clinical 2 semester hours...1 course syllabus advanced concepts of adult health clinical 2 semester...
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1
Course Syllabus
Advanced Concepts of Adult Health
Clinical
2 semester hours
Revision Date: August 15, 2016
Catalog Description: RNSG 2263
Lecture hours = 0 Lab hours = 2
Prerequisites: RNSG 1309, 1201, 1441, 2213, 1343, 1412
Semester Credit Hours: 2 Lecture Hours per Week: 0 Lab Hours per Week: 8 Contact Hours per Semester: 128 State Approval Code: CIP 5116010000
Course Description: A method of instruction providing detailed education, training, work-
based experience and direct patient/client care, generally at a structured clinical site. Specific
detailed learning objectives are developed for each course by the faculty. On-site clinical
instruction, supervision, evaluation, and placement is the responsibility of the college faculty
along with the assigned preceptor. The preceptor will be chosen and assigned to a student in
collaboration with the unit directors by the clinical faculty. Clinical experiences are unpaid
external learning experiences.
Purpose and Goals of the Course:
Core Competencies: Students are expected to demonstrate basic competency in reading,
writing, oral communication, math, and computer skills. Students are expected to be an active
learning participant by assuming accountability in preparing for each clinical day by completing
required readings and/or other learning activities as listed in the syllabus. Proficiency will be
measured by clinical participation, skills assessment, documentation, and interaction as a team
member.
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TABLE OF CONTENTS
Course Outcomes…………………………………………………………………………………3
Grading Criteria…………………………………………………………………………………..4
Concept Maps ................................................................................................................................. 4
Case Studies/HESI Reviews………………………………………………………………………5
Methods of Instruction: ................................................................................................................... 5
Attendance………………………………………………………………………………………………………………………………..6 Medication Calculation Exam ......................................................................................................... 6
Practice Calculation Problems ........................................................................................................ 7
Medication Calculation Exam Example Answer Sheet .................................................................. 9
Practice Calculation Problems ........................................................................................................ 9
Clinical Information Sheet (CIS)………………………………………………………………..11
Bedside Assessment Documentation Form……………………………………………………..15
Concept Map Rubric…………………………………………………………………………….16
Medication Presentation Grading Rubric………………………………………………………..17
Student Evaluation ……………………………………………………………………………...18
Preceptor Evaluation…………………………………………………………………………….19
Clinical Attendance Record……………………………………………………………………..20
Textbook Reference Page……………………………………………………………………….21
SCANS…………………………………………………………………………………………..22
Student Acknowledgement ........................................................................................................... 23
Clinical Log……………………………………………………………………………………...25
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COURSE OUTCOMES
THE NURSE AS A MEMBER OF THE PROFESSION
At the end of the course using classroom and clinical application, the student will be able to:
1. Describes the nurse’s ethical/legal scope of practice while assuming
responsibility for nursing care. (Scans 1Ai, ii, iv, v 1Bii, iii, iv 1Ci, v 2Ai 2Bi,
iii, vi 1Ciii)
PO # 1
DEC I a,b
2. Demonstrates responsibility for continued competence in nursing
practice. (Scans 1Ci,ii, iv, v 2Bi,)
PO # 2
DEC I c,d
THE NURSE AS A PROVIDER OF PATIENT-CENTERED CARE
At the end of the course using classroom and clinical application, the student will be able to:
3. Provides safe, caring, holistic nursing to patients and their families
through competent use of the nursing process (Scans 1Ai,ii,iii,iv,v
1Bi,ii,iii,iv,v 2Ai, iii, iv 2Biii, vi 2Ci, ii)
PO # 3
DEC II a,b,d
4. Develop, implement, and evaluate teaching plans for patients and
their families to address health promotion, maintenance, and
restoration. (Scans 1Ai,ii,iii,iv,v 1B ii, iii, iv,v 1Ci 2Ai, iii, iv 2B i, iii 2Ci,ii,iii,)
PO #4
DEC II c, e, f, g
5. Integrate clinical reasoning and evidence-based decision-making in
nursing practice while coordinating human, information, and
material resources. (Scans 1Ai,ii,iii,iv,v 1Bi,ii,iii,iv,v 1C1,v 2Ai,iii,iv 2Bi,iii,iv,vi
2Ci,11,iii,iv,2Di,ii,iii2Ei,ii,iii)
PO # 5
DEC II a,h
THE NURSE AS A PATIENT SAFETY ADVOCATE
At the end of the course using classroom and clinical application, the student will be able to:
6. Assumes accountability and responsibility for the quality of nursing
care provided to clients and families. (Scans 1Ai,ii,iii,iv,v 1Bi,ii,iii,iv,v
1Ci,iii,v 2Ai,iii,iv 2Bi,ii,iii,iv,v,vi 2Ci,ii,iii2Di,ii,iii2Ei,ii,iii)
PO #6
DEC III b,d,f
7. Accept and make assignments and delegate tasks that take into
consideration patient safety and organizational policy. (Scans
1Ai,ii,iii,iv,v 1Bi,ii,iii,iv,v1Ci,ii,iii,iv,v 2Ai,ii,iii,iv,2Bi,ii,iii,iv,v,vi 2Ci,ii,iii2Di 2Eii,iii)
PO# 7
DEC III a,b, c,
e, f
THE NURSE AS A MEMBER OF THE HEALTH CARE TEAM
At the end of the course using classroom and clinical application, the student will be able to:
8. Coordinate, collaborate, and communicate with patients, their
families, and the interdisciplinary health care team to plan,
implement, and evaluate patient-centered care while ensuring
confidentiality. (Scans 1Ai,ii,iii,iv,v 1Bi,ii,iii,v 1Ci,ii,iii,iv 2Bi,iii,iv,v,vi
2Ci,ii,iii,iv2Dii 2Eii)
PO # 8
DEC IV a,d,e
9. Serve as a health care advocate in mentoring and promoting quality
healthcare and access for patients and their families. (Scans 1Ai,ii,iii,iv,v
1Bi,ii,iii,v 1C i,v 2A iii,iv 2B i,ii,iii,iv,vi 2Ci,ii,iii,iv 2D ii, iii 2Ei, ii)
PO # 9
DEC IV b, c
10. Synthesize information using technology to support decision making
to improve patient care. (Scans 1Ai,ii,iii,iv,v 1Bi,ii,iii,iv,v 1Ci,v 2Aiii, iv 2Bi, iii,
vi 2C I,ii,iii,iv 2D I,ii,iii 2Ei,ii,iii)
PO #10
DEC IV d,e
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11. Delegate and supervise evidence-base nursing care using Scope of
Practice. (Scans 1Ai,ii,iii,iv,v 1Bii,iii,v 1Ci,ii,iii,iv,v2Ai, ,iv 2Bi,ii,iii,iv,v,vi
2Ci,ii,iii,2Di 2Ei,ii)
PO # 11
DEC IV f,g
Course grades will be determined by the following: All work is to submitted in canvas by the due date on the calendar or the Monday by 2200
following the clinical date.
15% Concept Map 1X 100 points each
Maximum 100 points each care plan Concept Maps must be turned in by due date or a
zero (0) will result. Failure to turn in a Concept Map will result in failure of the class
10% CAIs
75% Clinical Evaluation based on instructor observation in clinical environment as well as all
simulation activities, the preceptor feedback, clinical assignments that include all paper
work.
Concept Maps
Guidelines:
1. All concept maps(CM) are due by the due date in calendar.
2. Concept map must be turned in on time. Late work will not be accepted. Students who
do not submit concept map by the assigned due date and time will receive a grade of zero
for the care plan and fail the course.
3. A typed bedside assessment is to be included (form included)
4. Completed client information sheet CIS with detailed pathophysiology, explanation of
abnormal labs, medication list, and a detail synopsis of hospital course.
Pertinent diagnostic reports need to be included and explained. Rationales for all abnormal
laboratory reports are to be included along with the most current labs (normal and abnormal)
An in depth explanation of the pathophysiology of all major medical problems should be
included in the CIS in your own words cited appropriately.
In addition to the clinical information sheet (CIS) for the CM the student will be required to turn
in two (1) CIS within three weeks of the start of clinical and a weekly log of all clinical
activities. These are due each Monday at 2200 from the previous week uploaded into canvas.
Students will be expected to verbalize the patient’s admitting diagnosis, pathophysiology, test
results medical plan of care (POC), medications indications and side effects, their nursing care
plan to faculty during clinical.
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Bring to each clinical: Stethoscope
Black pen
Pen light
Medication reference
Calculator
Watch with a second hand
Scissors
HESI Reviews You may use any resource to answer correctly
Critical Care: Cardiovascular – (1) Mr. Whiting due prior exam 2 (MI/TPA)
Critical Care: Cardiovascular – (2) Mr. Whiting due prior exam 1 (HF/IABP)
Critical Care: Respiratory –Timothy Smyth due prior to exam 3 (chest tubes)
Critical Care: Neurological – Mrs. Thorne due prior to exam 4 (SAH)
Evolve Case Studies You may use your book or other resources to answer correctly.
Head Injury due prior to exam 4
CVA due prior to exam 4
Heart Failure with atrial fibrillation due prior to exam 1
Cirrhosis due prior to Exam 3
Pancreatitis due prior to Exam 3
These may be accessed from your home computers and are considered clinical time.
Methods of Instruction: Clinical experiences, clinical discussions and demonstrations, computer tutorials/assignments,
simulation laboratory performance, active learning and writing assignments.
Attendance The student is responsible for notifying the unit and faculty prior to the beginning of clinical in
the event of an absence. Every effort should be made to attend all scheduled clinical. Students
should not come to clinical with a temperature or significantly ill. Due to the significance of
these clinical experiences and the flexibility of precepted clinical, all missed clinical time
regardless of reason will be made up.
Absences – refer to the absence policy in the Student Handbook
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***Notification of absence to the clinical instructor is mandatory prior to clinical
beginning.
Clinical Assignments
The student is required to be on the unit at 0630 prepared for report. You will be required to
manage your client care under the direction of the assigned preceptor. Introduce yourself to the
Charge Nurse and tell him/her you are a Panola College Nursing Student 4th level and you are to
work with a registered nurse (RN). The Charge Nurse may make the decision to float you to
another critical care area due to staffing. Please notify the faculty if this happens. You and your
preceptor will determine the patients you will manage.
You will be required to know your medications including indications, rate of administration,
possible side effects, and class prior to administration. You will be required to know nursing
precautions in administering any medications. Your preceptor or instructor must be with you to
administer medications. All principles of medication administration must be adhered to. Your
preceptor must be with you for any invasive and/or complex procedures. If your patient goes for
a procedure or intervention go with the patient. Make sure your preceptor knows where you are
at all times. You will be helping the preceptor with their entire assignment. You should
progress from a role of dependence to a role of independence. The more you are engaged with
the experience the more you will learn. You are not to leave the clinical facility early even if the
preceptor suggests you may leave. You are stay with your preceptor through report and should
begin to assume responsibility for the hand-off using SBAR
Medication Calculation Exam
A medication calculations exam will be administered prior to the beginning of the clinical
rotation. The calculation exam must be passed with 100% accuracy before a student may
begin direct patient care. There is a limit of three maximum attempts to obtain 100% accuracy.
Remediation will be provided upon request. Less than 100% accuracy on the third attempt will
result in a withdrawal from with class with a grade of F.
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Practice Calculation Problems
Calculate the IV flow rate in gtt/min for the following IV administrations.
1. 1000 mL D5LR to infuse in 8 hours. The administration set is 20 gtt/mL.
2. 1000mL D5W with 10 mEq KCl to infuse in 7 hours. The administration set is 10
gtt/mL
3. A unit of packed cells (250 mL) to infuse in 3 hours. The administration set is 10
gtt/mL.
4. Administer IV medication with a volume of 80 mL in 40 minutes using an administration
set that delivers 15 gtt/mL.
5. A nitroglycerine drip is infusing at 3 mL/hr. Available solution is 50 mg in 250 cc D5W.
How many mcg/hr and mcg/min is the client receiving?
6. Client is receiving Isuprel at 30 mL/hr. Solution is available in 2 mg of Isuprel in 250
mL D5W. Calculate mg/hr, mcg/hr, and mcg/min.
7. Doctor’s order: Infuse 1 L of Normal Saline with 40,000 U Heparin over 24 hours. The
administration set delivers 15 gtt/mL. Calculate the hourly dose of Heparin mL/hr.
Calculate the gtt/min.
8. Doctor’s order: Infuse 1 L of D5W with 15,000 U Heparin over 10 hours. Calculate
mL/hr and U/hr being administered.
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9. Infuse dopamine at 5 mcg/kg/min Patient weights 183 lbs and dopamine is supplied
800mg/500 mL D5W. Determine mL/hr
10. Patient is receiving 18 ml/hr of dopamine. The patient weighs 112 kg and the dopamine
is supplied as 800mg/250 mL of D5W. Determine the mcg/kg/min.
11. The patient is receiving 750 mg of vancomycin in 250 mL of N/S. The infusion is to
infuse in 100 minutes. Determine mL/hour.
12. The Health Care Provider (HCP) writes an order for a bolus of heparin 35 units/kg and
the client weighs 224 lbs. Then hang a heparin drip at 22 units/kg/hr. In six hours draw a
PTT if less than 60 sec increase drip by 3 units/hr if more than 100 sec decrease the drip
by 5 units/hr. The heparin drip is supplied as 50,000 units/250 mL NS.
_____________________bolus units
_____________________drip units/hr
____________________mL/hr for drip
13. After six hours the client’s PTT is 104 sec what should the drip infuse at in
mL/hr________________________
14. The nurse is caring for a client on a 12hr shift (0700-1900) and must calculate the Intake
and Output for his/her assigned shift. The patient has IVF (intravenous fluids) @ 125
mL/hr, NGT to LWS (low wall suction), Foley Catheter, JP (Jackson pratt) drain, Ancef
500 mg/100 mL NS every four hours beginning at 0800. At 1500 the HCP writes an
order to DC the NGT start the patient on clear liquids and decrease the IVF to 80 mL/hr
The patient had 3 ounces 7-up, 120 mL of broth, 6ounces of apple juice.
Calculate the I/O for the 12hr shift (remember I/O is totaled at 6A and 6P if you chart it
on the MAR you take credit for the volume.)
Intake______________________
Output______________________
Balance_____________________ Positive or Negative
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Review is recommended.
Pickard, G. D. (2014). Dosage calculations (9th ed.). Canada: Delmar Learning.
Medication Calculation Exam Example Answer Sheet
A medication calculations exam will be administered prior to the beginning of the clinical
rotation. The calculations exam must be passed with 100% accuracy before a student may
begin direct patient care. There is a limit of three maximum attempts to obtain 100% accuracy.
Remediation will be provided upon request. Less than 100% accuracy on the third attempt will
result in a withdrawal from with class with a grade of F.
Practice Calculation Problems
1. 1000 mL D5LR to infuse in 8 hours. The administration set is 20 gtt/mL.
41.66gtt = 42gtt/min
2. 1000mL D5W with 10 mEq KCl to infuse in 7 hours. The administration set is 10 gtt/mL
23.80 gtt/min=24 gtt/min
3. A unit of packed cells (250 mL) to infuse in 3 hours. The administration set is 10 gtt/mL.
13.8gtt/min = 14 gtt/min
4. Administer IV medication with a volume of 80 mL in 40 minutes using an administration
set that delivers 15 gtt/mL.= 30 gtt/min
5. A nitroglycerine drip is infusing at 3 mL/hr. Available solution is 50 mg in 250 cc D5W.
How many mcg/hr and mcg/min is the client receiving?
200mcg/mL = 600 mcg/hr =10mcg/min
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6. Client is receiving Isuprel at 30 mL/hr. Solution is available in 2 mg of Isuprel in 250
mL D5W. Calculate mg/hr, mcg/hr, and mcg/min.
0.24 mg/hr, 240mcg/hr, 4mcg/min
7. Doctor’s order: Infuse 1 L of Normal Saline with 40,000 U Heparin over 24 hours. The
administration set delivers 15 gtt/mL. Calculate the hourly dose of Heparin. Calculate
the gtt/min.
1666.7 units/hr (hourly dose of heparin) 40,000units/24hr
1000mL/24hr =41.66mL/60 minutes=0.694mLX15 gtt=10.41gtts or 10gtts/minute
8. Doctor’s order: Infuse 1 L of D5W with 15,000 U Heparin over 10 hours. Calculate
mL/hr and U/hr being administered.
100 mL/hr 1500 units/hr
9. Infuse dopamine at 5 mcg/kg/min Patient weights 183 lbs and dopamine is supplied
800mg/500 mL D5W. Determine mL/hr
15.59 mL/hr 15.6 mL/hr
10. Patient is receiving 18 ml/hr of dopamine. The patient weighs 112 kg and the
dopamine is supplied as 800mg/250 mL of D5W. Determine the mcg/kg/min.
8.57mcg/kg/min
11. The patient is receiving 750 mg of vancomycin in 250 mL of N/S. The infusion is to
infuse in 100 minutes. Determine mL/hour. 150 mL/hr
12. The Health Care Provider (HCP) writes an order for a bolus of heparin 35 units/kg and
the client weighs 224 lbs. Then hang a heparin drip at 22 units/kg/hr. In six hours draw a
PTT if less than 60 sec increase drip by 3 units/hr if more than 100 sec decrease the drip
by 5 units/hr. The IV is supplied as 50,000 units of heparin in 250 mL NS
3563.63.636 units 3564units___bolus units
_____2240 units/hr________________drip units/hr
____11.2 mL/hr for drip
13. After six hours the client’s PTT is 104 sec what should the drip infuse at in
mL/hr___22units-5 units is 17 units/kg/hr= 8.65
mL/hr_8.7mL/hr____________________
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14.The nurse is caring for a client on a 12hr shift (0700-1900) and must calculate the Intake
and Output for his/her assigned shift. The patient has IVF (intravenous fluids) @ 125 mL/hr,
NGT to LWS (low wall suction) (125mL), Foley Catheter (545 mL), JP (Jackson pratt) drain,
(45 mL) Ancef 500 mg/100 mL NS every four hours beginning at 0800. At 1500 the HCP
writes and order to DC the NGT start the patient on clear liquids and decrease the IVF to 80
mL/hr The patient had 3 ounces 7-up, 120 mL of broth, 6ounces of apple juice
Calculate the following Intake 2055
Output___715___________________
Balance____1340 +____________ Positive or Negative
\
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CLIENT INFORMATION SHEET (CIS) Panola College
ASSOCIATE DEGREE NURSING RNSG 2263
Student: Clinical Date: Instructor:
Pt. Initials:
Date of Adm: Admitting Medical Diagnosis:
Current
Vital Signs
T
P Surgery type and Post-Op day: (if applicable)
R
BP
Age:
Allergies and type of reaction (all types):
Pertinent Past Medical History:
O2
Sat O2
Use Respiratory
Therapy Treatments
Sex:
Chief Complaint on admission:
Height:
Weight: IV Therapy/ SL:
Solution and rate
Ethnicity: Dentures: Upper Lower Fluid Restriction:
Religion: Hearing Loss: Right Left Diet:
Marital Status:
Glasses: Y N Diet Rationale:
Contacts: Y N
Activity: Reason:
Code Status:
Advance Directive
?
Occupation: Previous Occupation:
Safety Considerations:
Hx tobacco
use: pack year
history
Hx. Alcohol or substance abuse:
Fall Risk: Aspiration Risk: Other:
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*Treatment and Special Orders: (include all such as FSBG,TCDB, incentive spirometer, respiratory treatments, nursing interventions etc.)
Chief Complaint and Brief History of Present Illness: Past Medical History, Including Home Meds:
Pathophysiology of current illness and major medical diagnoses:(
Be specific and inclusive do not copy book put in your own words)
Treatment/Procedure
Frequency Rationale for Treatment/Procedure
Date Diagnostic Test Results Rationale for test Nursing implications
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Prioritized NANDA: *Lab Data: ( Not an all inclusive list add as necessary)
Lab Test Result (s) & Date (s) Most current labs
show a progression of improvement or
lack of improvement
Normal Range
Brief Rationale for Abnormalities (Be sure to explain all grossly
abnormal labs)
CBC Date Date Date
WBC 4.6 – 10.2
RBC 4.0 – 5.5
Hgb 12.2 – 16.2
HCT 37.7 – 47.9
Platelets 140 – 440
Coagulation
PT 10-12 sec
PTT 30-45 sec
INR 2-3( target)
Electrolytes
Na+ 136 – 145
K+ 3.50 – 5.10
Cl- 98 – 107
CO2 22.0 – 29.0
Magnesium 1.5-2.6
BUN 6.0 – 20.0
Glucose 60 – 105
Creatinine 0.70 – 1.30
Calcium
Cardiac Enzymes
CKMB < 7.1U/L
Troponin <1ng/mL
D-Dimer <0.5mg/L
Chemistry
Albumin 3.5-5.0
Protein 6-8.4
Amylase 4-25
BNP <100
Bilirubin (total) 0.2-1.2 mg/dl
Cholesterol <200
HDL M >40 F >50
15
LDL <100
Triglycerides <150
UA
Color straw – yellow
Appearance clear - hazy
Sp Gr 1.003 – 1.030
pH 5.00 – 9.00
Protein Negative
Glucose Negative
Ketone Negative
Lab test
Date
Date
Date
Normal
Rationale for abnormal
ABG
PH 7.35-7.45
PO2 70-100 mm Hg
PCO2 35-45 mm Hg
HCO3 22-26 mm Hg
B.E. +1 to -2
O2 Sat. 96%-100%
Lactic Acid 0.7-2.5 mmol/L
Additional labs
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Bedside Assessment
Student Name_______________________ Client Initials_________ Date_________
Systems Assessments
Vital Signs:
Neuro: Pupils, Orientation,
Limb movement and
strength, Patient response
Pulmonary:
Anterior/Posterior Breath
sounds, crackles, wheezing,
oxygen liters and device, O2
saturation, respiratory
effort,
Cardiovascular: S1 S2
mumers, S3 S4, any
complaints of chest pain,
Rhythm, pacemaker wires
present, capillary refill,
peripheral pulses
GI: Bowel sounds, abd soft
distended, last BM,
complaints of nausea, NGT
with description of drainage
and type of suction
GU: Urine color, clarity,
quantity, drainage device
any issues with urination
Skin: color, temp, moisture
evidence of breakdown, any
lesions
IV/Tubes: Type of solution
hanging and rate, condition
and location of site.Type,
location, drainage, suction
amt if present of tubes
Wounds/Incisions:
Describe if dressing present,
any drainage and condition
of wound
Misc:
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RNSG 2263 Advanced Clinical Concepts
Concept Map Rubric
Component Excellent Proficient Marginal
Nursing Diagnosis
More than 4 nursing dx; dx meet NANDA definition and defining characteristics patient specific
10
4 nursing dx; dx meet NANDA definition and defining characteristics 8
Less than 4 nursing dx; one or more dx does not meet NANDA definition or defining characteristics; 5
Assessment CIS
History and assessment documented. In depth exploration of pathophysiology of all co-morbidities in student’s own words. Abnormal labs accurately explained. Medication list attached. CIS complete in detail and accurate
25
History and assessment documented. In depth exploration of pathophysiology of major co-morbidities in student’s own words all abnormal labs explained. Medication list attached. CIS complete and accurate.
20
History and assessment documented. Exploration of pathophysiology of admitting diagnosis. Abnormal labs explained. Medication list attached. CIS complete and accurate.
15
Interventions
Realistic, attainable; implementable; tailored to patient; expressed in student’s own words; more than 4 interventions for each diagnosis; interventions reflect student’s understanding of individual patient’s needs and diagnosis
25
Not all interventions unique patient; not expressed in student’s own words; 4 or fewer interventions for each dx; lacking appropriate interventions to diagnosis
20
Limited interventions; important or significant interventions not listed; interventions not realistic or attainable
15
Goals/Outcomes
Separate sheet
Measureable, Realistic, Attainable. Documentation well developed.
5
Measurable, slightly unrealistic, evidence of documentation
3
Not measureable or realistic no documentation
1
Prioritization All nursing diagnosis numbered in order of priority specific to
patient. 15
No more than one diagnosis incorrectly prioritized 12
More than 2 dx not prioritized
10
Relationships All relationships identified/linked; identifier clearly observable and easy to track; connecting word/phrase for each link
10
75% of relationships identified; easy to follow relationship links; not all links contain connecting word/phrase
8
Less than 75% of relationships identified; no linking word/phrase evident
7
Format
*current < three years
Readable; Neat; all instructions followed; more than one current professional nursing journal
article appropriately (APA) referenced reference page
10
Readable; Neat; instructions followed; one current professional nursing journal article referenced
Reference page
7
Non-readable; messy; Does not follow instructions; no nursing journal article referenced
4
Date/s:
Student:
Patient Initials:
Score and Comments:
/100
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PANOLA COLLEGE
ASSOCIATE DEGREE REGISTERED NURSING PROGRAM Advanced Concept Clinical RNSG 2263
EVALUATION CRITERIA FOR CLINICAL EXPERIENCES
(1 = poor; 2 = good; 3 = excellent) Student________________________
Preceptor: Assign a point value to each of the criterion, sign the form and Fax or email to Karen McClellan @ 903-694-4010 [email protected]
_____1. Is dressed appropriately and on time according to school/agency policy
_____2. Maintains confidentiality of patient/client
_____3. Demonstrates growth by self-directed behavior _____4. Demonstrates appropriate communication methods _____5. Establishes a collaborative relationship with client and staff _____6. Demonstrates ability to think critically and problem-solve _____7. Accurately and promptly reports problems, changes in client’s status
_____8. Supports interventions with current evidenced-based practice _____9. Demonstrates ability to carry out safe and appropriate interventions to assist
client to meet physiologic and psychosocial needs _____10. Actively participates in patient conferences and rounds _____11. Demonstrates time management in carrying out assigned tasks
_____12. Demonstrates a willingness to learn and engage in clinical activities SCORE:_________ Evaluator:________________________________________________________ Date:____________________________________________________________ Comments: Thank-you for participating in the student’s learning experience. Your contribution is important in the student’s education.
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Karen McClellan RN, MBA, CCRN 903-694-4009 (o); 903-407-1552 (c )
Panola College Nursing Instructor
STUDENT PRECEPTOR EVALUATION (to be completed by student)
Complete at the end of clinical rotation and give to Instructor
Course/Semester____________________________
Facility___________________________________
Preceptor Name_____________________________________
Date______________________________________
Please evaluate your clinical preceptor for this rotation. For each statement, circle the number
that most accurately reflects your evaluation of your preceptor. Please use the following scale:
5= strongly agree; 4 = agree; 3 = moderately effective; 2 = somewhat ineffective; 1 = ineffective;
0 = NA or not observed
PRECEPTOR EVALUATION
My preceptor:
1. Provided an adequate orientation to the clinical unit. 1 2 3 4 5
2. Guided me in decision making rather than taking over/giving own
impressions
1 2 3 4 5
3. Was easily accessible and allocated sufficient time for consultation 1 2 3 4 5
4. Role-modeled professional practice and behaviors. 1 2 3 4 5
5. Encouraged discussion of clinical activities and differing view points. 1 2 3 4 5
6. Presented appropriate, accurate and current content 1 2 3 4 5
7. Utilized my strengths and knowledge. 1 2 3 4 5
8. Provided immediate and adequate feedback to my questions 1 2 3 4 5
9. Encouraged questions. 1 2 3 4 5
10. Communicated clinical knowledge well. 1 2 3 4 5
11. Suggested and/or provided additional learning experiences. 1 2 3 4 5
12. Utilized other members of the health care team. 1 2 3 4 5
13. Demonstrated effective rapport with clients. 1 2 3 4 5
14. Encouraged me to assume increasing responsibility during semester. 1 2 3 4 5
15. Assisted me in identifying goals and needs for experience. 1 2 3 4 5
16. Offered constructive comments for me to improve performance 1 2 3 4 5
My overall evaluation of this clinical preceptor: Poor Fair Good Excellent
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Comments:
Required Textbooks/References
Dirksen, S. (2014). Clinical companion for medical-surgical nursing assessment and
management of clinical problems. (8rd ed). St. Louis: Mosby/Elsevier.
Gahart, Betty & Nazareno, Adrienne, (2014). Intravenous medications. (31th ed). St. Louis:
Mosby/Elsevier.
HESI (2014). Comprehensive Review for NCLEX-RN Examination (4rd ed). St. Louis: Elsevier
Lewis, S., Heitkemper, M., & Dirksen, S. (2014). Medical-surgical nursing assessment and
management of clinical problems. (9th ed.). St. Louis: Mosby/Elsevier.
Lilley, L. & Aucker, R. (2014). Pharmacology and the nursing process. (8th ed.). St. Louis:
Mosby/Elsevier.
Pickar, G.D. (2013). Dosage calculations(9th ed.). Albany, New York: Delmar.
Silvestri, L. (2014). Saunders comprehensive review for nclex-rn(6nd ed.). Philadelphia, PA:
W.B. Saunders Company.
If any student in this class has special classroom or testing needs because of a physical, learning,
or emotional condition, please contact ADA Counselor in the Administration Building, telephone
903-693-1123.
Withdrawing from a course is the student’s responsibility. If you do not withdraw yourself, you
will very likely receive an F if you do not attend class.
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SCANS CRITERIA
1) Foundation skills are defined in three areas: basic skills, thinking skills, and personal
qualities.
a) Basic Skills: A worker must read, write, perform arithmetic and mathematical operations,
listen, and speak effectively. These skills include:
i) Reading: locate, understand, and interpret written information in prose and in
documents such as manuals, graphs, and schedules.
ii) Writing: communicate thoughts, ideas, information, and messages in writing, and
create documents such as letters, directions, manuals, reports, graphs, and flow charts.
iii) Arithmetic and Mathematical Operations: perform basic computations and approach
practical problems by choosing appropriately from a variety of mathematical
techniques.
iv) Listening: receive, attend to, interpret, and respond to verbal messages and other cues.
v) Speaking: Organize ideas and communicate orally.
b) Thinking Skills: A worker must think creatively, make decisions, solve problems,
visualize, know how to learn, and reason effectively. These skills include:
i) Creative Thinking: generate new ideas.
ii) Decision Making: specify goals and constraints, generate alternatives, consider risks,
and evaluate and choose the best alternative.
iii) Problem Solving: recognize problems and devise and implement plan of action.
iv) Visualize ("Seeing Things in the Mind's Eye"): organize and process symbols,
pictures, graphs, objects, and other information.
v) Knowing How to Learn: use efficient learning techniques to acquire and apply new
knowledge and skills.
vi) Reasoning: discover a rule or principle underlying the relationship between two or
more objects and apply it when solving a problem.
c) Personal Qualities: A worker must display responsibility, self-esteem, sociability, self-
management, integrity, and honesty.
i) Responsibility: exert a high level of effort and persevere toward goal attainment.
ii) Self-Esteem: believe in one's own self-worth and maintain a positive view of oneself.
iii) Sociability: demonstrate understanding, friendliness, adaptability, empathy, and
politeness in group settings.
iv) Self-Management: assess oneself accurately, set personal goals, monitor progress, and
exhibit self-control.
v) Integrity and Honesty: choose ethical courses of action.
2) Workplace competencies are defined in five areas: resources, interpersonal skills,
information, systems, and technology.
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a) Resources: A worker must identify, organize, plan, and allocate resources effectively.
i) Time: select goal-relevant activities, rank them, allocate time, and prepare and follow
schedules.
ii) Money: Use or prepare budgets, make forecasts, keep records, and make adjustments
to meet objectives.
iii) Material and Facilities: Acquire, store, allocate, and use materials or space efficiently.
Examples: construct a decision time line chart; use computer software to plan a project;
prepare a budget; conduct a cost/benefits analysis; design an RFP process; write a job
description; develop a staffing plan.
b) Interpersonal Skills: A worker must work with others effectively.
i) Participate as a Member of a Team: contribute to group effort.
ii) Teach Others New Skills.
iii) Serve Clients/Customers: work to satisfy customer's expectations.
iv) Exercise Leadership: communicate ideas to justify position, persuade and convince
others, responsibly challenge existing procedures and policies.
v) Negotiate: work toward agreements involving exchange of resources, resolve
divergent interests.
vi) Work with Diversity: work well with men and women from diverse backgrounds.
Examples: collaborate with a group member to solve a problem; work through a group
conflict situation, train a colleague; deal with a dissatisfied customer in person; select and
use appropriate leadership styles; use effective delegation techniques; conduct an
individual or team negotiation; demonstrate an understanding of how people from
different cultural backgrounds might behave in various situations.
c) Information: A worker must be able to acquire and use information.
i) Acquire and Evaluate Information.
ii) Organize and Maintain Information.
iii) Interpret and Communicate Information.
iv) Use Computers to Process Information.
Examples: research and collect data from various sources; develop a form to collect data;
develop an inventory record-keeping system; produce a report using graphics; make an
oral presentation using various media; use on-line computer data bases to research a
report; use a computer spreadsheet to develop a budget.
d) Systems: A worker must understand complex interrelationships.
i) Understand Systems: know how social, organizational, and technological systems
work and operate effectively with them.
ii) Monitor and Correct Performance: distinguish trends, predict impacts on system
operations, diagnose deviations in systems' performance and correct malfunctions.
iii) Improve or Design Systems: suggest modifications to existing systems and develop
new or alternative systems to improve performance.
Examples: draw and interpret an organizational chart; develop a monitoring process;
choose a situation needing improvement, break it down, examine it, propose an
improvement, and implement it.
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e) Technology: A worker must be able to work with a variety of technologies.
i) Select Technology: choose procedures, tools or equipment including computers and
related technologies.
ii) Apply Technologies to Task: understand overall intent and proper procedures for
setup and operation of equipment.
iii) Maintain and Troubleshoot Equipment: Prevent, identify, or solve problems with
equipment, including computers and other technologies.
Examples: read equipment descriptions and technical specifications to select equipment
to meet needs; set up and assemble appropriate equipment from instructions; read and
follow directions for troubleshooting and repairing equipment.
STUDENT ACKNOWLEDGMENT
I have read the Panola College Associate Degree Nursing program syllabus for RNSG 2263
– Advanced Concepts – Adult Health Clinical Nursing and I understand the policies as
discussed.
In addition, I will comply with the current ADN Student Handbook as found on the ADN
web page.
I will comply that the requirements as delineated. It is my understanding that this form
will become part of my permanent file.
________________________ _____________________________
Student Name Student Signature
(PRINT)
_____________________________
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Log for Clinical Nursing Experience
To be completed each week and uploaded in canvas for the prior week of clinical
Student Name: ______________________________ Experience/Facility______________________________
Date _________________________________________
Date
Pt.
initials
Medical
Diagnosis
Nursing
Diagnosis
Top 3
Prioritized
Age Skills Performed Medications route, SE nursing
precautions indications
Synopsis clinical experience that
details activities and learning of the
day
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Clinical Attendance Record
Name___________________________
Please have your preceptor sign for each clinical day and turn in at the end of the semester.
Date
Unit
worked
Shift
Comments
Preceptor
The student will complete two CIS throughout the semester for the clients they cared for; include an in-depth
explanation of the pathophysiology of each medical diagnosis, medication, top three prioritized NANDA,
medication sheet and assessment. The students will also journal the daily clinical experience using the log form.
These are to be turned in each week. The student is to focus on all aspects of managing the care of critically ill
patients.
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