welcome to rnsg 1105 nursing skills i. instructor jeanie ward rn,msn, cne office: cypress creek...
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Welcome to RNSG 1105 Nursing Skills I
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Instructor Instructor
Jeanie Ward RN,MSN, CNE
Office: Cypress Creek campus – room 1138 223 - 2221 Eastview campus – room 8243 223-5721
Email: [email protected]
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RosterRoster RosterRoster
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CalendarCalendar CalendarCalendar
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Unit I
Orientation to RNSG 1105
Nursing Skills I
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Course DescriptionCourse Description
Study of concepts and principles essential for demonstrating competencies in the performance of nursing procedures.
Topics include knowledge, judgment, skills, and professional values in a legal / ethical framework.
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Nursing Skills I – Course Objectives
1. Describe concepts and principles that are basic to the
safe performance of nursing skills2. Demonstrate competence in performance of nursing procedures
3. Communicate clearly the English language in speaking,
reading, and writing during performance and evaluation of nursing procedures and simulated
nurse- patient interactions. 4. Demonstrate the values of the nursing profession.
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Course Requirements
Come to class prepared to participate in class activities - practice all skills
Attendance – mandatory!! If you must be absent– it is made up.
Be responsible for all materials presented in each class. Use lab time for independent study / practice, small
groups study / practice, and validating your learning. You are expected to identify your learning needs and take full advantage of the opportunities in the learning lab.
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Successful completion
1. Have a theory grade of 75% or above from the exams and final
2. Satisfactory pass all mastery skill demonstrations/ check-offs in compliance with specifications of passing
** Must pass each component—theory and skill check-off to obtain a grade.
3. Attend class and comply with requirements in the student handbook
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Grading Policy
60% grade comes from the exams Tests 1-3 count = 36% Final exam counts double 24 %
40% grade comes from check-offs Check-off 1-3 =24% Comprehensive mastery check-off =
16%
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Grading Policy
This course follows grade policy as described in the ACC ADN student handbook. A= 91-100 B= 83-90 C=75-82 D=60-74 F=below 60** Note- this is different from other courses
You must make a C in all nursing courses to continue in nursing.
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Textbooks and Supplements
RNSG 1105 Syllabus
Textbook: Fundamentals of Nursing Caring and
Clinical Judgment by Helen Harkreader
**Need to bring both to every class
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Unit 1 Introduction to RNSG 1105
PreparationLearning Objectives
Learning SupplementPost Quiz
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Professionalism
Nursing is not simply a collection of skills.
Nursing is a ProfessionNursing is a ProfessionNursing is a ProfessionNursing is a Profession
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Professionalism
Being Professional means being:
Accountable
Responsible
for your Own Actions
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Professionalism
Even though you will not be performing skills on actual patients, you are expected to be professional in you manner in performing the skills in this lab.
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Legal Standards
As a nurse, your actions are guided by legal standards of nursing practice. Nurse Practice Acts legally define and
regulate the scope of nursing practice. Each nurse is held legally responsible /
accountable for meeting the standards of nursing practice.
You should NEVER act beyond your “Scope of Practice” (we will continue to bring this up throughout the semester
National Patient Safety Goals
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Ethical Standards
All nurses must function within the nurses’ code of ethics.
Nursing has a code of ethics and standards that define the principles by which nurses should function.
The ultimate responsibility for professional practice/ performance of nursing skills lies with YOU / each individual nurse.
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Professionalism
An organization can provide guidelines, but it is the
individual nurse who must maintain the standards and take responsibility and be
accountable for own nursing practice.
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Organizing Framework
The individual who is a part of a family and or community is the center of the framework.
Individual
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Assist the Individual to meet his / her
own Needs
GoalOf
Nursing
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Summarize
The Individual has Needs
Nursing assists the individual to meet their needs
Nurses perform certain skills to assist in
meeting these needs.
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Three Main Types of Skills
Cognitive / Intellectual Skills
Interpersonal Skills
Technical / Psychomotor
Skills
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Cognitive / Intellectual Skills
Involve nursing knowledge and critical thinking to provide safe, intelligent nursing care.
Must be able to think critically in order to problem solve and find the best solution to meet a patient’s needs.
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Critical Thinking
Process that challenges the nurse to interpret and evaluate information / data to derive judgments. Organizing information Picking out relevant information Judgments are made—based on reason
and rationale rather than on prejudice, preference, self-interest, or fear.
Overtime, nurses expertise increases, learning from successes and failures.
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Nursing Process
Problem solving process that enables the nurse to organize
and deliver nursing care to meet patient needs.
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Steps in the Nursing Process
Assessment• Collect Data• Validate Data• Organize Data
Diagnoses•Analyze Data•Formulate diagnosis
Planning•Establish goals•Develop outcome criteria
Implementation•Carrying out the plan/ perform the skills
Evaluation•Goal achievement•Reassess / Revise•Terminate if goal met
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How do we know the Needs of each individual?
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Guide for Assessment
P = Psychosocial Needs E = Elimination Needs R = Rest, Regulatory, Reproductive
Needs S = Safety Needs O = Oxygenation Needs N = Nutrition Needs
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Assessment
Collection of data, validation of data, organization of data.
Kinds of data Subjective –
Objective – data detectable by the nurse ie. Hear, observe, smell, touch
something that the patient tells you about
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Assessment is a very important part of each skill
that the nurse performs
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2. Diagnosis
Analyzing and interpreting the
data to identify health needs and formulate nursing diagnoses.
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3. Planning
Establishing goals and developing outcomes
Getting ready to implement the skill Gather necessary equipment and
making preparations before beginning the skill
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4. Implementation
Carrying out the plan
Performance of the skills and care of the patient
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5. Evaluation
The nurse evaluates: The goal– was it achieved / met?
The patient’s response to the procedure
What do you do with the information obtained? Document in the chart Tell the appropriate staff, persons
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INTERPERSONAL SKILLS
Activities that people use when communicating with each other
Nurse must communicate with the patient, family and members of the health care team.
Assists the nurse to be perceptive to the needs of the patient
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TECHNICAL / PSYCHOMOTOR SKILLS
Nursing Procedures that provide direct care to the patient.
This will be our main focus this semester.
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Entering a Patient’s Room
1. Confirm medical orders2. Obtain and check supplies for procedure3. Knocks on door and enters room4. Performs hand hygiene5. Greets and introduces self to patient by
name and title such as:Name, ACC Nursing Student
6. Identifies patient using 2 approved identifiers7. Explain procedure. Tells the patient the
reason for being there.8. Provides privacy
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Exiting a Patients Room
Tell Patient you are leaving Place call bell/call light within patients reach, even if sitting in chair at bedside Make sure bed is in position Side rails are Perform hand hygiene
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What’s Wrong with this Picture?
You are leaving the room
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Answer
Call bell within reach? Yes
Bed in low Position? Yes
Side rails up
NO!
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Tips for Success
Use Your Time Wisely You MUST PRACTICE
Preparation
Be Patient with Yourself
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Take a Break