Spring 2022

NURS 4211-001 Child and Family Health: 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/.

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

Welcome to Family and Child Health. We look forward to meeting you on your first scheduled day on Campus.

All Sunday students will meet on Saturdays for Medication Lab and Pre-Simulation. See Course Calendar. 

Please be aware that hospital clinical groups and assignments are subject to change until agencies finalize their schedules.

Please review and complete the Pediatric Dimensional Analysis Module #4 and Pediatric Math Quizzes #1 & #2 located on NURS4211 Canvas prior to your first scheduled clinical day on Campus (Medication Lab).

Please view the Clinical Orientation PPT/VO located on Canvas 4211 on January 10. We will have a "Question/Answer Session" Virtual Canvas Conference for all students on January 10th at 6pm. All students are expected to view the Orientation PPT. If you have questions, please attend the Canvas Conference. 

Online Assignments are on Canvas. Each student will participate in Medication Lab & Pre-Simulation the first few weeks of class. These days are mandatory clinical days. Please check the Course Calendar for Due Dates and your scheduled days.

Please be aware that although your Medication Lab, Pre-Simulation, and Hospital Days are on your assigned clinical days, Pediatric Simulations are scheduled on Mondays and Wednesdays depending on your Adult I & II schedules. This schedule will be explained to you on Clinical Orientation Day.


Rebecca Fenton, DNP, MSN, BSN, RN-BC
Assistant Professor/Clinical
Child and Family Health: Clinical Application
Course Coordinator
Email: fentonr@uthscsa.edu
Office: 2.340
Phone: 210-567-6118



This course provides opportunity for clinical application of holistic care of children and families with emphasis on health promotion, disease management, and injury prevention through therapeutic nursing assessment and intervention across environments.


2 semester hours (2 hours clinical)


Co Requisite: NURS 4210 Child and Family Health: Theoretical Foundations


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 a comprehensive assessment of the infant, child, adolescent, and family across environments. (Essential I, IX)
  2. Identify strategies for health promotion, risk reduction, and disease prevention with children and families. (Essential VII, IX)
  3. Demonstrate safe application of psychomotor skills to infants, children, and adolescents. (Essential I, IX)
  4. Develop appropriate interventions to manage physical and psychosocial manifestations of illness in the child and family across the age continuum. (Essential I, VII, IX)
  5. Demonstrate safe, therapeutic, customized nursing care across environments. (Essential II, III, VII, IX)
  6. Apply pain management techniques for children and families. (Essential I, IX)
  7. Evaluate the effectiveness of nursing care. (Essential II, III, IV, IX)
  8. Initiate health teaching and counseling for health promotion, maintenance, restoration, and injury prevention for children. (Essential I, VII, IX)
  9. Develop communication and leadership skills required to ensure practice improvements and to promote achievement of safe and quality outcomes of care for children and families. (Essential I, II, III, IV, V, VI, IX)
  10. Promote the unique nursing perspective as a member of the interprofessional team to advocate for safe, high quality patient care for children and families. (Essential II, V, VI, VIII, IX)
  11. Reflect core nursing values and professional standards of moral, ethical, and legal conduct while providing patient care to children and families. (Essential I, V, VI, VII, VIII, IX)


This course is a "credit/no credit" (Pass/Fail) course based on student achievement of clinical assignments, objectives, and participation.

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

Formative evaluations at mid-course are designed to provide an opportunity for the faculty and student to discuss student progress and areas of improvement in order to successfully achieve the clinical objectives.

Summative evaluations at the end-of-course point are the final determinant of the student grade of "pass" or "fail" for the course.

More frequent evaluations and assessments of student progress may be conducted by the faculty as needed based on student performance and need for guidance.

Students are required to pass the Medication Calculation Assessment prior to their first hospital day, with a score of 100% to participate in clinical. Students scoring less than 100% after two (2) attempts must meet with their clinical instructor to demonstrate readiness and safety for clinical practice prior to administrating pediatric medications. This is a clinical objective.

Students must also meet the requirements of the School of Nursing to participate in clinical (current CPR certification, HIPPA/OSHA training, vaccinations, hospital orientation, etc.).



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.


  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.


London, M.L., Ladewig, P.A., Davidson, M.R., Ball, J.W., Bindler, R.C., & Cowen, K.K. (2017). Maternal & Child Nursing Care (5th ed.). Hoboken, New Jersey: Pearson Education, Inc.   

ISBN 978-0-13-416722-0

ATI Supplemental Learning Packet.

Clinical Passport


All textbooks, medication references and other reference texts required in previous courses may be used as resources. Any drug book may be utilized for pediatric resources using the pediatric sections only.

Online Resources may be utilized for Pediatric Medications and Dosage Calculations:

Lexicomp, Micromedix, and Up-to-Date are some Online website examples


Refer to the Canvas Course page (NURS.4211) for additional detailed course content information. Follow the Course Calendar for instructions.

CALENDAR - 1st Day Only

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

Please view the Clinical Orientation PPT/VO located on Canvas 4211 on Monday, January 10. We will have a "Question/Answer Session" Virtual Canvas Conference for all students on Monday, January 10th at 6pm. All students are expected to view the Orientation PPT. If you have questions, please attend the Canvas Conference.

All Sunday students will meet on Saturdays for Medication Lab and Pre-Simulation. See Course Calendar. 
Medication Lab will begin on students scheduled clinical days beginning week two. Students are responsible for checking their emails and announcements daily. Please review the course calendar, schedules, and be on time. 

Please refer to the Course Calendar for times and rooms.

All Clinical Assignments are posted on Canvas N.4211. Your Clinical Faculty will make a hospital schedule for you to follow.

© School of Nursing | The University of Texas Health Science Center at San Antonio external link
Links provided from Health Science Center School of Nursing pages to other websites do not constitute or imply an endorsement of those sites, their content, or products and services associated with those sites.

School of Nursing - UT Health Science Center San Antonio