RNSG 2262 - Clinical - Registered Nursing/Registered Nurse

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

Clinical Evaluation Tool for Level 3

Member of the Profession

1. Function within the nurse’s legal and ethical scope of practice in accordance with the regulations of the practice setting assuming responsibility and accountability for quality nursing care.

   Level 3: Assume responsibility and accountability for the practice of professional nursing within the nurse’s legal and ethical scope of nursing practice. (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, iii, iv, v, vi, c; i, ii, iii, iv, d; i, iii, e; i, ii)

   Student responsibilities include but are not limited to

   • Assume responsibility of legal and ethical understanding of the role of the RN
   • Seeks supervision when needed
   • Arrives on time and prepared for clinical
   • Self-reports errors in practice
   • Timely patient assessment
   • Competently completes focused assessment
   • Follows policies and procedures of the program, the facility, and for nursing practice

2. Participate in activities that demonstrate commitment to continued competence and to the development of professional nursing.

   Level 3: Utilizes self-reflection for promoting competence in professional nursing practice seeking guidance when needed. (SCANS 1; a; i, ii, iii, iv, v, b; I, ii, iii, iv, v, vi, c; i, ii, iii, iv, v, 2; a; i, b; i, iii, iv, v, vi, c; i, ii, iii, d; i, ii, iii, e; ii)

   Provider of Patient-Centered Care

3. Utilize clinical reasoning based on the nursing process to determine patient health status and clinical decisions to provide safe holistic nursing care.

   * Level 3: Utilize clinical reasoning based on the nursing process to analyze patient health status and clinical decisions to provide safe holistic nursing care. (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)

   Student responsibilities include but are not limited to

   • Demonstrates clinical reasoning and safe clinical judgment in clinical actions and on written clinical assignments

4. Plan, implement, and evaluate the provision of safe, comprehensive evidence-based patient-centered nursing care through a broad array of healthcare services.

   Level 3: Plan, implement, and evaluate the provision of safe, comprehensive, evidence-based, patient centered care introducing a broad array of healthcare services. (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)

   Student responsibilities include but are not limited to Implement interdisciplinary care

   • Demonstrate patient-centered care and teaching

5. Patient Safety Advocate

   Implement measures to advocate for quality and safe environments through knowledge of the Nurse Practice Act, Texas Board of Nursing rules, federal, state, organizational, and professional standards.

   * Level 3: Implement measures to advocate for quality and safe environments through knowledge of the Nurse Practice Act, Texas Board of Nursing rules, federal, state, organizational, and professional standards. (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)

   Student responsibilities include but are not limited to

   • Demonstrates safe clinical judgment for safe medication administration
   • Demonstrates actions to maintain safe environments for patients, self and others.

6. Member of the Health Care Team

   Serve as an advocate for patients and their families through communication and collaboration with a variety of healthcare services facilitating continuity of care to promote quality health.

   Level 3: Advocate for patients and their families through communication and collaboration with a variety of diverse healthcare services facilitating continuity of care to promote quality health. (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)

   Student responsibilities include but are not limited to

   • Demonstrate effective implementation of SBAR

7. Assign, delegate, and supervise nursing activities delivered by members of the healthcare team based on analysis of patient, work place needs, and evidence-based nursing practice.

   Level 3: Actively engage with supervising nurse in assignment and delegation of nursing activities delivered by members of the healthcare team based on analysis of patient, work place needs, and evidence-based nursing practice. (SCANS 1; a; i, ii, iii, iv, v, b; i, ii, iii, iv, v, vi, c; i, ii, iii, iv, v, 2; a; iii, b; i, ii, iii, iv, v, vi, c; i, ii, iii, iv, d; i, ii, iii, e; i, ii, iii)

Average Score:

Student scores on each evaluation criterion is based on student assignments & faculty observation and interactions with the student.

• 4 = consistently performs with the knowledge, skill, and attitude for practice at current education level. Meets the described learning objectives with self-direction. 90-100% on assignments
• 3= demonstrate consistent performance and improvement with direction. Needs minimal guidance to meet described objectives. 80- 90% on assignments.
• 2= Satisfactory/safe level of performance. Meets objectives with consistent guidance. 75-79% on assignments
• < 2= Unsatisfactory/Unsafe. Level of performance does not meet described learning objectives.
  Unable to meet objectives without frequent, direct, intensive guidance and instruction to avoid errors. This includes submitting late assignments, substandard assignments, failure to submit assignments and inconsistent performances from week to week. 74.99% or less, late assignments and failure to submit assignments

*These objectives are critical elements. A student must achieve a minimum score of 2 on ALL of the critical elements. A score of < 2 is Unsatisfactory /Unsafe and may/will result in immediate termination of the clinical experience and/or failure of the course.

Final grade:
A: 3.5-4
B: 2.5-3.49
C: 2-2.49
F: < 2

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

1. Students are accountable to and must comply with all policies outlined in the Panola College ADN Handbook and student nursing practice as defined by the Texas Board of Nursing Nurse Practice Act and the American Nurses Association (ANA) code of ethics.
2. Bring required equipment for clinical (please see Panola ADN Handbook, section 4.5.f) to each assigned clinical experience.
3. Bring all needed resources to clinical for completion of learning activities.
4. Refer to the Panola ADN Handbook “Attendance/Absences” policy (Panola ADN Handbook section 4.1) for attendance requirements. All hours for this course will be viewed as required clinical hours for the semester and ADN program.
5. Be self-directed in preparation and in participation in clinical learning activities. The student is required to complete all assigned reading, assigned audiovisuals, and assigned computer instruction prior to the assigned clinical class.
6. Take the initiative to schedule with the instructor any additional practice needed in the lab.
7. Complete all assignments associated with clinical experiences as instructed by the clinical professor. All assignments must demonstrate college-level skills. References must be documented using American Psychological Association (APA) guidelines.
8. Due dates and instructions for all assignments will be accessed through the CANVAS course.
9. Students are required to achieve 100% pass rate on the dosage calculation exam to pass this course. Please see Panola College ADN Handbook section 5.5.
10. Students are required to complete a mid-term and final self-evaluation based on the course’s learning outcomes.
11. Students will be evaluated at midterm and at the end of the semester by the course professor using the course’s Clinical Evaluation Tool. See grading criteria located at the end of the clinical evaluation tool.
12. In the event of an emergency or announced campus closure due to a natural disaster or pandemic and instruction changes to follow alternate operations, students will be required to join and participate in ZOOM classes at scheduled clinical time for the semester. Students will complete and submit all online assignments as instructed through the Canvas course.