Phillips
Community College of the University of Arkansas
Nursing III
Syllabus R S 07
COURSE:
PN 215, Nursing III
FACULTY:
Hazel Smith,
R.N., AA
Jeanne McCullars, R.N., BS
Shannon McKewen,
R.N., AAS
Pam Johnston, R.N., AAS
PHONE &
Smith:
(O)
870-946-3506, ext. 1611
E-MAIL:
hsmith@pccua.edu
McCullars: (O)
870-946-3506, ext. 1612
jmccullars@pccua.edu
McKewen: (O)
870-946-3506, ext. 1638
smckewen@pccua.edu
Johnston: (O)
870-338-6474, ext. 1362
pjohnston@pccua.edu
THEORY
CREDITS:
7 credit
hours/112 clock hours
CLINICAL
CREDITS:
8 credit
hours/384 clock hours
PREREQUISITES:
PN 1003, 101, 102, 104, 112, 201, 203, 211, 214, 223, 224
CO-REQUISITE:
PN 231
PLACEMENT: Theory:
Semester III
Clinical:
Semester III
COURSE
DESCRIPTION:
This course presents principles of
nursing care for adult clients in acute, sub-acute, and convalescent
stages of illness. Emphasis is placed on nutrition, self-esteem,
safety, activity, oxygenation, elimination, and comfort needs.
Clinical experiences allow students to apply these theoretical
concepts with adults, families, and groups. The role of the
practical nurse in delegation, collaboration, and healthcare
delivery is practiced.
REQUIRED TEXTS
Christensen,
B., & Kockrow, E. (2006). Foundations and Adult
Health Nursing (5th ed.). St. Louis: Mosby.
Christensen, B., & Kockrow, E.
(2006). Foundations and Adult Health Nursing StudyGuide
(5th ed.). St. Louis: Mosby.
Zerwekh, J., Claborn, J., and
Miller, C. (2000). Memory Notebook of Nursing (2nd
ed.). Dallas: Nursing Education Consultants.
HESI NCLEX PN Review (2005). Houston: Health Education Systems.
RECOMMENDED TEXTS
Miller,
B., & Keane (2003). Encyclopedia and dictionary of medicine,
nursing, and allied health (7th ed.).
Philadelphia: J. B. Lippincott.
Nettina, S.
(2001). Lippincott manual of nursing practice. (7th
ed.).
Philadelphia: Lippincott-Raven.
Beare, P.
(1999). Davis review for NCLEX-PN. (2nd
ed.). Philadelphia: F. A. Davis.
RESOURCES
Phillips Community College of the
University of Arkansas Nursing Computer Laboratory
Phillips
Community College of the University of Arkansas Nursing Skills
Laboratory
Phillips
Community College of the University of Arkansas Learning Resources
Media Center
Bailey Family
Practice
Burleson
Medical Clinic
Delta AHEC,
Helena
DeWitt
Hospital, DeWitt
DeWitt
Hospital Home Health, DeWitt and Stuttgart
Delta
Memorial Hospital, Dumas
Helena
Regional Medical Center, Helena
Helena
Regional Hospital Home Health, Helena
Lion’s World
Services for the Blind
Northwest
Mississippi Regional Medical Center, Clarksdale
St. Vincent’s
Infirmary Medical Center, Little Rock
Stuttgart
Regional Medical Center, Stuttgart
Stuttgart
Dialysis Center, Stuttgart
Ferguson
Rural Health Clinic, DeWitt
DeWitt
Nursing Home, DeWitt
South Central
Center on Aging, Pine Bluff
Arkansas
County Health Department, Stuttgart
Arkansas
County Home Health, Stuttgart
Fresenius
Medical Group
Phillips
County Health Department, Helena
PCCUA CORE COMPETENCIES
The six PCCUA
core competencies are incorporated within the context of this
course. The competencies address skills the College and the
Practical Nursing Program have committed to developing in all
students.
1)
Communication
2)
Cultural Awareness
3)
Social and Civic Responsibility (Role)
4)
Critical Thinking (Nursing Process)
5)
Mathematical Reasoning
6)
Technology Utilization (Core Knowledge and Therapeutic
Interventions)
Assessment of
student competency is evaluated by a variety of methods throughout
this course. The HESI EXIT Exam administered at the end of Level III
is a summative evaluation used to assess student attainment of these
six core competencies.
GRADING POLICY
Grading Scale
A
100-93.00
B
92.99-86.00
C
85.99-78.00
D
77.99-70.00
F Below 69.99
Grade Distribution
Grades
will be determined as follows:
Mid-Term Grade
Daily average x
0.05= ___
Unit average x
0.60 = ___
The total divide
by 0.65 = MT grade
Final Grade
Cognitive (Knowledge) 75%
Daily Grades 5%
Unit Exams 60%
Final Exams 10%
Psychomotor (Performance)
25%
Clinical Performance 20%
Daily Assignments 5%
A grade of 78%
must be obtained in both the cognitive (78 x 0.75 = 58.5)
and psychomotor
(78 x 0.25= 19.5) areas of evaluation. Failure to attain 78% in
either the cognitive or the psychomotor component will result in
course failure.
HESI Exit Exam
HESI Exit Exam (Cost: $31 per Exam + s & h)
A passing
score on the HESI Exit Exam is required for successful completion of
PN 215. Students who do not complete HESI testing requirements as
scheduled or who do not meet the established standard will receive a
grade of “F” for PN 215. The cost of all exam retakes is the
responsibility of the student. Students may retest twice, but any
missed exam will count as a fail. Students should not schedule
employment orientation and/or employment start date until HESI Exit
Exams have been successfully completed as outlined below:
1.
The
first exam is scheduled at the end of Level III for all students who
are passing PN 215 at the end of the semester. A grade of
“Incomplete” will be recorded for PN 215 pending the results of the
HESI Exit Exam. Students who do not achieve 900 or above on the HESI
Exit Exam on the first attempt will be required to take a second
HESI Exit Exam. Prior to the retake, students should utilize the
NCLEX-PN review materials for remediation.
2.
The
second exam is scheduled four (4) weeks after the first exam.
Students who do not achieve a score of 900 or above on the second
HESI Exit Exam will be required to take an NCLEX-PN review course
and a third HESI Exit Exam. The third HESI Exit Exam will NOT be
administered without written documentation of completion of an
NCLEX-PN review course.
3.
The
third exam is scheduled four (4) weeks after the second exam.
Students who do not achieve a score of 900 on the third HESI Exit
Exam will receive a grade of “F” in PN 215. Students who fail PN
215 are considered for reentry into PN 215 according to readmission
policy.
Grade Calculation
Grades are
determined in the following manner. The score for each graded
assignment is rounded to the nearest whole number. When scores are
averaged and weighted, all numbers are carried two decimal places.
No numbers are rounded.
Progression
The lowest
PASSING grade in the Practical Nursing Program is C
(78.00). In order to progress, the student must obtain a
minimal grade of C (78.00). A numerical grade of 77.99
is failing.
Testing
Policy
In an attempt
to increase success on the NCLEX-PN Exam, testing will mirror the
NCLEX-PN configuration in the following ways:
·
Major exams may be
administered on the computer via WebCT
·
Questions on WebCT
will be delivered one at a time.
·
Each question on
WebCT must be answered as it becomes available and cannot be
revisited.
·
Unit and final exams
(computer or paper/pencil) will be timed, and the time allotted for
each question will be progressively shortened over the curriculum as
follows:
o
Level I: 1.75
minutes per question
o
Level II: 1.50
minutes per question
o
Level III:
1.25 minute per question (same as NCLEX-PN)
When time
expires, no additional exam items may be answered. The exam grade
will be the number of items answered correctly divided by the total
number of items on the test.
Evaluation
Theory:
Daily tests are
given at the discretion of the instructor. A unit test is given at
the completion of each unit and a final exam at the end of the
course. Test items include, but are not limited to, multiple-choice,
matching, true or false, and short answer questions to encourage
critical thinking skills and prioritizing nursing interventions.
Clinical:
Students will
complete a self-evaluation using the same criteria and numerical
expression as the clinical instructor. This form will be completed
in post-conference and given to instructor. Students in outside
facilities will turn in the first class day following the clinical
experience by 1 pm. Students are expected to schedule weekly
appointments with their clinical instructor to discuss clinical
evaluations.
VIOLATION OF SAFE
PRACTICE
An UNSAFE
behavior is defined as an act of omission or commission that could
result in injury, death, prolonged hospitalization or recovery of
the client. This includes but is not limited to:
1.Failure to
protect the client’s microbiological, chemical, physical,
psychological, and/or thermal safety.
2.Inadequate
use of the nursing process
3.Violation of
previously learned principles
4.Inappropriate
independence or dependence in the clinical setting.
Procedure for UNSAFE
Behavior
1.The
instructor will inform the student of UNSAFE behavior.
2.The student
will be dismissed from the clinical area until the issue is
resolved.
3.The student
and instructor will meet the next working day to discuss and
document the UNSAFE behavior.
4.The Faculty
Committee will meet to review the facts. The student and the
instructor may attend the meeting and present information related to
the incident.
5.If the
behavior is determined to be UNSAFE, the student will receive
an “F” in the clinical nursing course and must immediately withdraw
from the co-requisite nursing theory course(s). If the student is
eligible for readmission, an application may be submitted.
6.The student
has the right to appeal the decision through the college grievance
process. The student must initiate the process within one working
day following the decision of the Faculty Committee.
LATE POLICY
Tests
Responsible
behavior requires the instructor be notified in advance of any test
(daily, unit, or final exam) which will not be taken as scheduled.
When any test is missed, it is the student’s responsibility on the
day the student returns to class to arrange with the instructor to
take the test.
Five (5)
points will be deducted from the earned score of all late tests
(daily, unit, or final exam) taken within 5 working days of
returning to class. A zero (0) will be recorded when the student
fails to make-up a missed test within 5 working days of returning to
class.
Test review
will not be available to any student until all students have
completed the exam.
Final exams
are given late only in special circumstances such as
hospitalization. When a final exam is not taken as scheduled, the
student must notify the instructor before the exam is given and
arrange with the instructor to take the exam before grades are due
at the end of the semester. If the student fails to contact the
instructor to reschedule a time to take the final exam or fails to
take the rescheduled final exam before grades are due at the end of
the semester, a grade of zero (0) will be recorded. In the event
circumstances prevent a student from taking the final exam before
grades are due at the end of the semester, a grade of Incomplete (I)
will be awarded according to College policy.
Five (5)
points will be deducted from the score of any test taken
after the scheduled time.
Assigned
Course Work
Assigned
course work will not be accepted if submitted after 5 working days
from the date due. Five (5) points will be deducted from the earned
score of all course work submitted within 5 working days of the
original scheduled time. A zero (0) will be recorded when the
student fails to submit assigned course work within 5 working days
of the original date due.
Review of
Graded Material
Students
should make an appointment with faculty to review any graded
material, including but not limited to, quizzes, exams, papers, and
homework within 5 working days from the date the score is posted.
After 5 working days, graded material may not be reviewed. There is
no provision for group review following a final exam.
Grades for unit and final exams
will be released to the student following faculty evaluation of
discrimination and item analysis.
The student may not request to
repeat any graded materials for a better grade.
ATTENDANCE POLICY
Students are
expected to come to class on time with assignments completed.
Absences in excess of two (2) constitute excessive
absence and may result from the student being dropped from the roll.
Three tardies
constitute one absence.
Please refer
to the 2006-2007 PN Student Handbook for the complete
attendance policy and definitions of “absence” and “tardy”.
Clinical
In case of
illness or crisis, which prevents attendance in the clinical
setting, the student must notify the instructor 60
minutes prior to the clinical experience. If the student is unable
to reach the instructor, the student is expected to call the nursing
supervisor prior to the beginning of the clinical experience. Give
name, assigned workstation, and reason for absence. Telephone
numbers for the clinical areas are listed in the local telephone
directory or through Directory Assistance.
OTHER POLICIES
Disclaimer
In accordance with college policy as stated
in the College Catalog, this publication is not to be
construed as a contract between the student and the Practical
Nursing Program. All programs within the Division of Allied Health
reserve the right to make changes at any time in individual courses,
the curriculum leading to a degree or certificate, as well as
policies contained in the PN Information Packet, College
Catalog, student handbooks, and web. Students are required to be
familiar with and observe all rules and regulations of the college.
Cell Phones and Pagers
To provide an
optimal learning environment, all cell phones should be turned off
or muted during class, clinical, and testing. Furthermore, students
should not send or receive text messages or use cell phones to take
pictures during class, clinical, and testing.
Changes in Student Demographics
Student
academic files must contain current data. If information such as
name, address, or phone number changes, it is the student’s
responsibility to immediately submit the new information in writing
to the secretary in the Division of Allied Health.
College Drug and Alcohol Policy
All students
are expected to abide by the College drug and alcohol policy as well
as the Division of Allied Health’s Substance Abuse Testing Policy.
Refer to the College and PN Student Handbooks
to review these policies.
Computer Lab
The nursing computer lab on the
Helena campus is open from 8 a.m. until 4:15 p.m. for use by
students. Use of these labs requires a computer pass that is
distributed at the beginning of each semester.
The nursing computer lab on the
DeWitt campus is open from 8 a.m. until 4:15 p.m. for use by
students. Use of this lab requires permission from the instructor.
If the student requires use of the lab after hours, permission is
required from the instructor and the student must sign in at the
front desk.
Related Campus Services
Refer to the
PN Student Handbook or College Catalog for a list of
student services.
LEVEL III
OBJECTIVES
1.
Maintain accountability and adhere to the legal scope of PN practice
when delegating and delivering healthcare to individuals, families,
and groups.
2.
Utilize appropriate communication skills when collaborating with
healthcare team members and providing healthcare for individuals,
families, and groups.
3.
Utilize the nursing process in the provision of care for
individuals, families, and groups across the lifespan with
biopsychosocial and spiritual needs.
4.
Teach basic principles of health promotion/maintenance/
restoration from an established plan to assist individuals,
families, and groups to attain optimal levels of functioning.
5.
Utilize principles of crisis intervention to promote individual,
family and group adaptation during situational and maturational
events.
6.
Demonstrate skill in prioritizing care for individuals, families,
and groups.
7.
Advocate for care of individuals, families, and groups that is
consistent with and sensitive to cultural values, beliefs, and
customs.
COURSE OBJECTIVES
1.
Demonstrate the role of the practical nurse as stated in the
Practical Nursing Code of Ethics and legal scope of practice in
the delegation and delivery of healthcare for adult clients, their
families, and groups.
2.
Establish therapeutic communication when interacting with
individuals, their families, and groups.
3.
Demonstrate skill in using the nursing process to provide nursing
care for individuals, their families, and groups, emphasizing
nutrition, self-esteem, safety, activity, oxygenation, elimination,
and comfort needs.
4.
Utilize an established plan to teach individuals, their families,
and groups principles of basic health promotion, maintenance, and
restoration.
5.
Use
principles of crisis intervention to reduce the impact that multiple
stressors have on the health of individuals, their families, and
groups.
6.
Utilize decision-making
skills to prioritize care for individuals, their families, and
groups.
7.
Respect individuals’,
families’, and groups’ cultural beliefs, values, and customs about
illness and end of life.
8.
Determine the influence
of stages of illness on growth and development of individuals, their
families, and groups.
