NURS 100Z Foundations of Nursing Clinical • 3 Cr.
Department
Clinical component for NURS 100X. Students gain experience in rehabilitation facilities correlating with and implementing nursing theory. Prerequisite: Acceptance into program.
Outcomes:
After completing this class, students should be able to:
- Implement the nursing process in the provision of nursing care in the following areas by
- Assessment
- Collecting pertinent data by assessing a client using the Functional Assessment Data Collection Guide
- Collecting pertinent data from other sources
- information from charts
- records
- Identifying normal and abnormal assessment data
- Validating abnormal data
- Organizing assessment data according to Maslow’s basic needs
- Nursing diagnosis
- Identifying basic needs using Maslow’s hierarchy
- Beginning to identify nursing diagnoses based on meeting basic needs
- Planning
- Prioritizing unmet basic needs
- Beginning to collaborate with the client to formulate expected outcomes that are
- related to basic needs
- measurable
- client-focused
- Selecting nursing interventions that address basic needs, e.g.,
- vital signs
- oral care
- turning schedule
- oxygenation
- safety
- Providing rationales for medications and therapeutic interventions
- Incorporating the agency’s plan of care
- Implementation
- Performing nursing interventions that address basic needs (with occasional cuing*)
- Providing for physical safety of clients in long-term care settings, for example during:
- feeding
- bathing
- transfers
- Documenting relevant care provided such as recording
- intake and output
- vital signs
- hygiene
- mobility
- Evaluation
- Identifying client progress toward meeting basic needs as related to expected outcomes (with occasional cuing*)
- Demonstrate cognitive, psychomotor and affective skills to ensure safe practice by
- Identifying rationales for nursing interventions
- Performing psychomotor skills learned in N100 safely with occasional cuing
- applying principles of medical and surgical asepsis
- performing skills on time
- performing in a reasonable amount of time
- demonstrating organizational skills
- beginning to demonstrate dexterity
- Reviewing medications of client, utilizing the “Rights of Safe Medication Administration”
- Using effective communication techniques with clients, instructors, peers and health care team begins to
- participate in and support constructive interactions with peers in the clinical setting and during conferences
- recognize a therapeutic relationship between student and client
- modify environment to enhance nurse-client interactions
- Beginning to develop oral presentation skills by reporting clear, concise and relevant data to staff and instructor
- Demonstrating competency in mathematical calculations of basic conversions in administering PO medications
- Beginning to develop professional writing skills by writing formal college level papers
- As a manager of care, the student will:
- Begin to demonstrate organizational skill in the management of care for a client in the long-term setting by
- Completing care for assigned clients
- Practice in a cost effective manner by organizing care to conserve time, energy and resources.
- As a member within the discipline of nursing, the student will:
- Practice within the legal and ethical framework of nursing by
- Following established policies as outlined in the College and Nursing Program Student Handbook
- Following established agency policies and procedures
- Documenting basic nursing care given with occasional cuing
- using agency format
- meeting legal standards
- clearly and concisely
- in a timely manner
- legibly with correct grammar and spelling
- Reporting pertinent data promptly to appropriate staff /instructor
- Respecting and supporting the resident’s rights such as
- privacy
- confidentiality
- right to refuse care
- Exhibit professional accountability
- Preparing for clinical assignment using appropriate resources
- Seeking assistance when clinical situation is beyond knowledge and experience
- Seeking opportunities in the clinical setting to enhance learning and pursuing professional growth
- Following established lines of communication with the assigned clinical setting
- Demonstrating reliability in completing client/clinical assignments
- Evaluating own performance accurately
- accepts responsibilities for own decisions/behaviors/actions while in clinical settings
- accepts feedback and makes appropriate changes in behavior
- identifies own strengths and areas for growth in assigned settings
- Definition of cuing
- No cuing: student will perform independently with no intervention by the instructor
- Minimal cuing: instructor will provide no more than 2 prompts
- Occasional cuing: instructor will provide no more than 4 prompts
