RNSG 1160 –revised 1/15/2021

Division of Health Sciences

Associate Degree Nursing Department http://www.hccs.edu/programs/areas-of-study/Coleman Health Sciences Center of Excellence

RNSG 1160: Care of the Childbearing Family: Clinical Registered Nursing

CRN:11553;11555;11650;23915;23917;23920;23922;23923;23926;23928; 23930;23931;23933;23935;23936;24133

Level 3

Spring 2021 | January 19, 2021 – May 16, 2021

Face-to-Face Delivery

Wednesdays:06: 30 am – 06:30 pm

Fridays: 06: 30 am – 06:30 pm

Facility: Ben Taub General Hospital

1 Credit Hour | – Course Completion

(See clinical schedule with dates and times)

Instructor Contact Information

Instructors Contact Information

Instructor: Dr. Lilian Ofoegbu Office Phone: (713) 718-7474

Office hours (Virtual): Mondays 10 am-3 pm

HCC Email: lilian.ofoegbu@hccs.edu

Please feel free to contact me at any time concerning any problems that you are experiencing in this course. Your performance in my class is particularly important to me. I am available to hear your concerns and/or just discuss course topics.

Instructor’s Preferred Method of Contact

I will answer email within 24 hours on weekdays; Monday morning for weekend messages. Students may also use HCC email to communicate with me.

What’s Exciting About This Course

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You will learn so much about perinatal nursing care of childbearing families. You will develop an understanding of the basics of assessment and patient care, how to plan care,

how to work collaboratively with other health professionals and how we work together. You will learn different cultures and how they become important to nursing care. You will

develop an understanding of how people respond to health based on age and cultural backgrounds. You will learn about pain and how it affects care. You will learn the

beginning concepts of providing safe care to patients, caring for yourself as a health care provider, and the principles of planning care for a selected group of patients.

Personal Welcome

Welcome to RNSG 1160, Care of the Childbearing family- Clinical Registered Nursing. I look forward to working with each of you to reach your goals. One of our passions is to be an

encouragement to others as they strive for success. Our intentions for this course are to partner with you to learn the care of childbearing families in a clinical setting and get you to your next

phase of learning.

I will present the information in the most exciting way I know, so that you can grasp the concepts and apply them now and hopefully throughout your life. As you read and wrestle with new ideas and facts that may challenge you, I am available to support you. The fastest way to

reach me is by HCC email. The best way to really discuss issues is by phone and I am available during posted office hours to answer any questions you might have. My goal is for you to walk

out of the course with a better understanding of perinatal nursing care of childbearing families. So please contact me whenever you have a question.

Prerequisites and/or Co-Requisites

The minimum requirements for enrollment in RNSG 1160 are as follows: (1) completed

and passed all pre-requisite courses and requirements. Co-requisites: RNSG 1251

Please refer to the policy in the HCC Student Handbook and the ADN Student Handbook for questions related to failures, withdrawals, and progression.

Eagle Online Canvas Learning Management System

This course will use face to face approach to deliver clinical activities. You are

expected to attend during your scheduled clinical period at the designated clinical agency. It is your responsibility to check for daily for updates and/or changes.

HCCS Open Lab locations may be used to access the Internet and Eagle Online

Canvas. It is recommended that you USE FIREFOX OR CHROME AS YOUR BROWSER.

HCC Online Information and Policies

This course is delivered in a face-to-face format. We encourage you to visit the HCC Online information pages. They contain a great deal of useful information about using Canvas. Here is the link to HCC Online: http://www.hccs.edu/online/.

If you need any assistance for online learning, please use the following link for

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resources.

https://www.hccs.edu/resources-for/current-students/communicable-diseases/Links to an external site.

Scoring Rubrics, Assignment Instructions, etc.

Assignments, and instructions, will be provided via HCC email. Please ensure to check your HCC email prior to scheduled clinical day.

Instructional Materials

Textbook Information

The textbook listed below is required for this course. Perry, S. & Hockenberry, M. (2018) Maternal Child Nursing Care, 6th ed. St. Louis: Elseiver Inc.

ISBN: 978-0-323-54938-7 (Elsevier Sherpath pediatric bundle) Recommended:

Lilly, Collins, and Snyder, (2020) Pharmacology and the Nursing process,

Elsevier/Evolve with Adaptive quizzing, ISBN: 9780323762106

Other Instructional Resources

Tutoring

HCC provides free, confidential, and convenient academic support, including writing critiques, to HCC students in an online environment and on campus. Tutoring is provided

by HCC personnel in order to ensure that it is contextual and appropriate. Visit the HCC Tutoring Services website for services provided.

(You may also contact your instructors for additional information regarding tutoring)

Libraries

The HCC Library System consists of 9 libraries and 6 Electronic Resource Centers (ERCs) that are inviting places to study and collaborate on projects. Librarians are available both at the libraries and online to show you how to locate and use the resources you need. The

libraries maintain a large selection of electronic resources as well as collections of books, magazines, newspapers, and audiovisual materials. The portal to all libraries’ resources

and services is the HCCS library web page at http://library.hccs.edu.

Supplementary Instruction

Supplemental Instruction is an academic enrichment and support program that uses peer- assisted study sessions to improve student retention and success in historically

difficult courses. Peer support is provided by students who have already succeeded in completion of the specified course, and who earned a grade of A or B. Find details at http://www.hccs.edu/resources-for/current-students/supplemental-instruction/.

Please see your instructor for information regarding these services for your area)

Program Student Learning Outcomes (PSLOs)

Upon graduation, student s will be able to:

1 Communicate effectively with patients, families, and members of the health care team.

2 Utilize a systematic problem-solving approach in caring for patients with common and

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complex needs

3 Demonstrate appropriate entry level associate degree nursing program didactic competencies to pass the NCLEX-RN licensure examination.

4 Demonstrate safe entry-level nursing practice as defined by the four roles of the

Differentiated Essential Competencies of Graduates of Texas Nursing Programs (DECs).

Course Overview A health-related, work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the

clinical professional.

End of Course Learning Outcomes CSLOs (WECM)

Upon completion, the student will be able to: 1. Explain the roles of the professional nurse in caring for the childbearing family.

2. utilize critical thinking skills and a systematic problem-solving process for providing care for the family during the perinatal periods.

Learning Objectives

At the completion of the course, the student will have be provided with opportunities and resources to:

1.1 Assess the health status and health needs of childbearing and childrearing clients and their families in health and illness. (DEC-IIA, IIB)

1.2 Apply principles of the teaching/learning process in promoting, maintaining, and/or restoring health to childbearing and childrearing clients and their families.

1.3 Use clinical data and current literature as a basis for decision-making in nursing practice for childbearing and childrearing clients and their families. (DEC-IIC)

1.4 Evaluate childbearing and childrearing clients’ and their families’ responses to therapeutic interventions.

2.1 Communicate effectively with childbearing and childrearing clients and their families, significant

others, and members of the multidisciplinary team.

2.2 Collaborate with clients, their families, and other health care professionals to provide care for childbearing and childrearing clients and their families. (DEC-IIH)

2.3 Safely administer nursing care to childbearing and childrearing clients and their families. (DEC-IID)

2.4 Apply legal and ethical standards of nursing practice to childbearing and childrearing clients and their families.

2.5 Participate in activities that promote the development and practice of nursing care for childbearing and childrearing clients and their families. (DEC-IIG)

2.6 Exhibit accountability and responsibility for the quality of nursing care provided to the childbearing and childrearing clients and their families. (DEC-IIG)

6 Differentiated Essential Competencies (DEC’S) Member of the Profession

• Participate in activities that promote the development and practice of professional nursing

Provider of Patient Care

Determine the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based upon

interpretation of comprehensive health assessment findings compare with evidence-based health data derived from the diploma or associate degree-nursing program of

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study Patient Safety Advocate.

• Demonstrate knowledge of the Texas Nursing Practice Acct (NPA) and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety

requirements and standards, • Comply with mandatory reporting requirements of the Texas NPA

Member of the Health Care Team

• Communicate and manage information using technology to support

decision-making to improve patient care •

QSEN COMPETENCIES

Using the institute of Medicine (2003) competencies for nursing, QSEN faculty have defined pre- licensure and graduate quality and safety competencies for nursing and

proposed targets for the knowledge, skills, and attitudes to be developed in nursing pre-licensure programs for each competency as follows:

• Patient Centered Care - Recognize the patient or designee as the source of control and full partner in providing compassionate and coordinated care based on respect for patient’s preferences, values, and needs.

• Teamwork and Collaboration - Function effectively within nursing and inter-professional teams, fostering open communication, mutual respect, and shared

decision-making to achieve quality patient care. • Evidence Based Practice - Integrate best current evidence with clinical

expertise and patient/family preferences and values for delivery of optimal health care.

• Quality Improvement - Use data to monitor the outcomes of care processes and use improvement methods to design and test changes to continuously improve the quality and safety of health care systems.

• Safety - Minimizes risk of harm to patients and providers through both system effectiveness and individual performance.

Student Success

Successful completion of this course requires a combination of the following: • Reading the textbook

• Attending clinical in person and/or online (post conferences)

• Completing assignments • Participating in clinical activities

There is no short cut for success in this course; it requires reading (and probably re-reading) and studying the material using the course objectives as your guide.

Instructor and Student Responsibilities

As your Instructor, it is my responsibility to:

• Provide the grading scale and detailed grading formula explaining how student grades are to be derived

• Provide a description of any special projects or assignments

• Inform students of policies such as attendance, withdrawal, tardiness, and make up

• Provide the course outline • Arrange to meet with individual students before and after class as required

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As a student, it is your responsibility to: • Attend clinical in person and/or online

• Participate actively by reviewing course material, interacting with classmates, and responding promptly in your communication with me

• Read and comprehend the textbook • Complete the required assignments and exams • Ask for help when there is a question or problem

• Keep copies of all paperwork, including this syllabus, handouts, and all assignments • Be aware of and comply with academic honesty policies in the HCCS Student

Handbook And the ADN Student Handbook

Clinical Schedule Please carefully review all of the information in this section and do not hesitate to ask questions if anything is unclear to you. Each student has received their clinical schedule for Ben Taub

General hospital for the designated date and times. (The clinical schedule is as posted above in the syllabus). Changes are sometimes necessary and will be announced during clinical period

and/or via HCC email. Clinical learning activities will be delivered face-to-face. However, post conference will be held in a virtual format via Cisco WebEx due to Covid-19 restrictions. The

scheduled time for the virtual post conference will be held per clinical faculty directions. The link for the post conference will be provided to students via HCC email.

Instructional Methods

Direct Patient Care Activities, Case Discussion, and Post Conference activities.

Student Assignments

o Selection of Clinical Experiences: Students are required to identify specific learning goals in the selection of clients in clinical practice, as applicable.

o Children are not allowed in the clinical environment. Please make appropriate childcare arrangements during clinical period.

Evaluation Methods

• 1. Journal Article Review and Presentation – 25%

During Fall 2020, all students completed one article review and presentation. A

current (within 5 years of publication) evidence-based practice Nursing Journal

article review was submitted and presented as assigned by clinical instructor. The

topics for the article review were approved by the instructor. Refer to criteria for

grading in Eagle online. Assignments handed in after the due date and/or time

will result in 10 points being deducted from each day the assignment is late.

2. Simulation Clinical Experience – 25%

Students must be adequately prepared for the clinical simulation each clinical day.

The student must demonstrate orally and/or in writing evidence of preparation for

clinical/client care. During Fall 2020, all students completed simulation case

scenarios during clinical. Pre and Post Quizzes were taken for the simulation

learning activities. The post quizzes were completed immediately after Simulation.

The grades from the Post quizzes were averaged for the Simulation assignment

grade. Late submission after the due date and/or time will receive a grade of 0 for

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that week.

3. Hesi Patient Care Reviews Assignment – 25%

Students must demonstrate orally and/or in writing evidence of preparation for

clinical/client care. During Fall 2020, all students were required to complete five

(5) Hesi Patient Care Review assignments during clinical to receive a full grade.

Assignments after the due date and/or time will receive a grade of 0 for that week.

4. Weekly Evaluation – 25%

Weekly clinical performance will be assessed, and students will receive a weekly

grade, which will be averaged for the evaluation grades. The weekly evaluation

will among other things include your preclinical assignments and preclinical

quizzes provided by your instructor, and your participation at clinical throughout

the course. Your final Performance Evaluation grade will be calculated. This

grade will not be posted until all weekly evaluations are completed.

During the hospital rotation (Spring 2021), students will be evaluated by

completing a Concept Map assignment, and a weekly performance assessment.

5. Concept Map Assignment

Students must demonstrate orally and/or in writing evidence of preparation for

clinical/client care. All students must complete one satisfactory clinical concept

map assignment. One satisfactory (75% or higher) the concept map is required for

OB clinical, with one (1) nursing diagnosis worked through completely (see

concept map form). The concept map and the rubric are included. Assignment will

be graded as satisfactory or unsatisfactory. Assignment is due within two (2) days

after clinical day. Assignments after the due date and/or time will receive an

unsatisfactory grade.

6. Weekly Evaluation

Weekly clinical performance will be assessed. Student will be evaluated by their

preceptor and will complete a self-evaluation of clinical experience. Students will

receive a weekly grade of satisfactory/unsatisfactory.

Students will receive a final Clinical grade after a satisfactory clinical

performance.

Safety Administration of Medication

The safe administration of medications is a cornerstone of high-quality patient care. The students have successfully completed the OB math exam. However, students are expected to demonstrate competency in calculating medication dosages in the clinical setting prior to

medication administration.

Clinical Expectations

1. Students can expect faculty to:

a. Be prompt (on time) to the clinical area and remain along with the student group for the entire posted clinical time.

b. Supervise students directly for each new procedure or assist them

to locate appropriate staff supervision.

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c. Provide concurrent and on-going feedback concerning identified clinical weaknesses.

d. Behave in a professional manner toward clients, staff and students.

2. Students will:

a. Be prepared for the clinical experience, which includes reviewing the plan of care with the bedside nurse, drug cards, skills lab practice as needed, and knowledge of pharmacology.

b. Be prompt.

c. Be expected to monitor client’s responses to nursing care and treatment and report these responses to the appropriate member of the health team. All data reported and documented must be accurate and complete.

d. Ask for supervision for all procedures never before performed in the clinical

area.

e. Turn in self-evaluation on time. f. Behave in a professional manner toward clients, staff, instructors and fellow

students.

1 g. Observe confidentiality. 2 h. Be expected to participate in post clinical conference with peers, and faculty

to coordinate client care management and to share information regarding clients’ progress and the need for client teaching and discharge planning.

Facility Requirements and Guidelines Students are required to complete all orientation as required by the clinical

facility. Students must maintain updated immunization, CPR, TB, and all required health records on Certified Background. A student who does not attend clinical

orientation and/or does not have updated records in the certified background system, will be not be allowed to continue to attend clinical, as per ADN program and clinical facility policies.

ACCIDENTS AND/OR INJURY IN THE CLINICAL SETTING

1. A student injured in the clinical setting should immediately notify clinical instructor.

2. A written summary of the occurrence and care rendered will be submitted

by the instructor to the Director of the ADN Program.

3. A student is responsible for all expenses charged by the clinical facility in rendering medical care.

4. The Houston Community College is not responsible for any claims for expenses

that result from an action of a student in the clinical setting.

5. Students are strongly urged to carry personal health insurance to cover such potential expenses.

Clinical Attendance Policy

The nursing faculty believes that no make-up clinical assignment can adequately duplicate a missed clinical experience when a student has excessive absences. Strict attendance is required for all clinical experiences and clinical facility orientation. Clinical Absences

o Students are expected to attend all scheduled clinical experiences. Due to COVID-19 situation and limited clinical sites, no clinical absence will be permitted. However, if a student is ill or has an extenuating circumstance, the student must contact the clinical instructor prior to the start of

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the scheduled clinical. The student most provide appropriate documentation (such as an excuse from a healthcare provider, court document, receipt for fixing a flat tire, etc.) for the absence to the instructor. Any absence related to illness requires documentation from a licensed physician, certified MD/DO, PA or NP. The note must state the student is released to provide safe patient care. A make-up assignment will be determined by the instructor depending on the availability within the agency, and once appropriate documentation is provided by the student. If a student did not attend a scheduled clinical and did not communicate reasons with appropriate documentation for clinical absence, they will receive a grade of zero (0) for the day. If a student does not attend a scheduled make-up clinical experience, the student will fail the course. Failure to complete the required number of hours in any clinical course, for any reason(s), will result in failure of that course. o If unable to attend clinical, the student must personally contact the instructor by phone, prior to the start of the clinical day. If the student fails to personally contact the instructor prior to the start of the clinical day, the absence will be a “no call, no show.” The student will receive a grade of “zero (0)” for clinical criteria for that day and a contact action form will be completed and placed in the student’s file. The student will be referred to the nursing Program Director. Failure to complete the required number of hours in any clinical course, for any reason(s), will result in failure of that course. o

Tardiness

o Tardiness hampers continuity of patient care. Students are expected to arrive at the clinical site on time. “Late” is arriving at the assigned meeting place more than 15 minutes after the designated meeting time. Students are required to personally notify their hospital clinical instructor by telephone as soon as they know that they will be late. The tardy student must meet in person with the clinical instructor after arriving late. The student will not be allowed in the clinical site if more than 15 minutes late and/or without prior notification of running late. The student will receive a grade of zero (0) for the day. The student will be counseled for unprofessional conduct.

Clinical Requirements

Students are required to attend clinical as scheduled, complete any given assignment, participate

in post clinical conference, and any other activities assigned by their clinical instructor. If a student misses any scheduled clinical orientation (hospital, facility, and/or one scheduled by faculty), or fails to complete and turn in paperwork and/or modules required by the clinical

site, by the designated time and date, the student will be dismissed from the program.

Wrong Facility

It is the student’s responsibility to be aware of his or her clinical rotation dates and site. Should the student inadvertently go to the wrong clinical facility, the absence will be “no call, no show.” The student will be sent home and will receive a grade of zero (0) for

clinical criteria for that day.

Clinical Remediation

Any student requiring remediation for a clinical skill or activity shall be referred to open lab to practice the skill and must show competence in the nursing lab within 2 weeks of the referral or as indicated by the instructor.

ELECTRONIC MEDIA POLICY

Protected Health Information (PHI)

Students can access electronic medical records only for gathering information. The information obtained must be handwritten; it cannot be photographed or electronically

transmitted. Auxiliary drives (USB drives, portable drives, discs, data storage cards, etc.) are not to be inserted into any facilities EMR system.

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Do Not access any medical records that you are not using for patient care. This

includes your own medical records, your child’s, a family member’s, someone famous, or someone you saw on the news. This is a breach in patient information and privacy

and may result in consequences up to failing your clinical rotation, fines, and dismissal from the program. Hospitals consider PHI violations as critical errors in judgment resulting in grounds for immediate dismissal.

Password Security

Do not share any facility password or your username with anyone. Please be advised that facility staff members are not allowed to share their password or username with

any student or faculty member.

EMPLOYMENT OF ASSOCIATE DEGREE NURSING STUDENTS IN

HOSPITALS OR AGENCIES The Houston Community College Associate Degree Nursing Program supports the

Nursing Practice Act of the State of Texas and is committed to excellence in nursing by nurses appropriately prepared for the service they are rendering. Therefore, the position of the Associate Degree Nursing Program regarding nursing students

accepting employment in hospitals or health agencies is as follows:

1. Houston Community College nursing students who accept positions for which they receive compensation for client care do so as unlicensed individuals and will not wear the school uniform, laboratory coat with insignia, or other indications of their

student status, inasmuch as they are not functioning as nursing students but as paid employees.

2. Students are advised to familiarize themselves with the State of Texas Nursing

Practice Act so they will recognize the full scope and responsibility of nursing as

being more than just a collection of skills. Nursing students who accept positions for pay as Nurses‟ Aides or Professional Student Nurses must recognize that they

may be held legally liable for their actions; they should not accept responsibilities nor perform nursing actions beyond their knowledge and skills, or those within

the responsibilities of the professional nurse as defined in the Nursing Practice Act.

3. The student is responsible for maintaining the required grade point average and should consider the demands of employment upon the student's time

and energy.

PROFESSIONAL APPEARANCE

1 1.Students are expected to appear for duty in the clinical area in full student uniform with HCC Student ID badge.

2 Student uniform must be clean and without torn or ripped areas.

3 Students in uniform must wear appropriately colored under clothing.

4 At times students may feel the need to wear a sweater on the unit. The sweater purchased should be white. Sweaters are discouraged during client care.

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5 Hair styles and beards (if applicable) must be in accordance with hospital and school policy. Hair must be off the collar. A beard must be trimmed.

6 Fingernails must be kept neat, short, and well groomed. No nail polish is acceptable.

7 Jewelry is to be kept at minimum. This is to include wedding band only; No class rings. Earrings should be small studs only. No bracelets. No necklaces.

8 The use of aromatic fragrances is NOT allowed.

9 Students in uniform must have a watch with a second hand (no digital watches) and the watch band must be plain. The student should also have bandage scissors, a

stethoscope, black and/or blue and red ballpoint pens, a pencil, and a small note pad.

Uniforms

Students must wear a white top with black bottoms at Texas Children’s Hospital clinical

facility and college ID badge (MANDATORY). Students will also wear white socks and/or hose and white duty shoes. An HCCS Health Careers patch is to be affixed to the left sleeve. The official HCCS name tag must be worn on the left chest at all times. .

Because this course is set in preparation for a clinical setting, only approved jewelry and proper hair styles are allowed. See the School of Nursing Student Handbook for a

more detailed explanation of the dress code. Students coming to clinical can wear a white undershirt if so desired. Tattoos must be covered with a white undershirt during clinical period.

Students who are inappropriately dressed for clinical may be dismissed and receive a (zero for clinical day) at the discretion of the instructor.

PROFESSIONAL BEHAVIORS

As your instructor and as a student in this clinical, it is our shared responsibility to develop and maintain a positive learning environment for everyone. Your instructor takes this responsibility very seriously and will inform members of the clinical group if

their behavior makes it difficult for him/her to carry out this task. As a fellow learner, you are asked to respect the learning needs of your classmates and assist your

instructor in achieving this critical goal.

1. Students are to treat all clients with courtesy and always insure the client’s dignity and

privacy.

1 2. Students must refrain from discussing a client's history or information contained in the chart with another client or friend or in any public place. Client records are confidential and

should be kept out of reach of unauthorized persons.

3. Students must not converse within a client's hearing unless the conversation is meant

to be heard by the client.

4. No payment will be accepted for services rendered to the client or family.

5. No smoking is allowed in the clinical area except during a break in a designated area.

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6. Breaks are limited to 15 minutes. Report to the instructor or head nurse when leaving and upon returning to the assigned unit.

7. Students are not to make personal telephone calls while in the clinical area. In case of an

emergency, use a pay telephone.

8. Students are not to consume food or beverages around clients. Gum chewing is not

allowed during clinical.

9. A student is not to go to units other than the one assigned unless it involves transfer of

clients or obtaining supplies or equipment.

10. The student is not permitted to take a doctor's verbal order.

11. The student is not permitted to give information over the telephone concerning a client's condition.

12. No part of the client's record, nor duplicate record should be duplicated, removed or taken from the hospital.

13. In consideration of others and of safety, no children are to be brought to the clinical area.

14. The student must complete client assignments and additional duties within specified intervals.

15. The student must notify the clinical instructor before performing any new skills/procedures.

16. The student is expected to cooperate and volunteer to assist other health care members.

17. Students must abide by the appropriate standards of conduct identified in the student handbook including language and professional demeanor.

18. The student must conduct him/herself in an appropriate manner when given

constructive criticism and demonstrate that unwanted behavior has been corrected.

19. The student will consistently dress according to program policy including full uniform, cleanliness and personal hygiene.

1 20.The student at this level should be able to plan, schedule and complete work with minimal assistance.

21. The student will demonstrate independent problem-solving skills within own limitations.

The student must receive a satisfactory rating for all of the Professional Behaviors to achieve a passing Clinical Performance Evaluation grade.

Instances of conduct inappropriate for the profession are subject to disciplinary action. NOTE: Students who demonstrate behaviors that

endanger clients, other people, or themselves, will be removed from the clinical facility.

Other Assignments and Activities

PORTFOLIO

The student will maintain all written work and clinical assignments in a portfolio that

will be always available to the clinical instructor. Students are required to submit their portfolio prior to final clinical evaluation. It is the student’s responsibility to

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maintain and update skills checklist during the Pedi clinical rotation.

Grading Formula

The course must be completed with a 75% or higher passing score. During Fall Semester

2020 Level 3 students received an incomplete grade. Students will receive a final Clinical grade after a satisfactory clinical performance.

Spring 2021 Clinical-Face to Face

OB Clinical Concept Map Satisfactory grade

Client Care/Weekly Performance Satisfactory grade

Fall 2020 Online Virtual Clinical Experience

Journal Article Review and Presentation 25%

Virtual Simulation Clinical

25%

Hesi Patient Care Review Assignments 25%

Client Care/Weekly Performance 25%%

Total 100%

HCC ADN Grading Scale A= 100-90 4 points per semester hour B= 89-80 3 points per semester hour

C= 79-75 2 points per semester hour D= 74-60 1 point per semester hour

59 and below = F 0 points per semester hour W (Withdrawn) 0 points per semester hour

I (Incomplete) 0 points per semester hour AUD (Audit) 0 points per semester hour

Note: All nursing courses (RNSG) require a C to be considered passing. A 74.5 and above will be rounded to a 75.

*Failure to achieve a grade of 75 in any clinical or theory RNSG co-requisite course will result in the student being required to repeat both theory and

clinical co-requisite courses. * A grade of “W” is assigned by the college if you decide to withdraw from a

course before the official drop date listed on the HCC calendar. Withdrawals are not official until the withdrawal form is completed and turned in by you

to the Registrar’s office. If you decide to withdraw, please discuss your situation with faculty or counselor. The associated co-requisite course will

also be dropped.

The Exit Interview form would indicate if the student dropped while passing or failing the courses. A grade of “W” counts as one attempt. The Admission-Committee will make a final decision on re-admission status.

Instructor Grading Criteria

The Weekly Evaluation provided can be used to determine how successful

you are at achieving the course learning outcomes (mastery of course

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content and skills) outlined in the syllabus. If you find you are not mastering the material and skills, you are encouraged to reflect on how you to prepare

for each clinical day. I welcome your observations on what you discover and may be able to assist you in finding resources that will improve your

performance.

HCC Grading Scale can be found on this site under Academic Information: http://www.hccs.edu/resources-for/current-students/student-handbook/

Syllabus and Calendar Modifications

The instructor reserves the right to modify the syllabus and/or course calendar at any time during the semester and will promptly notify students in writing, typically by e-mail, of any

such changes.

Instructor’s Practices and Procedures

Instructor’s Course-Specific Information

Announcements will be sent electronically via HCC email. Be sure to check your email regularly and before coming to clinical.

Missed Assignments

Make-up assignments are not acceptable except in the most extenuating circumstances and at the Instructor’s discretion.

Academic Integrity

Students are responsible for conducting themselves with honor and integrity in fulfilling course requirements. Penalties and/ or disciplinary proceedings may be initiated by college

district officials against a student accused of scholastic dishonesty. “Scholastic Dishonesty” includes, but is not limited to, cheating on a test, plagiarism and collusion. Any instance of

scholastic dishonesty may be reported to the Maxiant system. Possible punishments for scholastic dishonesty include a grade of “0” or “F” on the particular assignment, failure in the course, and/or recommendation for probation or dismissal from the college district. A

recommendation for suspension or expulsion will be referred to the college Dean of Students for disciplinary disposition. Students have the right to appeal the decision.

Here’s the link to the HCC information about academic integrity (Scholastic Dishonesty

and Violation of Academic Scholastic Dishonesty and Grievance):

http://www.hccs.edu/about-hcc/procedures/student-rights-policies--

procedures/student- procedures/

Student Conduct

Students are expected to come prepared to fully participate and learn. Group work and projects should be completed in a timely manner.

Electronic Devices

Students should not bring their laptop or tablet. There is limited storage space and lack

of security for such devices. Please do not bring these items to clinical. Ben Taub

General hospital and Houston Community College are not responsible for any

theft/missing personal electronic devices.

RNSG 1160 –revised 1/15/2021

Nursing Program Information

Majoring in Nursing

Visit the Associate Degree Nursing Program pages on the Learning Web for information about our faculty and courses. You will also find information about majoring in nursing.

Student Organizations

Student Nursing Associateon (SNA) All students are invited to join the SNA an organization that can help students learn about Nursing and the nursing profession. For more information, please contact the Nursing

Department.

HCC Foundation:

Please contact for any available scholarships

HCC Policies Here’s the link to the HCC Student Handbook http://www.hccs.edu/resources-for/current- students/student-handbook/ In it you will find information about the following:

Academic Information Incomplete Grades

Academic Support International Student Services

Attendance, Repeating Courses, and

Withdrawal

Health Awareness

Career Planning and Job Search Libraries/Bookstore

Childcare Police Services & Campus Safety

disAbility Support Services Student Life at HCC

Electronic Devices Student Rights and Responsibilities

Equal Educational Opportunity Student Services

Financial Aid TV (FATV) Testing

General Student Complaints Transfer Planning

Grade of FX Veteran Services

EGLS3

The EGLS3 (Evaluation for Greater Learning Student Survey System) will be available for most courses near the end of the term until finals start. This brief survey will give

invaluable information to your faculty about their teaching. Results are anonymous and will be available to faculty and division chairs after the end of the term. EGLS3

surveys are only available for the Fall and Spring semesters. EGLS3 surveys are not offered during the Summer semester due to logistical constraints. http://www.hccs.edu/resources-for/current-students/egls3-evaluate-your-professors/

Campus Carry Link

Here’s the link to the HCC information about Campus Carry:

http://www.hccs.edu/departments/police/campus-carry/

HCC Email Policy

RNSG 1160 –revised 1/15/2021

When communicating via email, HCC requires students to communicate only through the HCC email system to protect your privacy. If you have not activated your HCC

student email account, you can go to HCC Eagle ID and activate it now.

Housing and Food Assistance for Students

Any student who faces challenges securing their foods or housing and believes this may affect their performance in the course is urged to contact the Dean of

Students at their college for support. Furthermore, please notify the professor if you are comfortable in doing so, this will enable HCC to provide any resources that HCC may possess.

HCC Early Alert Program

o The Houston Community College Early Alert program has been established to assist in the overall effort to retain students who are at risk of failing, withdrawing, or dropping a course. This process requires instructional faculty and student support staff to identify students who are performing poorly as early as possible and provide relevant support services to help students overcome their deficiencies. A student is identified when an instructor notices academic or personal difficulty that affects student’s academic performance. The possible problem(s) could be tardiness, missed/failed test scores, excessive absences, or a number of other circumstances. Once a referral is made, counselors will then contact students to discuss issues and possible solutions to their academic difficulties.

Office of Institutional Equity

Use the link below to access the HCC Office of Institutional Equity, Inclusion, and Engagement (http://www.hccs.edu/departments/institutional-equity/)

Ability Services

HCC strives to make all learning experiences as accessible as possible. If you anticipate or experience academic barriers based on your disability (including mental

health, chronic or temporary medical conditions), please meet with a campus Abilities Counselor as soon as possible in order to establish reasonable accommodations.

Reasonable accommodations are established through an interactive process between you, your instructor(s) and Ability Services. It is the policy and practice of HCC to

create inclusive and accessible learning environments consistent with federal and state law. For more information, please go to http://www.hccs.edu/support- services/disability-services/

Statement for Social Justice Houston Community College is committed to furthering the cause of social justice in our

community and beyond. HCC does not discriminate on the basis of race, color, religion, sex, gender identity and expression, national origin, age, disability, sexual orientation, or veteran status. I fully support that commitment and, as such, will work to maintain a positive learning

environment based upon open communication, mutual respect, and non-discrimination. In this course, we share in the creation and maintenance of a positive and safe learning environment.

Part of this process includes acknowledging and embracing the differences among us in order to establish and reinforce that each one of us matters. I appreciate your suggestions about how to best maintain this environment of respect. If you experience any type of discrimination, please

contact me and/or the Office of Institutional Equity at 713-718-8271.

Title IX

RNSG 1160 –revised 1/15/2021

Houston Community College is committed to cultivating an environment free from inappropriate conduct of a sexual or gender-based nature including sex discrimination,

sexual assault, sexual harassment, and sexual violence. Sex discrimination includes all forms of sexual and gender-based misconduct and violates an individual’s fundamental

rights and personal dignity. Title IX prohibits discrimination on the basis of sex-including pregnancy and parental status in educational programs and activities. If you require an accommodation due to pregnancy please contact an Abilities Services

Counselor. The Director of EEO/Compliance is designated as the Title IX Coordinator and Section 504 Coordinator. All inquiries concerning HCC policies, compliance with

applicable laws, statutes, and regulations (such as Title VI, Title IX, and Section 504), and complaints may be directed to:

David Cross Director EEO/Compliance

Office of Institutional Equity & Diversity 3100 Main (713) 718-8271

Houston, TX 77266-7517 or Institutional.Equity@hccs.edu http://www.hccs.edu/departments/institutional-equity/title-ix-know-your-rights/

Covid-19

Much is unknown about how the virus that causes COVID-19 spreads. Health authorities believe it spreads mostly from person to person through respiratory droplets produced when someone who is sick coughs or sneezes. You can help prevent the spread of respiratory illnesses like

COVID-19 and the flu by taking simple daily precautions. Continue to practice healthy habits to help slow the spread of COVID-19 and other viruses, and to protect you and others.

• Wash your hands for at least 20 seconds

• Practice social distancing by putting space between yourself and others

• Clean and then disinfect frequently used surfaces

• Stay home if you’re sick

• Avoid touching your face

Wearing a cloth face covering CORRECTLY can help prevent the spread of COVID-19 to others. Your cloth face covering should:

• Reach above the nose, below the chin, and completely cover the mouth and nostrils

• Fit snugly against the sides of the face

• Be made of multiple layers of fabric that you can still breathe through

• Be able to be laundered and machine dried without damaging the material or shape

• Please do not buy surgical masks to use as a face covering. Those are intended for health

care workers and first responders.

Look for emergency warning signs* for COVID-19. If someone is showing any of these

signs, seek Emergency medical care immediately.

• Trouble breathing

• Persistent pain or pressure in the chest

• New confusion

• Inability to wake or stay awake

• Bluish lips or face

*This list is not all possible symptoms. Please call your medical provider for any other symptoms that are severe or concerning to you. For more information visit

https://www.cdc.gov/coronavirus/2019-ncov/index.html

RNSG 1160 –revised 1/15/2021

Department Chair Contact Information Dr. Tyrone Sharp Tyrone.sharp@hccs.edu 713 718 7476

RNSG 1160 –

Clinical Behaviors

Clinical behaviors that are formally addressed by faculty fall into three categories. The first level is identified as

behaviors needing improvement (BNIs), that involve incidents such as uniform infractions or misunderstanding a care

plan assignment. Faculty may or may not assign remediation. The second level of behaviors, identified as reportable

negative incidents (RNIs), are more serious infractions that warrant more serious consideration. An example might be

the failure to report abnormal vital signs or failure to report to the clinical area adequately prepared.

The third level, identified as reportable negative critical incidents (RNCIs), indicate a very serious infraction which

has endangered or potentially impaired a life, or reflects values or ethics that are not held by the nursing profession.

These behaviors correspond to the Critical Elements that faculty have identified as primary areas of nursing practice -

Safety, Accountability, and Confidentiality. Examples might be a medication error that impaired a life, side rail left

down resulting in a patient injury, lying, or insubordination. Student behaviors related to the Critical Elements are

starred (*) on the Clinical Evaluation Tool and the Clinical Evaluation Tool Criteria Sheet. The occurrence of three (3)

RNI’s or one (1) RNCI may result in a student being dismissed from the ADN program.

Level I – BNI: Behaviors Needing Improvement

1. Identify the behavior for the student and counsel as needed.

2. Document behavior or action on an HCCS Contact Action Form.

3. Observe and document the correction of the behavior, with or without remediation.

Level II – RNI: Reportable Negative Incident - A more serious offense, as described above, which includes the

repetition of, or the failure to correct, a particular BNI.

1. Steps 1 & 2 as above.

2. Submit the Contact Action Form to the Department Head.

3. The Department Head will activate a 3-member Faculty Hearing Review Committee to determine the

severity of the offense(s).

4. The committee determines whether three (3) RNIs have occurred, which may result in the

student being dismissed from the ADN program, at any point during the course of study.

Level III–RNCI Reportable Negative Critical Incident – Behavior that endangers or impairs life, or reflect values or

ethics that are not of the nursing profession.

1. Steps 1, 2, and 3 as above.

2. The 3-member Faculty Hearing Review Committee determines whether the behavior is an

RNCI that warrants removal of the student from the ADN program.

3. The student will be removed from the ADN program per Institutional policy.

Printed Name Signature Date

RNSG 1160: CARE OF CHILDBEARING FAMILY, CLINICAL NURSING GRADE

SHEET

STUDENT NAME (print):

Last First

Scale:

A = 90-100

B = 80-89

C = 75-79

D = 60-64

F = below 60

Journal Article Review and Presentation 25%

Simulation Performance 25%

Hesi Patient Care Review Assignments 25%

Client Care/Weekly Performance (Fall 2020) 25%

Client Care/Weekly Performance (Spring 2021) Satisfactory

Concept Map Assignment Satisfactory

Total 100%

Unexcused absences will be a deduction of 15% from the final grade

DATE:

Course Final Grade:

Student Signature:

Faculty Signature:

Date

21

RNSG 1160: Student Evaluation of Clinical Instructor

Clinical Instructor’s Name: Date:

Scale: This evaluation is on a Likert Scale of 1-5 with 1 being the lowest score and 5 being the highest score.

1 2 3 4 5

1. The instructor provides adequate and accurate information to students about clinical

requirements.

2. The instructor is physically present in the clinical area on assigned days and hours to

supervise students.

3. The instructor conducts a conference session with students.

4. The instructor returns student written work within one week with constructive criticism

and comment.

5. The instructor provides opportunities for students to demonstrate nursing skills prior to

Evaluation.

6. The instructor demonstrates required skills for the students when necessary.

7. The instructor provides meaningful dialogue with the student about program

Instructions for clinical each clinical day:

1. Report to the hospital at the designated time and location. Everyone should be on their unit at the designated time. If you are going to be late, or absent from clinical, please

call your instructor's voice mail and leave a message. Failure to notify the instructor of absence will be averaged in the clinical performance grade as a 0 for that day.

2. Students are asked not to sit around the nurse's station. Charts should not be taken away from the nurse's station without permission.

3. During the shift, be prepared to discuss your plan of care with the instructor and/or primary nurse; this includes planned interventions and expected outcomes for the shift you are on and nursing diagnoses based on client data.

4. When giving medications, check to see if the medications are on the unit. Have your medications set up and ready 30 minutes before the scheduled time to administer them.

Do not administer IV medication. Follow agency policy regarding narcotic administration by students. Do not administer any medications without your instructor or primary nurse present. You must know safe and therapeutic dosage,

rationale, classification, action of the drug and major adverse effects that might occur. 5. For security purposes, always have your student picture ID in full view and

always identify yourself as a nursing student at HCCS.

6. Nursing procedures other than vital signs, physical assessment, baths and linen changes must be done in the presence of the instructor or primary nurse. If you are uncomfortable with any of these tasks, please discuss with your instructor or primary nurse.

7. Documentation should be begun (chart opened) within 2 hours of arrival on the unit. Please have your client assessment completed before documentation. Document every 2 hours. Some areas may use a flow sheet instead of, or in addition to, narrative

documentation. Students do not document on the medical record in L&D unless asked. Documentation on the hospital medical record on other units is per agency policy.

8. Submit your narrative documentation, or what you would document (even if you are not allowed to document on the actual medical record) to your instructor at the end of the shift.

9. Students are expected to review daily lab values for discussion. Lab reports for abnormal values and/or expected normal values should be included in your client data base.

10. You may have a 15 minute shift break and a 30 minute lunch break for the 12 hour clinical. 11. Report to your primary nurse by at the end of the shift, & report promptly to post-

clinical conference. 12. Post clinical written assignments are due at the end of the clinical day. Complete

nursing care plans are due on the date/time designated by the clinical instructor.

During your clinical rotation, please feel free to page your instructor. Your clinical experience should be a positive one and your instructor will be available to you as a

resource.

Student Name (Print):

Signature: Date:

22

Associate Degree Nursing

RNSG 1160-Care of the Childbearing Family, Clinical Nursing SPRING 2021

Course Expectations and Clinical Contract Agreement

I understand that Clinical Placement/simulation takes precedence over employment commitments, and that my current employment or any academic scheduling cannot interfere with my clinical assignment.

I understand that orientation to the clinical facility is mandatory; failure to attend the online orientation is a violation of the clinical affiliation agreement and will result in immediate withdrawal from the clinical course (based on individual clinical facilities). Students are not allowed to change clinical assignments with other students or attend a clinical to which they are not assigned. Exceptions may be made at the

discretion of the Course Lead Instructor in collaboration with clinical faculty and the Program Director.

If a student attends a clinical, to which they are not assigned, the student will not receive credit for that

clinical day and is subject to withdrawal from the current clinical course.

I understand that clinical placements are final and fully agree to the above requirements and mandates.

I acknowledge that I am aware that the A.D.N. Student Handbook is on course website and I am accountable for following the policies and procedures discussed in the handbook.

I understand that I will be removed from the clinical area if my behavior endangers my life or the lives of clients, client’s families, or other health care workers.

I understand and adhere to the COVID-19 Center for Disease Control (CDC.gov) guidelines and Ben Taub General Hospital policies for COVID-19 for healthcare workers.

My signature below signifies my willingness to comply with the course requirements. I also understand that the syllabus is online in the Learning Web and it is my responsibility to get a printed copy.

I have read the RNSG 1160 Clinical Syllabus and agree to abide by the information and guidelines contained therein.

PRINTED NAME

SIGNATURE

DATE

23

RNSG 1160 – OB Weekly/Final Clinical Performance Evaluation

Student:

Faculty:

Facility:

Semester:

Clinical Week DATE: DATE:

1.Reports to clinical on time or notifies clinical

instructor of tardy or absence

2. Prepared for clinical experience evidenced by

completion of pre-clinical paper-work

3. Receives report on client. Reviews client data to

ensure proper care for shift (labs, medications,

procedures)

4. Completes physical assessment & collaborates significant findings with staff

5. Knowledgeable about client’s plan of care and identifies signs and symptoms of disease process

*6. Performs all clinical skills and procedures safely

according to policy of assigned affiliate agency

a. Vital signs

b. Asepsis

c. Personal care/hygiene

d. Other

7. Medications

a. Checks medications to be given,

availability, & client allergies

b. Demonstrates knowledge of drugs and nursing implications

* c. Correct preparation and calculation of

medications

* d. Administers medications safely

e. Evaluates client response

9. Client diet: Identifies type, amount taken, nutrition needs

10. Communicates appropriate and accurate

knowledge about client’s plan of care

a. Discuss labs, medication and clinical procedures

b. Discuss significant assessment findings and collaborate significant findings with staff

b. Discuss prioritized nursing diagnoses, goals and interventions

11. Communicates effectively with peers, faculty,

members of the health care team and client on his or her developmental level of comprehension

12. Accurately documents client care information

*13. Reports pertinent information critical to client

care to instructor or other health care team members in

a timely manner

23

14. Prioritizes and organizes client care according to growth, development and disease process

*15. Demonstrates confidentiality of client

information/follows HIPAA guidelines

*16. Seeks & uses feedback from

instructor/nursing staff; seeks clarification of

assignments & role responsibility when in doubt

*17. Seeks and/or requests learning experiences to

enhance own learning; investigates unfamiliar

medications, procedures, or equipment

18. Implements health teaching appropriate to the clinical area

*19. If error is made, reports to instructor or staff

immediately

20. Maintains standard of performance under stress

21. Demonstrates through appearance, verbal or

written communication, and person to person interactions, a courteous, constructive and positive attitude.

22. Follows directions, organizes materials, manages time and actively participate post clinical conference

*23. Demonstrates sensitivity, courtesy to others,

honesty, constructive positive attitude, accountability

and scholastic integrity/ Professional behaviors

Total

Student’s initial

*Indicates the behavior is critical to performance.

Evaluation Codes: Satisfactory = S NO = not observed

Needs Improvement = NI NA = not applicable Unsatisfactory = U

CRITICAL BEHAVIORS - If performance is less than satisfactory on any critical behavior:

First occurrence: 25 points deducted from grade and documented remediation within one

week

Second occurrence of same behavior: Zero for the clinical day

Third occurrence of same behavior: Zero in clinical performance for the course (25% of course grade)

NON-CRITICAL BEHAVI0RS:

Each U (unsatisfactory) received: 10 points deducted from grade

Each NI (needs improvement): 5 points deducted from grade

Additional Comments:

FINAL

EVALUATION:

Faculty:

Student:

Faculty Signature

Student Signature

Date:

Student: _________________________ Date: ___________________________

Pt. Initials/Age/Gender/Race/Ethnicity/ Unit: Erickson Stage of Development (5%) Chief complaint/Reason for Client’s Hospitalization (10%): Client’s Medical/Surgical Diagnosis/Pathophysiology(Define in your own words) 10%

VS: 8am 12pm 4pm

RR: RR: RR:

HR: HR: HR:

B/P: B/P: BP:

Temp: Temp: Temp:

Significant Data Diagnostics/Labs (10%): Medications (10%) Procedures: Past/Family History: Clinical Manifestations (Observed in the patient) 10% List two Nursing diagnosis (NANDA)

#1 NANDA (15%): Plan of Care: Short Term Goal Outcome Criteria

Nursing Intervention (15%) List 4 nursing interventions with rationale for each) 1. Rationale: 2. Rationale: 3. Rationale: 4. Rationale.

Evaluation/Patient Outcomes (15%

NURSING Assessment (Clinical Manifestations)

PATHOPHYSIOLOGY:

Evaluation (Patient Outcomes): Medications /LABS

Nursing Diagnosis/Nursing Goals/Expected

outcomes: