Welcome to RNSG 1105 Nursing Skills I

Instructor Instructor

Jeanie Ward RN,MSN, CNE

Office: Cypress Creek campus – room 1138 223 - 2221 Eastview campus – room 8243 223-5721

Email: jeanward@austincc.edu

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Unit I

Orientation to RNSG 1105

Nursing Skills I

Course DescriptionCourse Description

Study of concepts and principles essential for demonstrating competencies in the performance of nursing procedures.

Topics include knowledge, judgment, skills, and professional values in a legal / ethical framework.

Nursing Skills I – Course Objectives

1. Describe concepts and principles that are basic to the

safe performance of nursing skills2. Demonstrate competence in performance of nursing procedures

3. Communicate clearly the English language in speaking,

reading, and writing during performance and evaluation of nursing procedures and simulated

nurse- patient interactions. 4. Demonstrate the values of the nursing profession. 

Course Requirements

Come to class prepared to participate in class activities - practice all skills

Attendance – mandatory!! If you must be absent– it is made up.

Be responsible for all materials presented in each class.  Use lab time for independent study / practice, small

groups study / practice, and validating your learning.  You are expected to identify your learning needs and take full advantage of the opportunities in the learning lab.

Successful completion

1. Have a theory grade of 75% or above from the exams and final

2. Satisfactory pass all mastery skill demonstrations/ check-offs in compliance with specifications of passing

** Must pass each component—theory and skill check-off to obtain a grade.

3. Attend class and comply with requirements in the student handbook

Grading Policy

60% grade comes from the exams Tests 1-3 count = 36% Final exam counts double 24 %

40% grade comes from check-offs Check-off 1-3 =24% Comprehensive mastery check-off =

16%

Grading Policy

This course follows grade policy as described in the ACC ADN student handbook. A= 91-100 B= 83-90 C=75-82 D=60-74 F=below 60** Note- this is different from other courses

You must make a C in all nursing courses to continue in nursing.

Textbooks and Supplements

RNSG 1105 Syllabus

Textbook: Fundamentals of Nursing Caring and

Clinical Judgment by Helen Harkreader

**Need to bring both to every class

Unit 1 Introduction to RNSG 1105

PreparationLearning Objectives

Learning SupplementPost Quiz

Professionalism

Nursing is not simply a collection of skills.

Nursing is a ProfessionNursing is a ProfessionNursing is a ProfessionNursing is a Profession

Professionalism

Being Professional means being:

Accountable

Responsible

for your Own Actions

Professionalism

Even though you will not be performing skills on actual patients, you are expected to be professional in you manner in performing the skills in this lab.

Legal Standards

As a nurse, your actions are guided by legal standards of nursing practice. Nurse Practice Acts legally define and

regulate the scope of nursing practice. Each nurse is held legally responsible /

accountable for meeting the standards of nursing practice.

You should NEVER act beyond your “Scope of Practice” (we will continue to bring this up throughout the semester

National Patient Safety Goals

Ethical Standards

All nurses must function within the nurses’ code of ethics.

Nursing has a code of ethics and standards that define the principles by which nurses should function.

The ultimate responsibility for professional practice/ performance of nursing skills lies with YOU / each individual nurse.

Professionalism

An organization can provide guidelines, but it is the

individual nurse who must maintain the standards and take responsibility and be

accountable for own nursing practice.

Organizing Framework

The individual who is a part of a family and or community is the center of the framework.

Individual

Assist the Individual to meet his / her

own Needs

GoalOf

Nursing

Summarize

The Individual has Needs

Nursing assists the individual to meet their needs

Nurses perform certain skills to assist in

meeting these needs.

Three Main Types of Skills

Cognitive / Intellectual Skills

Interpersonal Skills

Technical / Psychomotor

Skills

Cognitive / Intellectual Skills

Involve nursing knowledge and critical thinking to provide safe, intelligent nursing care.

Must be able to think critically in order to problem solve and find the best solution to meet a patient’s needs.

Critical Thinking

Process that challenges the nurse to interpret and evaluate information / data to derive judgments. Organizing information Picking out relevant information Judgments are made—based on reason

and rationale rather than on prejudice, preference, self-interest, or fear.

Overtime, nurses expertise increases, learning from successes and failures.

Nursing Process

Problem solving process that enables the nurse to organize

and deliver nursing care to meet patient needs.

Steps in the Nursing Process

Assessment• Collect Data• Validate Data• Organize Data

Diagnoses•Analyze Data•Formulate diagnosis

Planning•Establish goals•Develop outcome criteria

Implementation•Carrying out the plan/ perform the skills

Evaluation•Goal achievement•Reassess / Revise•Terminate if goal met

How do we know the Needs of each individual?

Guide for Assessment

P = Psychosocial Needs E = Elimination Needs R = Rest, Regulatory, Reproductive

Needs S = Safety Needs O = Oxygenation Needs N = Nutrition Needs

Assessment

Collection of data, validation of data, organization of data.

Kinds of data Subjective –

Objective – data detectable by the nurse ie. Hear, observe, smell, touch

something that the patient tells you about

Assessment is a very important part of each skill

that the nurse performs

2. Diagnosis

Analyzing and interpreting the

data to identify health needs and formulate nursing diagnoses.

3. Planning

Establishing goals and developing outcomes

Getting ready to implement the skill Gather necessary equipment and

making preparations before beginning the skill

4. Implementation

Carrying out the plan

Performance of the skills and care of the patient

5. Evaluation

The nurse evaluates: The goal– was it achieved / met?

The patient’s response to the procedure

What do you do with the information obtained? Document in the chart Tell the appropriate staff, persons

INTERPERSONAL SKILLS

Activities that people use when communicating with each other

Nurse must communicate with the patient, family and members of the health care team.

Assists the nurse to be perceptive to the needs of the patient

TECHNICAL / PSYCHOMOTOR SKILLS

Nursing Procedures that provide direct care to the patient.

This will be our main focus this semester.

Entering a Patient’s Room

1. Confirm medical orders2. Obtain and check supplies for procedure3. Knocks on door and enters room4. Performs hand hygiene5. Greets and introduces self to patient by

name and title such as:Name, ACC Nursing Student

6. Identifies patient using 2 approved identifiers7. Explain procedure. Tells the patient the

reason for being there.8. Provides privacy

Exiting a Patients Room

Tell Patient you are leaving Place call bell/call light within patients reach, even if sitting in chair at bedside Make sure bed is in position Side rails are Perform hand hygiene

What’s Wrong with this Picture?

You are leaving the room

Answer

Call bell within reach? Yes

Bed in low Position? Yes

Side rails up

NO!

Tips for Success

Use Your Time Wisely You MUST PRACTICE

Preparation

Be Patient with Yourself

Take a Break