Académique Documents
Professionnel Documents
Culture Documents
Evaluation Methods
Online Etiquette
10
12
23
Project Guidelines
25
30
32
Assignments
33
IV Therapy Policy
36
37
39
Clinical Evaluation
72
79
Reading Assignments
82
Lab Assignments
84
87
ADDENDUM
CSN Policy Changes and Information
88
89
94
3rd Semester
4.5 credits
Time Allotment:
a.
Didactic 2.25/week for 16 weeks
b.
Clinical 7 hours/week for 13 weeks
c.
Lab 6 hours /week for 2 weeks
(2.25 credits)
(2 credits)
(0.25 credits)
Clinical Instructors
Marsha Duggins Email:
Marsha.Duggins@csn.edu
Irene Joy Gob Email:
irenejoygob@gmail.com
(*See posted office hours outside of office doors for faculty located in Kbuilding)
2
Course Description
NURS 247 focuses on the role of the professional nurse in addressing client needs to
promote
optimal adaptation of mother, newborn, and family during the antepartum, intrapartum
and postpartum periods. Other areas related to client needs of risk reduction and
womens health will be included. Knowledge from pathophysiology, pharmacology,
nutrition, communication skills, nursing process, critical thinking, and the
teaching/learning process are integrated into the course. This course offers classroom
didactic and online learning through the CSN Canvas learning management system with
clinical components at various area hospitals and lab instruction at the Cheyenne
campus.
II
Course Outcomes
An emphasis is placed on active student learning with faculty and student lead
classroom discussions and presentations, which may include a variety of classroom
activities, group and individual assignments, case studies, audiovisuals, computerized
learning, campus labs, clinical participation, simulation, guest speakers, and any other
appropriate means per situation and availability.
IV
Textbooks Required
Ricci 3rd edition Text, Study Guide, and PrepU Package bundled which
includes:
3
Optional/Recommended
Please refer to all previously purchased textbooks from prior courses
including your lab manual, medical dictionary, nursing care plan text, in some
cases your drug guide, and any other pertinent texts.
Nevada Nurse Practice Act Handbook current edition; available at
www.nursingboard.state.nv.us to view current practice standards for nursing in
Nevada.
Any of the many RN NCLEX review books by various publishers see
OB/Maternity/Womens Health sections within comprehensive ones or some
review books are entirely OB/Maternal Newborn and Womens Health.
Any of the various Test Success books available for maternal-newborn
nursing or general nursing
V
Evaluation Methods
1. Grading -Students must pass ALL THREE of the course components of didactic,
clinical, and lab to pass the course. (See #3 and #4 below) If a student fails lab or
clinical, he/she will also receive a failing didactic grade.
2. Mid-term Evaluation - Students are expected to monitor their own didactic,
clinical, and lab course progress and seek assistance in an appropriate and
timely manner from the instructor(s) throughout the course. If the student is
failing the course at mid-term, a notice of unsatisfactory progress will be
given and a learning contract will be initiated. If a student is not passing
the didactic portion of the course after the second exam (March 5th) they
are to schedule an appointment with the instructor in the following
manner: students whose last names begin with a letter in group A-I are to
meet with LaBarr, last names beginning in the group J-R meet with Jones,
and last names that begin the group S-Z meet with Ryne. If one of the FT
instructors is your clinical instructor you may meet with her instead.
3. Clinical Performance Clinical is a pass or fail grade. To receive a passing
(satisfactory) grade in clinical performance, the student must satisfactorily meet all
4
11. All students are required to wear CSN name badge to class and testing and
signify their attendance to the exam on the test sign-in sheet.
12. Exam questions may be queried for up to 48 hours after the exam review. A
typed description of the
inquiry and thorough explanation with references
supporting your answer choice are acceptable and should be sent in the form of
an email to the course coordinator. Any student who did not pass the exam is
strongly encouraged to meet with an instructor within one week of taking the
exam and should be done in the following manner: Last name ending in A-I,
meet with LaBarr, last name ending in J-R meet with Jones, last name
ending in S-Z meet with Ryne. *Other students who did pass the exam but
wish to review their exam may request an appointment with an instructor in the
above manner for reviewing up to 1 week (the following Thursday will be
the last day) following administration of the exam.
Grading for NURS 247
Students must achieve a minimum final cumulative average of 75% or better in the
testing portion of the course (Tests I, II, III, IV, Final Exam, ATI test, quizzes), their group
project, and receive a satisfactory grade in laboratory and clinical components in order
to be successful and progress to subsequent courses. Points earned for
Homework/Assignments/Participation will be added only for students meeting the
above criteria! Students not achieving 75% or better on the testing/project portion
6
60 points
40 points
5 points
Total additional points = 105
points
To pass the course overall with the
additional points, you must
receive 386.25/515
*Example A shows that being prepared, coming to class, and putting forth effort can
not only help you to do better on exams, but you also have the potential to increase
your overall grade in the course, possibly to the point of a higher letter grade.
**Example B shows that if you are late or absent for class, dont put forth an effort on
participation or homework, this can lower your overall final grade, even if you did
satisfactory on the exams with the possible potential to not even pass the course.
Note how close this person came to failing the course.
Doing well on exams is VERY important and it is in this way that you will be
assessed and granted a nursing license when you complete the NCLEX exam, BUT
being prepared is also vital to doing well in the course and your profession. These
additional items for points are designed to help you prepare for your exams and for
the professional world of nursing where being prepared, education of patients, and
collaboration with peers is imperative.
VI
VII
Review the current Nursing Program Guidelines and the Student Policy Handbook
for Health Sciences.
The Nursing Programs at CSN prepare nurses and nursing assistants for entrylevel positions.
Reliable and prompt attendance at the assigned time is the standard of behavior.
Students will be
held responsible to know and implement the Attendance and Preparedness
Policy.
Note that attendance at lab and clinical is mandatory.
VIII
Students must adhere to the Academic Honesty Policy located in the Nursing
Program Guidelines.
Honesty is a professional characteristic that is vital to the practice of safe
nursing and is
expected of all students. Therefore, dishonest behavior will not be allowed
because of its potential to place the public at risk. Academic dishonesty
includes, but is not limited to plagiarizing, cheating, intentional deception, and
failure to report clinical errors. Attempting to access instructor materials
through publishing companies is considered dishonest behavior and may result
in removal from the program. The nursing program has the right to individually
evaluate cases of academic dishonesty and, when behavior is proven to be
dishonest, action will be taken. This includes, but is not limited to assigning a
failing grade for the course or any of its components, and/or termination from
the program.
If an Emergency occurs please use a college phone dial 9 to get outside line then
911.
For non-emergent situations, phone campus security personnel at West
Charleston--651-5613 and Cheyenne Campus--651-4055.
10
11
All students who have a disability and need accommodations should visit, call or
email the Disability Resource Center as soon as possible at the beginning of
each semester. Students are strongly encouraged to obtain their
accommodation forms in a timely manner to ensure appropriate services. They
should notify the course coordinator as soon as possible of their approved
documentation so that proper arrangements can be made.
The office is located at the W. Charleston campus in Building D -102 (702-6515644), as well as offices at Cheyenne and Henderson campuses.
Please refer to the following website for further information:
http://www.csn.edu/pages/544.asp
XII
Communication:
Effective communication in an online environment is essential. Due to the
asynchronous nature of online class work, it is important that the writer of any
message understand that an immediate response may not occur. This relates to
student-student and student-instructor communication. Please allow the
instructor a minimum of 48 hours to respond.
Also, we must remember that the natural nuances and intonation present with
face to face communication will not be present; therefore, it is important to be
careful in how written responses and emails are constructed. Be careful to convey
a positive and non-threatening tone in your communication. Be respectful and
polite, even when you do not agree with another student or your instructor. Be
patient with your peers as they may be having difficulty adequately conveying
their thoughts and ideas concisely in this format without the use of hand or facial
gestures. You are expected to share ideas with one another and ask
questions of one another in a professional, polite manner.
Participation via discussion question forums and assignments:
It is an expectation to attend class (online) each week and complete reading
assignments per the syllabus.
It is critical to understand that an important part of the online experience will
require student contribution to the class discussion forums in meaningful ways,
as well as any assignments or other methods of instruction used. Therefore, if a
discussion thread is initiated, students are expected to contribute one or more
responses to a discussion forum question (depending upon the instructors
criteria) and/or complete any assignments scheduled. Discussion forum
requirements will be provided with each posting. Students are required to reply to
other students response each week a discussion forum question is posted with
new and relevant information to the course discussion and from reading of
textbooks. Comments must be provided in a positive manner, which includes
building on the remarks and posing questions of other students.
Discussion questions must be answered by the established deadline. Postings
should be readable and have proper grammar, spelling, and sentence structure.
Proper APA citation and references should be used in support of discussion
12
Counseling Services
Lippincott and The Point student resources for textbook related issues
***NOTE: This syllabus and all that it contains for this course is subject to
change in the event of extenuating circumstances, by mutual agreement,
and/or to ensure better student learning.
13
14
Resources
Competency
Assessment
Fetal Development
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and
individual learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including clinical
written
assignments
Chapter 11
Chapter 12
Additional:
Study Guide for Essentials of
Maternity, Newborn, and Womens
Health Nursing (3rd edition)
Chapters 10-12
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn, and
Womens Health Nursing (Ricci, 3rd
edition)
15
Pre-existing Conditions
and Vulnerable
Populations Creating At
Risk Pregnancies
Resources
______________________________________
Essentials of Maternity, Newborn, and
Womens Health Nursing (Ricci, 3rd
edition)
Chapter 19
Chapter 20
Competency
Assessment
__________________
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and
individual learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including clinical
written
assignments
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn, and
Womens Health Nursing (Ricci, 3rd
edition)
16
Maternal Assessment
Fetal Assessment
Monitoring of Fetal Status
Pain Measures
Chapter 14
Prep-U by Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and individual
learning activities
Homework
assignments
Satisfactory lab and
clinical performance
including clinical
written assignments
Additional:
Study Guide for Essentials of
Maternity, Newborn, and
Womens Health Nursing (3rd
edition)
Chapters 13-14
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn,
and Womens Health Nursing
17
Preterm Labor
Labor Induction
VBAC
Fetal Demise
Obstetric Emergencies
Birth Related Procedures
Competency
Assessment
Prolonged Pregnancy
Resources
Prep-U by Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and individual
learning activities
Homework
assignments
Satisfactory lab and
clinical performance
including clinical
written assignments
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn,
and Womens Health Nursing
(Ricci, 3rd edition)
18
Resources
Postpartum Physiological
Maternal Adaptations
Cultural Considerations
Psychological Adaptations
Postpartum Nursing
Assessment
Nursing Interventions
Postpartum Hemorrhage
Thromboembolic
Conditions
Postpartum Infections
Postpartum Affective
Disorders
Chapter 16
Competency
Assessment
Prep-U by
Chapter 22
Additional:
Study Guide for Essentials of
Maternity, Newborn, and Womens
Health Nursing (3rd edition)
Chapters 15, 16, 22
Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and
individual learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including clinical
written
assignments
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn, and
Womens Health Nursing (Ricci, 3rd
edition)
19
20
Resources
Competency
Assessment
Physiological Transitioning
in the Newborn
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and
individual learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including clinical
written
assignments
Behavioral Adaptations
Nursing Management in
the Immediate Newborn
Period
Early Newborn Nursing
Management
Newborn Care
Common Concerns
Newborn Nutrition
Chapter 17
Chapter 18
Additional:
Study Guide for Essentials of
Maternity, Newborn, and Womens
Health Nursing (3rd edition)
Chapters 17-18
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn, and
Womens Health Nursing (Ricci, 3rd
edition)
Content
__________________________
Newborns With Special
Resources
______________________________________
Essentials of Maternity, Newborn, and
21
Newborns at Risk/
Acquired Conditions
___________________________________________
9. Describe birth weight variations,
assessment, and management
10. Differentiate between post-term and
preterm infants and the assessment
and care.
11. Identify the effects of prematurity on
the body systems.
12. Discuss care management of the
premature infant.
13. Discuss teaching and coping for
parents of a premature infant.
14. Compare and contrast the meaning of
acquired and congenital disorders of
newborns.
Chapter 24
Additional:
Study Guide for Essentials of
Maternity, Newborn, and Womens
Health Nursing (3rd edition)
Chapters 23-24
Competency
Assessment
______________________
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and
individual learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including clinical
written
assignments
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn, and
Womens Health Nursing (Ricci, 3rd
edition)
22
Module 5- Introduction and Reproduction: The student will develop an understanding of trends and issues
in maternity nursing including the components of community based family-centered care and the
significance. The student will review the anatomy and physiology of the reproductive system.
Content
Module Student Learning
Resources
Competency
Outcomes
Assessment
Maternal Newborn Nursing
Evolution and Core
Concepts
Health Status and Factors
Affecting Maternal,
Newborn, and Womens
Health
Barrier to Health Care and
Legal and Ethical Issues
Family-Centered and
Community-Based Care
Cultural Issues
Community-Based Nurse
Reproductive System
Chapter 2
Chapter 3
Additional:
Study Guide for Essentials of
Maternity, Newborn, and Womens
Health Nursing (3rd edition)
Chapter 1-3
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group discussions
Individual class
participation
Group and
individual learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including clinical
written
assignments
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/student
Essentials of Maternity, Newborn,
and Womens Health Nursing
(Ricci, 3rd edition)
23
Abortion
Menopause
Sexually Transmitted
Infections
Resources
Essentials of Maternity,
Newborn, and Womens
Health Nursing (Ricci, 3rd
edition)
Chapter 4
Chapter 5
Additional:
Study Guide for Essentials of
Maternity, Newborn, and
Womens Health Nursing (3rd
edition)
Chapters 4-5
Competency
Assessment
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group
discussions
Individual class
participation
Group and
individual
learning
activities
Homework
assignments
Satisfactory
lab and clinical
performance
including
clinical written
assignments
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/stude
nt
24
25
Module 6 Womens Health Care: The student will identify select womens reproductive health issues that
have the potential to affect quality of life. The student will describe the importance of ongoing health
promotion and physical assessment to prevent their risk of disease and allow them to be partners with
their healthcare providers.
Content
Breast Disorders
Reproductive Tract
Cancer/Ovarian,
Endometrial, Cervical,
Vaginal, and Vulvar
Resources
Essentials of Maternity,
Newborn, and Womens Health
Nursing (Ricci, 3rd edition)
Chapter 6
Chapter 8
Additional:
Study Guide for Essentials of
Maternity, Newborn, and
Womens Health Nursing (3rd
edition)
Chapters 6 and 8
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/studen
t
Essentials of Maternity,
Newborn, and Womens Health
Nursing (Ricci, 3rd edition)
Competency
Assessment
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group
discussions
Individual class
participation
Group and
individual
learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including
clinical written
assignments
26
27
Resources
Essentials of Maternity,
Newborn, and Womens Health
Nursing (Ricci, 3rd edition)
Chapter 7
Chapter 9
Additional:
Study Guide for Essentials of
Maternity, Newborn, and
Womens Health Nursing (3rd
edition)
Chapters 7 and 9
CANVAS Materials
Lippincott Student Resources
http://thepoint.lww.com/studen
t
Competency
Assessment
Prep-U by
Lippincott
Unannounced
quizzes
Module exams
Group
discussions
Individual class
participation
Group and
individual
learning
activities
Homework
assignments
Satisfactory lab
and clinical
performance
including
clinical written
assignments
28
Event
Introduction to Syllabus and course requirements.
Module 1 (Chapters 10-12) Learning Outcomes 112
29
** Midterm for didactic is March 9th (following Exam Two) AND** Midterm is week of March 23 rd for clinical
midterm evaluations
Week and Date
Week 8 March 9, 2015 **
LaBarr
March 16 - 22, 2015
Spring Break
Week 9 March 23, 2015
LaBarr
Event
Module 4 (Chapters 17, 18) Learning Outcomes 18
Enjoy the weather while you study
Module 4 -- (Chapters 23, 24) Learning Outcomes 914
A.T.I. Exam
30
31
32
33
Presentation
Each presentation will demonstrate the results of individual and group research
through a student-created, innovative, interactive, learner-centered format. Each
presentation will have instructor approval that includes a date for the presentation
and specific due dates that will assure project progress and student self-reflections
throughout the semester.
Presenters must conduct a 10-15 minute interactive lesson. (Time may be changed
depending upon the project. Time will be related to topic and the number of students
involved in the presentation.) Students are required to be in attendance to
participate as a presenter or an observer.
Evaluation
Each student group will meet with an instructor to confirm project clarity,
expectations, and student ideas. The students and instructor will determine if
adjustments to the objectives and project concept are necessary at that time.
The project evaluation rubric will be used by the instructors to obtain an objective
score. Rubrics will be used to determine the point value of the project and the
presentation. All three instructors will grade the project and presentation, and
possibly other instructor(s) will grade the presentation, as well.
*The instructor that you will communicate with, initially, regarding your project type,
topic, and date will be Benita Ryne. Contact information is Benita.ryne@csn.edu.
Office is in Bldg. K 306-G and office number is 651-5674. Office hours are
Wednesdays 12-5, but she will be in lab on Wednesday the first two weeks, and will
be in the office on Thursday of those weeks. Walk-ins are welcome, but those with
appointments will be given a priority.
Remember that contracts must be completed by 2/6/15.
34
Excellent
Average Joe
(adequate)
3
Below
Standard
2
Not Really
Done!
1
Organization
Information is
presented in
logical,
interesting
sequence
which is easy
and to follow.
Information is
presented in a
logical
sequence
which the
audience can
follow.
Information is
presented with
some logic and
some in
audience can
follow.
Difficult to
follow the
presentation as
the presentation
jumps around
with the
information.
Cannot
understand the
presentation
because there is
no logical
sequence of
information
Knowledge of
Content
Demonstrates
full knowledge
with
explanations
and elaboration
of current EBR
data.
At ease with
the knowledge,
information is
EBR current,
but fails to
elaborate.
Understands
information,
but lacks EBR
current data,
and is unable
to elaborate on
the topic.
Uncomfortable
with the
information.
Lacks a grasp of
the information
Graphics
Use of highquality
graphics to
explain and
reinforce the
information
throughout the
presentation.
Use of
graphics to
explain the
information.
Uses some
graphics that
relate to text
and
presentation.
Some use of
graphics that
rarely support
the presentation.
Use of
superfluous
graphics,
or No graphics
used.
Team
Participation
All team
members take
an active part
in the
presentation
and are able to
answer any
questions in
detail.
All team
members
participate, but
only some are
aware of all the
information
presented.
All team
members
participate, but
not actively.
Lack of
participation by
some of the
team members,
with only one or
two actually
presenting.
Obvious lack of
participation by
one or more
team members.
Content and
Creativity
The
presentation
shows
imagination
and
effectiveness
in conveying
the objective(s)
to the
audience.
The
presentation
shows some
creativeness
that, at times,
is effective in
conveying the
objectives.
The
presentation is
effective in
conveying the
objective(s),
but lacks
imagination.
The presentation
has parts that
are effective,
but some parts
are neither
interesting nor
effective.
The presentation
fails to capture
the interest of
the audience
and/or is
confusing in
what is
communicated.
Presentation
Rubric
35
Professionalism
Four or more
references
from a
professional
journal or
website that is
less than 5
years old and
related to
obstetrics.
Bibliography is
correctly typed
in APA format.
All written
materials and
graphics are
professionally
appropriate in
their content,
spelling, and
grammar.
Respect is
shown towards
peers,
audience, and
instructors.
Timeliness in
all meeting and
presentation
commitments.
Three
references
from a
professional
journal or
source that is
less than 7
years old and
is related to
Obstetrics.
Bibliography is
typed in APA
format.
All written
materials and
graphics are
professionally
appropriate in
their content,
spelling, and
grammar.
Respect is
shown towards
peers,
audience, and
instructors.
Timeliness in
all meeting and
presentation
commitments.
Three
references that
are from a
professional
journal or
website that is
less than 7
years old and
may or may
not be related
to Obstetrics.
Bibliography is
typed in APA
format.
All written
materials and
graphics are
professionally
appropriate in
their content,
spelling, and
grammar.
Respect is
shown towards
peers,
audience, and
instructors.
Timeliness in
most meeting
and
presentation
commitments.
Three references
that are not from
a professional
source and/or
not relevant to
obstetrics.
Bibliography is
legible in APA
format.
Zero to three
references that
are not from a
professional
source and/or
not relevant to
Obstetrics.
Bibliography is
not legible, or is
absent.
Most written
materials and
graphics are
professionally
appropriate in
their content,
spelling, and
grammar.
Respect is
shown towards
peers, audience,
and instructors.
Timeliness in
most meeting
and presentation
commitments.
Written
materials and
graphics are
professionally
inappropriate in
their content,
spelling, or
grammar. Lack
of respect is
shown towards
peers, audience,
or instructors.
Lack of
timeliness
towards meeting
and presentation
commitments.
SCORE:
36
Name of Project
Objectives:
Module:______
Type of Presentation:
____________________
Date:
____________________
Date:
____________________
Date:
____________________
Date:
____________________
Date:
____________________
Date:
____________________
Date:
37
Methods of Instruction
III
39
Requirements
A. Responsible for all previously learned skills and materials.
B. *Refer to Attendance and Preparedness policy found in current Nursing
Program Guidelines (a copy is in the addendum section at the end of
this syllabus). Students are expected to come to clinical prepared with
proper equipment, uniform, and completed paperwork. Required
attendance and punctuality: students are required to attend all clinical
sessions and initial clinical orientation day. Any absence will result in a
referral form being given for APG committee by your instructor. You will
have the right to explain, discuss and bring documentation regarding
absence to the APG committee for decision regarding 3% reduction
policy. This must be done within two weeks of the occurrence. The
student will assume the responsibility to notify the instructor of an
absence or potential tardiness at the clinical facility at least one hour
prior to the scheduled start of clinical. No tardiness or leaving early will
be permitted. Missed clinicals cannot be made up.
C. Satisfactorily passing the Math test given in lab within 2 attempts and a
minimum grade of 95%.
D. Preparation for patient care assignments by completing all assigned
pre-clinical worksheets and assignments prior to clinical.
Unprepared students will be sent home and receive an absence with a
3% deduction from the final theory course grade. This infraction cannot
be appealed to APG committee. *Note that your individual clinical
instructor will advise you on when the preparation sheets will be
submitted but in NO WAY will a student enter a clinical area without
having completed the original clinical preparation for that area.* Refer to
current Attendance and Preparedness policy.
E. Satisfactory completion of all assignments as per instructed by clinical
instructor.
F. Satisfactory clinical performance related to the clinical evaluation tool.
G. Completions of self- clinical evaluations for mid-term and final and any
evaluations requested by clinical facility.
H. Presentation to clinical instructor of completed clinical ticket from
mandatory advising session.
40
Dress Code
In clinical, students are required to comply with the uniform code as
outlined in the latest edition (online) of the* CSN Nursing
Program Guidelines. This uniform code applies whenever and
wherever the uniform is worn. The student uniforms are to be worn
only when functioning as a student of College of Southern
Nevada. In all situations the student must conform to the policy of the
affiliating agency. Insofar as policies specific to hair, jewelry, cosmetics,
fingernails, tattoos, and gum, students are held accountable as stated in
the latest edition of CSN Nursing Program Guidelines.
If the student changes into scrubs provided by the facility, they are still
responsible to arrive as a CSN student and wear their name badge. They
must return the scrubs to the facility and leave the facility as a CSN
student nurse.
Students are required to carry scissors, hemostat, penlight, black and
red pens, stethoscope, and goggles as noted/required by Instructor
and/or facility as well as clinical papers and syllabus, and the CLINICAL
SKILLS NOTEBOOK.
Items that you are discouraged to bring to clinical include: purses or
other valuables, backpacks or other tote bags, food or drink items, your
large textbooks. (In some areas there is a shortage of space or an area
for students to place these things.) Check with your clinical instructor
for further guidance. This differs in different facilities and you will be
given instructions specific to your clinical by her.
Additional items to bring to clinical may include: money or other
method to purchase food items if a break is given by clinical
instructor.
VI
Student Conduct
Policies
Assignments
45
46
Nursery
Postpartum
High Risk OB
Erythromycin
Ophthalmic
Ointment
Hepatitis B
Vaccine
Aquamephyton
Ibuprofen
Betamethasone
Norco
Magnesium
Sulfate
Methergine
Procardia/Nifedipi
ne
Rhogam
Rubella
Terbutaline
Bicitra
Cervidil
Fentanyl
Toradol
Zofran
Cytotec
Penicillin G
Cefazolin
12
Lanolin/Lansinoh
Multivitamin
Dulcolox
Tdap
9
Hydralazine
Lovenox
Calcium
Gluconate
Labetalol
Insulin
Hemabate
10
You are to complete a drug card for each of the above medications before
you are scheduled in that area. This should be on an index card that you
can place in your pocket to have with you on the unit.
The cards should include the following information with an OB
perspective.
Example: Terbutaline is a drug used for lung patients, but why would it
be given to a high risk OB patient? What action does it have? (hint: it
has to do with contractions).
Please, complete the drug cards by addressing each area below and
placing the information in that order on your cards. The date they are due
is the decision of your instructor.
Brand and Generic name a mix of brand and generic names are listed above,
but you should learn and know medications by generic names as well as the
brand name.
Classification
*Pregnancy risk category
Action
*Obstetrical Indication
Adverse reactions
*Interactions
Obstetrical Dosage/Route
Nursing considerations
*Patient teaching
Contraindications
47
48
Pregnancy
Risk
Category
Action
Indications
Dosage/Rout
e
Adverse
Reactions
Interactions
Contraindica
tions
Excellent (3)
Uses all generic
and brand names
Satisfactory (2)
Uses either some
generic or some of
the brand names
Unsatisfactory (0)
Neither name used
Identifies
obstetrical
therapeutic and
pharmacological
classifications
The pregnancy
risk category is
listed for all
medications
The mechanism
of action is listed
for the
medications
Obstetrical uses
for this
medication are
listed
Identifies some
therapeutic or
pharmacological
classifications
There is no
pregnancy risk
category listed
There is no
mechanism of action
listed
The listing of uses
for medications are
not listed in
relationship to
obstetrics
There is no dosage
or route listed for
any of the
medications
There are no
interactions listed
Nursing
Consideratio
ns
Patient
Teaching
Due Date
and
Neatness
administer the
medications are
listed completely
Accurately
prioritizes the
most important
nursing
considerations to
monitor while
patient is on this
medication
Accurately
prioritizes
important patient
teaching
regarding the
medication
Medication index
cards are
submitted on the
first day of
assigned rotation.
Printed or typed
and legible.
medications are
listed but not
completely
Inaccurately
prioritizes the
most important
nursing
considerations to
monitor while
patient on the
medication
Some of the
patient teaching
areas are
identified
is inaccurate
Medication cards
are missing,
partially
completed or not
legible. Turned in
later that day.
50
Preparatory
Forms
Labor and Delivery
Please complete and bring with you for your first day of labor and delivery
experience.
1. What is a normal baseline fetal heart rate?
2. How is fetal variability determined and what terms are used for
charting?
3. What is considered preterm labor?
4. What is an amniotomy, and what important nursing roles go along with
it?
5. How do you determine and chart contraction frequency, duration, and
intensity?
6. What is the first stage of labor along with its phases and dilatations?
What maternal behaviors are seen and what interventions can be used?
7. What happens in the second stage of labor and what nursing care is
given?
8. What happens in the third stage and what are the nursing assessments
that are done?
9. What is the fourth stage of labor and what is its significance?
10. What are some of the danger signs in labor that must be reported,
and what interventions are appropriate and/or administered?
11. What is a fundus, and how and why is it checked? When is fundal
massage needed?
12. What role does the nurse play in the administration of an epidural?
Before, during, and after?
13. What are some types of breathing patterns that can be used in labor,
and when would each be used?
51
52
53
54
55
56
Satisfactory
(6 - 8)
Unsatisfacto
ry (0)
All assigned
questions
have been
answered in
depth and
are
completely
accurate
and clearly
explained
using the
text and/or
other
sources and
cited per
APA format
The majority
The form is
of the
not is not
questions
submitted
are
on due date
answered
or not
(>90%) with
available on
short
the day of
sentences
clinical for
and
that
answered
rotation.
correctly
with
references
from
textbook or
nursing
journals.
Minimum score for overall passing is 7.5. Less than this would be
marked as unprepared. Refer to the nursing department manual for
consequences of not being prepared in the clinical setting.
57
Satisfactory
(6 - 8)
Unsatisfacto
ry (0)
All assigned
questions
have been
answered in
depth and
are
completely
accurate
and clearly
explained
using the
text and/or
other
sources and
cited per
APA format
The majority
The form is
of the
not is not
questions
submitted
are
on due date
answered
or not
(>90%) with
available on
short
the day of
sentences
clinical for
and
that
answered
rotation.
correctly
with
references
from
textbook or
nursing
journals.
Minimum score for overall passing is 7.5. Less than this would be
marked as unprepared. Refer to the nursing department manual for
consequences of not being prepared in the clinical setting.
58
Satisfactory
(6 - 8)
Unsatisfacto
ry (0)
All assigned
questions
have been
answered in
depth and
are
completely
accurate
and clearly
explained
using the
text and/or
other
sources and
cited per
APA format
The majority
The form is
of the
not is not
questions
submitted
are
on due date
answered
or not
(>90%) with
available on
short
the day of
sentences
clinical for
and
that
answered
rotation.
correctly
with
references
from
textbook or
nursing
journals.
Minimum score for overall passing is 7.5. Less than this would be
marked as unprepared. Refer to the nursing department manual for
consequences of not being prepared in the clinical setting.
59
Satisfactory
(6 - 8)
Unsatisfacto
ry (0)
All assigned
questions
have been
answered in
depth and
are
completely
accurate
and clearly
explained
using the
text and/or
other
sources and
cited per
APA format
The majority
The form is
of the
not is not
questions
submitted
are
on due date
answered
or not
(>90%) with
available on
short
the day of
sentences
clinical for
and
that
answered
rotation.
correctly
with
references
from
textbook or
nursing
journals.
Minimum score for overall passing is 7.5. Less than this would be
marked as unprepared. Refer to the nursing department manual for
consequences of not being prepared in the clinical setting.
NAME: ______________________________SECTION:
______________DATE_____________
60
Satisfactory
(6 - 8)
Unsatisfacto
ry (0)
All assigned
questions
have been
answered in
depth and
are
completely
accurate
and clearly
explained
using the
text and/or
other
sources and
cited per
APA format
The majority
The form is
of the
not is not
questions
submitted
are
on due date
answered
or not
(>90%) with
available on
short
the day of
sentences
clinical for
and
that
answered
rotation.
correctly
with
references
from
textbook or
nursing
journals.
Minimum score for overall passing is 7.5. Less than this would be
marked as unprepared. Refer to the nursing department manual for
consequences of not being prepared in the clinical setting.
61
Prenatal History
Student__________________________________
Date_____________
Room# _______ Age_____
Marital Status___________
Ht._______
Pre-pregnant weight__________ Current weight___________ Total weight gain
____________
Problems during
Pregnancy_________________________________________________________ Allergies &
Reaction_______________________________________________________________
LMP_________ EDC __________ Duration of Pregnancy ____________
G _____T_____P_____A_____L_____ Para_____
Blood Type______ RH factor ______ RPR _____ Rubella _______ GBS ______
Hepatitis B ______ HIV ________ GC __________ Chlamydia _______________
Religion_______________ Occupation _______________ Family Support
___________________
Attended child birth classes __________ Breast or Bottle
_________________________________
62
Lab
or
Flo
w
Shee
t
Comments
Time
Vital Signs
63
64
Second
Third Phase
Phase
Membranes
Nursing
Show
Actions
FHR
First Phase
BP_____ TPR_____
pO2___
Medications
Clinical
Second Phase
signs/complication
s
Dilatation
Effacement
Station
Third Phase
Contractions
Frequency
Duration
Intensity
65
66
Page 4
Third Stage
Time of Placental
Delivery_________
Intact: Yes____ No____
Number of
Vessels______________
Cord Gas
Obtained______________
Cord Blood
Obtained_____________
Did you touch the
placenta? _______
Who cut the cord?
_______________
Nursing Actions:
Fourth Stage
BP_______
TPR______pO2_______
Fundus__________________
_____
Lochia___________________
_____
Medications______________
_____
Breast
feeding__________________
Skin-to-skin
____________________
LOC______________________
_____
Bonding
_______________________
Nursing Actions:
67
Nursing Diagnosis
Knowledge deficit
R/T breathing
patterns to use
with labor
Goal
Patient will
demonstrate
effective
breathing
techniques with
each stage of
labor
Interventions
(describe each
breathing pattern
and explain when
it is used)
Nursing Diagnosis
Risk for maternal
Goal
Patients BP will
Interventions
68
hypotension R/T
epidural
placement
remain within 20
points of baseline
while receiving
epidural
anesthesia
Nursing Diagnosis
Fetal intolerance
of labor R/T uteroplacental
insufficiency
Goal
Fetal heart rate
will have
moderate
variability and no
deceleration after
nursing
interventions are
implemented.
Interventions
69
71
72
Newborn Assessment
Date
Age at Exam
Gestational Age
Diet:
Assessment
Finding
Textbook Normals
Posture
Vital Signs
Apgar Score (describe)
73
Newborn Assessment
Assessment
Textbook Normals
Finding
Fontanels
Anterior
Posterior
Eyes
Ears
Mouth
Nose
Chest
Symmetry
Breast tissue
Lungs
Heart Sounds
74
75
Textbook Normals
Urination
Extremities
Fingers/Toes
Back/Spine
Anus
Pulses
Mothers ABO & RH
Infant ABO & RH
Infant Lab Values
Medications/Purpose
__________________
__________________
____________
____________
Reflexes- Test at least 5 Learn these: Describe how to test each and the
interpretation:
77
78
Attachment process
_______________________________
Discharge Teaching
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
_______________________________
Other
__________________________
Antepartum Assignment
(Complete one of the following)
Undelivered patient
1. Describe one of the patient situations you observed in this unit that
put her at risk.
This may be pre-existing or a pregnancy related process that is occurring.
Examples: diabetes, hypertension, multiple gestation, clotting disorder,
etc.
a Define and briefly explain in 1-2 paragraphs what this condition is
and what the risks are related to pregnancy.
80
Excellent (3)
The data collected
is concise,
accurate, and
complete. There
are no blanks
Satisfactory (2)
The data is accurate
and concise, with at
least 85% complete
Unsatisfactory (0)
There is no data, or
there are greater
than 15% gaps in the
data and/or it is
inaccurate
81
Stages of
Labor
Learning
Experience
Reflection
Interventions
for Maria, the
simulated
patient
Grammar,
punctuation,
spelling,
neatness
Due Date
There are no
interventions listed
and/or they are
completely
inaccurate with no
teaching or rationale
The paper is illegible
and/or there are
greater than 5
spelling, punctuation,
or grammar errors.
The paper is not
turned in, or is
submitted past the
due date.
Data Collection
Nursing
Diagnoses
Excellent (3)
Satisfactory (2)
Unsatisfactory (0)
Goals
Nursing
Interventions
The interventions
are concise, include
teaching, and are
client specific and
appropriate for
client to reach the
goal.
The scientific
rationale is included
for each
intervention with a
complete
explanation and is
appropriately cited.
There is a complete
and thorough
evaluation for all of
Rationale
Evaluation
There is an
There is no evaluation
evaluation of the
of the goals and/or that
majority of the goals, which is given is
83
The paper is
submitted on or
before the date
assigned by the
clinical instructorrelated to when the
student cared for
the patient- and
may be submitted
via email or in
person.
Minimum score for overall passing is 16.
interventions and
how well they were
met.
There are less than 5
misspelled or
punctuation/gramma
r errors. The paper is
typed or neatly
written and legible.
inaccurate.
There are multiple
misspelled words and/or
poor sentence and
grammar. The paper is
illegible.
The paper is not turned
in, or is submitted past
the due date.
84
Textbook
Normals
Findings
Grammar,
spelling,
neatness
Due Date
Excellent (3)
Provides complete
history of
pregnancy features,
labor and delivery
history, prenatal
history, and verbal
report in relation to
the infant being
assessed.
The assessment
sheet lists all of the
relevant and
accurate normal
findings that are
expected for the
newborn of normal
gestational age and
sex of this
assessment.
The student
completely and
thoroughly records
all of his/her
findings from the
assessment of the
baby.
The assessment
paper is typed, all
words are spelled
correctly and the
sentence structure
is correct.
The paper is
submitted on or
before the date
assigned by the
Satisfactory (2)
Most (> 90%) of
the history of the
labor and delivery
events, prenatal
history, pregnancy
features and
verbal report are
present.
Unsatisfactory (0)
There is some
information that is
confusing, or no
information
present.
Textbook normals
are listed for most
of the findings but
some are missing
and/or inaccurate
(less than 10%).
There are
numerous gaps in
the assessment
findings without
explanation, and/or
is not done at all.
The paper is
illegible, there are
numerous
misspelled words
and the structure is
poor.
The paper is not
turned in, or is
submitted past the
due date.
85
Organization
Excellent (3)
The journal is
detailed with fears,
anxieties, thoughts,
other emotions,
feelings, and
observations of the
experience.
The journal entry is
organized and easy
to follow and read. It
flows consistently
while being read.
Grammar,
punctuation,
spelling,
neatness
It is neatly hand
written without
spelling, grammar, or
punctuation errors.
Due date
Satisfactory (2)
The journal is
descriptive of
thoughts, feelings,
and observations.
Unsatisfactory (0)
The journal is nondescriptive and
unclear. There is no
explanation of
anything observed.
The entry is
organized and
somewhat easy to
follow and read. It
flows, but has
inconsistencies while
being read.
It is typed or neatly
written and there are
less than 5 errors in
spelling, grammar, or
punctuation.
It is illegible or
difficult to read and
there are greater than
5 spelling, grammar,
or punctuation errors.
The paper is not turned
in, or is submitted past
the due date.
86
87
Patient Risk
Category
Provides accurate
description of the
risks to this
patient/pregnancy
in 1-2 paragraphs
Nursing
Interventions
and
Assessments
Provides thorough
identification of
necessary nursing
interventions and
assessments to be
made for the
condition that
creates the risk
The student
completely and
thoroughly records
a description of
what they observed
and learned in
regards to high risk
pregnancies
Completely
describes real and
potential emotional
and/or bonding
concerns that occur
from this high risk
situation
The paper is typed,
all words are
spelled correctly
and the sentence
structure is correct.
Describes what
the risk is to the
patient/pregnan
cy are in less
than a
paragraph and
is somewhat
accurate
Interventions
and
assessments are
partially correct
related to the
risk category
The student
vaguely reports
learning and
observations
that occurred
from this
experience.
There is no reporting
of any
observations/learning
from this high risk
experience
Describes
emotional
bonding issues
with some
accuracy but not
completely
correct
The paper is
neatly written
and the spelling
and grammar
are correct with
errors occurring
less than 10%.
Observations
and Learning
Emotional/Bondi
ng Needs
Grammar,
spelling,
neatness
Due Date
The paper is
submitted on or
before the date
assigned by the
No interventions
and/or assessments
are identified, or are
inaccurate for this risk
condition
88
89
90
Article
Summarization
Presentation
Critical
Thinking
Questions
Excellent (5)
All three articles are
from a professional
journal or website, is
current (<3 years),
and related to
Obstetrics.
Bibliography is
correctly typed in
APA format.
The most important
points are identified,
summarized and
stimulate discussion.
The presenter has
made copies and
handouts for others.
The presentation is
no longer than 10
minutes. Followed
by a 5 minute
discussion of critical
thinking questions
and answers. The
presenter is
organized, does not
read any article, and
articulates with good
grammar.
The questions
promote critical
thinking along the
topic discussed. The
presenter guides
questions/answers in
a professional
discussion showing
an understanding of
the topic that is
beyond knowledge
expectations for this
Satisfactory (3)
The three articles are
each from a
professional journal
or source that is
older than 3 years
but less than 7 years
and related to
Obstetrics.
Bibliography is
written in APA
format.
The article is
summarized and
identifies important
points.
Unsatisfactory (1)
The three articles are
not from a professional
source and/or are
irrelevant to Obstetrics.
Some may be an older
article (> 5 years),
and/or bibliography is
not in APA format,
legible, or is absent.
The presentation is
over 10 minutes but
less than 20 minutes.
The presenter
expresses his/her
thoughts well, does
not read most of the
information, and/or is
able to lead a
discussion of critical
thinking questions.
The presentation is
over 10 minutes but
less than 20 minutes.
The presenter guides
questions/answers in
a professional
discussion, but
requires assistance
with the topic to
answer the questions
of peers. The
presenter expresses
91
92
94
Communication
Professionalism
Caring
Teaching - Learning
96
97
Mid
ter
m
Fina Comments
l
Mid
Ter
m
Fina Comments
l
100
Mid
Ter
m
Fin
al
Comments
7.
Applies teaching learning principles that are
specific to the clients level of development,
knowledge and learning needs to promote optimal
adaptation in childbearing families.
a.
Assesses the learning needs and learning abilities
of the client.
b.
Participates in discharge planning/discharge
teaching instructions.
c.
Utilizes demonstration techniques or other modes
of instruction as needed.
d.
Provides incidental teaching when providing
nursing care.
e.
Evaluates outcomes of teaching and revises as
needed.
101
Grade: (circle)
PASS
NO
PASS
For FINAL EVALUATION: Summarize the students strengths. If any
clinical outcomes were not satisfactorily met, provide recommendations.
date
Faculty Signature
date
Students Comments:
103
I Outcomes
The student will learn, practice, and demonstrate selected skills in the
nursing lab that will facilitate preparation for maternal newborn clinical
practice. The student will utilize the nursing process and critical thinking
in performing these skills and will gain experience prior to the clinical
aspect of the course.
II Methods of Instruction
Mini introductory sessions, small groups, classroom discussion, activities
and assignments, case studies, simulation, audiovisuals, individual
participation, textbook and workbooks.
III Textbooks
As per primary course syllabus
IV Evaluation Methods and Grading
Lab is a pass or fail grade. This is one component of the overall course
grade and a passing grade is satisfactory performance and completion
of the following:
1. Students must attend ALL lab hours assigned.
2. Satisfactory completion of ALL assignments on the date they are due.
3. Participation in all group and individual projects.
4. Practice and performance of all skills according to proper procedure.
5. Adherence to previously learned skills, standard precautions, and lab
procedure and etiquette.
104
Week Two
Math Test (one hour) See practice sheet for sample problems on page 94
Postpartum
1 Postpartum assessment using BUBBLEHE(-EE RRR) acronym for vaginal
and surgical deliveries
2 Assess Deep Tendon Reflexes (DTRs)
3 Breast care and breastfeeding teaching
4 Using electronic breast pump
5 Ice to perineum and breasts
6 Perineal care
7 Sitz bath
8 Discharge teaching
9 Family-infant interaction
Newborn
1. Newborn physical assessment to include measuring head, chest,
abdomen
2. Weigh on scales
3. Administer vitamin K, Hepatitis B vaccine
4. Erythromycin to eyes
5. Newborn screening test
6. Heel stick
7. Apgar scoring
8. Diaper and bundle/swaddle a newborn
9. Bottle-feed or assist with BF infant; bulb suctioning
10. Baby bathinitial and discharge instructions
11. Nursing care for fetal demise/mom & baby
12. Thermoregulation
*Instructors reserve the right to include additional material, delete, or
rearrange the content of the lab sessions as necessary.
106
107
Week One
Reading Assignments for Lab Preparation
Pages to Help you Complete your Lab Preparation Assignment
Topic
EDC
GTPAL and GP
Fundal Height
Fetal well-being
NST
BPP
Amniotomy and ROM and Nitrazene
Leopolds
EFM, IUPC and IFM
Doppler
Fetal Monitor Application
Fetal Monitoring Interpretation
Vaginal Exam
Epidural
Fetal fibronectin
Induction and Bishop Score
Pitocin and Magnesium Sulfate
Nursing Responsibilities
Pages
Pages
Page
Page
Pages
Pages
Pages
Pages 530-534
Pages 545-546
Pages 545-549, 553-568 and You Tube
video link under Lab content in Canvas
Pages 549-550
Pages 550-552
Pages 568-571
Pages 576-577 You Tube video link under
lab content in Canvas
Pages 581-582 and 589-591
Pages 634-635
Pages 734-735
109
110
List the equipment you will need to measure the fundal height? Tape
measure
Which of the following should the RN use to identify the best location
of the external fetal heart rate (FHR)?
a fundal height
b location of the pain
c physical examination
d Leopolds maneuvers
5
115
116
8 Is there only ONE way to give the initial newborn bath? What are
some of the important things to consider and to do when bathing the
newborn for the first time?
You should always wear the proper PPE to protect yourself from the
maternal blood. The baby should be cleaned and bathed as soon as
possible once they are stabilized and warmed up. After bathing the
baby should be placed underneath a radiant warmer. Avoid using any
lotions, baby oil, and powders because they may cause skin irritation.
9 Describe 6 benefits of breastfeeding for the newborn and 4 for the
mother.
Advantages for breast feeding the newborn baby are: contributing to
the development of a strong immune system, stimulates growth of
positive bacteria in the digestive tract, reduce stomach upset,
diarrhea, colic, promotes mother baby bonding, reduces risk of
newborn constipation, and promotes greater developmental gains in
the preterm infant.
Advantages for the mother to breast feed include: facilitate
postpartum weight loss, stimulates uterine contractions to control
bleeding, bonding with the infant, and lowers the risk of breast cancer
or osteoporosis.
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Syllabus Addendum
New CSN Policies and Additional Information
Canvas is our Learning Management System
Directions to Log into Your Courses
1.) You will continue to login to the CSN Online Campus as you normally
would by going to: http://www.csn.edu/onlinecampus
2.) Once logged in, you will see the standard list of all of the courses in
which you are enrolled.
Please go to www.csn.edu/success for more information on Canvas,
including training guides and login info.
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Room K107
10:00am- 5:00pm
TUESDAYS
Jan 27
Feb 3
Feb 10
Feb 17
Feb 24
March 3
March 10
FRIDAYS
Jan 30
Feb 6
Feb 13
Feb 20
Feb 27
March 6
March 13
March 17 CLOSED
March 20 CLOSED
March 24
March 27
March 31
April 3
April 10
April 17
April 24
May 1
April 7
April 14
April 21
April 28
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