Description of Graded Assignments
1. Clinical Experience -
Expected Outcome: Students provide quality, safe, patient centered care for clients with complex chronic and acute conditions, to patients in the acute setting, which includes their families.
General Description: Nursing is a practice discipline and cannot be learned solely in the classroom. Through supervised clinical practice, students apply their nursing knowledge base, gain further competence in skills, and utilize problem-solving abilities to plan, deliver, and evaluate care to individual clients and their families. Fourth-level students demonstrate expected professional behavior in clinical practice sites, and function as members of the health care team.
Paperwork
Each clinical has paperwork requirements. Clinical surveys must be completed for all clinical experiences except ACLS and PALS. Failure to produce all required paperwork will result in that clinical not counting towards your 8 clinical shifts. You are also required to complete the canvas assignment “clincal documentation” for each shift you complete. In addition, you are required to meet with the instructor midway through your shifts and at the completion of your 8 shifts to complete mid and final evaluations.
Clinical survey: This form is completed online and found in each clinical documentation assignment. It must be completed in its entirety (including the name of the hospital and unit you are on) and signed by your precepting nurse at every clinical shift. If you are following multiple nurses or techs (which may be the case in the ED) one of the nurses must fill out the form before you leave. This is your proof that you attended the clinical shift that you signed up for. You also need to submit the date and unit you attended in the clinical documentation assignment. If you do not have the ability to fill these out online (you can use your phone, ipad, tablet or any computer) there is a paper option. These can be found and printed under Modules →clinical paperwork → student preceptor eval. The paper form then must be scanned and uploaded to the clinical documentation assignment.
Midterm & Final Evaluation-required as stated below in professionalism and evaluations.
Intermountain paperwork-The Intermountain form will be filled out in class as a group. This is required by Intermountain not SUU and I cannot waive this requirement so if you are not in class the day this is completed you will need to meet with me at an alternate time. This states that you were oriented to the unit, therefore, you should ask your nurse to show you around if they have not done so.
2. Concept Maps
Expected Outcome: Students will be able to draw conclusions of their patient cares through the critical thinking process.
General Description: A concept map is a diagram of patient problems, supporting data, interventions, and evaluations. Your ideas about patient problems are the “concepts” that will be diagrammed. These maps are used to organize patient data, analyze relationships in the data, and enable you to take a holistic view of the patient’s situation. Concept mapping requires critical thinking to analyze relationships in clinical data. Critical thinking and clinical reasoning are used to formulate clinical judgments and decisions about nursing care. The important ideas that must be linked together during concept map are planning are the medical and nursing diagnoses, along with all the pertinent clinical data. Through concept mapping of diagnoses and clinical data, you can evaluate what you know about the care of your patient and what further information you need in order to provide safe and effective nursing care.
Directions: Exemplifying a patient assignment during clinical rotations, the student will present a concept map (including diagnosis/reason for admission, causes, symptoms, diagnostic tests, nursing care, nursing assessments, medical treatments, medications, etc). You must submit these to canvas. You have a total of four concept maps.
Specific Performance Criteria: Concept map assignment and rubric is found on canvas under modules and in the assignment tab.
3. Grand Rounds
Expected Outcome: Students will understand the full scope of a critical patient through evaluating their care from all disciplines associated with the patient’s treatment and recovery process.
General Description: Grand rounds are a formal meeting at which health professionals discuss the clinical case of one or more patients. Grand rounds originated as part of residency training wherein new information was taught and clinical reasoning skills were enhanced. Grand Rounds are an integral component of a health professional’s education. They present clinical problems in health by focusing on current or interesting cases.
Directions: The student will present a Grand Rounds assessment of care from all disciplines associated with that patient’s treatment and recovery process. This means that the student must not only speak with their nurse about the patient they choose, they should also speak to or be observant of as many other disciplines who are taking care of the patient as possible. The student will gather as much information as possible on the patient. The student will need to present this information in class. You will have 4-6 minutes to present the information and then an additional 4-6 minutes (10-15 minutes total) to lead a discussion and answer any questions regarding the care of your patient. Once you have an interesting patient in which you would like to present, schedule a time with the professor to present in class. A rubric is available in the corresponding canvas assignment to guide your preparation of the presentation.
4. Professionalism and Evaluations
The instructor (and other nursing faculty) will be checking with the nurses, agencies and other professionals who have agreed to work with students for the critical care clinical experience. Any report of unprofessional behavior is subject to a reduction in points and a clinical point. Your grade will also be affected as listed above. This includes, but is not limited to, unprofessional behavior, unprofessional dress, arriving late and leaving early. If a concern is found, the student will meet with the instructor to discuss the incident and will be aware of any action taken.
Expected Outcome: Students will have a Mid-Term and Final Evaluation with the professor after 4 and 8 clinical rotations. Through this evaluation process the student will know their standing in the course, know their grade, understand why they have the grade they do, and have any questions about their clinical rotations clarified.
General Description: Students will set up a time with the professor or come in during a break in class or during office hours after they have completed 4 high acuity clinical rotations. This is also a requirement of SUU Department of Nursing CCNE accreditation to show that the student has discussed any needs, concerns, and received clarification of their clinical rotations.
Directions: Students will be responsible to set up a time to meet with the professor during office hours or on a class break, after they have completed 4 and 8 clinical rotations. Clinical Evaluation forms will generally be printed by the professor and brought to class (but can also be found in CANVAS under Modules => Clinical Evaluation) and fill out the first section. The first section is the clinical skills list that the student has performed in their critical care clinical rotations up to this point. The student will bring this form to their Evaluation. They will then discuss the other portions of the form with the professor, discuss any issues, questions, or needs. This is a time for clarification and to determine progress in the student’s clinical performance and learning. This form will be kept on file in the Department of Nursing.
5. Simulation
Outcome: The objective is for the student to use critical thinking skills to work through possible problems, treatments and expected outcomes presented in the critical care scenario while also collaborating with students in multiple levels of the nursing program.
General Description: This assignment consists of a case study to be completed prior to the simulation as preparation. A date and time will be assigned and students will participate in a lab simulation which requires collaboration with students of the same and different levels. This simulation will simulate a decompensating patient that will be treated and care transferred from a lower acuity area to a higher acuity area. This will give the students experience in giving and receiving SBAR report as well as working with other nursing students outside of their cohort.
Expected outcomes: Rubric for this simulation is listed in the NURS 4435 Simulation experience assignment on canvas.