RNSG 1118 - Transition to Professional Nursing Competencies

RNSG 1118:

Description

Transition to professional nursing competencies in the care of patients throughout the lifespan. Validates proficiency in psychomotor skills and clinical reasoning in the performance of nursing procedures related to the concepts of: clinical judgment, comfort, elimination, fluid and electrolytes, nutrition, gas exchange, safety, functional ability, immunity, metabolism, mobility, and tissue integrity. Includes health assessment and medication administration. This course lends itself to a concept-based approach.

Prerequisites

Acceptance into the LVN-RN Hybrid Transition Program

Corequisites

RNSG 1128, RNSG 1163, RNSG 1324

Credits 1 Lecture Hours 0 Lab Hours 4

Extended Hours

Contact Hours

State Approval Code

CIP 51.3801

Alternate Operations During Campus Closure

In the event of an emergency or announced campus closure due to a natural disaster or pandemic, it may be necessary for Panola College to move to altered operations. During this time, Panola College may opt to continue delivery of instruction through methods that include, but are not limited to: online learning management system (CANVAS), online conferencing, email messaging, and/or an alternate schedule. It is the responsibility of the student to monitor Panola College's website (www.panola.edu) for instructions about continuing courses remotely, CANVAS for each class for course-specific communication, and Panola College email for important general information.

Class Attendance

Regular and punctual attendance of classes and laboratories is required of all students. When a student has been ill or absent from class for approved extracurricular activities, he or she should be allowed, as far as possible, to make up for the missed work. If a student has not actively participated by the census date, they will be dropped by the instructor for non-attendance. This policy applies to courses that are in-person, online, hybrid, and hyflex.

Attendance in online courses is determined by submission of an assignment or participation in an activity. According to federal guidelines, simply logging into a distance learning course without participating in an academic assignment does not constitute attendance. Distance learning is defined as when a majority (more than 50%) of instruction occurs when the instructor and students are in separate physical locations. Students must engage in an academic activity prior to the course census date.

When an instructor feels that a student has been absent to such a degree as to invalidate the learning experience, the instructor may recommend to the Vice President of Instruction that the student be withdrawn from the course. Instructors may seek to withdraw students for non-attendance after they have accumulated the following number of absences:

Fall or spring semesters:

3 or more class meeting times per week - 5 absences

2 class meeting times per week - 3 absences

1 class meeting per week - 2 absences

The student is responsible for seeing that he or she has been officially withdrawn from a class. A student who stops attendance in a class without officially withdrawing from that class will be given a failing grade; consequently, the student must follow official withdrawal procedures in the Admissions/Records Office.

Please note: Health Science and Cosmetology courses may require more stringent attendance policies based on their accreditation agencies. Please see the addendum and/or program handbook for further information concerning attendance.

Pregnant/Parenting Policy

Panola College welcomes pregnant and parenting students as a part of the student body. This institution is committed to providing support and adaptations for a successful educational experience for pregnant and parenting students. Students experiencing a need for accommodations related to pregnancy or parenting will find a Pregnancy and Parenting Accommodations Request form in the Student Handbook or may request the form from the course instructor.

Instructional Goals and Purposes

The purpose of this course is to transition to professional nursing competencies in the care of diverse patients throughout the lifespan. Students will demonstrate proficiency in psychomotor skills and clinical reasoning in the performance of nursing procedures related to the course concepts. Concepts are based on the Texas Nursing Concept Based Curriculum (TxNCBC). Students will learn and demonstrate health assessment and medication administration.

Learning Outcomes

Apply concepts and principles necessary for the performance of professional nursing skills across the lifespan.
Demonstrate clinical reasoning and clinical judgment in the performance of safe professional nursing skills.
Perform a comprehensive head to toe and a focused health assessment.
Demonstrate proficiency in safe medication administration.

Specific Course Objectives (includes SCANS)

After studying all materials and resources presented in the course, the student will be able to:

Apply concepts and principles necessary for the safe performance of professional nursing skills across the lifespan. (SCANS 1; a; i, ii, iii, iv, v, b; i, ii, iii, iv, v, vi, c; i, ii, iii, iv, v, 2; a; i, ii, iii, b; i, ii, iii, iv, v, vi, c; i, ii, iii, iv, d; i, ii, iii, e; i, ii, iii)
Demonstrate competency in safe clinical reasoning and clinical judgment in the performance of professional nursing skills. (SCANS 1; a; i, ii, iii, iv, v, b; ii, iii, iv, v, vi, c; i, ii, iii, iv, v, 2; a; i, ii, iii, b; i, ii, iii, iv, vi, c; i, ii, iii, iv, d; i, ii, iii, e; i, ii, iii)
Demonstrate competently and timely a complete head to toe and a focused health assessment. (SCANS 1; a; i, ii, iii, iv, v, b; ii, iii, iv, v, vi, c; i, ii, iii, iv, v, 2; a; i, ii, iii, b; ii, iii, vi, c; i, ii, iii, iv, d; i, ii, iii, e; i, ii)
Demonstrate safe medication administration following the six rights of medication administration. (SCANS 1; a; i, ii, iii, iv, v, b; ii, iii, iv, v, vi, c; i, ii, iii, iv, v, 2; a; i, ii, iii, b; ii, iii, vi, c; i, ii, iii, iv, d; i, ii, iii, e; i, ii)

Course Content

A general description of lecture/discussion topics included in this course are listed in the Learning Objectives / Specific Course Objectives sections of this syllabus.

Students in all sections of this course will learn the following content:

PART 1: BASIC SKILLS

Immunity & Safety
1. Handwashing
2. Personal protective equipment
3. Cleaning blood spill
Thermoregulation
1. Temperature
2. Heat therapy
3. Cold therapy
Perfusion & Gas Exchange
1. Radial Pulse
2. Respirations
3. Blood pressure
4. CPR
  1. Performance of CPR
  2. Foreign body airway obstruction (FBAO)
  3. Automatic external defibrillation (AED)
  4. Use of bag-valve mask
Mobility & Safety
1. Positioning
2. Moving/transferring a patient
3. Applying restraints
4. Ambulation/ambulatory devices
5. Cast Care
6. Traction
Comfort
1. Bed bath/personal hygiene
2. Sitz bath
3. Bedmaking
Elimination & Nutrition
1. Assisting with elimination
2. Assisting with eating
Tissue Integrity
Bandages & binders

PART 2: ADVANCED SKILLS

Safety
1. General culture of safety & National Patient Safety Goals
2. First Aid
3. Immunity
  1. Sterile gloves and sterile field
  2. Isolation techniques
  3. Surgical hand scrub
Clinical Judgment - Assessment
1. Head to toe physical assessment
2. Heart and breath sounds
3. Locating pulses & apical heart rate
4. Fetal heart rate
5. Spinal screening
6. Vision & hearing screening
7. Admission & discharge
8. Functional ability assessment
9. Diagnostic tests
  1. Specimen collection
  2. Glucose monitoring
Patient Education
1. Pre-operative teaching
2. Breast self-examination
3. Testicular self-exam
Nutrition
1. Nasogastric tube insertion/irrigation/removal
2. Tube feedings
Elimination
1. Bowel
  1. Enema
  2. Removing fecal impaction
  3. Ostomy care
2. Urinary
  1. Catheterization
Tissue Integrity
1. Suture and staple removal
2. Sterile dressing change
3. Drainage evacuation
4. Wound Irrigation
5. Traction pin care
6. Central venous lines site care
Medication Safety
1. Oral and topical
2. Injections
3. Intravenous piggyback medications (IVPB)
4. Intravenous push medications (IVP)
Fluids & Electrolytes
1. Intake and output
2. Venipuncture
3. IV initiation and management
4. Blood administration
5. Central venous lines – Care & TPN
Gas Exchange
1. Oxygenation
  1. Pulse oximeter
  2. Oxygen administration
  3. Incentive spirometer
  4. Airways
2. Suctioning
  1. Nasotracheal suctioning
  2. Endotracheal suctioning
  3. Bulb and DeLee suctioning
  4. Tracheostomy suctioning
Clinical Judgment
1. Situational assessments

Students in all sections of this course will be required to:

Comply with all policies and procedures in the Panola College ADN Handbook for each assigned lab class
Bring required equipment for clinical (please see Panola ADN Handbook, section 4.5.f) to each assigned lab class.
Bring all needed textbooks and resources to lab for completion of learning activities/simulations.
Refer to the Panola ADN Handbook “Attendance/Absences” policy (Panola ADN Handbook section 4.1) for attendance requirements
Be self-directed in preparation and in participation in learning activities and simulation scenarios. The student is required to complete all assigned reading, assigned audiovisuals, and assigned computer instruction prior to the assigned lab class. The skills lab is provided for the student to practice skills to achieve proficiency of all assigned skills prior to evaluation of the skill. The student is expected to use this learning time prudently.
Take the initiative to schedule any additional practice needed in the lab with the instructor.
Maintain a skills inventory for skills successfully completed based on skills evaluation rubric score. This skills inventory will be used by the student throughout the entire program.

Methods of Instruction/Course Format/Delivery

The course instruction includes skills demonstration, group discussion and learning activities have assignments from required course resources, CANVAS assignments and activities, quizzes, independent study, videos, lecture, and role play.

Course Grade

The grading scale for this course is as follows:

Skills Check-Off and Quizzes (55%)
Final Written Exam (30%)
Final comprehensive skill check-off (15%)

Other

Courses conducted via video conferencing may be recorded and shared for instructional purposes by the instructor.
For current texts and materials, use the following link to access bookstore listings: https://www.panolacollegestore.com.
For testing services, use the following link: https://www.panola.edu/student-services/studentsupport/academic-testing-center.
If any student in this class has special classroom or testing needs because of a physical learning or emotional condition, please contact the ADA Student Coordinator in Support Services located in the Charles C. Matthews Student Center or go to https://www.panola.edu/studentservices/student-support/disability-support-services for more information.
Withdrawing from a course is the student’s responsibility. Students who do not attend class and who do not withdraw will receive the grade earned for the course.
Student Handbook: https://www.panola.edu/ (located on at the bottom under student)

SCANS Criteria

Foundation skills are defined in three areas: basic skills, thinking skills, and personal qualities.
1. Basic Skills: A worker must read, write, perform arithmetic and mathematical operations, listen, and speak effectively. These skills include:
  1. Reading: locate, understand, and interpret written information in prose and in documents such as manuals, graphs, and schedules.
  2. Writing: communicate thoughts, ideas, information, and messages in writing, and create documents such as letters, directions, manuals, reports, graphs, and flow charts.
  3. Arithmetic and Mathematical Operations: perform basic computations and approach practical problems by choosing appropriately from a variety of mathematical techniques.
  4. Listening: receive, attend to, interpret, and respond to verbal messages and other cues.
  5. Speaking: Organize ideas and communicate orally.
2. Thinking Skills: A worker must think creatively, make decisions, solve problems, visualize, know how to learn, and reason effectively. These skills include:
  1. Creative Thinking: generate new ideas.
  2. Decision Making: specify goals and constraints, generate alternatives, consider risks, and evaluate and choose the best alternative.
  3. Problem Solving: recognize problems and devise and implement plan of action.
  4. Visualize ("Seeing Things in the Mind's Eye"): organize and process symbols, pictures, graphs, objects, and other information.
  5. Knowing How to Learn: use efficient learning techniques to acquire and apply new knowledge and skills.
  6. Reasoning: discover a rule or principle underlying the relationship between two or more objects and apply it when solving a problem.
3. Personal Qualities: A worker must display responsibility, self-esteem, sociability, self management, integrity, and honesty.
  1. Responsibility: exert a high level of effort and persevere toward goal attainment.
  2. Self-Esteem: believe in one's own self-worth and maintain a positive view of oneself.
  3. Sociability: demonstrate understanding, friendliness, adaptability, empathy, and politeness in group settings.
  4. Self-Management: assess oneself accurately, set personal goals, monitor progress, and exhibit self-control.
  5. Integrity and Honesty: choose ethical courses of action.
Workplace competencies are defined in five areas: resources, interpersonal skills, information, systems, and technology.
1. Resources: A worker must identify, organize, plan, and allocate resources effectively.
  1. Time: select goal-relevant activities, rank them, allocate time, and prepare and follow schedules.
  2. Money: Use or prepare budgets, make forecasts, keep records, and make adjustments to meet objectives.
  3. Material and Facilities: Acquire, store, allocate, and use materials or space efficiently. Examples: construct a decision timeline chart; use computer software to plan a project; prepare a budget; conduct a cost/benefits analysis; design an RFP process; write a job description; develop a staffing plan.
2. Interpersonal Skills: A worker must work with others effectively.
  1. Participate as a Member of a Team: contribute to group effort.
  2. Teach Others New Skills.
  3. Serve Clients/Customers: work to satisfy customer's expectations.
  4. Exercise Leadership: communicate ideas to justify position, persuade and convince others, responsibly challenge existing procedures and policies.
  5. Negotiate: work toward agreements involving exchange of resources, resolve divergent interests.
  6. Work with Diversity: work well with men and women from diverse backgrounds. Examples: collaborate with a group member to solve a problem; work through a group conflict situation, train a colleague; deal with a dissatisfied customer in person; select and use appropriate leadership styles; use effective delegation techniques; conduct an individual or team negotiation; demonstrate an understanding of how people from different cultural backgrounds might behave in various situations.
3. Information: A worker must be able to acquire and use information.
  1. Acquire and Evaluate Information.
  2. Organize and Maintain Information.
  3. Interpret and Communicate Information.
  4. Use Computers to Process Information. Examples: research and collect data from various sources; develop a form to collect data; develop an inventory record-keeping system; produce a report using graphics; make an oral presentation using various media; use on-line computer databases to research a report; use a computer spreadsheet to develop a budget.
4. Systems: A worker must understand complex interrelationships.
  1. Understand Systems: know how social, organizational, and technological systems work and operate effectively with them.
  2. Monitor and Correct Performance: distinguish trends, predict impacts on system operations, diagnose deviations in systems' performance and correct malfunctions.
  3. Improve or Design Systems: suggest modifications to existing systems and develop new or alternative systems to improve performance. Examples: draw and interpret an organizational chart; develop a monitoring process; choose a situation needing improvement, break it down, examine it, propose an improvement, and implement it.
5. Technology: A worker must be able to work with a variety of technologies.
  1. Select Technology: choose procedures, tools or equipment including computers and related technologies.
  2. Apply Technologies to Task: understand overall intent and proper procedures for setup and operation of equipment.
  3. Maintain and Troubleshoot Equipment: Prevent, identify, or solve problems with equipment, including computers and other technologies. Examples: read equipment descriptions and technical specifications to select equipment to meet needs; set up and assemble appropriate equipment from instructions; read and follow directions for troubleshooting and repairing equipment.