San Jos State University School of Nursing NURS 145,

Adult Care Clinical Practicum II,

All Sections, Spring 2014

Instructor:

Cuong Phu Pham

Office Location:

IS 118

Telephone:

(408) 924-3131; (408) 728-3490

Email:

Cuong.Pham@sjsu.edu

Office Hours:

(TBA)

Class
Days/Time:

Thursday at KPSJO 0700-1900

Classroom:

Off Campus
Completion of NURS 126, NURS 136, NURS 146A & B

Prerequisites:

Faculty Web Page and MYSJSU Messaging

Copies of the course materials such as the syllabus, major assignment handouts, etc. may
be found on my faculty web page accessible through the Quick Links>Faculty Web Page
links on the SJSU home page. You are responsible for regularly checking with the
messaging system through MySJSU.
Course Description
Focus is on applying the knowledge, skills, and attitudes required to provide safe, clientcentered care to acute and chronically ill adults and older adults in a variety of setting.

Course Goals and Student Learning Objectives

NOTE: PLO=Program Learning Outcomes. Full text of these outcomes can be
found on the School of Nursing website or in the Student Handbook.

Upon the completion of the course, with minimal supervision the student will:
1.

Perform a complete and focused biopsychosocial assessment on multiple medical

surgical clients using a systematic and culturally appropriate approach. [PLO #1 Bio-psychosocial assessment]

2.

Apply the nursing process to safely prioritize and manage client care on the
medical-surgical setting. [PLO # 2 Client centered care]

3.

Prioritize, implement, and evaluate an individualized plan care for a medical

surgical client incorporating appropriate members of interprofessional health care
team. [PLO #3 - coordination of care]

4.

Use the nursing process to manage the care of multiple (2-3) medical-surgical
clients. [PLO #2 - Client centered care, PLO #3 Evidence-based practice, &
PLO #11 - Coordination of care]

15.

Demonstrate accountability, safety, and professionalism in implementing patient

centered care. [PLO # 2 - Client centered care, PLO #6 Safe administration of
medications, & PLO #10 Professional practice]

6.

Consistently integrate individualized education and resources that address health

literacy in medical surgical clients. [PLO # 4 Health literacy]

7.

Describe the health care beliefs, practices and behaviors of clients of socioculturally diverse background with implications for nursing care. [PLO # 1
Biopsychosocial assessment, PLO # 2 - Client centered care, & PLO #3 Evidencebased practice]

8.

Incorporate issues of ethics, sexuality, spirituality, advocacy, aging and

elder/spousal abuse in the planning and implementation of the clients care and
discharge plan. [PLO #2 - Client centered care, PLO #3 Evidence-based practice,
PLO # 4 Health literacy, PLO # 5 Advocacy, & PLO #10 Professional
practice]

9.

Consistently demonstrate therapeutic and professional communication with client,

family, and members of the interprofessional health care team. [PLO #8
Communications]

10.

Surveys relevant healthcare technology and its application to the care of clients in
the medical-surgical setting. [PLO #7 Technology]

11.

Consistently demonstrate safe nursing practice according to professional nursing

standards in the medical-surgical setting. [PLO # 10 Professional practice]

12.

Implement client advocacy strategies for clients in the acute medical-surgical

setting. [PLO #5 - Advocacy]

13.

Demonstrate accountability by safely administering and evaluating pharmacologic

and complementary modalities to multiple clients in the medical-surgical setting.
[PLO #10 Medication administration]

14.

In consultation with professionals, appropriately delegate basic nursing activities

to Nursing Assistive Personnel for 2-3 clients in the medical-surgical setting.
[PLO #9 Delegation]

15.

Demonstrate awareness of state and federal regulations affecting client-centered

care in the acute setting. [PLO #12 Health policy]

Required Texts/Readings
Textbooks
Lewis, S.M., Dirksen, S.R., Heitkemper, M.M., Bucher, L. & Camera, I. (2011).
Medical - surgical nursing: Assessment and management of clinical problems.
(8th ed.) St. Louis: Mosby.
Potter, P., & Perry, A. (2009). Fundamentals of Nursing (7th ed.). St. Louis: Mosby.
Wissman, J. (2007). Registered nurse adult medical-surgical review module (Ed. 7.1).
Assessment Technologies Institute, LLC.
Resource Textbooks
Those used in NURS 125, 133, and 155, and previous Semester 1, 2, and 3 textbooks.
ANA Scope and Standards of Practice
Elkin, M., Perry, A., & Potter, P. (2007). Nursing Interventions and Clinical Skills
(4th ed.) St. Louis: Mosby.
Jarvis, C. (2008). Physical Examination and Physical Assessment. (4th ed.).
Philadelphia: Saunders.
Handbook of San Jose State University Nursing Students
Other readings as assigned

Other equipment / material requirements

Uniform per School of Nursing policy, stethoscope, watch with second hand, black pen,
black Sharpie marker, bandage scissors, pocket calculator.
Library Liaison
Our research librarian is Ms.Valeria Molteni, Health & Science Librarian Liaison to the
Department of Biological Sciences and the School of Nursing. Her contact information
is: Dr. Martin Luther King, Jr. Library, San Jose State University, One Washington
Square, San Jose, California 95128-0028. Her office number is 408- 808-2023 and her
email address is: valeria.molteni@sjsu.edu .
Course Requirements
1.

Demonstrate successful completion of course objectives.

2.

Participate in scheduled classes. The student is expected to attend and to arrive on

time for all scheduled practicum days. Unexcused absence or tardiness limits full
participation required to evaluate meeting course objectives, thus resulting in
failure of the course.

3.

Complete learning activities and hand in written papers on dates and times
specified by the instructor using assigned format. Assignments will be accepted
after the due date for serious and compelling reasons only if prior arrangements
are made with the clinical instructor.
a.
b.
c.
d.

Nursing care plans/clinical logs/teaching and discharge plan

Patient assessment worksheet (time management tool)
Medicine cards/or alternative as assigned by clinical instructor
Participation in clinical simulations in Clinical Simulation Center or other
setting
e. Midterm and final self-evaluation
4. Written exams and/or quizzes at the discretion of the instructor.
Per the Curriculum and Research Policy Committee of the San Jose State Universitys
Academic Senate, Policy S 12-3 (Amends F06-2) mandates that the following language be
included in course syllabi:
Success in this course is based on the expectation that students will spend, for each unit of
credit, a minimum of forty-five hours over the length of the course (normally 3 hours per unit
per week with 1 of the hours used for lecture) for instruction or preparation/studying or
course related activities including but not limited to internships, labs, clinical practica. Other
course structures will have equivalent workload expectations as described in the syllabus.

Per University guidelines, The Valley Foundation School of Nursing uses the following
calculation for actual class time:
Theory and Seminar courses = 1 unit = 1 hour class time
Skills and Clinical courses = 1 unit = 3 hours of class time
The expectation of number of hours students should spend in outside preparation, study,
course related activities follow Policy S 12-3.

Teaching Strategies
Guidance of clinical learning experiences in the health care agency and individual clinical
conferences. Clinical simulation participation is required. Required reading and/or
audiovisual program assignments are determined by each clinical instructor.
Dropping and Adding
Students are responsible for understanding the policies and procedures about add/drops,
academic renewal, etc. Information on add/drops are available at http://info.sjsu.edu/webdbgen/narr/soc-fall/rec-324.html . Information about late drop is available at
http://www.sjsu.edu/sac/advising/latedrops/policy/ . Students should be aware of the
current deadlines and penalties for adding and dropping classes.
Assignments and Grading Policy
Written midterm and final evaluations of clinical performance are completed. Written
exams and/or quizzes are at the discretion of the instructor. See Student Handbook for
explanation of Credit/No Credit policies in clinical practicum.
The student is required to meet all course objectives satisfactorily and safely as specified
on this greensheet and the practicum evaluation tool in order to receive a grade of credit
(CR). Guidelines for safe student practice are regulated by the Laws Relating to Nursing
Education, Licensure-Practice, California State Nurse Practice Act, agency policies and
the current Handbook for Student Nurses. All students are held accountable for safe
practice and other policies described in handbook.
Satisfactory completion of (a) specified written assignments, (b) written exams and/or
quizzes, (c) written midterm and final evaluations of clinical performance, and (d) all
learning activities are required for a grade of credit. Failure of a practicum course halts
progression until the course is successfully repeated for credit. In addition, unsafe nursing
behaviors, documented by the instructor, will be sufficient cause for a grade of no credit
(NC). Refer to Student Handbook for further explanation of student safety issues.
If a student is to be absent from the practicum area, it is the student's responsibility to
notify the appropriate persons prior to the assigned time, and such absence may result in
an inability to meet course objectives (thus, unsatisfactory progress in the course).

Documentation of limitations or a health clearance, based on physical or mental health,

will be required by the instructor prior to continuance in the course. An alternate course
of action for absenteeism may be negotiated between the instructor and the student based
upon agency policies, safe practice, and the student's ability to meet the objectives. The
purpose is one of mutual decision making with the instructor having the final approval of
any course of action and progression in the course.
Policy Statement On Pre-Clinical Documentation
All clinical students must submit to the instructor copies of written documentation of
each of the following prior to the first clinical experience every semester. Students will
not be allowed in the clinical setting without this documentation. Coverage must extend
throughout the semester.
1. Current CPR (Level "C" of the American Heart Association) recertification, completed
within the last 12 months (Note: not 2 years).
1
22. Health insurance coverage
3. As stated on the School of Nursings clinical documentation form, available on the
SON website or in the School office, all documentation and updated information must
be provided to the clinical instructor on the Schools clinical orientation day.
4. Flu vaccination documentation or flu vaccine declination statement is required between
October and January 5 each academic year.
University Policies
Academic Integrity
Students should know that the Universitys Academic Integrity Policy is availabe at
http://www.sa.sjsu.edu/download/judicial_affairs/Academic_Integrity_Policy_S07-2.pdf.
Your own commitment to learning, as evidenced by your enrollment at San Jose State
University and the Universitys integrity policy, require you to be honest in all your
academic course work. Faculty members are required to report all infractions to the office
of Student Conduct and Ethical Development. The website for Student Conduct and
Ethical Development is available at http://www.sa.sjsu.edu/judicial_affairs/index.html.
Instances of academic dishonesty will not be tolerated. Cheating on exams or plagiarism
(presenting the work of another as your own, or the use of another persons ideas without
giving proper credit) will result in a failing grade and sanctions by the University. For this
class, all assignments are to be completed by the individual student unless otherwise
specified. If you would like to include in your assignment any material you have
submitted, or plan to submit for another class, please note that SJSUs Academic Policy
F06-1 requires approval of instructors.
Campus Policy in Compliance with the American Disabilities Act
6

If you need course adaptations or accommodations because of a disability, or if you need

to make special arrangements in case the building must be evacuated, please make an
appointment with me as soon as possible, or see me during office hours. Presidential
Directive 97-03 requires that students with disabilities requesting accommodations must
register with the DRC (Disability Resource Center) to establish a record of their
disability.
San Jose State University
School of Nursing
NURS 145 / Practicum IV, Spring 2014
Course Schedule TBA
Schedule is subject to change with fair notice. Changes will be announced in class and/or
posted on the instructors faculty web page.
Sample Calendar
Week

Date

Topic

PLO

Readings

01/30

Orientation to clinical
setting.
Professional behaviors

PLO # 1, 2, 5, 7,
9, 11

ANA Scope of Practice &

Standards of Care
Lewis & Heitkemper, Dirksen,
OBrien, & Bucher (2011), Ch 1
Potter & Perry (2009), Ch 4 & 22.
Potter & Perry (2009). Ch 24 &
26.
Lewis & Heitkemper, Dirksen,
OBrien, & Bucher, 2011, Ch 1
Potter & Perry (2009). Ch 19.

02/06

Documentation/SBAR
activity

PLO #2, 3, 5, 10,

11

02/13

Time Management

PLO # 1,2, 4, 5

02/20

Medication Administration

PLO # 1, 7, 11,
12, 13

Potter & Perry (2009). Ch 35.

02/27

Health Literacy

PLO # 3, 6, 7, 8,
11, 13

Potter & Perry (2009). Ch 35.

03/06

Health Literacy/Discharge
Planning

PLO # 3, 6, 7, 8,
11, 13

03/13

Delegation

PLO # 2, 3, 4, 5,
11, 12, 13, 14,
15

Lewis & Heitkemper, Dirksen,

OBrien, & Bucher (2011), Ch 2, 3
& 5.
Potter & Perry (2009). Ch 35.

TBA

03/20

Healthcare Policy
SIM LAB

PLO # 15

Potter & Perry (2009). Ch 2.

03/27

End of Life/DNR
Midterm Evaluation

PLO # 1, 2, 5, 7,
8, 12, 13

Lewis & Heitkemper, Dirksen,

OBrien, & Bucher (2011), Ch 11.
Potter & Perry (2009). Ch 30.

10

04/03

Critical Concept:
Evaluation of nursing
care plan

PLO # 1, 2, 3, 4

Lewis & Heitkemper, Dirksen,

OBrien, & Bucher (2011), Ch 11.
Potter & Perry (2009). Ch 20

San Jose State University

School of Nursing
NURS 145 / Practicum IV, Spring 2014
Course Schedule TBA
Schedule is subject to change with fair notice. Changes will be announced in class and/or
posted on the instructors faculty web page.
Sample Calendar
Week

Date

Topic

PLO

Readings

11

04/10

Critical Concept: Care of

the older adult in the acute
care setting

PLO # 1, 2, 3, 11

SPICES
http://www.geriatricvideo.com/fulmer
Spices.php

12

04/17

Critical Concept: Team

Work and working as a
member of an
Interdisciplinary Team

PLO # 8, 9,

TBA
D/C plan due

13

04/24

Critical Concept: Fluid,

Electrolytes, & Acid Base
Balance

PLO # 1, 2, 3, 6

14

05/01

Critical Concept: Sepsis

PLO # 1, 2, 3, 6

Final
Exam

05/08

Final evaluation scheduled

individually with instructor.

Potter & Perry (2009). Ch 22.

LAST DAY OF INSTRUCTION