
ASSOCIATE DEGREE NURSING PROGRAM
2005-2006
Northeast Texas Community College
Department of
Associate Degree Nursing
These policies approved by the Nursing
Advisory Committee Spring 2005
TABLE OF CONTENTS
...............
PHILOSOPHY AND OBJECTIVES.......................................................................................
Philosophy..................................................................................................................
Program Objectives ................................................................................................... . SECTION 1 COLLEGE ORGANIZATIONAL CHART
SECTION 2.0 COURSE DESCRIPTIONS AND OJECTIVES ........................................... 3
2.2 Curriculum Overview ............................................................................................. 10
2.3 Curriculum Overview – LVN Mobility Option.......................................................... 11
2.4 Nursing Electives.................................................................................................... 11
SECTION 3. ADMISSION CRITERIA ................................................................................ 11
3.1 Qualifications for Admission ................................................................................. 12
3.2 Transfer Students ................................................................................................. 13
SECTION 4. REGISTRATION AND PROGRESSION ...................................................... 13
Section 5 CLASSROOM CONDUCT................................................................................. 14
SECTION 6. WITHDRAWAL, PROBATION, AND DISMISSAL POLICIES ...................... 14
6.1 Withdrawal............................................................................................................. 14
6.2 Unsatisfactory Progress in a Course ................................................................... 15
6.3 Dismissal............................................................................................................... 15
SECTION 7. READMISSION POLICY ............................................................................... 16
SECTION 8. ABSENCES .................................................................................................. 16
8.1 Procedure for Reporting an Absence or Tardy .................................................... 16
SECTION 9. GRIEVANCE PROCEDURES ..................................................................... 17
9.1 Access to "Special File" ........................................................................................ 17
SECTION 10. GRADING POLICY AND PROCEDURES ................................................. 18
10.1 Theory Grades .................................................................................................... 18
10.2 Clinical and/or Campus Laboratory Grades ....................................................... 18
10.3 Math Exams ........................................................................................................ 18
10.4 Incomplete or "X" Grades ................................................................................... 18
Section 11 STANDARDIZED TESTING…………………………………………………… ..19
Section 12 ACADEMIC COUNSELING ............................................................................... 19
SECTION 13. THE LEARNING PACKET............................................................................. 19
SECTION 14. EVALUATION OF COURSES AND INSTRUCTORS .................................. 19
SECTION 15. PROGRAM EVALUATION............................................................................ 20
SECTION 16. STUDENT PARTICIPATION ....................................................................... 20
SECTION 17. NURSING LABORATORY PHILOSOPHY .................................................. 20
17.1 NTCC Nursing Laboratory Objectives ................................................................. 21
17.2 Guidelines for Campus Laboratory Use and skill point deductions...................... 21
SECTION 18. CLINICAL EXPERIENCE ............................................................................... 22
18.1 Clinical Facilities .................................................................................................. 23
18.2 Administration of Medications and Procedures ................................................... 26
18.3 Infection Control ................................................................................................... 26
18.4 Conferences......................................................................................................... 26
18.5 Preparation for Clinical……………………………………………………………. 27
18.6 The Care Plan ...................................................................................................... 27
18.7 The Database....................................................................................................... 28
18.8 Summative Evaluation .......................................................................................... 28
18.9 Clinical Objectives ............................................................................................... 28
SECTION 19. NON-HOSPITAL CLINICAL EXPERIENCES ............................................... 28
SECTION 20. CARS, PARKING, AND TRANSPORTATION .............................................. 28
SECTION 21. LEARNING RESOURCE CENTER ............................................................. 29
SECTION 22. PERIODICALS.............................................................................................. 29
SECTION 23. COMPUTERIZED INSTRUCTION ............................................................... 29
SECTION 24. CRIMINAL HISTORY CHECK....................................................................... 29
SECTION 25. DRUG SCREENING...................................................................................... 29
SECTION 26. SUBSTANCE USE/CHEMICAL DEPENDENCY.......................................... 30
SECTION 27. THE UNIFORM ............................................................................................. 32
27.1 Rules .................................................................................................................... 32
27.2 Laboratory Coat ................................................................................................... 32
27.3 Appearance .......................................................................................................... 32
SECTION 28. STATE BOARD EXAMINATIONS ................................................................ 33
SECTION 29. ELIGIBILITY FOR LICENSURE including Excerpts Board Rules and TEXAS Code……………………………............................................................................................. 33
SECTION 30 DECISION MAKING MODEL …………………………………………………..53
SECTION 31. EMPLOYMENT OF STUDENTS ................................................................. 54
SECTION 32. HEALTH POLICIES ..................................................................................... 54
SECTION 33. CLINICAL DOCUMENTS ............................................................................. 54
SECTION 34. PROFESSIONAL PAPERS.......................................................................... 55
SECTION 35. STUDY SKILLS AND TESTING.................................................................... 56
SECTION 36 COPYING………………………………………………………………………..58
Section 37 HIPPA………………………………………………………………………………….58
SECTION 38 STATEMENT OF ESSENTIAL ABILITIES……………………………………….59
APPENDICES........................................................................................................................ 62
I Report of Unsatisfactory Progress ........................................................................... 63
II Documentation of Counseling................................................................................... 65
III Report of Status Review ........................................................................................... 66
IV Student-Faculty Agreement ...................................................................................... 67
V Physical Disability Report ......................................................................................... 69
VI Report of Grievance .................................................................................................. 70
VII Grievance Conference Report .................................................................................. 71
VIII Nursing Database...................................................................................................... 72
IX Client Physical Examination...................................................................................... 73
X List of Clients Problems/Needs................................................................................. 74
XI Nursing Care Plan Form............................................................................................ 75
XII Clinical Evaluation Tool THIS TOOL IS BEING REFINED AND IS VOID AFTER 7/1/05
…………………………………………………................................................................... 76
XIII A Patient’s Bill of Rights............................................................................................. 92
XIV Rights of the Elderly .................................................................................................. 96 XV Guideline for Isolation Precautions in Hospitals CDC........................................................................... 100
XVI Student Release for CDC Recommendations ......................................................... 136
XVII Area Guidelines for Uniforms .................................................................................... 138
XVIII Computer Aided Instruction (CAI) Programs ............................................................ 139 XIX Request for a Declaratory Order Petition Packet...................................................................................... 140
XX Licensure Eligibility Notification Form........................................................................ 142
XXI Medical Record Release........................................................................................... 143
XXII Drug Screen Authorization Form............................................................................... 144
XXIII Hepatitis B Vaccine Declination Form……………………………………………………145
XXIV Confidentiality Statement……………………………………………………………………146
PHILOSOPHY
The philosophy of The Associate Degree Nursing Program of Northeast Texas Community College supports and promotes the institutional mission and goals. The program is committed to supporting the personal, educational and cultural development of the students, enhancing access to higher education reflecting the unique needs of the community and cooperating with related business and industry. The mission of the associated degree program in nursing is to provide the students with a high quality education designed to prepare the graduates for practice as registered nurses and to provide a foundation for continued study in the field of nursing.
The Nursing faculty believes that nursing education occurs in an institution of higher learning because of the technically/scholarly nature of nursing knowledge. Inclusion of support courses in general academics and the biological psychological and social sciences are crucial to creating a well-rounded nursing education as well as lending to the personal growth of the college student. The faculty functions as role models to facilitate learning. The learner must be actively involved in this process as learning progresses from basic knowledge to synthesis and evaluation of content and serves as a platform for continued nursing education and practice.
The faculty believe the study of nursing is best taught in an integrated holistic approach in which 7 key philosophical elements are incorporated. These are: Person, Environment/Society, Health, Nursing, Education, Teaching/Learning, and the Associate Degree Nurse.
The person is a biological, psychological, social being. The individual person follows sequential and predictable stages of growth and development throughout the life cycle. A person is an open system with the ability to change and adapt which is necessary for survival.
The environment, society is composed of people who share common characteristics, social needs, and physical setting. A person exists within the complex environment/society through which the give and take of social interactions occurs with the family, significant others, and groups. The person and the environment/society maintain and interdependent relationship.
Health is defined, primarily, by the individual. It is conceptualized as a continuum with wellness and illness at opposite extremes. Health is a continuous, dynamic state of physical and emotional processes. Illness is a common experience and is defined as mal-adaptation to stressors which leads to the inability to achieve the person’s optimal level of wellness.
Nursing is an educational discipline that has its foundation in theory and scientific research and is operationalized through a five-step problem-solving format called the nursing process. It is the art and science of helping individuals and groups to achieve and maintain their maximum level of wellness. Nursing is an interpersonal, therapeutic and helping process in which genuine caring is essential. It is a relationship established purposefully, maintained deliberately, and ended carefully in relation to the particular health needs of the patient. Nursing respects human dignity, individual differences and the client’s right to self-determination. Nursing is and autonomous body that provides a unique service to society while maintaining an interdependent relationship with other health disciplines.
Teaching/Learning is viewed as a dynamic shared process. Learning is a goal directed life-long process that changes behavior. Learning is a change in behavior, perceptions, insights, attitudes, or any combination of these. Learning occurs in cognitive, affective and psychomotor domains. The student learner is an active participant in the process and is responsible for his own learning. Student responsibility for learning must include the development of self-discipline, independence and self-direction. The learning environment is characterized by open communication channels, as students and teachers share in the process of change. The teacher of nursing will provide a stimulating environment that facilitates critical thinking and appeals to a variety of learning styles. The teacher of nursing uses knowledge of assessment, analysis, planning, implementation, and evaluation to create a learning environment that facilitates student progression. The importance of planned, sequential learning and creative teaching, based on relevant content, is acknowledged by the faculty. Learning the art and science of nursing is optimally done in a combination of clinical and classroom teaching, maximizing clinical/laboratory, critical thinking and simulated practice educational hours to allow the student adequate time to assimilate the role of the nurse
The scope of practice for the Associate Degree Nurse occurs within the nursing roles of provider of care, coordinator of care, and member of a profession. Within these roles there are identified entry level competencies that construct the behaviors associated with entry level practice for the Associate Degree Nurse. Associate Degree Nursing practice focuses upon individuals with problems that have predictable or unpredictable outcomes. This practice takes place in a variety of settings including acute care, extended care, rehabilitative, and community based care facilities. The care is concerned with individual clients and is given with consideration of a person’s relationship within the family, group, and community.
These major concepts serve as a foundation for nursing education. These, along with curricular threads of nursing process, functional patterns, culture, pharmacology, client education, development, professional communication, pathophysiology, safety, nutrition and ethical/legal considerations, guide the student’s educational experience within the nursing program at Northeast Texas Community College.
Reviewed
5/05
1. Collaborate with clients and the interdisciplinary team to gather and interpret data to determine health status and needs.
2. Formulate and implement a plan of care including nursing diagnosis, goals/outcomes and independent, dependent and interdependent nursing orders in collaboration with the client and the interdisciplinary team.
3. Implement the plan of care in collaboration with the client and interdisciplinary team, demonstrating understanding of scope of practice, accountability for practice and incorporation of ethical legal principles
4. Function as a client teacher through the development and implementation of teaching plans for clients and their families regarding health promotion, maintenance and restoration.
5. Evaluate clients responses and outcomes to scientifically based therapeutic interventions
6. Provide for the planning and delivery of care of multiple clients through direct care, assignment, collaboration and/ or delegation to other members of the health care team
7. Use critical thinking approach to analyze clinical data and literature as a basis for decision making in professional practice.
8. Coordinate human and material resources to provide care to clients within the organizational structure of varied health care business settings.
9. Refer clients to resources that facilitate the continuity of care.
10. Assume accountability and responsibility for the quality of care provided to clients.
11. Act as an advocate to promote provision of quality health care for clients.
12. Participate in academic coursework, continuing education, and reviewing current literature and in other activities to enhance the knowledge base, use as a platform for analyzing data and promote the development and practice of professional nursing.
SECTION 1 organizational chart


Dean of Workforce education
Director of Nurse Science
Nursing Faculty
Student




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2.0 COURSE DESCRIPTIONS AND OBJECTIVES FOR NURSING COURSES
RNSG 1219 Integrated Nursing Skills: Study of the concepts and principles essential for demonstrating competence in the performance of basic nursing skills for care of diverse clients across the life span. Topics include knowledge, judgment, skills and professional values within a legal/ethical framework to perform care to the bio-psych-social person.
The student will:
1. Using basic assessment techniques, begin to gather and interpret data to determine health status.
2. Apply concepts of functional patterns, pharmacology, culture, development, professional communication, physiology, safety, and ethical legal considerations to the performance of basic skills.
3. Adapt skills to allow for growth, development, physical condition and health care setting.
4. Perform teaching related to skills performed considering health promotion, maintenance, and restoration as appropriate to the skill.
5. Collaborate with other nurses and members of the interdisciplinary team to formulate a plan, modify a plan, and evaluate outcomes as basic nursing skill performance affects the plan
6. Assume accountability and responsibility for quality of skill performance.
7. Coordinate material and human resources to facilitate the performance of skills
8. Use critical thinking to analyze data, outcomes, and difficulties encountered in skill performance.
RNSG 1423 Introduction to Professional Nursing for Integrated Programs
Introduction to the profession of nursing, including the roles of the registered nurse with emphasis on health promotion and primary disease prevention across the life span; essential components of the nursing health assessment through functional patterns, identification of deviations from expected heath patterns; the application of a systematic problem solving process to provide basic nursing care to diverse clients across the life span; and applicable competencies in knowledge, judgment skills and professional values within a legal/ ethical framework.
The student will:
1. Describe the roles of the Professional nurse as a member of the interdisciplinary health care team in a variety of health care settings.
2. Discuss the role of the professional nurse in implementing the plan of care individually and in collaboration with the interdisciplinary team with regard to scope of practice, accountability for practice, the Nurse practice act, standards of care, and other ethical legal considerations.
3. Use the concepts of the health illness continuum, bio-psycho-social man, and functional patterns to gather data related to health promotion across the life-span.
4. Identify principles incorporated in the provision of basic nursing care including a 5 step systematic problem solving process, functional patterns, culture, pharmacology, client education, development, professional communication, physiology, safety, nutrition and ethical legal considerations as they relate to the formulation and implementation of a plan of care.
5. Use beginning priority setting using established models, principles of decision-making and rules as a basis for critical thinking in client scenarios.
6. Relate commonly used sources of referral for the promotion and maintenance of health.
7. Demonstrate an application of ideas related to personal accountability and responsibility
RNSG 1260 Clinical I
Detailed education, training and work based experience and direct patient care at clinical sites. Focus is on basic care, skill development, health promotion for clients at all developmental ages and various cultural groups. Application of basic nursing concepts to the clinical setting is emphasized.
The student will:
1. Apply theory, concepts, and basic skills, involving materials, equipment, procedures, regulations, laws, and interactions within political, economic, environmental, social and legal systems associated with the roles of the associate degree nurse.
2. Provide care for one client through direct care and collaboration using concepts of the bio-psycho-social man and the threads of 5 step problem solving process, functional patterns, culture, pharmacology, client education, development, professional communication, physiology, safety, nutrition, and ethical legal considerations.
3. Identify and begin to gather basic data used to determine health status.
4. Implement, with instructor guidance, established teaching learning plans related to health promotion and maintenance.
5. Identify health resources used by nursing professionals for health promotion in various clinical settings.
6. Begin using priority setting, models, and the five step problem solving process as a framework for critical thinking to meet the health care needs of clients.
7. Begin to evaluate client responses by comparing health promotion outcomes to goals established by the interdisciplinary team.
8. As a student, work as a member of the multidisciplinary health team by assuming accountability, seeking appropriate supervision and assuming responsibility for basic skills and therapeutic interventions provided.
9. Identify sources of literature supporting the scientific basis for care given to clients.
RNSG 2504 Integrated Care of the Client with Common Health Care Needs
Application of a systemic problem solving process and critical thinking skills to provide nursing care to diverse clients/families across the life span with common health care needs including, but not limited to, common childhood/adolescent diseased, uncomplicated peri-natal care, mental health concepts, peri-operative care, frequently occurring adult health problems and health issues related to aging. Emphasis on secondary disease prevention and collaboration with members of the multidisciplinary health care team. Content includes competencies in knowledge, judgment skills and professional values within a legal/ethical framework.
The student will:
RNSG 1261 Clinical II
Detailed education training and work based experience and direct patient/client care at clinical sites. Focus is on care of clients with health maintenance and commonly encountered predictable health care needs through the lifespan. Emphasis on curricular threads of communication, teaching, safety, nutrition, development, pharmacology, pathophysiology, and ethical/legal consideration while critically thinking and providing care for one to two clients in structured commonly encountered health care settings.
The student will:
RNSG 2514 Integrated Care of the Client with Complex Health Care Needs: Application of a systematic problem solving process and critical thinking skills to provide comprehensive nursing care to diverse clients/families across the life span with complex health care needs including, but not limited to complex childhood/adolescent diseases, complicated perinatal care, serious adult health problems and health issues related to aging. Emphasis on tertiary disease prevention, health maintenance/restoration and collaboration with members of the multidisciplinary health care team. Topics include the role of the nurse as client advocate and coordinator of care and applicable competencies in knowledge, judgment, skills, and professional values with in a legal/ethical framework.
The student will:
RNSG 2360 Clinical III
Detailed education training and work based experience and direct patient care at clinical sites. Focus is on care of clients with complex needs along the health illness continuum and application of more advanced concepts for the nurse within the role of the nurse. Additional practice at refining skills using critical thinking, systematic problem solving processes, and incorporating human development, learning needs, communication, pharmacology, nutrition, and pathophysiology.
The student will:
1. Apply theory, concepts, and basic skills, involving materials, equipment, procedures, regulations, laws, and interactions within political, economic, environmental, social and legal systems associated with the roles of the associate degree nurse.
2. Provide care for two to four clients through direct care and collaboration with the interdisciplinary team using concepts of the bio-psycho-social man and the threads of 5 step problem solving process, functional patterns, culture, pharmacology, client education, development , professional communication, pathophysiology, safety, nutrition, and ethical legal considerations.
3. Begin to utilize advanced assessment techniques to gather assessment data and analyze the data to determine health status for complex disturbances in health across the lifespan.
4. Implement, established teaching/ learning plans and develop unique patient centered plans related to health promotion and maintenance for complex needs through the life span.
5. Use health resources for health promotion in various clinical settings, working with the multidisciplinary team to identify appropriate referrals for clients with complex health care needs.
6. Apply skills of priority setting and the five-step problem solving process as a framework for critical thinking to meet the complex health care needs of clients.
7. Use knowledge base to identify rationales for care and evaluate client responses by comparing health promotion/restoration/maintenance outcomes to goals established by the interdisciplinary team.
8. As a student assume accountability and responsibility for basic skills and therapeutic interventions provided, and seek appropriate supervision when needed..
9. Use sources of professional literature to support the scientific basis for care given to clients.
10. Establish, maintain, and evaluate therapeutic professional communication with clients and other members of the interdisciplinary health care team.
RNSG 2535 Integrated Client Care Management: Application of client assessment skills, critical thinking, and independent nursing interventions to care for diverse clients/families throughout the life span whose health care needs may be difficulty to predict. Emphasis is placed on collaborative clinical decision-making, nursing leadership skills, and client management. Topics include the significance of professional development, trends in nursing and health care, care in highly specialized nursing areas and applicable knowledge, judgment, skills and professional values within a legal/ethical framework
The student will:
RNSG 2361 Clinical IV Detailed education, training, and work based experience ad direct patient care at clinical sites. Focus is on the care on advanced, specialized clinical sites, and on coordinating and managing care for groups of clients and managing the health care team within the role of the Associate Degree Nurse as a professional.
The student will:
1. Apply theory, concepts, and basic skills, involving materials, equipment, procedures, regulations, laws, and interactions within political, economic, environmental, social and legal systems associated with the roles of the associate degree nurse.
RNSG 1327 Transition from Vocational to Professional Nursing
Course Description: Preparation for role transition from vocational to professional nursing. Topics include health promotion, legal/ethical issues, expanded assessment, analysis of data, systematic problem solving processes, nutrition, teaching, pharmacology, multidisciplinary teamwork, communication, and applicable competencies in basic workplace skills. Selected common medical surgical conditions are addressed as they relate to human needs in the bio-psycho social man across the lifespan.
The student will:
1. Use increasing assessment skills to collaborate with clients and others to gather and interpret data related to commonly occurring health maintenance and restoration needs across the life-span
Clinical Mobility
2.2 CURRICULUM OVERVIEW
Prerequisite