Nursing 86L Greensheet

De Anza College

Nursing 86L -- Prelicensure Preceptorship

Fall Quarter 2010

Units:                         5

Prerequisites:         C or better in Nursing 85, 85A, 85AL, and 85L                 

                                    Score of 100% on Nursing Program’s Drug Calculation Exam

Co-Requisite:           Nursing 86

Lead Instructor:       Patricia O'Neill, R.N., M.S.N., CCRN

Cell:                                              TBA at clinical orientation (urgent clinical situations only - cell only on while students on duty)

Clinical Hours:      Prelicensure Preceptorship (see schedule)

Orientation:  The on-campus portion of the orientation for clinical will be on Thursday, Week #1 of the quarter, hours and room TBA (and will be announced at least one week ahead of time on the Quarter Six News page of this web site), and will likely be all morning incorporating both clinical orientation and first theory class.  There will be additional orientation days during Weeks #1 and/or #2 of the quarter at the hospital to which you are assigned.  Orientation is mandatory.  All students are to attend the full orientation dates and times.  Students who do not attend full orientation days may be unable to attend clinical during this quarter.  If this occurs, the student will require a LOA, with readmittance to the program the following quarter (pending space availability).

Course Description:  The Prelicensure Preceptorship is designed to prepare the student to function as a graduate nurse.  Students will participate in a prelicensure preceptorship during eight weeks of the quarter.  Students will work three 8 hour shifts (or two 12 hour shifts) on either the day, evening, or night shifts, including weekend shifts.  Emphasis will be given to management/leadership and ethical/legal issues during the prelicensure preceptorship.  Welcome and Information

Clinical Objectives: N86L Clinical Objectives

1.         Design nursing care for a group of clients experiencing actual or potential self-care deficits.

2.         Modify nursing care as needed for a group of clients experiencing actual or potential self-care deficits.

3.         Modify nursing care taking into account the client's cultural and social differences.

4.         Formulate an admission plan with clients and families.

5.         Formulate a discharge plan with clients and families.

6.         Participate in an interdisciplinary care planning meeting.

7.         Apply hospital policy regarding ethical dilemmas in the clinical setting.

8.         Discuss identified legal issues with appropriate nursing personnel.

9.         Coordinate nursing care for a group of clients.

10.       Approximate the role of a new nursing graduate under the direct supervision of an assigned nurse.

QSEN Competency

Required/Recommended Texts and Materials:

1.         Nursing 86L web pages.

2.         Gahart, B. (latest edition).  Intravenous medications.  St. Louis: Mosby.

3.         Potter & Perry (latest edition).  Basic Nursing: Essentials for Practice.  Philadelphia: Elsevier Science.  Note: if you have an earlier edition from earlier courses in the nursing program, you need not buy current edition.

4.                  Kee, J.L. (latest edition).  Handbook of Laboratory and Diagnostic Tests with         Nursing Implications, Prentice Hall.

5.                  Lipson, Dibble, & Minarik (1998).  Culture and Nursing Care.  San Francisco: UC Nursing Press

Evaluation Criteria:

An evaluation is completed twice per quarter, at midpoint and final clinical shifts of the preceptorship.  Clinical Evaluation Tool Nursing 86L Since every student’s schedule will be different, it is the student's responsibility to have the clinical evaluation tool completed on shifts # 10 (or shift #6 if you precept 12 hour shifts) and #20 (shift #13 if precepting 12 hour shifts) and with the student at clinical, available to the instructor on her site visits.  Clinical performance is rated as satisfactory or unsatisfactory.  The evaluation is formative and not all elements will be satisfactory at the beginning evaluations.  However, at the completion of the program all critical elements must be satisfactorily completed in order to sit for the final examination.  Also with your Clinical Evaluation Tool, please print and keep with your preceptor packet the Preceptor Documentation Page  This form is completed by the preceptor and is considered when the instructor writes your clinical evaluation.  Final Clinical Paperwork Instructions

Written Work: Click the following links for detailed instructions; see calendar for due dates. (Note: some of the following are downloads to enable you to complete on your computer and print out if desired)

•     One Client Care Plan (NCP Instructions) (NCP Template)

•     Time Organization Clinical Assignment (group assignment – groups to be assigned) (Time Org Assignment)

•     4 Weekly Preceptorship Updates (the first 4 Thursdays of your preceptorship) (Weekly Updates for Preceptorship)

•     Handout and poster display from Staff Inservice Presentation (Inservice Assignment)

All assignments are eligible for full credit only if turned in at the beginning of class on the due date.  Late work will receive 3/4 credit (maximum) if received by the end of class on due date; half credit (maximum) will be given on work submitted between end of class on due date and the following class period.  No points will be given after that time.   All assignments also must be completely original work that you created for this course.  For example, no credit will be given if it discovered that you merely updated a presentation that you prepared for another class, or for your outside work.

Absences:

No clinical absences are allowed.  In the event of illness, any missed preceptorship hours must be rescheduled and made up, as all preceptorship hours must be completed to pass the course. 

Point Breakdown:

Nursing Care Plan                                                     200

Weekly Preceptorship Updates (3 due total)             50

Preceptorship Orientation Quiz                                  50

Staff Inservice Presentation                                       100

Time Organization Clinical Assignment                   100

Total                                                                            500

Final Course Grade / Grading Scale:

            A = 450-500 points (90-100%)

            B = 400-449 points  (80-89%)

            C = 350-399 points  (70-79%)

            F = <350 points (<70%), or failure of the theory component (Nursing 54L)

Since this is a "P/NP" course, a grade of "A" "B" or "C" will be assigned the grade of "P" and "F" will be assigned a grade of "NP"

Note:  The student must receive a passing grade in both N86 (theory class) and N86L (clinical component) concurrently to pass the course and graduate from the nursing program.  Failure of either the theory class or the clinical component requires both to be repeated concurrently in order to complete the nursing program (See Nursing Student Handbook for information on re-entering the program).

Note:  Using alcohol or other drugs during or before clinical experience or possessing, distributing, or being under the influence of alcohol or other drugs during clinical experience is absolutely prohibited -- see Impaired Nurse Policy in Student Handbook.  Hospital policies covering impaired employees also apply to students precepting at those hospitals.  These policies can either be found in the hospital orientation materials or on the website specific to the hospital.