Walla Walla Community College

WALLA WALLA COMMUNITY COLLEGE

NURSING EDUCATION

PRACTICUM II

NURS 112

Spring Quarter 2010

To request accommodations related to a disability, contact Claudia Angus, Ph.D., Coordinator of Disability Support Services, at 527-4262 or email claudia.angus@wwcc.edu on the Walla Walla Campus. Clarkston students may contact Carol Bennett, at 758-1718 or email carol.bennett@wwcc.edu .

Every effort is made to ensure accuracy in the syllabus at the time of printing. However, the Walla Walla Community College Nursing Education Program reserves the right to change any provision or requirement that is necessitated by circumstances arising during the course. All changes shall be provided in writing.

COURSE OUTLINE

Course Identifier:

NURS 112

Title:

Practicum II

Credits:

4

Clinical/Lab Hrs Per Wk:8

Catalog Description: An application of theory from NURS 102. The focus is on providing care for clients of all ages in acute care facilities.

Prerequisites:

NURS 101 and 111

Corequisites:

NURS 102

Teaching Format:

Clinical

Demonstration/Simulation

Client Centered Conferences

Workshops

Independent Learning Modules

Location:

Walla WallaCampus - Skills Practice Lab; Acute Care Hospitals

Clarkston Campus - Skills Practice Lab; Acute Care Hospitals

Course Topics:

Postpartum assessment

Newborn care

NG Tubes (Insertion, Feeding, Medications)

Ostomy Care

Evaluation Devices:

Clinical Evaluation Tool

Written Assignments

Medication Computation/Administration Proficiency

Computer Assignments

Skills Performance Validation

Course Competencies:

Critical Thinking

1.Demonstrate critical thinking in the use of the nursing process.

2.Demonstrate use of management/leadership principles in the delivery of client/patient care.

Caring

3.Perform interventions in a safe and effective manner.

4.Use therapeutic communication.

Professional Behaviors

5.Demonstrate professional behaviors.

GRADING CRITERIA

NURS 112

Name __________________________________

Points Earned: _________

Percentage: _____ Clinical Grade: ____________

Criteria

Points Possible

Points Earned

Journal Entries (3 points per clinical day, 6 points per clinical week)

18

Written Competencies

25

Clinical Tool Points

38

Prenatal Profile

30

Skills Practice Lab Activities

30

Medication Calculation/Administration Proficiency (P/F) Must have 80% to pass (two tries to pass – failure will result in a failing clinical grade regardless of total points achieved)

P/F

Late Points: one per every business day clinical folder is late (handbook p. 17)

Total

141

Practicum: ____ ____ / ____ ____ / ____ ____ Peds Workshop: ________

· Failure to notify the clinical agency and the WWCC Nursing Department (WW 527-4240 / CLK 758-1702)of an absence will be reviewed by Level I faculty and may result in the issuance of a Contract or Special Concern.

· Failure to notify the WWCC Nursing Department (WW 527-4240 / CLK 758-1702) for any Skills Lab or workshop absence will be reviewed by the Level I faculty and may result in the issuance of a Contract or Special Concern.

· Attendance/Tardiness – see handbook policy. Absences from any NURS 112 activity will result in zero (0) points for missed activities. If tardy or unprepared for clinical, no attendance points will be awarded for that day. Absences and tardiness will be tracked. Three episodes of tardiness, in any combination of NURS 112 activity, equal one absence. Three absences, in any combination of NURS 112 activity, equal a letter grade drop from total points earned. Four absences constitute a clinical failure.

· Students are responsible for any content missed due to absence or tardiness.

· All assignments must be accounted for in order to complete course work.

· Grades are earned by students, not given by instructor

· Grading Scale: See Nursing Student Handbook

FACULTY CONTACT LIST

Walla Walla Campus:Nursing Office:509-527-4240

Clarkston Campus:Nursing Office:509-758-1702

Director of Nursing Education: Marilyn D. Galusha, RN, MSN

Walla Walla-based Instructors

Office Number

Email addresses

Kathy Adamski, RN, MN

(Level I Lead Instructor)

527-4244

kathleen.adamski@wwcc.edu

Cell: 200-0904

Brenda Anderson, RN, MSN

527-4327

brenda.anderson@wwcc.edu

Cell: 240-4084

Grace Hiner, RN, MSN

527-4421

grace.hiner@wwcc.edu

Home: 525-3519

Maribeth Bergstrom, RN, MN

527-4240

5mountainstream@charter.net

Cell: 540-5619

Pamela Gisi, RN, BSN, MBA

527-4240

pamelag758@yahoo.com

Cell: 540-5354

Eileen Seifert, RN, BSN

527-4240

eileen.seifert@wwcc.edu

Cell: 520-1573

Lana Toelke, RN, BSN

(Walla Walla Skills Practice Lab)

527-4246

lana.toelke@wwcc.edu

Clarkston-based Instructors

Carol McFadyen, RN, Ph.D.

(Clarkston Lead Instructor)

758-1728

carol.mcfadyen@wwcc.edu

Todd Carpenter, RN, BSN

758-1787

todd.carpenter@wwcc.edu

Stephanie Macon-Moore, RN, BSN

758- 1702

stephanie.maconmoore@wwcc.edu

Cell: 208-596-5371

Hawa Al Hassan, RN, BSN

758-1702

hawa.al-hassan@wwcc.edu

Cell: 509-432-6472

Jennifer Nicholas, RN, BSN

(Clarkston Skills Practice Lab)

758-1704

jennifer.nicholas@wwcc.edu

Individual Conference Session Summary

NURS 112

Student Name:__________________________________

Student Self Evaluation: (strengths and plans for growth) complete prior to ICS

Final Instructor Evaluation:

Instructor

Date

Student

Date

____________________________

____________________________

Instructor Concerns/Repeated Reminders

(performance issues/timeliness/attendance)

Student Name: ______________________________________________

Any entry on any topic will constitute a concern that could be evaluated by Level I faculty for additional action. The action could include issuance of a Clinical Contract or Special Concern.

Date

Concern

Incident

Clinical Contract or Special Concern:

Your clinical grade or progression in the program may be affected by serious problems or repeated incidences related to unsafe and unethical practice. Each concern will be documented and discussed. Documented instances will be handled through appropriate channels and may lower the clinical grade.

Weekly Instructor Feedback

Student Name: _______________________________________

JOURNAL TO DESCRIBE CLINICAL EXPERIENCE

Purpose:To assist the learner in reflective thinking regarding the learning opportunities and clinical experiences that occurred during the clinical week

Method:Each student is expected to complete a weekly journal which reflects both days clinical experience. A Reaction Paper will be done for either a Respiratory or Perioperative Follow-through experience and will replace one day’s journal entry for that week. Students assigned to OB will complete an OB Data Packet consisting of an OB Client Data Sheet and a Newborn Assessment Sheet. This packet replaces one day of the weekly journal and is worth 3 points.

Inadequate analysis will result in a reduction of points. No points will be given for areas that are not addressed.

Format:Journal entries should be word processed using 12 pt. font, single-spaced, and no longer than one page in length.

Time Management: (1 point for a two-day clinical week; 0.5 points for a one-day clinical week)

Describe your anticipated plan to efficiently complete required care for your client.

· What part of your anticipated plan went well and/or not so well in terms of time management?

· What changes did you make to your anticipated plan on the second day or could you make in the future to improve time management?

Prioritization: (1 point for a two-day clinical week; 0.5 points for a one-day clinical week)

Describe an example of how you had to prioritize your care based on Maslow’s Hierarchy of

Needs during your clinical shift. (This is based on your decision between 2 or more

activities/skills or based on 2 patients regarding who should be cared for first.

· Identify why your choice of priority was highest in regard to your patient’s needs and

disease process.

• Identify your desired outcome.

· Identify how you met your desired outcome. (How did your decision work out?)

Personal Analysis: (4 points for a two-day clinical week; 2 points for a one-day clinical week)

Analyze your feelings about the practicum experience for the week

Describe your personal accomplishments (may include technical skills accomplished)

Describe what made you most comfortable/uncomfortable?

Describe your plan for continued growth (What will you do differently? What do you need to focus on?)

3 points will be deducted from total points achieved for each clinical absence in a week.

Sample Journal Format

Name:__________________________________ Date(s): ________________ Points __________

Time Management:

Prioritization:

Personal Analysis:

RESPIRATORY THERAPY EXPERIENCE REACTION PAPER

Upon completion of your experience in Respiratory Therapy, submit a brief Reaction Paper summarizing the procedures/therapies that you participated in or observed. Place your Reaction Paper in your clinical notebook for grading. This paper will replace one journal page worth 3 points. This is a 4-hour experience.

All papers must be typed and should be no longer than two double-spaced pages.

DO NOT USE THE NAME OF THE CLIENT OR RESPIRATORY THERAPIST IN YOUR PAPER. THIS IS A BREACH OF CONFIDENTIALITY.

Information to be included in the Respiratory Therapy Experience Reaction Paper:

1.Give a brief summary of what you observed in the area such as procedures, therapies,

teaching, etc.

2.What medications did you observe being administered? Discuss the effects on the lungs of each medication given to the client. (How did the breath sounds differ before and after the treatment?) Describe the systemic effects and side effects of each medication given. What effects did you observe in the client? (0.5 points)

3.Interpret one Arterial Blood Gas (ABG) from a client. List the values (pH, PCO2, HCO3-, PaO2) and the reason for the normal or abnormal values. (0.5 points)

4.Write your reactions to this experience (2 points)

· Identify at least one new thing that you learned or observed

· Identify how you will use what you learned or observed in future nursing situations.

· Analyze your feelings about the experience

· What happened to make you feel this way?

· What would you like to keep the same?

· What would you change to make your feelings/perceptions more positive (How could this experience be improved? Be specific)

5.Format, grammar, and spelling

Total Points (3) :____________

PERIOPERATIVE EXPERIENCE REACTION PAPER

Upon completion of your experience in the Operative and Perioperative areas, submit a brief Reaction Paper summarizing what you observed. Place your Reaction Paper in your clinical notebook for grading. This paper will replace one journal page worth 3 points. This is a 4-hour experience.

All papers must be typed and should be no longer than two double-spaced pages.

DO NOT USE THE NAME OF THE CLIENT, PHYSICIAN, OR THE NURSE IN YOUR PAPER. THIS IS A BREACH OF CONFIDENTIALITY.

Information to be included in the Perioperative Experience Reaction Paper:

1.Give a brief summary of client data, including age, reason for the procedure/surgery, and any past history of medical problems that need to be considered in caring for the client (heart disease, hypertension, etc.) (0.5 points)

2.Description of Experience (0.5 points)

· Type of anesthesia used (local, regional, general)

· Interventions observed to reduce the risk for injury and risk for infection during the procedure

· Roles of the Circulating Nurse and the Scrub Technician or other anesthesiology staff

· Describe the criteria for discharge from the Post-Anesthesia Care Unit (PACU) for this client. What type of nursing assessment and monitoring was done?

3.Write your reactions to this experience (2 points)

· Identify at least one new thing that you learned or observed

· Identify how you will use what you learned or observed in future nursing situations.

· Analyze your feelings about the experience

· What happened to make you feel this way?

· What would you like to keep the same?

· What would you change to make your feelings/perceptions more positive (How could this experience be improved? Be specific)

4.Format, grammar, and spelling

Total Points (3) :____________

SPECIALTY UNIT REACTION PAPER

(Emergency Department, Minor Care, and other units designated by instructor)

Purpose:To assist the learner in reflective thinking regarding the learning opportunities and clinical experiences that occurred in the specialty unit. Replaces one journal page worth 3 points.

Method:Each student is expected to complete a journal which reflects his or her experience in the specialty unit.

Inadequate analysis will result in a reduction of points. No points will be given for areas that are not addressed.

Format:Journal entries should be word processed using 12 pt. font, single-spaced, and no longer than one page in length.

Time Management: (0.5 point)

Describe the nurse’s time management in the specialty unit.

· How did the nurse manage his/her time? Was there a routine that he/she developed

to ensure timely care of patients?

· Describe how the team manages patient flow?

· What was the nurse doing during “down-time”?

Prioritization: (0.5 point)

Describe the triage system in the specialty unit in applicable.

Describe an example of how the nurse(s) prioritized his/her or their care of a patient

based on Maslow’s Hierarchy of Needs. This example should be based on a specific

patient.

• Identify the desired outcome.

· Identify why the choice of priority was highest in regard to the patient’s needs and

disease process.

· Identify how the desired outcome was met. (How did your decision work out?)

Personal Analysis: (2 points)

Analyze your feelings about the practicum experience for the week

Describe your personal accomplishments (may include technical skills accomplished)

Describe what made you most comfortable/uncomfortable?

Describe your plan for continued growth (What will you do differently? What do you need to focus on?)

Total Points (3) :______________

OBSTETRICS (OB) EXPERIENCE

*Not all students will have this experience; those who do will submit an OB Client Data Sheet (1 point) and a Newborn Assessment Sheet (2 points) in place of one day’s journal

OB Client Data Sheet

Student Name:

Date of care:

Client initials & age/ Room:

· History of Pregnancy & Labor (include information on length of labor )

Date of Admission:

· Reason for Cesarean Section (if applicable)

Client Needs

Assessment

Ht Wt

Allergies

Activity Level

Diet

I & O

IV (solution) Flow Rate

Site:

PCA

Tubes: (Foley Catheter, NG tube, surgical drains

Other:

Vital signs:

Breasts:

Fundus:

Flow:

Episiotomy:

Lower Extremities:

Laboratory/Diagnostic tests

Date

Lab or Diagnostic Test

Test Result

Client Result (Normal Result)

Client specific reason for abnormality

Expected effects

Based on test result

Other:

Postpartum only(info from prenatal record)

Blood Type/Rh:

Rubella Titer:

Other abnormal data:

Source & page number ______________________

Newborn (NB) Physical Assessment

NURS 112

Describe your assessment data using correct terminology. Highlight abnormal data.

General Appearance:

Vital Signs:Time _____Temp_____Pulse_____Resp_____BP _____ (if applicable)

Neuro/Sensory

Fontanels:

Eyes:

Ears:

Hand Grasps:

Movement:

Upper Extremities:

Lower Extremities:

Reflexes:

Moro

Rooting

Integumentary

Mouth:

Skin:

Breasts:

Umbilical cord:

Circulatory

Apical Pulserate: ____________ Rhythm ____________Femoral Pulses ____________

Acrocyanosis:

Edema:

Respiratory

Breath Sounds:

Anterior

Posterior

GI/GU

Bowel Sounds:

Stools:

Voiding:

Circumcision:

Psuedomenstruation:

CLINICAL GRADING CRITERIA

NURS 112

Maintain clinical notebook according to Pre-Clinical Conference directions.

· All clinical paperwork to be reviewed/graded by your instructor should be placed in the left side pocket of your clinical tool notebook

· Be sure to label notebook in the upper right hand corner with your name, your instructor’s name, & your box number.

· Additional clinical forms are available on the WWCC Nursing Program Resource webpage: http://www.wwcc.edu/CMS/index.php?id=1464&deptcode=NURS

· Points will be deducted from professionalism for each week that clinical papers are received outside the notebook or for notebooks turned in without appropriate paperwork filed.

· One (1) point will be deducted from the total points earned for each working day a notebook or Prenatal paper is late. Students are responsible for the completeness of their notebook

· Completed notebooks must be turned in prior to final ICS with student Self-Evaluation completed. Points will be deducted from professionalism if the self-evaluation is not completed and turned in with the final week’s notebook.

Clinical Preparation:

· The patient data sheet (including priority nursing assessment, nursing diagnosis, expected outcome, and interventions), pathophysiology, and medication sheets (scheduled and PRN) are the minimum preparation required for all clients that you will care for. This will be submitted to your instructor prior to the beginning of clinical as assigned by your clinical instructor.

Mini-Client Data Packet: - A complete mini-client data packet will be submitted for each clinical

week, one of which will be identified for grading. (7 points)

· Client Data Sheet/Projected Plan of Care (1 point)

· Pathophysiology (1 point)

· Medication Sheet (2 points)

· Lab/Diagnostic Sheet (1 point)

· Physical Assessment (1 point)

· Documentation Sheet (1 point)

Major Client Data Packet (16 points possible) – One Major Client Data Packet may be submitted for feedback prior to submitting a Major Client Data Packet for grading. Student must clearly identify which Major Client Data Packet is to be used for the clinical grade as outlined in the Clinical Tool Points. (Circle Yes or No at the top of the paper identifying whether the paper is “For Grading”.)

· Client Data Sheet/Projected Plan of Care (1 point)

· Pathophysiology (1 point)

· Medication Sheets (2 points)

· List all medications you will give during clinical and any PRN medication given in the past 24 hours. You must be prepared to answer questions on any of the medications you will give.

· Lab/Diagnostic Sheet (1 point)

· Physical Assessment (1 point)

· Gordon’s Functional Health Patterns (1 point)

· Documentation Sheet (1 point)

· Nursing Care Plan (9 points each – score will be averaged; 9+ 9 / 2) – You must identify

which nursing diagnosis is priority #1 and priority #2.

OB Clinical Data Packet (3 points possible) – An OB Client Data Sheet (1 point) and a Newborn Assessment Sheet (2 points) must be completed and turned in with the clinical notebook when the student is assigned to OB. This assignment takes the place of the journal page for that clinical day.

CLINICAL TOOL, WRITTEN COMPETENCIES, AND INSTRUCTOR VALIDATION

GRADING CRITERIA (NURS 112)

The clinical grade is based on many factors, including attendance, clinical paperwork, written examples from the student on their progress on the five core competencies, and the clinical instructor’s observation (validation) of the student’s performance at clinical.

Clinical Tool Points

Points are earned by the student for attendance at clinical and workshops, skills check-offs, professional development activities, and clinical paperwork completed (Mini and Major Client Data Packet).

Written Competency Points

Written clinical competencies are one way that your instructor validates your critical thinking and time management skills. All competencies must demonstrate reflective thinking and must be actual examples of your clinical experience. There are five core competencies that have a maximum of 32 elements/criteria that should be addressed thoroughly to receive full credit.

Competencies should be addressed on a daily basis following clinical. Turn in your competency write up with your clinical notebook each week. The last opportunity to turn in competencies for grading is on the last due date for the clinical notebook.

Elements/Criteria addressed

(32 possible)

Approximate Percentage Earned

Points Allocated

30-32

95%-100%

25 points

29

90%-94%

20 points

27-28

85%-89%

15 points

26

80%-84%

10 points

24-25

75%-79%

5 points

23

< 75%

0 points

Instructor Validation

Your clinical instructor will evaluate your ability to meet the course competencies at clinical. The criteria that are evaluated are noted with “Instructor Validation”. If a student is not meeting an “Instructor Validation” criteria, the Level I faculty will review the student’s performance and points may be deducted from the student’s clinical grade.

CRITICAL THINKING

Course Competency 1:

Demonstrate critical thinking in the use of the nursing process

Element

Criteria and Graded Assignments

Written

Competencies

Clinical

Tool Points

1A. Use the nursing process to meet the physiologic, psychosocial, and developmental needs of adults and children experiencing normal life processes or common/chronic illnesses

1. Develop one major client data packet

2. Develop one mini client data packet

3. Identify pertinent client/patient data (assessment, labs, diagnostic tests and medical history) relevant to a selected nursing diagnosis

4. Analyze data and prioritize two nursing diagnoses

5. Identify measurable expected outcomes related to the two nursing diagnoses

6. Identify nursing interventions (3) with rationales

(only one may be r/t assessment/monitoring)

7. Evaluate client/patient response to care related to the expected outcome with recommended revisions

Data Packets

Data Packets

Data Packets

Data Packets

Data Packets

(17) ______

(7) ______

1B. Demonstrate critical thinking in the provision of nursing care

1. Integrate knowledge of physiology and pathophysiology with client/patient history, physical assessment data, medications and diagnostic tests with guidance

2. Develop client specific pathophysiology for each assigned client/patient

3. Identify assessment data which reflects a variance from textbook baseline (cues highlighted on assessment)

4. Explain the significance of serial (2 or more values of the same lab test ) lab values related to client’s diagnosis

5. Explain rationale for therapeutic diet as it

relates to medical condition (NPO is not a diet)

6. Complete a Respiratory, Perioperative, or OB experience (as assigned)

Data Packets

Data Packets

Data Packets

2 examples:

_________

_________

1 example:

________

Journal

1C. Apply teaching-learning principles in addressing client/patient needs

1. For a selected client/patient, conduct a teaching/learning project

· Identify a learning need with rationale

· Implement an approved teaching plan

(Must be pre-approved by an RN or

the instructor)

· Evaluate the effectiveness of teaching/learning plan

(All bullets must be addressed for credit)

2 examples:

_________

_________

1D. Complete documentation that reflects beginning organization and application of the nursing process

1. Document according to agency policy as

appropriate to unit assignment (review documentation with instructor or designee prior to documenting in official record)

2. Document client/patient education

3. Develop documentation that:

· Addresses client/patient problems

· Identifies interventions

· Evaluates intervention response

4. Develop documentation that is legible, complete, accurate and concise

Instructor Validation

Instructor Validation

Instructor Validation

Instructor Validation

CRITICAL THINKING

Course Competency 2: Demonstrate use of management/leadership principles in the delivery of client care

Element

Criteria and Graded Assignments

Written

Competencies

Clinical

Tool Points

2A. Manage care for medical/surgical clients/patients

1. Report timely changes in client/patient

condition

2. Prioritize direct care for one or two

clients/patients

3. Identify revisions for priorities for direct care

for a client/patient

4. Demonstrate beginning organizational and

time management skills in the care of one

or two acute care clients/patients by:

· Staying busy throughout the clinical day

· Completing assessments as scheduled

5. Manage complete care with charting for 2

clients/patients

2 example:

_________

_________

Journal

Journal

Instructor Validation

1 example:

__________

2B. Participate in providing care with an interdisciplinary team

1. Recognize and participate in the work of

interdisciplinary care team to facilitate

client/patient care

2. Identify the need for referral to another

discipline based on client/patient needs,

including rationale

3. Facilitate positive relationships among

interdisciplinary team members

1 example:

________

1 example:

________

Instructor Validation

2C. Access resources appropriately and manage them effectively

1. Identify ways to minimize costs while

maintaining quality of care

1 example:

_________

CARING

Course Competency 3: Perform interventions in a safe and effective manner

Element

Criteria and Graded Assignments

Written

Competencies

Clinical

Tool Points

3A. Administers medications safely evaluating the need for and the response to prescribed medications, with guidance

1. Identify the client/patient condition and focused assessment data for which the medication is given

2. Identify the drug classification, desired therapeutic effect and potential side effects of medication therapy

3. Consider the safety and appropriateness of

medication orders specific to the

client/patient under the supervision of a

licensed professional

4. Consistently administer medication using the six rights (supervision by instructor or designated licensed professional only)

5. Evaluate and document behavioral and

physiologic responses to medications

Data Packets/

Instructor Validation

Data Packets

Instructor Validation

Instructor

Validation

Instructor

Validation

3B. Performs technical procedures safely and effectively

1. Communicate purpose, protocol and

rationale for procedures that you completed

2. Demonstrate accountability for technical

competence of previously learned and

current quarter skills by practicing in the

Skills Practice Lab

3. Perform previously learned and current

quarter skills with supervision and direct

guidance

· Secondary IV Administration Check off with or without maintenance IV

· Head-to-toe assessment

2 examples:

_________

_________

Documentation of Practice Hours

(3) _______

(3) _______

CARING

Course Competency 4:Uses therapeutic communication

Element

Criteria and Graded Assignments

Written

Competencies

Clinical

Tool Points

4A. Use therapeutic communication skills to meet client/patient needs

(Criteria 1- 5 must be addressed on the

same exchange)

1. 1 Identify the subjective and/or objective data observed in a client/patient (or support person) relating to an emotional state (Assessment)

2. Identify an emotional state of the client/patient (or support person) derived from the data above (Analysis)

3. Develop an expected outcome for the client/patient (or support person) experiencing the identified emotional state

4. Document three (3) verbal exchanges in a therapeutic interaction with the client/patient (or support person) identified above (Intervention)

· Label each exchange as either

therapeutic or non- therapeutic and

identify the communication techniques

used

5. Explain the effectiveness of the interaction in achieving the expected outcome (Evaluation)

● Suggest changes to improve the

Interaction

(All 5 bullets must be addressed to earn credit)

2 examples:

_________

_________

4B. Identify coping mechanisms used by the client/patient and/or significant others related to illness and stressful life events

1. Identify coping mechanisms used by the

client/patient and/or significant others with guidance

(see Potter & Perry, 7th ed., p. 488, Lewis, et al, 7th ed., pp.116–119, or changingminds.org)

1 example:

_________

PROFESSIONAL BEHAVIORS

Course Competency 5:Demonstrate professional behaviors

Element

Criteria and Graded Assignments

Written

Competencies

Clinical

Tool Points

5A. Demonstrate sensitivity and attentiveness to the client/patient, family, and others including their life experience and cultural/social background

1. Demonstrate courteous behavior toward

client/patient and family members

2. Recognize client/patient needs and respond appropriately in a timely manner

3. Demonstrate beginning awareness of cultural and developmental needs when planning and providing care

1 example:

_________

2 examples: _________

_________

1 example: ________

5B. Demonstrate accountability and responsibility

1. Take responsibility for own learning

experience

2. Demonstrate intellectual humility in

professional relationships

3. Identify own strengths and plans for

improvement

4. Utilize feedback to improve performance

5. Appropriately seek guidance from others when client/patient’s needs exceed the student’s abilities/experience

6. Demonstrate punctuality and meet course/program obligations in a timely manner

7. Attend all clinical/lab experiences and workshops and participate appropriately

8. Provide safe and effective care in accordance with established standards of care

9. Begin to incorporate evidence-based findings into nursing practice (provide reference )

2 examples:

________

________

1 example: ________

Page 5

1 example: ________

2 examples:

_________

_________

Instructor Validation

Instructor Validation

1 example: ________

(7)______

5C. Practice within ethical, legal, and regulatory guidelines

1. Follow agency/school policies and

procedures referring to Policy and

Procedure Manual as needed with guidance

2. Maintain confidentiality of information

3. Function within legal scope of practice

4. Describe an ethical or legal issue

encountered in the clinical setting

Instructor Validation

Instructor Validation

Instructor Validation

1 example: ______

5D. Demonstrate professional behaviors

1. Present/conduct oneself in a professional manner conveying:

· Professional courtesy

· Diplomacy or tact

2. Demonstrate self/awareness of behaviors with minimal feedback

1 example: ______

2 examples: ________

________

5E. Participate in the processes that affect healthcare practice

1. Engage in activities to promote the profession of nursing

_____ _____

· 1/2 point per 2 PN club meetings, or serving as club/office/representative

2. Participate in the provision of non-practicum health-care related activities

· Community service, provide healthcare education, volunteer activities

1 example: _________

(1)_____

Professional Behaviors:

Due to the seriousness of professional behaviors- points may be deducted for inappropriate professionalism regardless of how well you write each element.

· Notification of professional breaches noted on p. 6

· Level faculty determine point deduction

Prenatal Profile

NURS 112, Spring, 2010

Grading Criteria for the Prenatal Profile Paper

This paper is worth thirty (30) points. The paper is due on Wednesday, April 28th, by 1600.

Each student is to interview a family in which the woman is pregnant. Consult your clinical instructor if you are unable to find a pregnant family or if you have questions concerning whether your chosen client meets the criteria. You may not use classmates or staff members.

Use initials or a pseudonym to identify the family members. If using a pseudonym, note that you are using a pseudonym. The paper is to be typed on clean, white, 8 1/2 by 11 inch paper. The lines are to be double-spaced. Use complete sentences and appropriate paragraphs. Correct grammar and spelling are to be used. Only use abbreviations according to APA (6th edition) guidelines.

Recommended references/resources for this paper include:

Leifer, G. (2007). Introduction to maternity & pediatric nursing (5th ed.).

St. Louis: Mosby Elsevier.

http://www.mypyramid.gov/

When writing your paper, if paraphrasing from a reference or if writing verbatim from a reference, the source must be cited according to APA (5th edition) format. If source citation is not done, it is considered plagiarism. Plagiarism is a form of academic dishonesty. See page 21 of the Nursing Student Handbook.

See the following websites for assistance with APA 5th edition format:

http://www.vanguard.edu/faculty/ddegelman/index.aspx?doc_id=796

http://owl.english.purdue.edu/owl/resource/560/01/

Address the following areas of the Gordon’s Functional Health Patterns Assessment:

Introduction to the Family

(1.0 points)

· Introduction to the family

· Names, ages of all family members

· Gravida, Para, EDD

· Family support and involvement

· Activities related to the pregnancy

· Describe the extended families involvement in the pregnancy

· History of medical diagnosis for the family

· Changes the family has experienced in the past twelve (12) to eighteen (18) months in addition to the pregnancy

· Examples:Change in living situation or marital status of parents

Change in physical or mental health for any family member

Death of a grandparent or other family member

Health Promotion

(5.0 points)

· Discuss the family’s beliefs about prenatal care and activities during pregnancy

· Describe the pattern of completed prenatal care

· Describe the recommended prenatal care visits (cite source)

· Compare the mother’s completed visits to the recommended

· Describe the diagnostic tests that are recommended (cite source)

· Compare the mother’s completed tests to the recommended

· Identify any abnormal diagnostic test results

· Identify any risk factors that could impact the health of the mother or fetus

· Discuss the signs and symptoms of pregnancy and the physiologic changes experienced by the mother.

· Explain the reason for the signs and symptoms as if you were teaching the client (cite source)

· Identify the common discomforts of pregnancy the mother experienced during each trimester

· Describe the measures the family used to cope with the discomforts

· Compare the measures used with the measures recommended (cite source)

· List all medications the mother uses, including over the counter and herbal medications

Activity/Exercise

(1.0 points)

· Describe the mother’s usual activity in one day.

· Describe any additional safety measures taken due to the pregnancy

· Describe any activity limitations set by the mother or by the care provider

Nutrition/Metabolic

(4.0 points)

· Describe the mother’s actual dietary intake for one day, including portion size

· Describe the nutritional intake recommended to meet the body’s needs during pregnancy (cite source)

· Compare and contrast the mother's diet to what is recommended.

· Discuss any needed modifications to the mother's diet

· Describe any dietary restrictions set by the care provider and reason

· Discuss the mother’s weight gain pattern during pregnancy.

· Described the recommended pattern of weight gain during pregnancy (cite source).

· Compare her weight gain pattern to the recommended pattern.

· Identify any concerns concerning the mother’s weight gain

Elimination

(1.0 points)

· Describe the mother’s elimination pattern, both urinary and bowel.

· Describe any problems with elimination (both urinary and bowel) for the mother

· Identify measures that could help relieve any identified problem/s

· Describe use of laxatives or other measures

Sleep/Rest

(1.0 point)

· Describe the mother’s sleep pattern. Identify any problems with sleep

· Note bedtime, wake time, number of hours of uninterrupted sleep, total hours of sleep

· Describe any measures used to improve sleep

Cognitive/Perceptual

(5.0 points)

· Describe the behaviors indicating the attainment of the psychosocial tasks of pregnancy for all family members; include mother, father, children, and grandparents, as appropriate

· Accepting the pregnancy

· Accepting the fetus

· Preparing for parenthood

· Discuss the prenatal education the family is planning, is completing, or has completed.

· Include methods the family used to learn about pregnancy and care during pregnancy.

· Describe preparations the family has made for infant care and/or feeding

· Describe the methods the family is using to prepare the older siblings for the birth of the baby, if appropriate.

Coping/ Stress Tolerance

(2.0 points)

· Describe the emotional response when the pregnancy was diagnosed for all family members.

· Discuss the changes in response as the pregnancy has progressed

· Describe the perceived level of stress in the past year fir the family

· What measures does the family use to cope with stress?

· How effective are those measures in coping with stress? Are there other measures that could be used?

Value/Belief

(1.0 point)

· Describe how the family defines strength.

· Describe how the family defines peace.

· Describe how the family defines security.

· Where does the family get strength, peace, security?

· Who gives these things to the family?

· How can the family get more?

Summary

(3.0 points)

· Identify any follow up needed by the family

· Discuss recommendations you have to promote wellness for this family

· Identify an agency in the community that might assist in meeting the family’s present or future need(s).

· Identify any additional learning needs and describe any teaching you did or would recommend for this family.

Professional Journal Article

(2.0 points)

· Summarize one American professional journal article that you could use in working with this family. Use a journal article that is not more than 5 years old. The article may come from a professional website; however, the article cannot be from a consumer website.

· Describe how you would use the information from the journal with the family; provide specific information that you would teach/present to the family.

Format:

(4.0 points)

· Grammar, spelling

· Use of appropriate sentences and paragraphs

· Flow and organization and use of headings

· APA format & reference page

Total Points Available :

30 points

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NURS 112 Syllabus

Spring, 2010

Final Draft 3.18.2010