NURS 120 Everett Community College Fall 2018

Nursing Therapeutics II
Chronicity and Rehabilitations
Course Information
NURS 120
Section A
Fall 2018
8 Credits/160 Hours

Instructor Information
Eva Wangia, MSN, RN
ewangia@everettcc.edu Christy Gough, MSN, RN
LBH 355 cgough@everettcc.edu
Office Hours: Posted outside office LBH
Ph: 425-388-9464 Office Hours: Posted outside office
Ph: 425-388-
Office Hours Fall 2018

Eva Christy
Week 1 By appointment By appointment
Week 2 10/1 : 1300-1700; 10/2: 1100-1200 10/1 1300-1600; 10/2 1500-1700
Week 3 10/9: 0800-1300 10/8 1300-1600; 10/9 0930-1130
Week 4 10/18: 0900-1400 10/17 0800-1100; 10/18 1300-1500
Week 5 10/22: 0830-1000; 10/23: 1100-1430 10/23 1100-1400; 10/24 1400-1600
Week 6 11/1: 0900-1400 10/29 1300-1600; 10/30 0900-1100
Week 7 11/5: 1200-1400; 11/6: 1100-1400 11/5 1300-1600; 11/6 1100-1300
Week 8 11/15: 0900-1400 11/12 1300-1600; 11/13 0900-1100
Week 9 By appointment 11/21 1200-1700
Week 10 11/29: 0900-1400; 11/30: 0900-1400 11/26 1300-1600; 11/27 1100-1300
Week 11 12/4: 0900-1400 12/4 1300-1600; 12/5 1400-1600
Week 12 12/4: 0900-1400 12/10 1300-1600; 12/11 1300-1500

Co-Requisite(s)
NURS/PSYC 125: Psychosocial Issues in Healthcare I
NURS/NUTR 126: Nutrition in Healthcare I
Students are required to pass all co-requisite courses in order to progress in the Nursing Program.

Course Description
This course is taught during the second of six quarters of the EvCC Nursing Program.
It presents an integrated view of mind/body responses to altered health states. Selected health
problems of adults are viewed in relation to epidemiology, risk factors, pathophysiological mechanisms
and clinical manifestations. Content incorporates rationale for health care interventions, including
diagnostic methods and treatment. Explores the application of nursing principles and theories to
determine appropriate nursing diagnoses and nursing therapies. Provides opportunities for the
development of cognitive, interpersonal, and technical skills essential to the care of adult clients.
NURS 120 Everett Community College Fall 2018

Alterations in fluid, electrolytes, acid-base balance, mobility, sensation, mood, cognition, integumentary,
immunity, and metabolism are addressed. During lab students integrate and apply the art and science of
nursing through the use of case studies, scenarios, clinical simulations, client care, and special projects.
This course utilizes the nursing process, critical thinking, and self- reflective activities as the basis for
collaborative learning in the formulation, implementation, and evaluation of nursing care for adults
experiencing selected health alterations.

Objectives and Outcomes

Outcomes
 Participate with the patient, family, significant others, and members of the healthcare team to
utilize the nursing process in the provision of patient-centered care.
 Demonstrate critical thinking skills in the delivery of patient-centered care to well and ill patients.
 Employ effective communication with patients, families, significant others, and other professionals
within the context of the healthcare environment.
 Demonstrate behaviors consistent with the legal and ethical framework of nursing.
 Create an environment that promotes caring and professionalism with consideration for the
patient’s cultural/societal beliefs and practices.
 Utilize scientific and evidence-based knowledge, regarding alterations in health, to guide actions
which promote and maintain patient-centered care.
 Demonstrate commitment, accountability, integrity, and discretionary judgment in their nursing
practice.
 Recognize their role in shaping healthcare delivery.

Student Learning Objectives

Upon successful completion of this course, the student will:
1. Demonstrates the use of nursing process when providing care for chronic health alteration.
2. Applies knowledge of health alteration to develop appropriate holistic nursing interventions
3. Reviews nursing interventions for effectiveness in achieving patient specific goal and identify
areas for improvement.
4. Interprets abnormal assessment findings by communicating with the appropriate member of the
healthcare team.
5. Discuss individual nursing practice in relation to ethical codes, and professional practice
standards.
6. Includes patient’s cultural and societal beliefs when providing care for the patient with chronic
diseases.
7. Summarize current evidence-based research to support improvement in patient care.

Core Values and Student Competencies

The following EvCC Core Learning Outcomes are also introduced or assessed in this course:
Core Learning Outcome If assessed, how is outcome measured?

CLO #1: Engage and take The student bases nursing actions upon examination of client data and supports actions with
responsibility as active scientific rationale. Seeks information and answers to clinical practice questions.
learners. Clinical Evaluation Tool: Professional Behaviors
NURS 120 Everett Community College Fall 2018

CLO #2: Think critically
CLO #3: Communicate
effectively
CLO #4: Participate in diverse
environment
CLO #5: Utilize information
literacy skills
Multiple test questions from each exam will require critical thinking.
The student utilizes a purposeful, reasonable, reflective process to
gather and interpret data and to determine nursing interventions used in offering client care
.
Recognizes errors of perception, judgment, and reaction and take actions to ensure safe
Practice.
Clinical Evaluation Tool III: A
Multiple test questions from each exam will require effective communication
The student establishes, maintains, and examines communication with patients, peers,
instructor, and other healthcare team members utilizing the principles of therapeutic
communication.
Takes action to modify problem areas. Records assessments, interventions, and client
responses accurately.
Clinical Evaluation Tool II: C and D
The student demonstrates respect for the privacy, dignity, and values of the client and
significant others. Demonstrates cultural sensitivity in care and health promotion.
Clinical Evaluation Tool I: A and B
Use nursing literature effectively to create nursing care plan for selected patients
Determine appropriate article to share as resource leader in the clinical setting

CLO #6: Demonstrate Introduced through database searches

computer and technology
Uses automated medication dispensing devices and electronic medical records effectively
proficiency
when available at the clinical site.

The foundations of the nursing curriculum provide the structure for determining inclusiveness and
direction for the program of study. Refer to Nursing Program Student Handbook for Core Values and
Student Competencies. These will carry though each quarter of study and should be reflected on often.
End of Program Student Learning Outcomes are also outlined in the Student Handbook.

Topic Outline
This course consists of eight units and five labs. See each Unit/Lab’s learning outcomes, vocabulary list,
and reading lists under the appropriate Canvas modules.

Unit 1 Mind-body Responses to Altered Health States

Section A: The Nature of Disease and Nursing Therapeutics
Section B: Pain
Unit 2 Alteration in Regulation & Metabolism
Section A: Diabetes
Section B: Endocrine Disorders
Unit 3 Alteration in Cognition
Unit 4 Alteration in Neurologic and Sensory Function
Section A: Central and Peripheral Nervous System
Section B: Special Senses – Vision & Hearing
Unit 5 Alteration in Musculoskeletal Function
Unit 6 Alteration in Immunity
Unit 7 Alteration in Fluid, Electrolyte, and Acid-Base Balance
Unit 8 Alteration in Integument
Lab 1 Application of Pharmacology to Nursing
Lab 2 Wounds
Lab 3 Elimination
NURS 120 Everett Community College Fall 2018

Lab 4 Nutrition and Diet Therapy

Lab 5 Therapeutic Movement

Books and Materials

Required References
Required References
Ignatavicius, D. D. & Workman, M. L. (2016). Medical surgical nursing: Patient-centered
collaborative care (9th ed.). St. Louis: Elsevier Saunders (ISBN 9780323444194)
Kozier, B. (2012). Fundamentals of nursing: Concepts, process, and practice (10th ed.). New
Jersey: Prentice Hall Inc. (ISBN 9780133974362)
Pagana, K. D. & Pagana, T. J. (2014). Mosby’s manual of diagnostic and laboratory tests (6th
ed.). St Louis: Mosby (ISBN9780323446631)
Adams, M. P., & Urban, C. Q. (2016). Pharmacology: Connections to nursing practice (4rd ed.). New
Jersey: Pearson (ISBN 9780134867366 )
Olsen, J. L., Giangrasso, A. P., & Shrimpton, D. M. (2016). Medical dosage calculations:
A dimensional analysis approach (11th ed.). New Jersey: Pearson
(ISBN 9780133940718)
Vallerand, A. H. & Sanoski, C. A. (2016). Davis’s drug guide for nurses (15th ed).
Philadelphia: FA Davis (ISBN 9780803657052)

Recommended References:
Dudek, S. (2013). Nutrition essentials for nursing practice (8th ed.). Philadelphia: Lippincott Williams &
Wilkins (ISBN 9781496356109)
Huether, S. E. & McCance, K. L. (2015). Understanding pathophysiology (6th ed.).
St. Louis: Mosby (ISBN 9780323354097)

**It is our expectation that you use your textbooks for further study of the material covered in class.
There will not be assigned readings and you will be using your textbooks independently. There will be an
in class demonstration of how to find the information you need from the multiple texts. Please see the
instructors if you need further assistance.

Requirements and Expectations

NURS 120 students are expected to read the course syllabus and understand the course requirements.
It is understood that a student will meet with the course instructor to discuss any requirements that are
not clear.
NURS 120 students are expected to exhibit classroom behavior that is appropriate for a positive learning
environment. Interrupting, inappropriate talking or whispering during lecture, disrespect, insensitivity
to fellow students and instructors, and angry outbursts are unacceptable.
NURS 120 students are expected to be on time for lecture in order to receive participation points.
Course instructors MUST be notified by students if they expect to be late or absent.
NURS 120 Everett Community College Fall 2018

NURS 120 students are expected to take the exams at the scheduled time. By exception and with prior
agreement, students may take an exam late for a reasonable cause. When such exception has been
granted students may be held to a 100% grading standard (no curve).
NURS 120 students are expected to successfully complete the ATI test in Fundamentals in order to
progress to the next level of the Nursing Program. ATI tests are taken at the completion of the quarter
as a proctored exam. If not successful after one attempt, students will retake the exam the following day
at home after remediation. Retakes require a higher level of achievement, but can be retaken more than
once until a passing level is achieved. If you do not pass the first time, you MUST upload certificate of
completion with remediated grade. Grades for the quarter will be posted once ATI tests are successfully
completed. If you are successful in achieving recommended grade for proctored exam, you will receive
5 extra credit points toward your assignments grade, NOT your theory/test grade.

As a member of the discipline of nursing it is imperative that you are able to establish and maintain
open, honest, and respectful communication with your peers, faculty, and clients. It is an essential
component of the professional nursing role in today’s world and an expectation of 2 nd quarter nursing
students. As students participate in group activities, relate to peers, faculty, agency staff, and clients,
they will be assessed for their ability to work collaboratively, respectfully, and effectively.

Use of tape recorders or cell phones is not allowed during class or clinical practicum without instructor
permission. Cell phones should be off or in silent mode and kept out of sight.

Attendance and Participation

NURS 120 students are expected to be present for mandatory experiences including case studies,
exams, skills demonstrations, simulation and check offs. Absences of required activities occurring during
class, lab, or care management will require make-up work at the instructor discretion.
Attendance to clinical experiences is MANDATORY and make up time may not be available, resulting in
loss of experience and points gained from clinical assignments. Please refer to Attendance and Make-up
Experiences in your student handbook for further information.

Teaching Methods
Teaching will take place in a classroom, laboratory and clinical setting. Methods include case studies,
NCLEX type practice questions with discussion, ATI modules, simulation labs, practice labs and hands on
experience at clinical sites.

Assignments
Assignments for units and labs are posted on Canvas, or may be handed out in class. Some assignments
are preparatory work for lecture and are due prior to the start of lecture. It is the student’s
responsibility to know what is due.

Assignments may be turned in as a paper copy or online on Canvas as instructed. Specific instructions
will be given with each assignment and it is the student’s responsibility to know and follow these
instructions.
Extenuating circumstances, which prevent a student’s completion of assignments on the scheduled
date, must be communicated to the instructor prior to the due date. Failure to make such arrangements
will result in loss of partial or complete credit for an activity or assignment—this will be at the discretion
NURS 120 Everett Community College Fall 2018

of the instructor based on the specific activity/assignment. All assignments must be turned in for
completion of the course, even if determined no points will be awarded.

Samples of student work may be saved for examples of NURS 120 assignments and grading for purposes
of program accreditation. Students may decline by emailing the instructors and stating they do not wish
their coursework to be used for this purpose.

Designated skills (subcutaneous and IM injections, medication administration, catheter insertion, sterile
dressing change, and administering medications by feeding tube) require check off by the instructor. A
satisfactory performance of these skills will be demonstrated prior to the start of the clinical practicum.
The procedure for skills demonstration check offs is located on Canvas.
Clinical Simulation experiences may occur in the skills lab or simulation lab. Grading and expectations
will occur prior to assigned experiences. Check off forms for skills demonstration can be found on
Canvas. All clinical simulation requires that the student be in full uniform, including name badge.

Several quizzes will be administered during the quarter. Some quizzes will be administered in class prior
to content and some on Canvas as practice once content has been covered in class as a reinforcement of
that unit. In class quizzes will be unannounced and hand graded, worth 5 points. Canvas quizzes must
be completed within the time limit announced with the quiz. Canvas quizzes may only be opened once,
so must be completed once opened. No notes, textbooks, or other resources should be used when
taking the quizzes as they are utilized as a tool to focus your studying. Canvas quiz grades are recorded
as taken or not, you do not get points correlated to number of correct answers.

Exams
Math Exam
 25-point, free response exam. A 90% is required to pass.
 Students will have three attempts to successfully pass the math exam. Only the score on the first
attempt will be calculated as a part of the NURS 120 grade.
 Students who are not able to successfully pass the math exam with a minimum score of 90% on
two attempts will have a student improvement plan implemented.
 A calculator (not a cell phone) may be used for math problems on any exam. Students may not
share calculators. All calculations must be shown on the exam in dimensional analysis.

Content Exams (5)

 Students are responsible to bring a test scantron form and number 2 lead pencils to each exam.
 All exams must be taken on the scheduled date. Extenuating circumstances, which prevent a
student’s attendance, must be communicated to the instructor prior to the examination. Failure
to notify the instructor will result in loss of all credit for the test. If permission is granted to take
an exam outside of the scheduled time, a different version of the examination may be given.
 Exams are timed at one and a half minutes (1.5 minutes) per question.
 Group testing will occur after each theory exam. This is optional, any student can opt out via
email up until 0800 the day prior to the exam. Once group testing is complete, instructors will
grade group test and add 2 points to individuals exam score for a group test score of A or add 1
point to individual exam score for a group test score of B. Group extra points cannot give any
individual greater than 100% on exam.
 Test results will be posted on Canvas, usually by the afternoon of the exam day.
NURS 120 Everett Community College Fall 2018

 Individual test review is available as requested with the instructors or success/retention

specialist. The purpose of a test review is to learn better test taking skills, and to review content
to assure understanding of correct answers. No note taking can be done at this time, except to
jot down topics needed for review.
 Students must meet with their instructor if a score of less than 80% is earned on any exam.

Evaluation and Grading

A final grade for NURS 120 is based on points earned in the following (points are approximate and may
change throughout the quarter).
Assignment Points % Final Grade
Exams 325 24.9%
Quizzes 35 2.68%
Lecture Participation (5 points/lecture) 80 6.13%
Nature of Disease Worksheet/Discussion 10 0.77%
Routes Worksheet/Discussion 10 0.77%
ATI Post-Tests 10 0.77%
MAR/Med Administration Worksheet 20 1.53%
Clinical Sim—Med Administration 30 2.30%
Group Skills Check Off 15 1.15%
Journals 50 3.83%
Clinical Prep Sheets 600 45.98%
Presenting the Person 20 1.53%
TOTAL POINTS POSSIBLE 1205 100%

Your points for all of the above can be found under “Grades” on Canvas. A final grade for NURS 120 is
assigned by calculating a percentage of total points available in the course. The following percentages
are used to calculate grades:
94-100% = A 83-86% = B 73-71% = C 63-66% = D
90-93% = A- 80-82% = B- 70-72% = C- Below 62% = F
87-89% = B+ 77-79% = C+ 67-69% = D+

Minimum passing grade in NURS 120 requires:

 80% or better average on the exams as a whole (including the math exam)
 no rounding up will occur
 80% or better in the entire course
 Satisfactory clinical performance as reflected on the clinical evaluation tool

In the event any of the above three criteria are not met, the instructor will remove you from the course
and a “V” will be submitted for your course grade to reflect non-passing of the course, even though
points may reflect a higher grade. There will be no rounding up of grades. Points must be met to reach
the above criteria.

Late Work
NURS 120 Everett Community College Fall 2018

NURS 120 students are expected to submit assignments on time. Late assignments may be awarded no
points, but are required to be completed to receive credit for the course. Extenuating circumstances must
be communicated to the instructor prior to the due date to arrange for exceptions to this policy.
Academic Integrity
Please review the Ethics Policy as outlined in the Student Handbook. If any plagiarism or
academic dishonesty is suspected, situation will be discussed with instructor and/or associate
dean. Consequences could include loss of points or dismissal from the program.

Support for Students

Diversity and Accessibility

Everett Community College is committed to the full inclusion of all students, and I welcome people of
all backgrounds, identities, and abilities in this class. My goal is to create an environment in which
everyone can participate and learn. Because of the diversity of beliefs, backgrounds, and experiences
all of us bring to this class, I expect you to interact with your peers in a spirit of generosity, mutual
respect, and understanding.

If there are aspects of this course that prevent you from learning or that exclude you, please speak
with me as soon as possible. Together we can develop strategies to meet both your needs and the
requirements of this course. I’m happy to talk confidentially after class or during my office hours.

You also have the right to request accommodation for a verified disability. For information and
assistance, contact the Center for Disability Services (located in Parks 267) for help documenting
specific needs you may have and determining appropriate accommodations.

Tutoring: The Tutoring Center is a safe, creative space where we help students become more
successful by employing a variety of tools such as, demonstrating processes, relating ideas, providing
resources, encouraging group work and welcoming questions.
Tutoring Center - Rainier 119
Monday - Wednesday 8:00am - 6:50pm
Thursday 8:00am - 4:50pm
eTutoring   - Click Login then select Western eTutoring Consortium

Writing Center: You can schedule an appointment with a writing assistant for a 25 or 50 minute
session. (You may make up to two appointments per week.) To schedule an appointment, stop by the
Writing Center (Gray Wolf Hall 150) during our hours of operation or call 425-388-9406.

You can submit a draft of your paper for feedback, ask specific questions, and receive a response
usually within 24 to 48 hours. To submit your writing for feedback, go online to the eTutoring
Consortium  and follow the directions for logging in to eTutoring.

Library: Librarians are your friend. Call the Everett Community College Library at 425-388-9354 and
talk directly with our reference librarians during regular library hours. Or Online chat is available 24
hours a day, 7 days a week, including quarter breaks. For help finding research online through the
EvCC library try this LibGuide link.
NURS 120 Everett Community College Fall 2018

eLearning: For technical and online learning concerns EvCC has an eLearning Center located at Gray
Wolf Hall 231B. You can call the eLearning Center at 1-866-575-9027 (or x9027 if on campus). Or
elearning@everettcc.edu.

Nondiscrimination Statement
Everett Community College does not discriminate on the basis of race, color, religious belief, sex, marital
status, sexual orientation, gender identity or expression, national or ethnic origin, disability, genetic
information, veteran status, or age in its programs, activities, or employment.

The Chief Diversity and Equity Officer has been designated to handle inquiries regarding
nondiscrimination policies and can be reached at 2000 Tower Street, Everett, WA 98201, or by phone at
425-388-9979

Changes to the Syllabus

We have attempted to make this syllabus as comprehensive and accurate as possible, but may
occasionally need to make adjustments. All announcements will be made via canvas or in class.

Course Calendar
Course calendar will be posted on canvas, with any changes announced via canvas or in class. Continue
to refer to each module for assignment due dates. Clinical calendar will also be posted to canvas once
finalized. Contact information for your clinical instructor will be included. Please refer to Care
Management portion of syllabus for more information.

Inclement Weather
Should there be weather conditions severe enough to cancel classes, students will be notified via Canvas
e-mail. Please register for emergency notifications at www.everettcc.edu/emergency.

Grade Appeal Process

Academic grievance procedures are found in the Everett Community College Student Rights and
Responsibilities at: www.everettcc.edu/files/students/student-activities/student-rights-responsibilities-
and-policies.pdf.

Everett Academic Calendar

Fall Quarter 2018

September 3 Monday Labor Day Holiday

September 17-18 Monday – Tuesday Faculty Days (Opening Week)
September 24 Monday Classes begin
November 12 Monday Veterans’ Day Holiday (Observed)
November 22 - 23 Thursday - Friday Thanksgiving Holiday
December 10 – 13 Monday – Thursday Final exams
December 25 Tuesday Christmas Holiday

Winter Quarter 2019

NURS 120 Everett Community College Fall 2018

January 1 Tuesday New Year’s Holiday

January 7 Monday Classes begin
January 21 Monday Martin Luther King Jr Holiday
February 18 Monday Presidents’ Day Holiday
March 19 - 22 Tuesday –Friday Final exams

Spring Quarter 2019

April 8 Monday Classes begin

May 27 Monday Memorial Day Holiday
June 17 - 20 Monday – Thursday Final exams
June 21 Friday Graduation
NURS 120 Everett Community College Fall 2018

Care Management: Laboratory and Clinical Practicum

Care Management Description

Through the use of case studies, scenarios, clinical simulations, select client care situations, and
special projects, students integrate and apply the art and science of nursing. The course uses
nursing process, critical thinking, and self-reflective activities as the basis for collaborative
learning in the formulation, implementation, and evaluation of nursing care for adults
experiencing selected health alterations presented in NURS 120.

Care Management Outcomes

Upon successful completion of this portion of the course the student will be able to:

1. Integrate knowledge of pharmacology, nutrition, communication, growth and

development, and other related theories into client care management.
2. Apply knowledge of alterations in health, diagnostic testing, medical interventions,
and nursing principles to the monitoring, teaching, supporting, and motivation of
clients.
3. Demonstrate a sense of creative inquiry when examining client data.
4. Demonstrate being an active learner and developing a personal voice.
5. Demonstrate a beginning skill in working collaboratively and collectively to create
and respond to selected care management situations.
6. Apply concepts, knowledge, and skills from adjunct courses, life experiences, and
client care learning activities to the care management needs of adults with selected
health alterations.
7. Develop nursing care plans for adults in tertiary client care situations.

Nursing Role Performance

In order to pass the Care Management section of NURS 120 the student must earn a rating of
Satisfactory all critical criterion on the NURS 120 Clinical Evaluation Tool. If a rating of
unsatisfactory is received in any one of the criterion the student will not pass the Care
Management section of the course.
The student who is not passing the theory portion of the course (as indicated by exam or
overall scores) prior to the last week of care management may not be allowed to provide
patient care.
NURS 120 Everett Community College Fall 2018

Care Management Expectations

Protective Equipment
All students are required to carry a CPR barrier on their person at all times during Care
Management. Small, easy to use barriers are available through SNO. This is a one-time
purchase and will only need to be purchased again in the event you need to use it while giving
CPR.

Required Items
All students are expected to have on their person at all times during Care Management: EvCC
name tag, gait belt, stethoscope, and black pen. In addition, NURS 120 students find the
following items useful: penlight, small calculator, and small bandage scissors.

Attendance

NURS 120 students are required to attend all Care Management activities as noted on the
course calendar. All lecture/discussions and other section experiences are required.
Extenuating circumstances that prevent a student's attendance must be communicated to the
appropriate instructor prior to the absence. Loss of credit for the experience and/or course
failure will result if the student fails to notify an instructor of an absence. Absence from clinical
experiences will require make-up experiences. (Make-up experiences are not available or
provided to students who are not successfully passing the course at the end of the quarter.)
When make-up experiences are required, they may or may not be available within the time
frame of the quarter. If such experiences are not available during a quarter, students will
receive an Incomplete for the quarter and may be required to remunerate the instructor for
clinical time. No more than two clinical days can be made up. Absences beyond this limit
require a withdrawal from the course.

When a student’s absence is related to an illness which, in the professional judgment of the
nursing instructor, could potentially jeopardize patient safety, the instructor may require that
the student not be allowed to return to the clinical area until provided with a physician’s
statement that the student’s health condition has been resolved.

Preparation for Care Management Learning Experiences

NURS 120 students are expected to be prepared for each Care Management experience.
Students are required to come to class and clinical experiences prepared to discuss and/or offer
care related to specific clients or case studies. Written materials (case studies, clinical prep
work, journals) will be turned in to the instructors as indicated.
NURS 120 Everett Community College Fall 2018

Therapeutic Nursing Skills

NURS 120 students should seek out and be prepared to complete the following skills during
their Care Management experience. Always check with your instructor prior to carrying out any
skill to determine if you can complete the skill independently or under the observation of your
instructor.

ASEPSIS/WOUND CARE  Set up/Maintain sterile field

 Donning sterile gloves
 Sterile dressing (simple)
 Hydrogel, alginate, hydrocolloid dressings
 Complex dressing
o Moist
o Packing
o Irrigation
 Staging Wounds
 Culture Wound Drainage
 Surgical Drains
o Wound Vac
o Jackson-Pratt
o Hemovac
o Pin Site Care
MEDICATIONS  Oral
 NG, PEG, PEJ (enteral)
 Topical
 Nebulizer/Inhalant (MDI)
 Sublingual
 Otic
 Optic
 Rectal
 Vaginal
 Injectable
o Subcutaneous
o Intradermal
 Narcotic Administration
PERIPHERAL VASCULAR  Application of TED hose
 Elastic bandage application/removal
 Compression devises
 Application of heat/cold
NUTRITION  Intake/Output measurement
 Obtaining client weights
 Enteral feeding
 Blood glucose testing
 Swallow precautions
SENSORY/NEURO  Visual/hearing prosthetics
 Glasgow Coma Scale
NURS 120 Everett Community College Fall 2018

MOBILITY  Special rehabilitation techniques

 Orthopedic positioning
 Casts and traction
ELIMINIATION  Bowel and Bladder retraining
 Catheter insertion and removal
 Enemas
 Occult blood testing
 Urine dipstick testing
 Suprapubic catheter care
COMMUNICATION  Basic care planning
 Narrative charting
MANAGEMENT OF CARE  Care of 1 patient per shift (full responsibility in the tertiary
environment)

Student Responsibilities

1. Professionalism
A. Attitude
1. Student will receive constructive feedback positively.
2. Student will demonstrate assertiveness in the clinical area by using appropriate
methods of conflict resolution and appropriate communication channels.
B. Timeliness
1. Student will submit their clinical prep sheets and reflective assignments to Canvas by
the due dates and times.
2. Student will attend report at the beginning of each shift, unless otherwise stated.
3. Student will complete all nursing duties (client care, therapeutic interventions
including medication administration, reporting to Licensed Nurse (LN), and
termination of client relation) at the time designated by the clinical instructor each
clinical day.
4. Student will be present for post-conference at the time designated by the clinical
instructor each clinical day.
5. Student may take scheduled breaks at appropriate times, with notification and
agreement of LN and instructor.
C. Constructive Use of Time
1. Student will assist LN with other duties only when assigned client care is completed.
2. Student will actively seek out learning experiences.
D. Reporting to Licensed Nurse
1. Student will report all abnormal or questionable data to LN and instructor
immediately.
2. Student will report absences from the care unit to the LN and instructor.
3. Student will give a synopsis of client status and client care activities to LN upon any
absence from the care unit, and will report off at the end of the clinical day.
E. Confidentiality
1. Student will review and comply with the EvCC Student Handbook Confidentiality
Policy.
NURS 120 Everett Community College Fall 2018

2. Under no circumstances will the student photograph, photocopy, print, or remove

from the care unit any part of the client care record.
3. Student will not access the clinical site at unauthorized times (non-assigned, non-
clinical, non-prep time).
4. Student will wear appropriate identification and a complete uniform when present
in the clinical facility.
F. Notification of Absence/Lateness
1. Student will notify the appropriate instructor and facility unit (if it is their policy)
prior to late arrival or absence from required activities.
2. Student will not leave the assigned unit without the express permission of the
instructor.

2. Immunization Changes/CPR Certification

A. Student will not be allowed to attend clinical until immunizations and AHA BLS for
Healthcare Providers CPR records are current.
B. Student’s Hepatitis B series must be completed with 3 injections plus a titer performed
prior to first day of clinical.

3. Badges and Name Tags

A. Picture taking for mandatory clinical badges for PRMCE will be assigned during the
second week of the quarter.
B. Student is not allowed access to client information without an identification badge or
EvCC Nursing Student name badge.

4. Personal Hygiene and Dress Requirements

A. No smoking is allowed on the clinical facility grounds at any time.
B. Student’s clothing, hair, fingers, and breath must be completely free of the scent of
smoke at all times.
C. Student will wear no perfume or jewelry, and will follow guidelines for nail length and
color as stated in the EvCC Nursing Student Handbook.
D. Student will follow uniform guidelines as stated in the EvCC Nursing Student Handbook.
E. Student is not allowed to have artificial nails, visible tattoos, or facial piercings.

5. Choosing Clients
A. The clinical instructor will choose student client assignments unless otherwise stated.

6. Preparation
A. Complete and thorough clinical prep sheets are required in order for clinical experiences
to begin. (Students who do not complete prep work will be sent home, and may or may
not be able to complete the experience and the quarter.)
B. Student should schedule 6-10 hours for clinical prep work completion.
NURS 120 Everett Community College Fall 2018

C. Student will turn in all prep sheets for instructor review prior to going onto the floor to
complete client care the first day of each clinical. These will be returned to you in a
timely manner.
D. Student will turn in completed prep sheets at the time designated by the clinical
instructor.

7. Attendance
A. Attendance is mandatory at all activities and experiences related to Care Management.
The calendar notes which experiences are part of this requirement.
B. Extenuating circumstances, which prevent a student’s attendance, must be
communicated to the appropriate instructor prior to the experience.
C. Failure to notify the appropriate instructor will result in loss of credit for the experience
and/or course failure.

8. Client Care
A. All care (ADL) is to be completed by the designated time during the clinical shift.
B. If the student’s client is discharged or unavailable for care (transferred, off the unit for a
diagnostic or therapeutic treatment) the student is to contact the instructor to
determine the best use of their time. If the student’s client is unavailable for an
extended period of time, the student may be assigned another client. Student will
confer with the instructor on the client’s care, working to gather data while performing
the care.
C. Student is responsible for all treatments on each client they are caring for. Supervision
will be provided by the instructor as needed, and as requested by the student.
D. Medication Administration
1. Student is responsible for all oral and parenteral medications (subcutaneous and
IM). Medications are given under the direct supervision of the instructor.
a. Medications are administered only after appropriate medication
administration knowledge is demonstrated (medication’s action, rationale for
use, verification of 5 rights, discussion of side effects, and nursing
considerations).
b. Appropriate documentation of medication administration and treatments
completed must be made at the time of administration. This includes
assessment of medication actions.
E. Assessments
1. Student is expected to complete client assessments and chart vital signs at the time
designated by the clinical instructor and facility LN.
2. Student will complete continuing assessments, flow sheet data, and nursing notes by
the end of their clinical time.
3. Student will check with the instructor to verify that all client care and
documentation is complete prior to leaving the facility.
4. Student’s ‘nursing note’ is to be approved by the instructor before it is entered into
the medical record.
F. Communication
NURS 120 Everett Community College Fall 2018

1. Student will communicate with the attending LN and instructor throughout the
clinical time, bringing attention to any change in status, difficulty with cooperation,
or general challenge that the student discovers.
2. Student will communicate any absence from direct patient care or from the assigned
unit to the instructor and to the attending LN. It is assumed that students will
remain on the unit to which they are assigned for the entire clinical period, except as
specifically agreed to by the instructor.

9. Universal Precautions
A. Students are expected to understand and carry out appropriate handling and disposal of
biomedical wastes.
B. Students may carry goggles on their person on all clinical days, and may use as
appropriate.
C. Students are expected to wear gloves for all patient care which involves potential or real
exposure to body fluids.

10. Communication regarding changes in scheduled clinical times/hours

A. Schedule changes will be communicated via Canvas. Students are advised to check
Canvas regularly to keep informed of notifications, schedule changes, assignments, and
announcements. Students are responsible to remain aware of changes in schedules.

11. Failure to meet responsibilities

A. Failure to meet any of the above responsibilities will result in immediate instructor
withdrawal and/or a failing grade regardless of grade earned up to the time of
withdrawal or amount of time which has elapsed in the quarter.