Professional Documents
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CLINICAL EXPERIENCE
AM: Marnel Yturralde, RN; Chiara Tosoc, RN; Mary Ann Calabiao, LVN; Mary
Casco, RN
COURSE DESCRIPTION: This practical skill lab course is an introduction to clinical practicum. Nursing
skills are structured and covered in the following order: basic nursing skills which include basic principles
of nursing such as role and responsibility of the nursing team, the nursing process and nursing care plan,
delegation, patient and resident rights and medical asepsis followed by bathing, bed making, body
mechanics and exercise, measurements, normal elimination, personal hygiene and grooming, concepts of
safety and restraints, and preventing and treating pressure ulcers. Intermediate nursing skills include
enteral nutrition, ostomy care, oxygenation, preoperative and postoperative nursing care, specimen
collection, urinary catheter management, wound care, and suctioning. Advance nursing skills cover
managing non- parenteral medications, and safe medication administration. Upon completion of this
course students will be ready to apply their nursing skills in the real-life clinical settings.
METHOD OF INSTRUCTION: Clinical laboratory will include the following methods of delivery:
lectures on the practical skills, video/DVD presentations, demonstrations, skill practices, and return
demonstrations.
ESTIMATED TIME FOR OUTSIDE OF SCHOOL PREPARATION: Students will be required to complete
reading assignments, homework, and prepare for quizzes and exams outside of class hours. The
minimum estimated time for Outside School Preparation Hours (OSPH) is five (5) hours for each credit
hour of lecture/laboratory. 6.0 quarter credit hours that includes 30 OSPH
COURSE
OBJECTIVES:
1. Demonstrate professional nursing behaviors. 2. Apply knowledge of theory and principles from
nursing and related sciences to selected nursing skills and
procedures through use of the nursing process. 3. Perform basic
nursing interventions at a safe, competent level in simulated situations.
UNIT OF CREDIT:
Academic credit is measured in quarter or clock hours. Typically, one hour of instructional time is defined
as a fifty- minute period. Credits earned at Gurnick Academy of Medical Arts are for determining progress
towards program completion only. The credits are not typically transferable to another school, college or
university.
REQUIRED TEXTBOOKS:
• deWit, S.C. (2018). Fundamental Concepts and Skills for Nursing (5th ed.). Philadelphia, PA:
Elsevier Saunders. ISBN: 9780323483322
STUDENT ASSIGNED CLASS GROUP: Students are enrolled into assigned classes, either AM or PM.
Students may only attend the class in which they are enrolled. Therefore, AM students are not
permitted to attend PM classes, and PM students are not permitted to attend AM classes. NO
EXCEPTIONS
CELL PHONE POLICY: Cell phones must be turned completely off in class and not taken into clinical
settings at all times. Students may use their cell phones on campus before or after class and during
breaks in the posted designated areas or outside of the school. For an emergency contact, students may
use the school or clinical facility’s phone number. Students who are not in compliance with this policy are
subject to disciplinary probation, suspension, or termination at the discretion of the school administration.
ATTENDANCE:
1. Students are expected to attend all classes as scheduled. All efforts should be made to not miss
any class. 2. Students who are tardy more than 15 minutes for class are considered to be absent.
Students who leave class more than 15 minutes early are also considered to be absent. Students who
arrive late from breaks more than 15 minutes are considered to be absent. 3. Students who arrive to
class 1-15 minutes late are considered to be tardy. Students who also leave class 1-15
minutes before the end of the class are also considered to be tardy. Students who arrive 1-15 minutes
late from break are also considered to be tardy. 4. A student being tardy three times is the equivalent of
one absence. 5. Students who miss a significant portion of any course within a program will be expelled
from the program.
Students are responsible for ensuring that all efforts are made to discuss an appropriate plan for making
up absences. Acceptable methods for clinical make-up hours include performance evaluation in skills
laboratory or additional time in the clinical area with clients/patients. No written make-up assignments will
be accepted.
ALL absences must be made up within thirty (30) days. It is the student’s responsibility to ensure that a
make-up plan of action for each absence is completed within seven (7) days and documented on clinical
make-up form. All make- up forms must be filled out completely and accurately with all required signatures
for all missed hours prior to credit of make-up hours is granted.
ACADEMIC INTEGRITY: All students enrolled in classes at Gurnick Academy of Medical Arts Vocational
Nursing Program are expected to maintain integrity in all academic pursuits. These include the writing of
papers, examinations, assignments, records and other details relative to the assessment of student
performance. Integrity and honesty are qualities essential of all nurses. The faculty will not tolerate
students who are dishonest as that attitude and perspective will put patient’s health and lives at risk. Any
dishonesty with regard to these matters is subject to censure or penalty in proportion to the seriousness
of the action. Dishonesty would include things such as:
(1) Copying answers of another person or persons during an examination, (2) Secreting (hiding)
of unauthorized materials to assist in an examination, (3) Plagiarism, taking as one’s own
statements those of another without giving due credit to the author, even
though such material may have been restated in one’s own words, (4) Fraudulently
obtaining test information, falsifying records, transcripts, recommendations or other
documents indicative of student qualifications. The Vocational Nursing Program and
the State of California, Board of Licensed Vocational Nursing, also considers the following to be serious
breaches of integrity:
(a) Falsification of patient records (Board of Licensure Vocational Nursing Regulation). (b)
Breach of patient confidentiality (Board of Licensure Vocational Nursing Regulation). (c)
Taking property or drugs from clinical sites or patients (Board of Licensure Vocational
Nursing
Regulation). (d) Felony convictions (Board of Licensure Vocational Nursing Regulation). (e)
Endangering patients due to psychological impairment or by being under the influence of alcohol, or
drugs
(Board of Licensure Vocational Nursing Regulation). (f) Falsification of assignments
that are to be conducted on patients or members of the community. (g) Having someone
else complete your written assignments and submitting them as your work.
In proportion to the seriousness of the action, censure and penalty may extend from a failing grade
in the work in question to dismissal from the program. Ordinarily the responsibility for resolving
the issues lies with the faculty member and the student.
• Syllabus is Subject to Change: This syllabus and schedule are subject to change in the event of
extenuating circumstances. If you are absent from class, it is your responsibility to check on
announcements made while you were absent.
• Course Policies: Cellular phones, pagers, etc. are to be turned off during clinical
and class.
PLAGIARISM: Plagiarism is defined as “literary theft,” i.e., the presentation and passing off as one’s own
ideas, words or writings of another. A common violation is the use of another student’s work without
acknowledgment. The most common violation involves a student using published materials and failing to
acknowledge the sources. Copying a direct quotation without using quotation marks or crediting the source
is considered plagiarism. Another form of plagiarism consists of paraphrasing an idea or use of an original
idea without properly introducing or documenting the paraphrase or borrowed idea. The ideas and words of
an author are his/her property - they are protected by law and must be credited to him/her when they are
borrowed. In order to avoid plagiarism, one should:
1. Use quotation marks for all quoted materials.
Paraphrase material in his/her own style and language rather than just
rearrange sentences. 3. Use footnotes or other accepted methods to credit the author.
4. Provide a bibliography for the sources noted in the footnotes. 5. Introduce the quotation or
paraphrase with the name of the author of the material that was borrowed.
METHOD OF EVALUATION: Grades are evaluated as follows: Evaluation will be based on your skill
performance for 12 sessions in the class. Each skill performance by the students will be assigned point
value. The final grade of the course will be Passing (75-100%) or Fail (0-74%) Students will be provided
with a performance checklist for the skills outlined in the Clinical Lab I topic overview. Students must view
the skills videos and review the weekly skills prior to class. They will present their “Key Points of the
Video” as a ticket into the class each week.
The student must successfully complete each skill by demonstrating each step to the clinical instructor. The
instructor will document on the form satisfactory performance of the particular skill. Any student who does
not achieve satisfactory performance will have a second opportunity to repeat the skill demonstration. If a
student fails to achieve satisfactory performance on any skill during the module, they will not receive the
assigned point value for the skill. Failure to achieve satisfactory performance on assigned skills may result
in a failing grade in the course. ALL SKILLS MUST BE CHECKED OFF FOR SATISFACTORY
COMPLETION WITHIN TWO WEEKS OF BEING INTRODUCED. All homework and/or assignments
for an excused absence must be turned in within three days after the absence to receive full credit.
Homework and/or assignments for an unexcused absence will not be accepted. No special quiz for
unexcused absence. All homework assignments must be turned in within the first fifteen minutes of
class. No points will be awarded for any assignments turned in after that time.
GRADING SCALE:
A 90-100% B 80-
89.9% C 75-79.9%
D 65-74.9% F
Below 65%
• If you miss one (1) clinical day, your grade will not be
changed.
• If you miss 2nd clinical day, your grade is lowered
10%
• If you miss 3rd clinical day, your grade is lowered an additional
10%
• If you miss 4th clinical day, you have failed your Clinical Course and will be automatically
expelled from the program.
• Student grade reductions will remain in effect for all absences (excused and unexcused) regardless of
completion of makeup hours.
Students are also expected to achieve a minimum score of 75% (defined as 75% or greater) in each area
of the clinical final evaluations. Failure to achieve at a level of 75% or greater in any of the areas
mentioned will result in a conference with the instructor(s) involved and may result in probation. Failure to
receive a minimum score of 75% (2.5 grade point average) in any course within the Vocational Nurse
program is grounds for dismissal from the program.
Note: Students will receive an ongoing performance evaluation throughout the course. The overall course
grade will be a Pass or Fail grade.
PREPARATION: Preparation for lab is essential in order to maximize practice time in lab. Preparation is
defined as completing all assigned readings and completing all learning activities assigned for that day’s
topic and your clinical observations. Students will be expected to turn in their step rationales prior to
the start of the clinical skills lab. Faculty will provide clarification of concepts and discuss variations
seen in clinical settings across the life span.
Please note the above requirements are not all-encompassing. Circumstances may arise
which are not covered in the above expectations.
REMOVAL OF ITEMS OR SUPPLIES FROM CLINICAL LAB: Do not remove any items
such as disposables (i.e., tape, pens, alcohol wipes, and syringes) or non- disposables
(i.e., keys, stethoscopes.) Check your pockets at the end of each clinical lab day to make
sure items are returned.
HIPAA SYLLABUS INCLUSION In keeping with HIPAA (Health Insurance Portability and
Accountability Act) for patient information and confidentiality, all identifying patient information
(name, address, telephone number, age, medical record number, etc.) must be removed from
any school assignments or notes. Submitting patient identifying data is a violation of the law
and will lead to disciplinary action up to and including dismissal from the program. In addition,
students may be personally liable for penalty payments under these laws and regulations.
Students will be required to complete Gurnick Academy’s HIPPA online training during
this course.
DATE PRINTED:
#5 April 29
Infection Prevention and Control: Protective Mechanisms and Asepsis; Infection Prevention and
Control in the Hospital and Home ACTIVITY #1: Bagging soiled linens; double bagging of biohazardous
waste, removing soiled linens from a simulated isolation room and trash from a simulated isolation room;
disposal of soiled items at home. Utilizing a fellow student, the student will demonstrate the following: SKILL
#1: Application of the CDC’s Standard Precautions
Gloving Mask, eye protection, face shield, gown Patient care equipment Environmental control Linens Blood
borne pathogens Patient placement SKILL #2: Applying and removing personal protective equipment 16.2
SKILL #3: Removing gloves 16.1 (steps) SKILL #4: Performing surgical hand antisepsis: the surgical scrub and
rub 17.1, 17.2 SKILL #5: Opening sterile packs; preparing a sterile field 17.3 SKILL #6: Sterile gloving; sterile
ungloving 17.4 SKILL #7: Pouring sterile liquids 17.1 (steps) Utilizing a simulated patient assignment, the
student will: SKILL #8: Teach a home care patient with a wound infection how to prevent the spread of infection
to family members.
Refer to SIM Chart Handout for assignment
Chapter 21; Chapter 28
#6 May 6
Measuring Vital Signs Utilizing a simulated patient chart, the student will document the following: ACTIVITY
#1: Body temperature: Oral, rectal, axillary
Pulse: Apical, radial Blood pressure Respirations Utilizing a simulated patient assignment, the student will
identify the following: ACTIVITY #2: Deviations from normal vital sign patterns Using a simulated patient
assignment, the student will demonstrate the following: ACTIVITY #3: Report findings to instructor.
SKILL #1: Measuring body temperature: Oral; rectal, axillary, temporal, otic 21.1 SKILL #2: Measuring pulse:
Apical, radial 21.3, 21.4 SKILL #3: Measuring blood pressure 21.6 SKILL #4: Measuring respirations 21.5
SKILL #5: Administering Oxygen 28.4
Refer to SIM Chart Handout for assignment
Assessing Health Status;
Chapters 22-23 Admitting, Transferring and Discharging Patients ACTIVITY #1: Patient interview
ACTIVITY #2: Taking a history of a new illness
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ACTIVITY #3: Positioning for an exam; Draping for an exam; Organizing equipment for an exam Using a
simulated patient assignment, the student will demonstrate the following: ACTIVITY #4: Completion of an
admissions assessment form. ACTIVITY #5: Completion of an interfacility transfer form.
Utilizing a mannequin and the patient simulator, the student will demonstrate the following: SKILL #1: Basic
assessment of heart sounds 22.3 (steps) SKILL #2: Auscultation of the lungs 22.4 (steps) SKILL #3:
Performing a physical assessment/Head to toe assessment 22.1 Utilizing a fellow student, the student will
perform the following: SKILL #4: Visual acuity test 22.2 (steps) SKILL #5: Neurologic check 22.2 SKILL #6:
Weighing the adult with a standing balance scale 22.1 (steps)
Refer to SIM Chart Handout for assignment
#7 May 13
Chapters 24; 29
#8 May 20
Diagnostic Tests and Specimen Collection Given a simulated patient assignment, the student will
demonstrate the following: SKILL #1: Obtaining a stool specimen for occult blood, culture, ova or parasites 24.4
SKILL #2: Urine dipstick test 24.3 SKILL #3: Catheterize a female patient; straight and indwelling 29.3 SKILL
#4: Catheterize a male patient; straight and indwelling 29.4 SKILL #5: Remove an indwelling catheter 29.2
(steps) Utilizing a fellow student, the student will perform the following: SKILL #6: Blood glucose test 24.2
SKILL #7: Culture specimen of the throat 24.5
Refer to SIM Chart Handout for assignment
Chapters 29; 35
#9 May 27
Promoting Urinary Elimination Utilizing a mannequin and the patient simulator, the student will: SKILL #1:
Place a bedpan and remove a bedpan 29.1 SKILL #2: Apply a condom catheter 29.2 SKILL #3: Perform
intermittent bladder irrigation 29.5 SKILL #4: Obtain a urine sample from an indwelling catheter 29.1 (steps)
Given a simulated patient assignment, the student will demonstrate the following: SKILL #5: Demonstrate
continence training 29.3 (steps) SKILL #6: Combining Insulins 35.4 (steps)
Refer to SIM Chart Handout for assignment
Promoting Bowel Elimination
Chapters 27- Utilizing a mannequin and the patient simulator, the student will demonstrate the
28; 30; 34 following: SKILL #1: Catheterizing a continent ileostomy 30.2 (steps) SKILL #2: Changing an ostomy
appliance 30.2 SKILL #3: Irrigating a colostomy 30.3 (steps) Utilizing the mannequin and patient simulator, the
student will demonstrate the following: SKILL #4: Inserting, irrigating, and removal of an NG tube 27.2; 27.1,
27.2 (steps) SKILL #5: Administering feeding/medications through a feeding tube 27.4, 34.4 SKILL #6:
Tracheostomy care and suctioning 28.6, 28.7
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Refer to SIM Chart Handout for assignment
#10
Chapters 34-35 June 3
#11 June 10
Administering Oral, Topical, and Inhalant Medications Administering Intradermal, Subcutaneous, and
Intramuscular Injections Given a simulated medication administration record, the student will demonstrate the
following using the six rights of medication administration: SKILL #1: Preparing a syringe for use 35.1 (steps)
SKILL #2: Withdrawing the ordered dose of medication from an ampule 35.2 (steps) SKILL #3: Withdrawing the
ordered dose of a medication from a vial 35.3 (steps) SKILL #4: Administering an intradermal injection 35.1
SKILL #5: Administering a subcutaneous injection 35.2 SKILL #6: Administering an intramuscular injection 35.3
SKILL #7: Administering a Z-track injection 35.5 (steps) SKILL #8: Administering Oral Medication 34.1 SKILL
#9: Administering Otic medication 34.1 (steps) SKILL #10: Administering Topical Skin Medications 34.3 SKILL
#11: Administering Eye Medication 34.2
Refer to SIM Chart Handout for assignment
Chapters 24; 30; 34; 38
#12 June 17
Administering Intradermal, Subcutaneous, and Intramuscular Injections, Con’t. Providing Wound Care
and Treating Pressure Ulcers Assisting with Respiration and Oxygen Therapy SKILL #1: Assisting with a
pelvic exam and pap test 24.6 SKILL #2: Removal of a fecal impaction 30.1 (steps) SKILL #3: Administering an
enema 30.1 SKILL #4: Inserting a rectal suppository Given a simulated patient assignment and wound model,
the student will demonstrate the following: SKILL #5: Irrigating the eye or adult ear 38.4 (steps) SKILL #6:
Wound irrigation 38.2 SKILL #7: Apply wet to dry dressing 38.3 SKILL #8: Sterile dressing change 38.1 SKILL
#9: Removing sutures or staples 38.3 (steps)
Refer to SIM Chart Handout for assignment
Skill catch up and check off
This syllabus and schedule are subject to change. It is your responsibility to check on
announcements made while you were absent.
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INFORMED CONSENT TO PARTICIPATE IN
INJECTION PRACTICE
• The practice procedure will involve a venipuncture and injection of normal saline
only.
• Aseptic technique will be utilized and
maintained.
• I understand that there may be a risk of bruising and/or
infection.
• If a needle stick or other exposure to another person’s body fluids occurs during laboratory or
clinical sessions, I understand that I should report the incident immediately to the supervising
instructor/faculty member and nursing supervisor in the clinical area.
and injection practice sticks performed by a nursing student or faculty member under supervised
conditions in the
I affirm that I received the syllabus for this course on the first day of the course and
understand the course objectives, requirements, and policies
This attachment must be collected by the instructor on the first day of the course and
given to the Program Coordinator/Program Manager/Program Director in order to be
checked and placed into respective student’s folder.
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