College of Nursing and Health Sciences COURSE NUR 319-02

REVISED-7.26.2021NHP 1

College of Nursing and Health Sciences

COURSE NUR 319-02: Foundations of Nursing Care

COURSE CREDIT & HOURS: 5 credits Theory – 3 credits = 45 hours Clinical – 1.5 credits = 67.5 hours Lab – 0.5 credits = 22.5 PLACEMENT IN THE CURRICULUM: Second Semester PRE-REQUISITES NUR 205: Introduction to Nursing Science NUR 207: Essentials of Nursing Education NUR 323: Health Assessment and Health Promotion NUR 313: Pathophysiology

CO-REQUISITES NUR 329: Pharmacology NUR 383: Behavior/Mental Health Nursing COURSE FACULTY Name: Sarah Koplow PhD, APRN Course Coordinator/Clinical Phone: (305) 981-8082 Office: Wiegand, 213 Office Hours: By appointment Email: [email protected] Name: Maria Pelegri Gonzalez, MSN-Ed, BSN, RN Course Coordinator/Lab Phone: (305) 899-3825 Office: Wiegand Building #210 Fax: 305.899.3831 Office hours/days: On the office door Email: [email protected] Name: Carolina R. Ferreiro MSN/ED, RN, CMSRN Baptist Scholars Faculty Phone: (786)-596.7968 Office: Baptist Scholars Department


Office Hours: By appointment Email: [email protected] CLINICAL/LAB FACULTY Name: TBD CATALOG DESCRIPTION This course introduces basic nursing concepts to establish a foundation for nursing practice. These include therapeutic communication, nursing process, nursing interventions which promote safety, principles of infection control, and skills for basic care and comfort needs. In addition to theory students practice in the laboratory setting and begin to apply basic skills to patient care in the clinical setting.

ARTICULATION TO UNIVERSITY MISSION This course articulates with the mission by establishing a foundation for nursing knowledge. The process of clinical reasoning is introduced as a means to provide holistic nursing care. Students apply theoretical concepts pertaining to the nursing process in clinical and simulated laboratory settings. Application of the nursing process as a basis for clinical reasoning is practiced by writing Patient Centered Care Plans for patient assignments in the clinical setting. STUDENT LEARNING OUTCOMES Upon completion of this course the student will be able to:

1. Utilize the nursing process as a scientific clinical reasoning approach to provide basic care and comfort. (Evaluation methods: Exams, clinical rotations, care plan).

2. Recognize diverse health practices and needs in providing basic nursing care. (Evaluation methods: Exams, clinical rotations, care plan).

3. Apply principles of therapeutic communication in establishing a patient centered relationship which

promotes safe nursing care. (Evaluation methods: Exams, clinical rotations, care plan).

4. Demonstrate competency in the application of nursing interventions which promote safety, prevent infection and provide basic care and comfort. (Evaluation methods: Skills competency & clinical rotations, care plan, medication calculation exam).

5. Utilize a variety of information systems to accurately document nursing care. (Evaluation methods:

Skills competency & clinical rotations, care plan).

6. Use principles of teaching and learning to promote physical health, reduce risks and manage health alterations. (Evaluation methods: Exams, clinical rotations, care plan).

7. Apply basic math skills needed to accurately calculate medication dosages. (Evaluation methods:

Skills competency & clinical rotations, math homework assignments, exams, medication calculation exam).


8. Demonstrate competency in the safe administration of pharmacological therapies. (Evaluation methods: Skills competency & clinical rotations, math homework assignments, exams, medication calculation exam).

TEACHING STRATEGIES The faculty member is a facilitator in the learning process and will guide the student to achieve the course objectives. Students are accountable for their learning and expected to be active participants in this course. Lectures may be augmented with: Case studies, class discussions, sample examination questions, handouts, audiovisual aids, study guides, textbook, and supplemental assigned readings. In addition, the following strategies may be implemented: Math Homework Assignments

Computer-assisted instruction

Multimedia

Patient Centered Care Plans

Laboratory Practice

Patient Care Simulations

Clinical Practice

Clinical Self Evaluation

CLASS PREPARATION:

It is expected that students come to class prepared, having read and researched the class topic. Assigned readings should be done before coming to class. Reading assignments are included in the schedule to assist the student in class preparation and understanding of the topic. The professor may call on any student to answer questions in class. Students should download relevant course materials from the Canvas site for the course, review and bring them to class. Class Recordings: Students are expressly prohibited from recording any part of this course. Meetings of this course might be recorded by the University. Any recordings will be available to students registered for this class as they are intended to supplement the classroom experience. Students are expected to follow appropriate University policies and maintain the security of passwords used to access recorded lectures. Recordings may not be reproduced, shared with those not in the class, or uploaded to other online environments. If the instructor or a Barry University officer plans any other uses for the recordings, beyond this class, students identifiable in the recordings will be notified to request consent prior to such use. COMMUNICATION WITH STUDENTS When communicating with course faculty via email, students must use the CANVAS system. It is the student’s responsibility to check their email and the Canvas site for announcements and


communication daily. Faculty’s response time will be within 48 hrs. during the university’s normal business hours. TEXTBOOKS Lippincott CoursePoint Enhanced for Taylor: Fundamentals of Nursing: The Art and Science of Person-Centered Care, Ninth Edition

Taylor, C., Lynn, P., & Bartlett, J. L. (2019). ISBN: 978-1-975-123-09-03

Course Bundle includes access to: Electronic Digital Textbook, Adapative Quizzing Prep-U, Picmonics, Interactive Case Studies, and online access code to Lippincott Skills for Nursing Education (Taylor’s Clinical Nursing Skills Collection by Lynn)

EVALUATION METHODS and WEIGHTING Students are required to achieve a minimum of an unrounded, weighted average of 76% in theory and a PASS grade in clinical to pass the course. This course has a theory, lab, and clinical component. The student must be successful in all three components to pass the course. A failure in the clinical or lab portions will result in a grade of F for the course.

Math Homework Assignments Complete/Incomplete Failure to submit assignments as directed may result in point’s deduction from course grade Medication Calculation Exam P/F Skills Competency P/F Clinical Rotation & Concept Maps/Care Plans P/F

EXAMINATIONS, and ATI Practice Test & End of Course Exams:

Exam 1 (50 Questions) 10%




Final Exam (75 Questions) 25% (cumulative)


ATI Assignment 15%

ATI End of Couse Practice Exam _Required____

100% ATI Practice Exam (End of Course Exam)

This is a mandatory end of course assessment exam that is scheduled in class. Date will be determined by course professor. Failure to take this exam could result in an incomplete in the course.

Overall Grading Scale is as follows: A = 92-100 % B = 84-91.9 % C = 76-83.9 % D = 69-75.9 % F = 68.9 % and below NOTE: The College of Nursing does not use a +/- grading system.

COMMUNICATION POLICY

Students are required to communicate through Canvas and to use Barry email. You should check your email at least once a day. All emails will be acknowledged within 48 hours. As a best practice, you should plan on logging into your course at least once a day to check for announcements, read and post discussion forums, and to contribute to any assignments that may need your attention. Assignments or course documents will be posted on the Canvas web site.

TECHNICAL ASSISTANCE AND SUPPORT

Barry University has prepared a Student Support Resource Guide for Remote Learning to assist you issues that you might have regarding your online learning experience.

Here are some common issues that students may experience:


Having trouble logging in? Please contact the Barry IT Support Desk at 1-305-899-3604 (Office Hours - Monday – Friday 7:30 am – 6:30 pm. You can also submit a help desk ticket at https://barryit.teamdynamix.com/TDClient/Requests/ServiceDet?ID=2704

If you have problems with Canvas, there are multiple ways to get support for Canvas-related issues or questions.

If you are having problems within Canvas such as course navigation, assignment submissions, discussion posts or other issues with Canvas there are several ways to get assistance.

1. Student support for Canvas is available 24x7, 365 days a year by calling our toll free number at 1-855-976-8669

2. Chat Live with the Canvas Support Hotline: https://cases.canvaslms.com/liveagentchat?chattype

3. Call Barry’s IT Support Desk at 1-305-899-3604 (Office Hours - Monday – Friday 8:30 am – 6:30 pm).

4. If you are logged into Canvas click on the Help icon at the bottom left corner, under the global menu for additional options.

You should always feel comfortable in contacting your instructor if your problems are not quickly resolved by contacting Canvas.

SOFTWARE AND HARDWARE REQUIREMENTS

Barry University provides Microsoft Office to every student, faculty and staff free of charge!! As long as you're a student, faculty and staff here at Barry University, you will be able to use the software for free.

More information can be found at: https://barryit.teamdynamix.com/TDClient/KB/ArticleDet?ID=2677

Below are the recommended specifications to support distance learning courses and mobile devices:

Windows Personal Computer

• Processor Speed: 3 GHz or better • Processor Type: Intel i5 or better • Operating System: Windows 10 Home or Pro • Disk space: 256 GB Solid State Hard Drive minimum • Memory (RAM): 8 GB minimum


• Web Camera: 720p resolution, front-facing with integrated microphone (built into laptop screen) or USB with microphone (for desktops

Macintosh Personal Computer

• Processor Speed: 2.7 GHz or better • Processor Type: Intel i5 or better • Operating System: Mountain Lion (10.8) minimum, High Sierra (10.13.x) recommended • Disk space: 256 GB Solid State Hard Drive minimum • Memory (RAM): 8 GB minimum • Web Camera: 720p resolution, front-facing with integrated microphone (built into laptop

screen) or USB with microphone (for desktops)

iOS Devices (iPod, iPad, iPhone)

• Operating System: iOS 9.x minimum, iOS 11.x recommended • Network: 3G/4G/LTE (Optional)

Android

• Processor Speed: 1.9Ghz or better • Processor Type: Octa-core (Samsung Galaxy Tab S2) or better • Operating System: Android 6.0 (Marshmallow) minimum, 8.x (Oreo) recommended • Network: 3G/4G/LTE (Optional)

Want to purchase a new desktop or laptop? Barry University students are eligible for special discounts through Dell's Education Purchase Program (EPP). Check out the information at: https://barryit.teamdynamix.com/TDClient/KB/ArticleDet?ID=28472

WebEx

Barry University will make every effort to support you in your online remote learning experience if needed. Please take a few minutes and review the Student Guide to WebEx. This short how to guide will show you how to login and connect with your instructor and fellow students. Troubleshooting resources are also available. Please note:

• Make sure that you are logging in through Canvas and NOT through the Barry University Web Portal at https://barryuniversity.webex.com/. All of your virtual meetings in WebEx should be accessed from inside of Canvas through the Cisco WebEx Navigation Button. Contact your instructor if the WebEx meeting link is not available.

• Google Chromebooks will not work with WebEx.

• You will need a working microphone and speaker-the webcam is optional.


• If using a mobile device, download Cisco WebEx meetings from your app store.

• Contact the Barry IT Support Desk at 305-899-3604 (Office Hours - Monday – Friday 7:30 am – 6:30 pm.) or submit a help desk ticket.

* The video conferencing platforms WebEx or Zoom may be used as needed this semester for synchronous and asynchronous learning.

WebEx or Zoom (Synchronous) Participation This online course includes NUR 319 "synchronous" sessions in which the instructor communicates directly with the class in "real time". We have found that having some synchronous sessions in an online course add a variety of benefits to the online learning experience. It helps learners feel more connected to each other and more supported—and that results in better learning. In collaborative and learning endeavors, people may spark each other synergistically through real-time interactions—for a wider range of innovations. Synchronous learning will result in more real-time feedback from others. Live events will enable learners to achieve learning that is not possible otherwise—such as through role plays and simulations.

Synchronous sessions are also important in that it provides that "just in time" information that we can get in our face to face classes but cannot in our online courses. Students have found that a live meeting session is the perfect solution in order to get answers to those questions that only the professor can provide.

The important thing to remember here is that your online course experience will be a blend of the two approaches-synchronous (real-time) and asynchronous (your time).

These sessions are conducted using Cisco WebEx. Contact the Barry University Help Desk (DOIT) at (305) 899-3604 (Office Hours – Monday – Friday 7:30 am – 6:30 pm. You can also visit the Student Guide to Webex for additional technical support and resolutions to most of the more common issues. Should you be unable to attend these sessions due to work schedules or other obligations, you are responsible for contacting the faculty member in order to arrange mutually satisfactory substitutions. ONLINE STUDENT ORIENTATION

All students are strongly encouraged to visit Barry University’s Online Orientation site at http://www.barry.edu/online-orientation/. If you are a new student to online learning, new to Canvas, or want to get reacquainted with online learning, you should explore the site and complete the Online Orientation Canvas Quiz. Many faculty will be requiring you to complete this the first week of class regardless of your online learning experience.


During this self-paced orientation, you will explore the history and legacy of Barry University as well as our expectations of you as a student and scholar. In addition, you will learn how to best use Canvas, our online learning platform, as well as how to communicate with your professors, submit assignments, check your grades, and participate in class. Upon completion, you will be able to download a certificate that you will be able to email to your instructor for proof of completion.

ACCESSIBILITY STATEMENT:

The Office of Accessibility Services provides information, advocacy, and academic accommodations to students with documented disabilities. To register, call 305-899-3488.

Barry University is committed to ensuring that students with physical and learning disabilities receive protections and equal access to programs and services as outlined by the 1990 Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act of 1973. This policy includes the design and delivery of online courses so that the access to a curriculum of learning for the disabled student is reasonably equivalent to that which is provided for the non-disabled student.

To be eligible for disability-related services, students must have a documented disability as defined by the Americans with Disabilities Act (ADA) and Section 504 of the Rehabilitation Act of 1973. Students must request assistance first from Barry University’s Office of Accessibility Services. http://www.barry.edu/disabilityservices/default.htm

The Office of Accessibility Services at Barry University will arrange for any accommodations that are reasonable and do not compromise academic standards or places a prohibitive financial burden on the University. Accommodations might include:

• Adaptive technology • Enlargers • Textbook scanning • E-book adaptation

ACADEMIC INTEGRITY Academic integrity means that students do their own work and they abide by the academic policies set forth by the faculty for admission, progression, and graduation from the program. Behaviors that would represent a failure to meet this expectation would include, but would not be limited to the following:

• representing another student’s work as one’s own • plagiarism (using another student’s or writer’s work as your own) • copying another student’s test answers or assignment


• talking during an examination • not following academic policies • knowingly assisting others to participate in academic dishonesty.

Refer to the 2021-2022 Barry University Undergraduate Catalog. COURSE POLICIES AND PROCEDURES COURSE CONDUCT: Students are expected to act in a professional manner in the classroom setting. Moreover, students are expected to adhere to the “Class Code of Conduct” which includes: 1. Being respectful of self and others. 2. Being punctual for class. 3. Allowing others to speak without interference. 4. Limiting class trafficking. 5. Refraining from telephone conversations (verbal and texting). 6. Refraining from name-calling and condescending remarks to others. 7. Giving undivided attention to speaker (professor, students and/or guests). 8. Dressing in an appropriate manner. 9. Being honest and displaying ethical behaviors. 10. Refraining from being rude, disruptive and abusive to others in class. 11. Refraining from acts of vandalism. Note: Please note that breaking the “Class Code of Conduct” will not be tolerated and can result in your removal from the classroom. Your signed Code of Conduct is on file in the nursing office which you will be held accountable to. EXAM POLICIES All exams are mandatory. If a student is unable to take an exam on the assigned date and time due to illness, he/she must notify (email or phone message) the instructor at least one hour prior to the scheduled exam. The student must then arrange a make-up exam with the instructor. The exam must be taken within one week of the original exam. Eight points will be deducted from the make-up exam grade for an unexcused absence for taking the exam late. If the student fails to take the make-up exam at the new scheduled time, a score of zero percent (0%) will be given for that exam. Please note: Make-up examinations will have different questions than those prepared for the original exam missed. Further, students are expected to take care of any personal needs prior to an exam. Students may not leave the room before completing an exam. Examinations will be given via Examsoft. Students entering late to an examination (maximum 15 minutes) will be allowed to take the examination, but no additional time will be given. Students may not wear hats, scarves, hoods, dark eye coverings or anything that prohibits visualization of their eyes during an examination. Students may be asked to remove long-sleeved or bulky clothing items at the discretion of the instructor. All belongings must be placed in the


front of the room during exams, including water/soda bottles, food, and gum. Absolutely no cell phones are permitted to be on the student’s person during exams. They must be turned off and be placed with the student’s belongings at the front of the room. Simple calculators will be provided when necessary. Students must bring their laptop to the class FULLY CHARGED. It is advisable to bring a long extension cord. If the battery dies during a test, no make-up will be given. It is the student’s responsibility to come to the classroom prepared, with the exam downloaded from ExamSoft. While material discussed in class is emphasized on exams, assigned reading is also testable whether or not discussed in class. Students are encouraged to be proactive in their learning. If a student feels she/he is having difficulty understanding the lecture material, she/he should make an appointment with the course instructor to discuss and review the topic information and seek additional advice regarding study habits. Exam grades are generally available no later than one week after the exam has been given. Grades will be posted in the Canvas site for the course as soon as possible. Students who are score 80% or less should schedule an appointment with the lecture instructor immediately in order to discuss problems encountered with the material and troubleshoot for future success. Additionally, the student is encouraged to see their academic advisor to discuss strategies to enhance future exam success. EXAM REVIEWS: Exam reviews will be conducted 1:1 in the instructor’s office for students who earn an 80% or less on exams. Each examination must be reviewed BEFORE the next scheduled examination takes place. There is no review after the final exam.

Proctored Exams This course will have 5 proctored exams. Prior to the exam, you will be given information about the specific service that is being used. There are three proctoring services that may be used in this course.

Exam Monitor Exam Monitor works with your exams residing in Exam Soft and provides remote proctoring capabilities by authenticating your identification, locking your screen, and providing video and audio recordings while you complete your exams. This virtual proctoring system will allow you to complete your exams from a place of residence, work or other appropriate study area without having to come to a physical testing site. Please self-enroll in the Student Guide to Exam Monitor Resource Portal (Canvas) for additional information as well as computer standards needed to complete the proctored exams. You are expected to complete any required set up for the proctoring service at least 3 days prior to the exam. Students are also responsible for ensuring that they have any necessary equipment (webcams and operating software) prior to the exam date.

Proctor U ProctorU is a virtual proctoring service where you can take your exam from home or work on your own computer. ProctorU monitors students who take online exams by using webcams and


screen-sharing technology. Students need a webcam with a microphone and a reliable, high-speed internet connection to use this service. Students using ProctorU must register for their exams one week prior to the examination date. Details and additional information can be found by visiting the ProctorU Resource Center.

Proctorio (ATI) Proctorio is a remote proctoring platform that uses machine learning to proctor students from wherever they may be. Proctorio offers a variety of secure exam settings including video, audio, and screen recording designed to maintain the integrity of the assessment and ensure uncompromised exam results There are no additional fees associated with proctored exams in this course. Examsoft

• Examsoft is a software which specializes in computerized assessment and assessment administration programs. The software works with Examplify, an assessment program developed and licensed by Examsoft. Both provide students the opportunity to securely take exams downloaded to their personal laptop computers by blocking access to files, programs, and internet during an exam.

• Using Exemplify students are expected to download exam(s) prior to the exam day and upload the answer(s) after the exam via the Internet. Students WILL NOT require Internet connectivity during the exam(s). Students WILL require Internet connectivity to download the exam(s) and upload answer(s).

• If an issue arises during an exam, the instructor(s) must be notified timely. BSN Program Examsoft Administrator: Liannette Gonzalez [email protected] , Ph. (305)899-3837, Wiegand Hall – Rm. 133

• Division of Information Technology (DOIT) Available: Monday - Friday 7:30 a.m. - 9:00 p.m. Email: [email protected] Ph. (305)899-3604 Library- Rm.226

MEDICATION CALCULATION TEST Test Format & Procedures

• Medication Calculation Test (1st – 3rd attempts) will take place during the first three weeks of the beginning of the course.

• All Medication Calculation Tests will consist of 10 questions and students will be given 30 minutes to complete said test.

• Students must achieve a minimum score of 90% to pass test. • All Medication Calculation Tests will follow the following format:

o Fill-in the blank answers o Use of medication labels

• Rounding guidelines: § Amounts less than 1 will be written with a zero to the left of the decimal.


§ Extra zeros will NOT be placed at the right of the decimal point at the end. § All tablets are scored in half, so round tablets to the nearest half of a tablet. § Volumes less than 1 mL will be rounded to the nearest hundredth (two places). § Volumes 1 mL or over will be rounded to the nearest tenth (one place). § Weights in kilograms will be rounded to nearest tenth (one place). § In calculations with a manual drip, students must round to a whole number

Number of Testing Attempts & Remediation Plan

• Students who fail the (1st attempt) UG’s Medication Calculation Test will have to complete a structured remediation plan which will consist of:

o Student will meet with the UG Faculty of the Clinical Nursing Course plus their Academic Advisor after the 1st exam.

o Student will go to Barry University’s Math Lab and complete practice questions plus 4 hours of tutoring which will consist of working on practice questions.

o Student must show proof of attendance at Barry University’s Math Lab (4 hours) to UG Faculty of the Clinical Nursing Course.

o Student must complete the above remediation within 5 days of the 1st Medication Calculation Test/attempt and before the 2nd attempt at exam.

• Students who fail the (2nd attempt) at the UG’s Medication Calculation Test will have to complete the same remediation as the (1st attempt):

o Student will meet with the UG Faculty of the Clinical Nursing Course and plus their Academic Advisor after the 2nd exam.

o Student will go to Barry University’s Math Lab and complete additional practice questions plus 4 hours of tutoring which will consist of working on practice questions.

o Student must show proof of attendance at Barry University’s Math Lab (4 hours) to UG Faculty of the Clinical Nursing Course.

o Student must complete the above remediation within 5 days of the 2nd Medication Calculation Test/attempt and before the 3rd attempt at exam.

• Students who fail a course Medication Calculation Test after 3 attempts will receive a “W” grade and will retake course the next time it is offered.

ACADEMIC DISHONESTY The following definitions can be found in Barry University’s Student Handbook under Academic Dishonesty:

• Cheating is defined as the attempt, successful or not, to give or obtain aid and/or information by illicit means in meeting academic requirements, including examinations. • Cheating includes but is not limited to the following: • Students may not seek or give help to another student during a test or a quiz. • Students may not use any notes or books during a test unless approved by the Professor. • Students may not give information about a test if they take the test before other students.


• Students may not use reprogrammed calculators, camera pens, cell phones, or recording devices of any type during tests or test reviews.

• Students may not take a test or quiz outside the proctored classroom environment unless given permission to do so by the professor of said course/class.

• Plagiarism is defined as the use, without proper acknowledgement of the ideas, phrases, sentences or larger units of discourse from another writer or speaker. Plagiarism includes the unauthorized copying of software and the violation of copyright laws.

• Penalties for cheating or plagiarism may consist of the following: (see Barry University’s Student Handbook – Academic dishonesty)

o Failing grade for the assignment or examination o Failing grade for the course o Suspension or dismissal from the University by the provost

It is expected that students will interact with others in a non-discriminatory manner, honor the rights of others, demonstrate a commitment to honesty, and endeavor to manifest the religious and community goals of the university. It is the student’s responsibility to review and abide by the policy as outlined in the current Undergraduate Nursing Student Handbook.

Clinical/Lab/Simulation Dress Code:

1. Identification: A Barry University picture I.D is to be worn visibly by all students during lab, simulation and clinical experiences.

2. Grooming: Hair on men and women should be neat and off the uniform's collar. Fingernails should be kept clean, filed short. Clear or natural colored polish may be worn. Artificial nails are prohibited. Make-up worn by women must be moderate, not excessive. Men must be clean shaven or have short neatly trimmed mustaches, beards and sideburns. Exposed body piercing jewelry and/or tattoos are not permitted in the lab, simulation and clinical settings. You may wear a long sleeve white or black t-shirt under your scrubs, to cover the Tattoos.

3. Accessories: All students are required to wear a wrist watch with a second hand and to carry bandage scissors, pen light, and a stethoscope.

4. Jewelry

Allowed: Individuals with pierced ears may wear a single pair of post or stud earrings without loops or dangles 6mm in diameter or less.

Plain wedding band, if applicable

Not allowed: Jewelry that presents potential injury to the patient may not be worn (i.e., bracelets). No post/rings worn in the nose, tongue, eyebrow or lip, cheeks.

(Source: Undergraduate Nursing Student Handbook 2021-2022)


The legal title for signature of nursing students is BUSN, (Barry University Student Nurse). The student must always follow the legal title for signature during clinical experiences, when a signature is warranted.

Lab Policies

Attendance is mandatory for all lab sessions. If you are absent for a session you must notify the lab instructor prior to the start of class. Any lab missed-must be re-scheduled with lab faculty and made up. You are required to make-up the lab hours you missed. Unexcused absences must be made up with the lab faculty at a cost to the student of $35/hour (payable by money order). Refer to your Student Handbook for policy and specific instruction.

You are required to bring your lab bag to each lab session. This bag will be issued during the first lab session.

Skills Competency Policies:

a. Students will be assigned an appointment time for Skills Competency, this will be held at mid-semester

b. Students must bring to Skills Competency their skills kit, a stethoscope, penlight, scissors, and a watch with a second hand.

c. Success on the Skills Competency will be based on objective criteria in the form of a skills checklist which will be utilized by the faculty member evaluating the student. A copy of the skills check list will be posted on Canvas and is to be used as a guideline for study and performance.

d. The student must perform the critical elements for each skill in order to pass. Critical

elements are those elements of a skill performance that do the following:

a. Prevent injury to the patient b. Safeguard the patient’s and nurse’s current health status c. Are essential for the effectiveness of the technique. d. Hand washing e. Patient identification f. Explanation of the procedure to the patient

Criteria for Passing the Skills Competency:


1. Satisfactory completion of all critical elements for each skill 2. Skill is completed in a reasonable amount of time 3. Asepsis is maintained throughout each procedure 4. The student will receive a pass/fail for skills performance

Satisfactory Skills Competency Evaluation

Students will have Skills Performance Evaluations at mid-semester, during lab. Each student will be required to practice the nursing skills demonstrated in the lab. Additional remediation skills for competency may be required during the semester based on student performance in the clinical and/or lab settings. The RN Coach will be available to assist you. Student will be required to make an appointment for RN coaching.

Each student will have 3 opportunities to pass each skill during Skills Performance Testing. Failure to pass all skills performance will result in a final course grade of F, regardless of the other grades earned during the course.

If a third Skills Competency Evaluation is required, it will be video tape recorded, and will be done by the Course Coordinator with a second faculty member present.

OPEN LAB

A block of time will be scheduled for RN coaching prior to skills performance evaluation. Additional support for competency may be required during the semester based on student performance in the clinical and/or lab settings. The RN Coach will be available to assist you. Student will be required to make an appointment for RN coaching outside of scheduled times.

CLINICAL POLICIES

a. Documentation of compliance with all health requirements must be submitted to Complio Failure to do so will result in the student NOT being permitted to engage in clinical experiences and will have a registration hold. It is the student’s responsibility to keep their file up to date.

b. All clinical documents are posted on Canvas under the clinical tab, for your assigned clinical site must be submitted by the specified date. Failure to submit the required paperwork on time will result in the student not being permitted to attend clinical, and an administrative withdrawal from this course.

NO EXCEPTIONS.

c. If, in the clinical faculty’s judgment the student requires additional practice time in the lab to improve certain skills, a Nursing Resource Center Referral form will be given to the student to discuss remediation.


d. If, in the clinical faculty’s judgment, the student is not prepared to deliver safe care for the client, the faculty will dismiss that student from the clinical setting and this will be recorded as a clinical absence. A counseling form will be written to discuss strategies for improvement. All students who violate the dress code or exhibit unprofessional behavior may be asked to leave clinical and must make up the missed clinical time at a date and hourly rate to be determined by the faculty, the full amount to be paid at the start of the additional clinical day/s.

e. Students are required to fulfill the clinical objectives and complete required clinical assignments over the course of the semester to be submitted to their clinical faculty for evaluations.

f. Students are not permitted to leave the clinical site before the allotted time.

g. Students will not perform the following skills during this course:

- IV Insertion/Removal - Blood administration or monitoring - Tracheotomy care - Suctioning - IV push

h. Students are responsible for and will be held accountable for the clinical policies as outlined in the Undergraduate Nursing Student Handbook 2021-2022. Therefore, students should review these policies.

Attendance for Clinical and Lab

Students are mandated to attend all scheduled clinical rotations and simulation experiences. In the event of illness or an unusual circumstance, students are expected to notify the clinical faculty member at least 30 minutes prior to the start of the clinical day. All absences from lab, clinical or simulation, both excused and unexcused, are required to be made up. If the student does not attain the minimum mandatory clinical hours for the course within the time frame allocated by the Course Coordinator, a failing grade will result. Make-up clinical hours will be scheduled and assigned by the Course Coordinator in consultation with the clinical faculty member. If a student is absent for 15% or more of the total clinical hours required for the course, the student must attend a mandatory meeting with the Course Coordinator and Program


Director to formulate an action plan for completing hours or take a Leave of Absence from the nursing program.

Excused absences

A student may be excused from a clinical or simulation experience for the following reasons:

• Attendance at the funeral of an immediate family member (father, mother, brother, sister, grandparent, son, daughter). The funeral program must be provided to the Course Coordinator within 72 hours of the missed clinical/simulation.

• Military or court orders. • Acute illness (fever of 101 or above), nausea & vomiting, diarrhea, an open wound, any

contagious illness such as conjunctivitis (“pink-eye”). • Students with casts, splints, or any condition that inhibits movement and will prevent the

individual from carrying out all of the physical requirements of a nursing clinical.

• Documentation from the student’s medical provider must be provided to the Course Coordinator within 72 hours of the missed clinical/simulation. Students must be cleared by medical procider with no restrictions in order to return to clinical

The hours missed must be made up with clinical faculty but there will be no charge to the student for an excused absence.

Unexcused absences

An absence from clinical or simulation for which the student does not provide documentation as stated above, will be considered an unexcused absence.

Examples of unexcused absences include (but are not limited to): appointments, weddings, taking a day off to study for an exam, family vacations, attending work, childcare responsibilities, car problems.

Unexcused absences must be made up with the clinical faculty at a cost to the student of $35/hour (payable by money order or cash).

Formative and Summative Evaluations Each clinical course uses a clinical evaluation form which lists learning objectives. Faculty provides performance assessments at midterm (formative) and at the end of the rotation (summative). Feedback is provided on an on-going basis however a midterm assessment provides the student and faculty to meet in a more formal, deliberative way to discuss areas of strength and opportunities for improvement. Students are made aware if they are in jeopardy of not meeting clinical objectives in writing using the Student Counseling Form. A plan for


improvement and remediation is completed by the faculty and student. If necessary, the course coordinator may be consulted. The student has until the end of the course to demonstrate successful achievement of clinical learning objectives. Clinical Performance Grading In all nursing courses, the clinical experience is graded on a Pass/Fail basis. If a Pass is earned, the theory grade becomes the course grade. If a Fail is earned, the entire course is failed NO MATTER WHAT THE THEORY GRADE and the student receives a grade of F for the course. A failure is a summative evaluation of the student’s inability to achieve clinical learning objectives. Formative (midterm) clinical assessments inform the student of objectives not being met and a remediation plan developed to guide the student toward successful achievement of clinical learning objectives. Clinical Assignments and Activities: (See Clinical Guidelines) Pass/Fail The clinical is an important component of this course since it allows for demonstration of the student’s ability to learned course objectives in the clinical setting. Assignments and Activities may include:

Nursing Care Plan/Concept Map SBAR/hand-off reports Patient Teachings Research Articles ATI: EHR, Pharmacology Made Easy, Skills Modules, Video Case Studies, Real Life RN simulations, Nurse’s Touch Professional Communication Case studies Clinical Uniform: Barry University nursing scrubs (blue with logo)

White uniform shoes Barry University picture I.D. and facility I.D.

White, black, or blue long sleeve T shirts under the scrubs

o Barry University’s scrubs and lab jackets can be purchased at: § Website: https://bubsn.secure-decoration.com/ § Password: bsn2020

• All students must have their Barry scrubs to wear for all Clinicals • To get a Barry ID:

o Students can go to Landon Student Union on Main Campus opposite the Bookstore to get their ID badges

o For additional information, please visit: § https://www.barry.edu/student-union/buc-card/

• No excess jewelry except for one pair of stud earrings (no larger than 6 mm) and a wedding band is permissible.

Clinical Attendance Students are mandated to attend all scheduled clinical rotations and simulation experiences. In the event of illness or an unusual circumstance, students are expected to notify the clinical


faculty member at least one hour prior to the start of the clinical day. All absences from clinical or simulation, both excused and unexcused, are required to be made up. If the student does not attain the minimum mandatory clinical hours for the course within the time frame allocated by the Course Coordinator, a failing grade will result. Make-up clinical hours will be scheduled and assigned by the Course Coordinator in consultation with the clinical faculty member. If a student is absent for 15% or more of the total clinical hours required for the course, the student must attend a mandatory meeting with the Course Coordinator and Assistant Program Director to formulate an action plan for completing hours or take a Leave of Absence from the nursing program.

Excused absences A student may be excused from a clinical or simulation experience for the following reasons:

• Attendance at the funeral of an immediate family member (father, mother, brother, sister, grandparent, son, daughter). The funeral program must be provided to the Course Coordinator within 72 hours of the missed clinical/simulation.

• Military or court orders. • Acute illness (fever of 101 or above), nausea & vomiting, diarrhea, an open wound, any

contagious illness such as conjunctivitis (“pink-eye”). • Students with casts, splints, or any condition that inhibits movement and will prevent the

individual from carrying out all the physical requirements of a nursing clinical. • Students in OB rotations cannot attend clinical if they have any cold sores or other herpes

infections that are exposed. • Documentation from the student’s medical provider must be provided to the Course

Coordinator within 72 hours of the missed clinical/simulation. The hours missed must be made up with clinical faculty but there will be no charge to the student for making up an excused absence.

Unexcused absences Examples of unexcused absences include, but are not limited to Medical/dental appointments, weddings, taking a day off to study for an exam, family vacations, attending work, childcare responsibilities, and car problems.

Unexcused absences must be made up with the clinical faculty at a cost to the student of $35/hour (payable by money order only to Barry University) at the College of Nursing and Health Sciences’ Main Office (Weigand 133) BEFORE the student can make-up the time (no cash, no personal checks).

• If the student does not make-up the clinical absence, he or she will fail the course. o The time missed must be made-up the week the student returns to school.

COVID-19 All students may be exposed to chemical, radiation and or infectious hazards while completing in-person education components of the program. If you are unable to attend class or clinical due


to safety concerns, please contact your advisor to discuss options. Please note that clinical cannot be completed on an individual basis; alternative clinical experiences may delay your graduation.

COVID-19 ABSENCES

Students should not attend in-person instruction at any University campus or location when they feel sick, have flu-like or cold symptoms, or are engaging in self-quarantine due to contact with someone diagnosed COVID-19 positive or with possible exposure to COVID-19. Students should self-report COVID-19 symptoms, flu-like or cold symptoms via the COVID-19 Initial Notification Form.

Please familiarize yourselves with the resources available. Please note all students must complete the COVID-19 Daily Symptom Checker prior to coming to campus. https://vbucwis.barry.edu/policy/covid-19.html https://www.barry.edu/prepare/covid-19/notification.html https://barryustorage.blob.core.windows.net/assets/docs/prepare/covid-19-symptom-self-check-tool.pdf

Students are expected to familiarize themselves with the syllabus for each course to and understand the instructor’s expectations for attendance, participation, and submission of assignments. Depending on the learning format, absences may take the form of failure to attend or join scheduled synchronous remote class sessions; failure to participate in remote class activities, whether synchronous or asynchronous; or failure to meet the deadlines for the submission of an assignment or assessment.

Absences relating to COVID-19 will be excused by the course instructor. Students must contact the course instructor and/or the Dean of Students for accommodations and assistance. Students, if they are able, should keep up with classwork and submit assignments through Canvas or though other methods as indicated by course instructors. Students should make diligent attempts to stay in regular communication with their instructors. In partnership with instructors, students should reschedule exams, lab and studio work, and other critical assignments in a timely manner.

Faculty shall allow students with an excused absence to earn full credit for missing assignments by completing the assignment or by performing equivalent work, as long as the instructor deems that the learning objectives of the course can still be met in a timely matter. If missing assignments resulting from an excused absence cannot be completed in a timely manner, instructors should consider giving an “Incomplete” grade and subsequently follow the University-wide “I” grade policy.

Course instructors will not require students to provide any documentation of illness that has led to absences or missing deadline dates for assignments/tests. Documentation may be required for other types of absences such as: death in the immediate family, scheduled participation in varsity sports activities or academic conferences, and court appearances. Instructors will work with the student in a collaborative manner to support the flexible learning environment that is required to deal with the current crisis


COURSE GRADE REQUIREMENTS To pass this class students must achieve an unrounded, weighted average of 76%. The clinical portion of courses is graded as Pass/Fail. If a student fails clinical, the grade will be recorded as an F for the course. Failing to successfully complete a clinical course will require the student to repeat and successfully complete the entire course (didactic and clinical) prior to progressing to the next clinical course.

In all nursing courses, the clinical experience is graded on a Pass/Fail basis. If a student fails clinical, the grade will be recorded as an F for the course. Failing to successfully complete a clinical course will require the student to repeat and successfully complete the entire course (didactic and clinical) prior to progressing to the next clinical course.

If a student is unsuccessful in a course, the student must meet with their academic advisor within 3 business days of course completion. The course instructor will notify the student of the course failure. However, the student is responsible for communicating with the course instructor to learn their final grade. The Academic Advisor, in consultation with the Program Director or Assistant Program Director, will develop an alternative plan of progression for the student’s remaining course requirements.

In the event that a student is unsuccessful in meeting the grade requirements to pass the course, the student should: 1. Contact their advisor immediately to adjust previous registration in order to repeat the course if eligible (no previous nursing failures). Please refer to the Barry University College of Nursing student handbook for progression policy. The Handbook is available on Canvas under Nursing Central. Faculty is available to meet with students to discuss assignments, to serve as a resource, and to support students in being successful in the course. ACTIVE LEARNING EXPERIENCES/EXERCISES (samples but not limited to): This is an all-or-none credit learning experiences/exercises 3-minute self-care presentation with full participation from class ATI quizzes (3) – go to My ATI – Test – Learning Systems 1-minute patient teaching – Role playing 1-minute highlight/recap for the day Case studies/ALE exercises and assignments (Guidelines are posted on the course Canvas site under Modules: ALEs)

ATI Policies This course uses a variety of ATI resources in combination with learning activities, assignments, class presentations, and assigned readings as planned by your course faculty. The goal is to provide opportunities for students to master nursing concepts, develop critical thinking skills, and ultimately achieve success on the NCLEX RN exam.


1. Purpose: To establish a systematic, useful, academically sound process that integrates ATI resources to promote success in content mastery throughout the undergraduate nursing program. (resources include: tutorials, modules, textbooks, practice assessments, proctored assessments, active learning templates and 3 critical points)

2. Program Requirements: Students in the nursing program are required to take ATI proficiency tests (practice and proctored) for all major nursing content areas. Proctored assessments are given toward the end of a course, and may be scheduled outside of scheduled class time. In this case the student is required to attend.

• No more than 5% of content-specific practice assessments and content-mastery proctored exams may be allocated to a final course grade.

• The minimum benchmark for a proctored assessment is a Level 2 proficiency. • If a benchmark is not achieved for the proctored assessment, remediation is

required. • The proctored end of course assessment is a reflection of student course content

mastery and their commitment to remediate areas of knowledge deficits. 3. Student Requirements:

a. Practice Assessments

• Students are required to take the Practice Assessment A (without rationales) on the date specified in the course syllabus. This test is given with the intention the student will take it alone as if proctored, to assess areas of opportunity for the individual student. This practice assessment may be scheduled outside of class time. This assessment is not optional.

• Students are highly encouraged to complete remediation (within 2 weeks) for content areas missed on Practice Assessment A (also referred to as Focused Review). Each student will receive a performance report, which will identify knowledge gaps requiring remediation.

• Students will be required to take Practice Assessment B (without rationales) on the date specified in the course syllabus. This test is given with the intention the student will take it alone as if proctored, to assess areas of opportunity for the individual student. This practice assessment may be scheduled outside of class time. This assessment is not optional.

• Students are highly encouraged to complete remediation (within 2 weeks) for content areas missed on Practice Assessment B (also referred to as Focused Review). Each student will receive a performance report, which will identify knowledge gaps requiring remediation.

• Student must have taken both practice A & B before taking the scheduled proctored assessment test scheduled toward the end of the course.

• Students are encouraged to use textbooks, ATI materials, class notes for remediation or focused review.

• Students may also make an appointment with the program Retention Specialist for additional support with study skills, test anxiety, or time management.


b. Proctored Assessments • Students are required to take this exam as scheduled. • Should a student miss this exam he or she will drop 1 level and a different

proctored exam will be scheduled by the course faculty. • The minimum recommended benchmark is a Level 2 proficiency. • Students are required to complete focused review remediation regardless of

the level proficiency achieved. • Evidence of remediation (completed ALT’s and 3 Critical Points) must be

submitted to the faculty as directed 4. Remediation

• Remediation is the essential part of content mastery. It is the process of correcting what is either misunderstood or not fully understood. When the student takes a practice assessment, a report is provided. This will include a score or proficiency level. Most importantly, the report will indicate topics or content areas requiring further study.

• If the student is unsure about creating a focused review go to www.ati.com, log in, look under orientation materials for how to access my results and remediation.

• Remediation includes completing a focused review on missed content. Students should use their assigned readings, ATI resources, and class notes. Remediation will not be considered complete until a transcript is printed, and handwritten ALT’s and 3 Critical Points are submitted to course faculty.

• Although remediation ALTs are not graded, faculty should assess whether or not they have been completed.

• Students should be aware that faculty has access to detailed reports about when you logged on to remediate and how much time you spent doing so. It is a violation of academic integrity to ask someone to complete your work for you or to copy another’s work. This will result in poor performance on the proctored assessment. If your success is important to you, you will find a way to do what is right (not what is easy) no matter what.

• Please refer to the grading rubric and proficiency definitions on the following pages

Content Mastery Series | Grading Rubric (5% of the course grade)

Practice Assessment No Points Given

Practice A Practice B


Complete Practice Assessment A Remediation:

Minimum one-hour Focused Review on initial attempt is recommended • For each topic missed, students should complete an active learning template to remember. These should be handwritten to facilitate retention of content missed.

Complete Practice Assessment B Remediation:

Minimum one-hour Focused Review on initial attempt is recommended

• For each topic missed, students should complete an active learning template to remember. These should be handwritten to facilitate retention of content missed.

Standardized Proctored Assessment (Benchmark Level 2 is recommended) 5%

Level 3 = 80/100

Level 2 =

60/100

Level 1 =

40/100

Below Level 1 =

0/100

Remediation 2 points: 20/100

• • Minimum one

hour Focused Review

• For each topic missed, complete an active learning template and identify three critical points to remember. **

Remediation 2 points: 20/100

• Minimum two

hour Focused Review


Remediation = 2 points: 20/100

• Minimum three hour Focused Review


Remediation = 2 points: 20/100

• Minimum four hour

Focused Review


100/100 80/100 60/100 20/100

** Handwritten ALTs and Three Critical Points are required for remediation

Content Mastery Proficiency Level Definitions:

Level 1 Proficiency: Scores meeting the Proficiency Level 1 standard can be considered to meet the absolute minimum expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as likely to just meet NCLEX-RN® standards in this content area. ATI advises these students to develop and complete a rigorous plan of focused review in order to achieve a firmer grasp of this content.


Level 2 Proficiency: Scores meeting the Proficiency Level 2 standard can be considered to exceed minimum expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as fairly certain to meet NCLEX-RN standards in this content area. ATI advises these students to engage in continuous focused review in order to improve their knowledge of this content.

Level 3 Proficiency: Scores meeting the Proficiency Level 3 standard can be considered to exceed most expectations for performance in this content area. Scores at this level were judged by the content expert panel to indicate a student as likely to exceed NCLEX-RN standards in this content area. ATI advises these students to engage in continuous focused review to maintain and improve their knowledge of this content

UNIVERSITY WITHDRAWAL POLICY Students who drop individual courses after the Period of Schedule Adjustment (add/drop period) and who are still enrolled in the University are NOT ENTITLED to any refund or credit. The Period of Schedule Adjustment ends on the third day of the semester. Students dropping courses during the Period of Schedule Adjustment will receive total refund/credit for the course and special course fee, if applicable, as long as the student remains enrolled in the University. Refer to the University Undergraduate Catalog RETENTION SPECIALIST We want you to have the support you need to be successful. If you are experiencing academic challenges, please be proactive and ask for help early. You may see the course faculty, your advisor and/or the UG program Retention Specialist Hallie Maskow ([email protected]).

RESOURCES Library Students are expected to explore resources available through Barry University library periodicals databases and books. Additionally, it is suggested that when you are investigating information on the World Wide Web use caution regarding your validity of resources. If you are not familiar with Web resources please seek assistance from librarians, faculty, or computer lab staff. Phone: 305 899 3760 https://vbucwis.barry.edu/libraryservices/ Learning Center

The Learning Center is available to help with grammar, spelling and the organization of scholarly papers. You should familiarize yourself with the services of this valuable resource. The Center

Phone: 305-899-3687 Toll-free: 1-800-756-6000, ext. 3687

Website is http://student.barry.edu/writingcenter/.

APA STYLE


All scholarly paper assignments and documents which are referenced in assignments must be in accordance with the American Psychological Association’s Publication Manual. This is a required text for this course and every course that follows. Short tutorials which may help familiarize the student with APA may be found at www.apastyle.org (this website has a tutorial that addresses all changes of the new APA manual). Counseling Center Located in the Langdon Student center the purpose of the Center for Counseling and Psychological Services is to provide the following services in an atmosphere of respect and confidentiality: 1. Personal Counseling, including individual and group Counseling; 2. Wellness-related programs, including activities, presentations, and workshops to students; and 3. Interaction with other universities statewide, including promotion of responsible and healthy lifestyle choices with regard to substance abuse, and addressing other areas of interest and concern.. Phone: 305-899-3950 Toll-free: 1-800-756-6000 ext. 3950 Email: [email protected] SEVERE WEATHER STATEMENT If Barry University closes due to severe weather, missed classroom time lectures will be given at another date and time (not necessarily on the scheduled lecture days) depending upon classroom availability and make-ups for missed clinical days will be determined by the instructor. ELECTRONIC PLAGIARISM DETECTION SYSTEM STATEMENT The faculty reserves the right to use an electronic plagiarism detection system.


ATI Policy Student Acknowledgement Initial all and sign below:

I have received a copy of and have read and understand the CNHS undergraduate nursing program ATI Assessment and Review Policy

____________________I understand that it is my responsibility to utilize all of the books, tutorials and online resources available from ATI, as designated by the BU undergraduate nursing program

Student Signature: Student Initials: Date: Note: For each test taken the following statement is included

All questions are the copyrighted property of Assessment Technologies Institute®, LLC. It is forbidden under federal law to copy, reproduce, record, distribute, or disclose these assessment questions by any means, in whole or in part. A violation of this type can result in civil and criminal penalties.

I have read the above statement. By pressing the Start Assessment button, I agree to keep all content of this assessment confidential.

ATI and faculty have access to your student account to monitor your activity.

Please upload signed form to your CANVAS site.

College of Nursing and Health Sciences COURSE NUR 319-02

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Transcript of College of Nursing and Health Sciences COURSE NUR 319-02