FACULTY LAB MANUAL SPRING 2021 - BARRY UNIVERSITY COLLEGE OF HEALTH SCIENCES NUR-319 Foundations of Nursing Care
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BARRY UNIVERSITY
COLLEGE OF HEALTH SCIENCES
NUR-319
Foundations of Nursing Care
FACULTY LAB MANUAL
SPRING 2021
Spring 2021 Page 1Dear Faculty, Welcome! Thank you for sharing your time and expertise with the next generation of registered professional nurses. NUR 319- Foundations in Nursing Care is a fundamentals course that introduces student nurses to the basic knowledge of nursing care. The course takes place over a 16-week semester with three components (lecture, lab and clinical). Students are expected to pass each component to be successful in the course. As you know, academia has been greatly impacted by various changes secondary to the COVID-19 pandemic. Nursing education specifically has had to not only pivot to online learning, but lab and clinical experiences have also been virtual or significantly limited in-person due to social distance guidelines. During this time, it is hard to plan with any measure of certainty. Flexibility and communication will be a key factor in making this semester run smoothly. In this faculty manual you will find guidelines for each week of lab instruction. Please take some time to read it carefully and develop your own unique plan for engaging with your students and creating a memorable experience. Please also take some time to review the Simulation Learning Center Manual. Wishing you a wonderful semester. Sincerely, Sonique Sailsman PhD, RN NUR 319- Course Coordinator ssailsman@barry.edu Spring 2021 Page 2
Lab Faculty Guidelines Introductions The lab group roster will be uploaded to Canvas approximately one week before the start of lab. Please take a moment to email the group and introduce yourself. Provide contact information and any special expectation (text versus email, call, etc.). Attendance Faculty should plan to arrive 15 minutes before students to set-up the lab and ensure all supplies are available. Please utilize students to assist with the clean-up process. If an emergency or sickness prevents a faculty member from attending their assigned lab session it is essential that the course coordinator is notified as soon as possible to ensure that a replacement is found. Please take attendance each week and log in Canvas. Report any absences to the course coordinator in a timely manner. Attire Lab faculty are expected to wear scrubs or a white lab coat in the lab. Barry ID should be visible at all times. Weekly Lab Skills The required lab time is 22.5 hours over a 7-week period. Each lab will be (2) hours in-person and (1) hour of recorded practice that will be uploaded to Canvas. Skills will be discussed each week in the didactic (lecture) portion of course. Students will have assignments that need to be completed prior to lab in order to experience the greatest benefit. Students should not be allowed to engage in lab unless they show proof of pre-lab work completion. This is considered an absence. CANVAS Access Faculty will be added to the NUR 319- Lab and Clinical Canvas course site. You will receive an orientation on how to navigate the space and the documentation expectation. Please be sure to follow the guidelines very carefully as you will be in a LIVE academic space. Communication Faculty and students should communicate using their Barry emails. If a student emails you from a person address, please remind them of the expectation. Faculty should expect professional communication from students and provide it in return. Please communicate any issue or concerns to the course coordinator in a timely manner to ensure swift resolution. Spring 2021 Page 3
Weekly Topical Outline
WEEK CONCEPT Lab/Clinical Session
1 Welcome Orientation Lab Week 1
Health and Wellness, Infection Control & Hygiene
2 Dr. Martin Luther King Jr Holiday (MONDAY) Lab Week 2
Vital Signs
3 Activity, Patient Safety & Quality Lab Week 3
4 Skin Integrity & Wound Care Lab Week 4
5 Exam I Lab Week 5
Nutrition & Bowel Elimination
6 Urinary Elimination & Electrolytes Lab Week 6
7 Medication Administration Lab Week 7
Oxygenation
8 SPRING BREAK
9 Nursing Care Plans Skills Check-Off
10 Exam II Clinical Week #1
Skills Check Off
11 Sensory Alterations Clinical Week #2
Sleep
12 Caring in Nursing Practice Clinical Week #3
13 Exam III Clinical Week #4
Vital Signs & Pain Management
14 Care of Older Adults Clinical Week #5
15 Loss, Death & Grief Clinical Week #6
16 ATI- Fundamental Practice A Clinical Week #7
Exam Review & Reflection
17 Final Exam Clinical Week #8
Spring 2021 Page 4LAB-WEEK ONE
Topic Health & Wellness
Infection Control
Hygiene
Skills to Communication about Health & Wellness Hair care
Practice Hand Hygiene Nail care
Bed Making Assistance with Elimination
Bed Baths Perineal Care
Oral care Sterile Gloving
Personal Protective Equipment
Guidelines Discuss bed bath and perineal care 1. Return demonstrates proper
hand washing
2. Return demonstrates making
Discuss proper use of bedpan/urinal an occupied and unoccupied
bed
3. Return demonstrates the use of
Discuss oral care of an unconscious patient sterile gloves
• donning/doffing
4. Return demonstrates preparing
Discuss hair care
a sterile field:
• establishing and
maintaining
• adding items
• pouring sterile solution
Check-Off Skill
Donning Sterile Gloves
Spring 2021 Page 5LAB-WEEK TWO
Topic Vital Signs
Skills to Communication with Patient
Practice Vital Signs
Guidelines Discuss purpose of vital signs 1. Return demonstrates proper
Discuss proper placement of cuff process to obtain vital signs
• Ask client which arm is best
Discuss proper technique for inflating cuff
Discuss proper technique for reading pressure values
Classifications:
o Normal:
▪ ˂120/80
o Prehypertension:
▪ 120-129/80-84
▪ 130-139/85-89
o Hypertension:
▪ ≥ 140/90
o Hypertension: Stage 1 Check-Off Skill
▪ 140-159/90-99
Vital Signs
o Hypertension: Stage 2
▪ 160-179/100-109
▪ ≥ 180/110
Spring 2021 Page 6LAB-WEEK THREE
Topic Patient Safety
Activity & Exercise
Mobility & Immobility
Skills to Safe Patient Handling
Practice Patient Transfer
Assisting with Range-of-Motion Exercises
Applying Elastic Stockings
Using a Sequential Compression Device
Using a Hydraulic Lift
Ambulating safely with assistive devices:
o walker
o cane
o crutches
Assisting with Ambulation Using a Gait Belt
Restraints
Fire Safety
Seizure Precautions
Guidelines Discuss safe patient handling 1. Return demonstrates the movement
Discuss Range of Motion (ROM) of a patient in bed
Discuss use of sequential device
Discuss seizure precautions 2. Return demonstrates transferring
Discuss applying elastic stockings
patient:
Discuss use of sequential devices
Discuss use of hydraulic lift • Bed to Wheelchair
Discuss Fire Safety • Bed to Stretcher
3. Return demonstrates ambulation
with assistive device
4. Return demonstrates ambulation
with a gait belt
5. Return demonstrates the use of
restraints
• Quick release
Spring 2021 Page 7LAB-WEEK FOUR_
Topic Skin Integrity & Wound Care
Skills to Assessing Wounds
Practice Irrigating Wounds
Changing a Dressing
• Types of Dressing
Caring for Pressure Ulcers
Wound Culture
Braden Scale
Application of heat & cold therapies
Suture & staple removal
Drains
• Hemovac
• Jackson Pratt
• Penrose
• Wound VAC
Abdominal Binder and Ace wrap
Guidelines Discuss wounds and pressure ulcers 1. Return demonstrates
Discuss assessing a wound changing dressing
Discuss irrigating a wound
Discuss wound drainage system
Discuss Braden Q Scale
Discuss application of heat and cold therapies
Discuss suture and staple removal
Discuss drains
Discuss abdominal binding Check- Off Skill
Wound Care
Spring 2021 Page 8LAB-WEEK FIVE_
Topic Nutrition & Bowel Elimination
Skills to Enema administration
Practice Fecal digital disimpaction
Care of ostomies
Pouching a Colostomy
Specimen Collection
Measuring output
Guidelines Discuss fecal digital disimpaction 1. Return demonstrates the
Discuss enema administration of placement an NG tube
Discuss care of an ostomy
Discuss specimen collection
Discuss collection of fecal specimens
• Occult blood
• Gastric occult
• Ph Testing
Discuss measuring output and documentation
Discuss feeding tubes:
• Gastrostomy Tube (PEG)
• Jejunostomy tube (PEJ)
• Nasojejunal Tube (NJ)
Discuss enteral feedings
• Intermittent
• Continuous
Spring 2021 Page 9LAB- WEEK SIX_
Topic Urinary Elimination
Skills to Foley Catheter
Practice • Insertion
• Maintenance
• Removal
Application and care of a condom catheter
Care of suprapubic catheter
Urinary specimen collection
• Screening of urine
Care of a ureterostomy
Measurement of output
Guidelines Discuss care of foley catheter
1. Return demonstrates the
Discuss removal of foley catheter placement of a Foley Catheter
Discuss application of condom catheter
Discuss collection of urine specimen
Discuss care of a ureterostomy
Discuss measuring output and
documentation
Spring 2021 Page 10LAB- WEEK SEVEN
Topic Oxygenation & Medication Administration
Skills to Administration of Oxygen
Practice Administration of Medications
Guidelines Discuss different oxygenation devices: 1. Return demonstrates the
• Nasal cannula suctioning process:
• Simple Face Mask • Oral
• Venturi mask • Nasotracheal
• Rebreather Mask • Endotracheal tube
• Non-rebreather mask
• Partial-rebreather mask
• T-tube
• Suctioning and equipment
• Oxy hood
Discuss oxygen delivery and amount per device
Discuss maintaining an airway
Discuss postural drainage
Discuss chest physiotherapy
Discuss providing tracheostomy care
Discuss purpose of a chest tube
Discuss collection of sputum specimen
Discuss measuring oxygen saturation
Discuss the dispensing and administration of 1. Return demonstrates the
medications: dispensing and
• Non-parenteral medications administration of
• Eye drops medication
• Ear drops
• Topical
• Oral Check-Off Skill
• Inhalants Drawing up Insulin
• MAR Medication Administration
• Injections
• Insulin Administration
Spring 2021 Page 11SKILLS COMPETENCY
1. Students must bring to Skills Competency their skills kit, a stethoscope, penlight,
scissors, and a watch with a second hand.
2. 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
Check-Off Skills:
a. Donning sterile gloves
b. Indwelling catheter placement
c. Sterile wet to dry dressing
d. Medication administration
Criteria for Passing the Skills Competency:
a. Satisfactory completion of all critical elements for each skill
b. Skill is completed in the allotted time
c. Asepsis is maintained throughout each procedure
d. The student will receive a pass/fail for skills performance
Spring 2021 Page 12STUDENT DRESS CODE
• Barry University picture I.D must be worn visibly above the waist by all students
• 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
not permitted. Make-up worn by women must be moderate. Men must be clean, shaven
or have short neatly trimmed mustaches, beards and sideburns. Exposed body piercing
jewelry and/or tattoos are not permitted
• All students are required to wear a wristwatch with a second hand and to carry bandage
scissors, pen light, and a stethoscope.
• Individuals with pierced ears may wear a single pair of post or stud earrings without
loops or dangles. A plain wedding band, if applicable. 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.
ATTENDANCE:
Students are required to attend all scheduled lab and clinical experiences. In the event of illness
or an unusual circumstance, students are expected to notify the clinical faculty member by
phone call (not text) at least 1 hour prior to the start of the clinical experience. All
absences from clinical post conference and lab, 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 experience
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.
Spring 2021 Page 13EXCUSED ABSENCES:
A student may be excused from 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 the clinical faculty but there will be no charge to
the student for an excused absence.
UNEXCUSED ABSCENCES:
• An absence from clinical or lab, 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): Medical/dental
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).
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