COURSE SYLLABUS

             RNSG 2260 (2:0:6)








                FALL 2011

                                                   SCANS COMPETENCIES
     RESOURCES: Identifies, organizes, plans and allocates resources.
C-1     TIME--Selects goal--relevant activities, ranks them, allocates time, and prepares and follows schedules.
C-2     MONEY--Uses or prepares budgets, makes forecasts, keeps records, and makes adjustments to meet objectives
C-3     MATERIALS & FACILITIES-Acquires, stores, allocates, and uses materials or space efficiently.
C-4     HUMAN RESOURCES--Assesses skills and distributes work accordingly, evaluates performances and provides feedback.
     INFORMATION--Acquires and Uses Information
C-5     Acquires and evaluates information.
C-6     Organizes and maintains information.
C-7     Interprets and communicates information.
C-8     Uses computers to Process information.
    INTERPERSONAL--Works With Others
C-9     Participates as members of a team and contributes to group effort.
C-10    Teaches others new skills.
C-11    Serves clients/customers--works to satisfy customer's expectations.
C-12    Exercises leadership--communicates ideas to justify position, persuades and convinces others, responsibly challenges existing
        procedures and policies.
C-13    Negotiates-Works toward agreements involving exchanges of resources resolves divergent interests.
C-14    Works with Diversity-Works well with men and women from diverse backgrounds.
     SYSTEMS--Understands Complex Interrelationships
C-15    Understands Systems--Knows how social, organizational, and technological systems work and operates effectively with them
C-16    Monitors and Correct Performance-Distinguishes trends, predicts impacts on system operations, diagnoses systems' performance and
        corrects malfunctions.
C-17    Improves or Designs Systems-Suggests modifications to existing systems and develops new or alternative systems to improve
     TECHNOLOGY--Works with a variety of technologies
C-18    Selects Technology--Chooses procedures, tools, or equipment including computers and related technologies.
C-19    Applies Technology to Task-Understands overall intent and proper procedures for setup and operation of equipment.
C-20    Maintains and Troubleshoots Equipment-Prevents, identifies, or solves problems with equipment, including computers and other
                                                    FOUNDATION SKILLS
    BASIC SKILLS--Reads, writes, performs arithmetic and mathematical operations, listens and speaks
F-1     Reading--locates, understands, and interprets written information in prose and in documents such as manuals, graphs, and schedules.
F-2     Writing-Communicates thoughts, ideas, information and messages in writing, and creates documents such as letters, directions,
        manuals, reports, graphs, and flow charts.
F-3     Arithmetic--Performs basic computations; uses basic numerical concepts such as whole numbers, etc.
F-4     Mathematics--Approaches practical problems by choosing appropriately from a variety of mathematical techniques.
F-5     Listening--Receives, attends to, interprets, and responds to verbal messages and other cues.
F-6     Speaking--Organizes ideas and communicates orally.
    THINKING SKILLS--Thinks creatively, makes decisions, solves problems, visualizes, and knows how to learn and reason
F-7     Creative Thinking--Generates new ideas.
F-8     Decision-Making--Specifies goals and constraints, generates alternatives, considers risks, and evaluates and chooses best alternative.
F-9     Problem Solving--Recognizes problems and devises and implements plan of action.
F-10    Seeing Things in the Mind's Eye--Organizes and processes symbols, pictures, graphs, objects, and other information.
F-11    Knowing How to Learn--Uses efficient learning techniques to acquire and apply new knowledge and skills.
F-12    Reasoning--Discovers a rule or principle underlying the relationship between two or more objects and applies it when solving a
     PERSONAL QUALITIES--Displays responsibility, self-esteem, sociability, self-management, integrity and honesty
F-13    Responsibility--Exerts a high level of effort and preservers towards goal attainment.
F-14    Self-Esteem--Believes in own self-worth and maintains a positive view of self.
F-15    Sociability--Demonstrates understanding, friendliness, adaptability, empathy, and politeness in group settings.
F-16    Self-Management--Assesses self accurately, sets personal goals, monitors progress, and exhibits self-control.
F-17    Integrity/Honesty--Chooses ethical courses of action.

                                          COURSE SYLLABUS

COURSE TITLE:       RNSG 2260 Clinical Nursing (RN Training)-Transition

INSTRUCTORS:        Reva Lynn Baldwin, RN, MSN Course Leader
                    Jan Buxkemper, RN, MSN
                    Julie Mosley, RN, MSN

          Reva Lynn Baldwin TA 106C, 716- 2392,
          Jan Buxkemper     TA 107, 716-2387,
          Julie Mosley      TA 226, 716-2515,

OFFICE HOURS:       Posted on instructor’s door.




         A method of instruction providing detailed education, practice and work-based experience and
         direct patient care, generally at a clinical site. Specific detailed learning outcomes are developed
         for each course by the faculty. On site clinical instruction, supervision, evaluation and placement
         are the responsibility of the college faculty. Clinical experiences are unpaid external learning
         experiences. Course may be repeated if topics and learning outcomes vary.

         College laboratory and clinical agency experiences offer opportunities for nursing skill practice
         and application of classroom learning applied to the adult client experiencing bio-psycho-socio-
         spiritual stressors of illness.

         Through classroom and laboratory/clinical experiences the student explores basic concepts and
         skill related to nursing process, communication, teaching/learning, pharmacology, nutrition,
         safety, problem solving, critical thinking, collaboration, delegating, referrals, cost effectiveness,
         quality care, ethical/legal practice, self awareness/self monitoring and client advocacy.


         Upon satisfactory completion of RNSG 2307, RNSG 2260 and RNSG 1115, the student will meet
         all Level II course educational outcomes (designated by numbers within the column headings) as
         specifically applied to Medical-Surgical nursing. In addition, competencies and foundation skills
         of SCANS (designated by letters and numbers under the unit title) and NEAC (designated by
         numbers within each role column) are found throughout the unit content within the syllabus.


  1. Integrate theoretical concepts with nursing knowledge and skills to meet the basic needs of
     clients, families, and/or groups throughout the life span in a variety of settings.
  2. Integrate the five steps of the nursing process into nursing practice.
  3. Use effective skills of communication and collaboration with clients, families, and/or groups
     in a variety of settings.
  4. Apply safe, cost effective nursing care in collaboration with members of the health care team
     using critical thinking, problem solving, and the nursing process in a variety of settings
     through direct care, assignment, or delegation of care.
  5. Apply principles of teaching-learning in providing information to clients, families, and/or
     groups regarding promotion, maintenance, and restoration of health or the process of death
     and dying.
  6. Employ clinical data, current literature, and responses and outcomes to therapeutic
     interventions to make appropriate nursing practice decisions.


  1. Analyze the function within the organizational framework of various healthcare settings.
  2. Relate the effectiveness of community resources in the delivery of health care to clients,
     families, and/or groups.
  3. Recognize the health care team in delivering care to clients, families, and/or groups.
  4. Select appropriate referral sources to meet the needs of clients, families, and/or groups.
  5. Develop critical thinking and problem solving skills in prioritizing, management and
     coordination of all aspects of care.


  1. Employ the responsibility for professional and personal growth and development.
  2. Apply ethical and legal responsibility and accountability for one's nursing practice.
  3. Recognize the actions of a health care advocate to provide quality health care for clients,
     families and/or groups.
  4. Analyze one's own caring behavior when interacting with clients, families, and members of
     the health care profession.


  Successful completion of this course requires a grade of “C” or better; satisfactory total grade
  point average on examination; satisfactory achievement of unit and clinical outcomes; satisfactory
  completion of math competence. Completion of standardized tests as applicable to the
  curriculum; validation of selected nursing skills and regular classroom/clinical attendance. Upon
  successful completion of this course each student will have demonstrated accomplishment of the
  level outcomes for the course clinical performance.


  Refer to the SPC college catalog, page 22. Refer to the SPC ADN Nursing Student Handbook
  “Honesty Policy.”


   Scans and foundation skills found within this course, are listed below the unit line (and above the
   content column) of each unit presented.


   External learning experiences (clinicals) provide workplace setting in which students apply
   content and strategies related to program theory and management of the workflow. Successful
   completion of the Differineated Entry Level Competencies (DELC's) of graduates of Texas
   Nursing Programs statements at the level specified by the course (Level Objectives) will allow
   the student to continue to advance within the program. Upon successful completion of the
   program students will be eligible to apply to take the state board exam (NCLEX) for registered
   nurse licensure.


   The SPC ADNP policy must be followed. Refer to the SPC ADNP Student Nurse Handbook to
   review this policy. In addition, refer to the attendance policy found in the South Plains College

   Punctual and regular clinical attendance, as stated in the SPC Handbook, is required of all
   students attending South Plains College. There are no excused absences.

   1. Clinical

       a. Students are expected to attend all scheduled days of clinical experience. In the event of
          illness, it is the student’s responsibility to notify his/her instructor prior to the beginning
          of the shift. He/she is also responsible for notifying the clinical unit or off rotation unit of
          the absence. The student cannot have any clinical absence.

     b. Should an absence occur, the student will be referred to the ADNP
        Admission/Academic Standards Committee with the instructor’s recommendations. The
        student’s right of appeal is through the ADNP Admission/Academic Standards
        Committee. The instructor has the prerogative of dropping the student from the course. If
        the student is in good standing clinically, has properly notified the instructor when absent,
        and resolved the problem causing the absence, the instructor has the option to allow the
        student to continue in the course. Make-up assignments for missed clinical experiences
        will be determined by the instructor. Make-up assignments must be completed within one
        week of the date of the absence. If the student fails to complete the assignment during the
        specified time, a Formal Learning Contract will be written. This contract will become
        part of the student’s permanent record. Failure to complete the make-up assignment by
        the date specified in the Formal Learning Contract will result in the student failing RNSG
        2260. The student may be brought before the ADNP Admission/Academic Standards

   1. All required work must be in on time in order that the student may benefit from the
      corrections. Assigned outside work is due on the dates specified by the instructor.
      Assignments turned in later than the due date will not be accepted unless the instructor clears
      the circumstance with the student. Regardless of the circumstance, late work will be added

     penalty points by the instructor. The assignment will be docked one (1) point per day for each
     late day.
  2. Lab prescriptions are considered student assignments and documentation of completion must
     be returned to the assigning instructor. All lab prescriptions must be successfully completed
     before the student can return to clinical.
  3. Students should retain a copy of all assignments turned in. If an assignment turns up missing,
     the student is responsible for turning in the copy or redoing the entire assignment if a copy
     was not retained.
  4. Each student must pass the math competency exam prior to the specified date or the student
     will fail RNSG 2260.


  1. Nursing Care Plains must be 2 or 77% or better to pass RNSG 2260.
  2. A student must receive a minimum course grade “C” and a “P” in skills/clinical to progress to
     the next nursing level (III).
  3. A math competency exam with a grade of 95 or above must be accomplished by the specified
     date. See Appendix C.
  4. Grading Scale: Didactic Portion

       A = 90% - 100%
       B = 80% - 89.99%
       C = 77% - 79.99%
       D = 60% - 76.99%
       F = Below 60%

       Failure of either theory or clinical will necessitate repeating RNSG 2307 & 2260 courses.
       When repeating any course, the student is required to retake all aspects of the course
       including the required written work.


  1.  Completion of Student Contract for RNSG 2260
  2.  Meet all requirements for admission into the Associate Degree Nursing Program
  3.  Prerequisites: Chem. 1406, Biol. 2401, Psyc. 2301 and Eng. 1301.
  4.  Satisfactory grade average on written assignments (2 or 77% or above).
  5.  Satisfactory achievement of behavioral course outcomes (see unit outcomes).
  6.  Regular lab/clinical attendance.
  7.  Completion of all assigned student presentations, self study Modules and assigned computer
  8. Validation of required skills.
  9. Concurrent enrollment in RNSG 2307 and RNSG 1115.
  10. Accomplishment of math competency exam.
  11. Skill Lab

       a. Skills Lab will be graded on a Pass/Fail (P/F)
       b. Prior to clinical experiences in RNSG 2260, the student must validate his/her skills.
          Failure to validate skills will prevent the student from attending clinical and thus failure of
          RNSG 2260.

              c. All required skills listed in this syllabus must be completed satisfactorily before going to
                 the clinical setting.

                  Required Skills:   1. IV Insertion/Care/Nursing Responsibilities/CVC
                                        Dressing Change
                                     2. Sterile Procedures
                                     3. Medication Administration
                                     4. Tracheal Suction and Tracheostomy Care
                                     5. Health Assessment

              d. It is the student’s responsibility to seek opportunities during his/her skill lab experience to
                 perform the required physical/psychomotor skills.
              e. The instructor is responsible for the evaluation of RNSG 2260 students in the skill lab
              f. The instructor has the right to retain any video tape the student presents for grading.
              g. Lab prescriptions - a prescription will be assigned by the instructor for any specific skill
                 that he/she decides needs further practice. The student must perform the prescribed task
                 in the Skills Lab until the learning outcomes are safely met before the skill is performed in
                 RNSG 2260.
              h. The student may have only three (3) opportunities to pass the required skills listed in c.

           12. Modules:

                  Modules are the responsibility of the student and all information contained therein.

           13.   Skills Lab
                  Students are expected to attend all scheduled skills lab experiences. Since completion of
                  the skills covered in the lab is part of the requirement to successfully pass RNSG 2307,
                  make-up for that missed lab must be done within 2 days of the absence. (Any extenuating
                  circumstances should be handled by the student and the course instructor.) Failure to
                  complete this make-up within 2 days will result in a written contract outlining specific
                  dates of completion or the result will be course failure. The student cannot attend the
                  clinical experiences until successful completions of required skills have been
                  demonstrated to the instructor.

           14.    Lab prescriptions are considered student assignments and documentation of
                  Completion must be returned to the assigning instructor




       South Plains College strives to accommodate the individual needs of all students in order to enhance
       their opportunities for success in the context of a comprehensive community college setting. It is the
       policy of South Plains College to offer all educational and employment opportunities without regard
       to race, color, national origin, religion, gender, disability or age (SPC Equal Opportunity Policy –
       General Catalog). Students with disabilities, including but not limited to physical, psychiatric or
       learning disabilities, who wish to request accommodations in this class should notify the Special

      Services Office early in the semester so that the appropriate arrangements may be made. In
      accordance with federal law, a student requesting accommodations must provide acceptable
      documentation of his/her disability to the Special Services Coordinator. For more information, call
      or visit the Special Services Office in the Student Services Building, 716-2529.


      The student is responsible for scheduling an appointment with the instructor to discuss the grade or
      discipline action. If the student is not satisfied, he/she should schedule an appointment with the
      Course Leader. The next chain of command is the Program Director. The procedure will follow the
      same as found in the student handbook.


                                    SOUTH PLAINS COLLEGE
                              ASSOCIATE DEGREE NURSING PROGRAM
                                  CLINICAL EVALUATION TOOL

Name:________________________ Semester:________________                       Year: _____________

Social Security Number: ___________________

Midterm Clinical Grade: _________Final Clinical Grade: __________Course Grade: _________


        The Clinical Evaluation Tool will be utilized by the student and the instructor to evaluate the
student’s achievement of specified clinical performance outcomes. The outcomes must be achieved during
the clinical learning experience in order to fulfill the course requirements. Actual clinical experiences or, in
specified courses, simulated experiences will be used to evaluate clinical performance outcomes.
Outcomes must be met according to the specified criteria or unit goals.
        Meeting an objective includes:
                 1.     Accurately describing the procedure/activity.
                 2.     Performing the procedure/activity correctly in a reasonable amount of time.

Clinical Performance Rating Scale

       Clinical performance will be rated by the instructor on a scale as follows:
              4 = Excellent– The student exceeds the expectations for the outcomee.
                             Demonstrates problem solving, critical thinking skills and shows initiative in
                             completing outcome. (Grade equivalent to an “A”)
              3 = Good -     The student completes the outcome without prompting from faculty. (Grade
                             equivalent to a “B”)
              2 = Fair -     The student completes the outcome but requires minimal or occasional
                             prompting. (Grade equivalent to a “C”)
              1 = NI         The student is unable to complete outcome without frequent assistance and or
                             prompting. The rating on this objective must improve to a 2 or better in order
                             to pass this course.
              0 = Unsafe     The student did not meet this outcome. The rating on this outcome must
                             improve to a 2 or better in order to pass this course. Exception: Depending
                             on the nature of the problem, a 0 could be grounds for immediate removal from
                             clinical and referral to the director and/or the Admissions Academic Standards
                             Committee. (Refer to the policy regarding unsafe clinical practice in the
                             student handbook.)

P = Pass; F = Fail; NI = Needs Improvement; I = Incomplete at Midterm; NA = Not Applicable;
NO = No Opportunity

1.   The clinical evaluation tool will be based on the three roles of nursing and constructed
     utilizing the South Plains College Associate Degree Nursing Program Educational Program
2.   Each course will use the following level objectives.

                        RNSG 1115

                        RNSG 1160
                        RNSG 1144                                 Level I
                        RNSG 1513
                        RNSG 1105

                        RNSG 1441

                        RNSG 2460
                        RNSG 2213                                Level II
                        RNSG 2307
                        RNSG 2260

                        RNSG 1412
                        RNSG 2462
                        RNSG 2261

                        RNSG 1210                                Level III
                        RNSG 1443
                        RNSG 2461
                        RNSG 2121
                        RNSG 1146

3.    Additional criteria to measure each outcome will be course specific and determined by the course
4.    A student must achieve a rating of 2, 3, or 4 for each of the level outcomes within the roles. (these are
      designated with capital letters under each role)
5.    Administration of medications must be performed accurately and safely to pass clinical.
      Refer to the South Plains College student medication administration policy for further
6.   The student is responsible for seeking out skills needed to meet the clinical performance
      outcomes on a continuous basis.
7.   The instructor will monitor the student’s progress on an ongoing basis, and provide
      comments regarding satisfactory or unsatisfactory completion of outcomes.
8.    Individual student/instructor conferences will be arranged by appointment and
      held at midterm, at the end of a course, and as needed to evaluate progress.
9.   It is the student’s responsibility to meet with the instructor if he/she is having
     difficulty in achieving the specified outcomes.

                                                                                                    RNSG 2260
                                         COURSE SPECIFIC
                               CLINICAL EVALUATION TOOL CRITERIA

1. All starred criteria must be passed with a minimum rating of 2 in order to pass clinical (no exceptions).
   Starred criteria are considered to be critical elements of the clinical experience and failure of ANY
   starred criteria will constitute an automatic clinical failure despite ratings obtained on other outcomes.
2. The maximum score possible = 44 (11 objectives X a rating of 4). The minimum score possible to pass
   = 22 (11 outcomes X a rating of 2).
3. The additional criteria within each outcome will be rated to determine the overall rating for the outcome.
   Example: If there were 3 criteria specified for an outcome, the maximum points possible would be 12.
   A student obtaining a rating of 3 on each of the criteria would have a score of 9. This score would be
   divided by the total number of criteria, in this case 3, to determine the overall rating of 3 for the outcome.
4. An overall rating (see #7 below) of 0 or 1 must improve to a 2 or greater by the final evaluation in order
   to pass clinical and thus, the course.
5. Any overall score totaling less than 2 will not be rounded up. A score between 0 - .99 will be given a
   rating of 0. A score between 1.0 - 1.99 will be given a rating of 1.
6. The key used for obtaining the overall score will be as follows:

       RANGE              RATING              CLINICAL GRADE

       1-8                     0              F @ midterm or F @ final
       9-17                    1              N.I. @ midterm or F @ final
       18-26                   2              Pass
       27-35                   3              Pass
       36-44                   4              Pass

7. The final clinical grade will be determined as follows:

       Total points (all 3 categories)__________ divided by 11 (# of outcomes) = overall rating of
       _________ (0-4) = clinical grade of __________ (P, F, N.I @ midterm or P or F @ final).

                                                                      RNSG 2260
                                  SOUTH PLAINS COLLEGE
                            ASSOCIATE DEGREE NURSING PROGRAM

                                STUDENT’S SELF EVALUATION

Signature of Student:


NCP #1_____
NCP #2_____
CT    _____

Signature of Faculty:____________________________________________

Signature of Student:____________________________________________


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