and critically ill adult patients. (Essential II, III, VI, VIII)
  3. Provide culturally sensitive, patient-centered, evidence-based, and developmentally appropriate holistic care for acutely and critically ill adult patients. (Essential IX)
  4. Apply psychomotor skills for efficient, safe, and compassionate delivery of care to acutely and critically ill patients. (Essential I, IX)
  5. Communicate effectively when interacting with the patient, the patient’s support systems, and within the interprofessional healthcare team. (Essential II, IX)
  6. Provide appropriate patient teaching to patients and families that reflects consideration of age, culture, spirituality, patient preferences, and health literacy. (Essential IX)
  7. Utilize patient care technologies for safe, quality care. (Essential IV)
  8. Promote the unique nursing perspective as a member of the interprofessional team to advocate for safe, high quality patient care for acutely and critically ill adults. (Essential II, V, VI, IX)
  9. Reflect core nursing values and professional standards of moral, ethical, and legal conduct while providing patient care to acutely and critically ill adults. (Essential I, V, VI, IX)


This course is a "pass/ fail" course based on student achievement of clinical objectives.

Students are formally evaluated at the mid-course point and again at the end-of-course.



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.


  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.


The APA Publication Manual 7th edition is required for use in all nursing school programs. 


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.


No new text books or reference books are required for this course.


Skidmore-Roth, L. (2018). Mosby's 2018 Nursing Drug Reference (31st ed.). St. Louis, MO: Mosby. ISBN 9780323531924



CALENDAR - 1st Day Only

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

Clinical Information for 4316 - Please note: 4316 begins before 4315

Each student will attend the Skills Fair scheduled on March 7, 8 and 9. (clinical skills, lab, orientation and simulation. Some elements of the Orientation may be Virtual/Online, depending on COVID restrictions in the Spring)  

Attendance is mandatory. Please note: This course begins PRIOR to Spring Break. Plan to be available all 3 days from 7:45 am to 5:00 pm (you will be notified later which days you are scheduled to attend). We will work around your scheduled Pediatric Clinical and Simulation dates.

Please check Canvas regarding specific information related to the first day of clinical.

The Adult II Team is looking forward to working with you this Spring!

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