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Welcome to RNSG 1105 Nursing Skills I. Instructor. Jeanie Ward RN, MSN, CNE Office: Round Rock Campus rm. 3237.00 Cypress Creek Campus rm. 1142 Email: jeanward@austincc.edu Phone: 223-0314 – office 589-7517 - cell. Roster.

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Welcome to RNSG 1105 Nursing Skills I

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    1. Welcome to RNSG 1105 Nursing Skills I

    2. Instructor • Jeanie Ward RN, MSN, CNE • Office: • Round Rock Campus rm. 3237.00 • Cypress Creek Campus rm. 1142 • Email: jeanward@austincc.edu • Phone: 223-0314 – office 589-7517 - cell

    3. Roster

    4. Calendar

    5. Dress • Students are to wear scrubs to lab – does not have to be the ACC teal scrubs • Must have closed toe shoes • Hair off collar of uniform • Fingernails short; no artificial nails or gells. • No excessive jewelry. Cover tattoos.

    6. Unit I Orientation to RNSG 1105 Nursing Skills I

    7. Course Description • Study of concepts and principles essential for demonstrating competencies in the performance of nursing procedures. • Topics include knowledge, judgment, skills, and professional values in a legal / ethical framework.

    8. Nursing Skills I – Course Objectives 1. Describe concepts and principles that are basic to the safe performance of nursing skills 2.Demonstrate competence in performance of nursing procedures 3. Communicate clearly the English language in speaking, reading, and writing during performance and evaluation of nursing procedures and simulated nurse- patient interactions. 4. Demonstrate the values of the nursing profession.

    9. C o u r s e Re q u i r e m e n t s

    10. Course Requirements • Attendance – mandatory!! If you must be absent– you must contact the instructor prior to class & plan to make it up. • Learning Guide – Complete Learning Guide and highlight anything unclear prior coming to class. • Power Point – Review PowerPoint Guide and highlight anything unclear prior coming to class. • Printouts - Print out anything from the Blackboard site that states “print and bring to class.” • Schedule Labs – You are expected to identify your learning needs and take full advantage of the opportunities in the learning lab. • Open Labs - Use open lab time for independent study / practice, small groups study / practice, and validating your learning. 

    11. Successful completion Theory: • Have a theory grade average of 75% or above from the exams and final. <75% you will fail the course. The theory grade will not be averaged with the skill performance grade if the average is >75. Skill Performance: 2.Satisfactory pass all mastery skill check-offs and have an average of 75% or above. Satisfactory passing of all mastery skill check-offs a. Pass 1st attempt = Score of 100. b. Fail 1stattempt, get a 2nd attempt. Pass = Score of 50. c. Fail 2ndattempt = Withdrawnfrom the course.

    12. Grading Policy • 60% grade comes from the Theory exams • Tests 1-3 count - 20% (of theory portion) • Final exam counts double - 40 % • 40% grade comes from check-offs • Check-off 1-3 = 20% (of check-off portion) • Comprehensive mastery check-off = 40%

    13. Grading Policy • This course follows grade policy as described in the ACC ADN student handbook. • A= 91-100 • B= 83-90 • C=75-82 • D=60-74 • F=below 60 ** Note- this is different from other courses • You must make a C in all nursing courses to continue in nursing.

    14. Textbooks and Supplements • Required RNSG 1105 Syllabus – found on the blackboard site. • Required Textbook: • Fundamentals of Nursing – The Art and Science of Nursing Care 7th Edition by Taylor...[et al.]

    15. Syllabus on Blackboard • Module Objectives • Learning Activities: • Lab preparation/ learning resources/ practice activities • Learning Guide • PowerPoints • Practice Activities and Exercises – print and bring to class • Performance Check lists – print and bring to class • Supplemental Learning – optional activities • Review • Taylor – Study Guide

    16. What is Nursing • I want you to complete the following sentence, “Nursing is_________________”

    17. Definition of Nursing • The word nurseoriginated from the Latin word nutrix– which meaning “to nourish.” • Nursing has evolved through history from a technical service to a person-centeredprocess that allows maximizing of human potential.

    18. Essential Competencies in Meeting the Aims of Nursing • Essential competencies in providing safe nursing care include: • Cognitive Skills – have to think • TechnicalSkills– have to do • InterpersonalSkills– have to care • Ethical/ Legal Skills – have to obey the rules

    19. Cognitive /IntellectualSkills • Involve nursing knowledge & critical thinking to provide safe, intelligent nursing care. • Must be able to think critically in order to problem solve and find the best solution to meet a patient’s needs.

    20. What is Critical Thinking ? • Process that challenges the nurse to interpret and evaluate information / data to derive judgments. • Organizing information • Picking out relevant information • Judgments are made—based on reason and rationale rather than on prejudice, preference, self-interest, or fear. • Overtime, nurses expertise increases, learning from successes and failures.

    21. TECHNICAL / PSYCHOMOTOR SKILLS • Nursing Procedures (Actions) that provide direct care to the patient. • This will be our main focus this semester- performance of skills

    22. INTERPERSONAL SKILLS • Activities that people use when communicating with each other Nurse must communicate with the patient, family and members of the health care team. • Assists the nurse to be perceptive to the needs of the patient

    23. Question A nurse who uses critical thinking skills to develop a nursing care plan for an expectant mother of triplets is said to be using which of the following skills? A.Cognitive B. Technical C. Interpersonal D. Ethical/Legal

    24. Ethical Standards • Nursing as a Profession is also guides by a set of ethical standards that define the principles by which nurses should function. • All nurses must function within the nurses’ code of ethics. • The ultimate responsibility for professional practice/ performance of nursing skills lies with YOU / each individual nurse.

    25. Professionalism Nursing is not simply a collection of skills. Nursing is a Profession

    26. Professionalism What does Professionalism Mean to You?

    27. Professionalism • Being Professional means being: Accountable Responsible for your Own Actions

    28. Professionalism • Even though you will not be performing skills on actual patients, you are expected to be professional in you manner in performing the skills in this lab.

    29. Professional Nursing Organizations • A criteria of a profession is having a professional organization that sets standards for practice and education. • Nursing’s professional organizations are: • American Nurses Association • National League for Nursing • Testing • National Council Licensure Examination

    30. Guidelines for Practice • As a nurse, your actions are guided by legal standards of nursing practice. • TBON- Nurse Practice Acts • TJC =National Patient Safety Goals

    31. Nurse Practice Acts • The Texas Board of Nursing legally defines and regulates the scope of nursing practice in Texas, establish criteria for education, and licensure. • Each nurse / student is held legally responsible and accountable for meeting the standards of nursing practice. • You should NEVER act beyond your “Scope of Practice”

    32. 2012 HospitalNational Patient Safety Goals • The purpose of the National Patient Safety Goals is to improve patient safety. The Goals focus on problems in health care safety & how to solve them. 2012

    33. Goal 1: Improve Accuracy of Patient Identification • Use at least two ways to identify patients. 1. Patient’s name 2. Medical record number. This is done to make sure that each patient gets the medicine and treatment meant for them.

    34. Goal 2: Improve communication among caregivers • Quickly report important results of tests and diagnostic procedures to the right staff person.

    35. Goal 7: Reduce the risk of health care–associated infections. • Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization. • Use proven guidelines to prevent infections that are difficult to treat.

    36. Goal 9: Reduce the risk of patient harm resulting from falls. • Reduce the risk of falls.

    37. Goal 14: Prevent health care- associated pressure ulcers (decubitus ulcers). • Assess and periodically reassess each resident’s risk for developing a pressure ulcer and take action to address any identified risks.

    38. Question Which one of the following establishes criteria for the education and licensure of nurses? A. Nursing process B. Nurse practice acts C. ANA standards of nursing practice D. National League for Nursing

    39. In Summary, An organization can provide guidelines, but it is the individual nurse who must maintain the standards and take responsibility and be accountable for own nursing practice.

    40. ACC, ADN Program For a Nursing Program to be accredited, it must also follow a set of standards

    41. A Nursing Program must have aPhilosophy and Organizing Framework The individual who is a part of a family and or community is the center of our framework. Individual

    42. Philosophy and Framework • Assist the Individual to meet his / her own Needs Goal Of Nursing

    43. Summarize Philosophy and Framework The Individual has Needs Nursing assists the individual to meet their needs Nurses perform certain skillsto assist in meeting these needs.

    44. Question A hospital nurse works collaboratively with a physician, social worker, physical therapist, and home healthcare nurse to provide nursing care for a patient following an accident. What should be the central focus of this care? A. The nurses B. The physician C. The nursing care plan D. The patient E. The physical therapist

    45. Nursing Process Problem solving process that enables the nurse to organize and deliver nursing care to meet patient needs.

    46. Steps in the Nursing Process • Assessment • Collect Data • Validate Data • Organize Data • Diagnoses • Analyze Data • Formulate • diagnosis • Evaluation • Goal achievement • Reassess / Revise • Terminate if goal • met • Implementation • Carrying out the • plan/ perform • the skills • Planning • Establish goals • Develop • outcome criteria

    47. How do we know the Needs of each individual? A s se ss m e n t

    48. Guide for Assessment • P = Psychosocial Needs • E = Elimination Needs • R= Rest, Regulatory, Reproductive Needs • S= Safety Needs • O = Oxygenation Needs • N = Nutrition Needs

    49. 2. Diagnosis • Analyzing and interpreting the data to identify health needs and formulate nursing diagnoses.

    50. 3. Planning • Establishing goals and developing outcomes • Getting ready to implement the skill • Gather necessary equipment and making preparations before beginning the skill