Nursing 1207

The Childbearing Family Associate Degree Nursing Program College of DuPage Glen Ellyn, Illinois

Spring, 2013
Revised by Maureen Waller, RN, MSN December, 2012

College of DuPage Associate Degree Nursing Program Course Syllabus

Spring, 2013 Course Title and Number: The Childbearing Family: Nursing 1207 Course Description: Nursing care of the woman and family during the reproductive years. Focus on the childbearing process and wellness of the family in the childbearing years. Women's health and wellness is emphasized. Adverse outcomes of pregnancy are presented. Care of the well and hospitalized child and family are discussed. Clinical experiences include acute and ambulatory care settings, as well as community based experiences. Semester Credit Hours: 5 Semester credit hours Lecture 2.5 Lab 1.0 Clinical 6.0 Pre-enrollment Criteria: Nursing 1104 and 1105, Psychology 2237 or concurrent enrollment General Course Objectives: Upon successful completion of the course the student should be able to: 1. Analyze the role of the nurse in assisting patients and families during the childbearing process 2. Assume the role of team member or team leader in the maternal-child nursing care setting 3. Communicate with patients, significant support persons, and members of the healthcare team to promote the safe and effective care of women and their families 4. Assess the teaching-learning needs of patients and families during the childbearing and early childrearing years 5. Deliver ethical care based on nursing standards and evidenced-based practice 6. Analyze the components of optimal health care of families and young children 7. Describe physiological and psychological changes of clients and families during the antenatal, intrapartal and postnatal periods 8. Identify common pharmacological agents utilized during the childbearing years 9. Explain the effects of hospitalization on the child and family 10. Demonstrate competency in the performance of nursing skills 11. Apply critical thinking when providing patient care to childbearing/childrearing families 12. Apply the nursing process in promoting an optimal level of wellness in women and their families 13. Deliver safe, compassionate, and culturally sensitive care to diverse populations to maintain or enhance the wellness of women and their families 14. Utilize the electronic medical records and additional technical resources to promote safe processes of patient care

15. Identify actual and potential health care problems to promote an optimal level of wellness for women and their families Course Map Learning Activities (This includes class, lab and clinical learning activities, as well as those done outside of the course such as reading assignments) Lecture, lab, reading assignments, prenatal class observations, completion of perinatal guidelines, evidence based practice assignment Lecture, lab, prenatal/midwifery clinic observations, reading assignments labor and delivery observation assignment, completion of perinatal guidelines, evidence-based practice assignment Lecture, lab, reading assignments, completion of perinatal guidelines, evidence-based practice assignment Assessment Activities By each unit. These are intended to document student attainment of the outcomes.** Teaching presentations in clinical, concept map;longitudinal testing Concept map;SLS learning module;longitudinal testing

Unit Topical Outline/Content*

Antepartal Care

Intrapartal Care

Postpartal Care

Newborn/High Risk

Lecture, lab, reading assignments, low fidelity simulation activities, evidence-based practice assignment

High Risk Perinatal Care

Lecture, lab, reading assignments; low fidelity simulations, evidence-based practice assignment Lecture, well-child observation clinic, evidence-based practice assignment Lecture, evidence-based practice assignment

Well Child/Hospitalized Child Womens Health

Postpartum care plan, concept map, patient data sheets;SLS learning module;longitudinal testing Concept map, neonatal assessment, patient data sheets;SLS learning module;longitudinal testing Concept map;SLS learning module;longitudinal testing Neonatal care plan; wellchild case studies Patient data sheets;case study

(Evidence-based practice assignment can relate to all content areas) * Unit objectives are derived from the general course objectives and contextualized to each topical outline/content area. **Student Learning Outcomes 1. Utilizes critical thinking skills in the application of the nursing process to provide safe, quality care. 2. Demonstrates effective communication utilizing technology, written documentation and verbal expression 3. Incorporates empathetic, compassionate, caring interventions and behaviors.

4. Demonstrates professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. 5. Utilizes data to ensure quality improvement and support of evidence-based practice. 6. Demonstrates knowledge of basic delegation and leadership management skills. 7. Demonstrates and utilizes information systems in the healthcare system. 8. Demonstrates knowledge of professional development and incorporates evidence-based practice in the nursing Objectives for Community Based Activities: 1.Observe antepartal care in the outpatient setting 2. Describe the role of the certified nurse midwife in perinatal care 3. Identify the educational needs of expectant families 4. Describe the role of the professional nurse in perinatal education 5. Observe well-child care in the community setting 6. List immunizations to be given to children of various ages based on Center for Disease Control recommendations. 7. Identify benefits of the WIC (Women, Infants and Children) Program for families Textbooks / Materials: Required: Ackley, B. J. & Ladwig, G. B. (2010). Nursing diagnosis handbook: An evidence-based guide to planning care (9th ed.). St. Louis, MO: Mosby Elsevier. ISBN: 978-0-323-04826-2 American Psychological Association. (2010). Publication manual of the American Psychological Association (6th ed.). Washington DC : Author. (3rd printing) ISBN: 978-1-4338-0561-5 Craig G.P. (2009). Clinical calculations made easy: Solving problems using dimensional analysis (4th ed.). Philadelphia: Lippincott Williams & Wilkins.ISBN: 978-0-7817-6385-1 Lewis, S.M., Heitkemper, M.M., Dirkenson, S.R., OBrien, P. G., & Bucher, L. (2011). Medical-surgical nursing: Assessment & management of clinical problems (8th ed.). St. Louis, MO: Mosby Elsevier.ISBN: 987-0-323-03690-0 Perry, S., Hockenberry, M., Lowedermilk, D., & Wilson, D. (2010). Maternal Child Nursing Care. Maryland Heights, MD: Mosby/Elsevier. ISBN: 978-0-3230-7415-5 (includes SLS Access Code). *Some materials may be web based. Additional materials may be on reserve in the library. Program Policies and Procedures: This course will be conducted according to the policies and procedures of the college, as described in the College Catalog and Nursing Department policies, as described in the ADN Student Handbook. The ADN Student Handbook is available via the ADN webpage. This handbook contains policies on testing, grade computation/grading scale, absence/make-up, and uniform requirements. The handbook also includes reference for college-wide policies on academic dishonesty, professional behavior, grade grievance, and withdrawal/readmission. Students are required to abide by the policies as stated in the handbook. Additional

policies and procedures may be required by specific instructors and/or clinical facilities. Any additional policies and procedures will be identified by such instructors. Clinical absences are only allowed for emergencies, and all absences will be made up at the discretion of the clinical instructor. Withdrawal Policy: The last day to withdraw from this class is 2/21/2013. After that date, students may file a Petition for Late Withdrawal through the Registration Office. Petitions for Late Withdrawal will be granted for extenuating circumstances only, including student illness, death in the immediate family, family emergencies, call to active duty, or other appropriate extenuating circumstances. The students will be required to provide appropriate documentation for all requests for Late Withdrawal. Prior to withdrawing from this class, students are encouraged to speak with the instructor. Course Calendar: A course calendar with the location and lecture topics is located in the appendix of this syllabus. Please refer to MyAccess for class/laboratory/lecture times and locations. Clinical calendars will be distributed by clinical faculty as appropriate.

Dosage Calculation: Students must pass a math 1dosage calculation test with a score of 100% by the deadline noted on the course calendar.

SLS Learning Modules: SLS (Simulation Learning System) modules are a vital part of the laboratory component of this course. Student are expected to complete the Pre-Simulation Readings, Exercises, and quiz prior to the laboratory session. Students must also review the EMR (Electronic Medical Record) for the assigned simulation scenarios prior to attending laboratory. Uniforms with nametags as described in the Student Handbook must be worn to all laboratory sessions in the course. Please bring all equipment that you bring to clinical. IMPORTANT NOTE: Each student must purchase an access code for SLS for the Perry/Lowerdermilk textbook. No sharing of codes is allowed. You will be using this access code for NUR 2109/2201. The SLS product is also a valuable study tool for NCLEX. The completed Pre-simulation exercises and quizzes are your ticket to the simulation laboratory on your scheduled l day. Students will not be allowed to participate without the completed paperwork (printed directly from the website The paperwork will be submitted at the beginning of the lab session; students who do not complete the lab compone of the course cannot meet the objectives of the course. Longitudinal Testing: Elsevier longitudinal testing will be conducted in Week 7 of the course. The testing will take place in the HSC Computer Lab at 5-9PM (please . Details on this testing process will be provided in lecture. On the day of the event, please plan to arrive 30 minutes early, have a photo ID, and bring your EVOLVE username/password. No late admissions will be allowed. Please adjust your schedules to attend this testing session. Grading Scale: Percentage Grade 90.0% - 100% 84.0% - 89.9% 78.0% - 83.9% 70.0% - 77.9% Below 70.0% A B C D F

The numeric value of exams and final course grades will not be rounded.

Grade Worksheet: Item Description* Exam 1 Exam 2 Exam 3 (Final) Quiz 1 Quiz 2 Quiz 3 Quiz 4 Postpartum Care Plan Newborn Assessment Teaching Presentation Concept map Total Points Possible 100 100 100 2.5 2.5 2.5 2.5 5 5 5 5 330 Your Score

*Item Description: As needed specific information about and guidelines/rubrics for will be found in appendices. ** Test questions are developed from lecture content, laboratory content, class discussion, assigned readings, handouts, and assignments. Quiz questions will be taken from the readings assigned for that week. Quizzes will be given at the beginning of the scheduled class session; no quizzes will be distributed after 0905 on the day of the quiz; there will be no make up dates for missed quizzes.

The syllabus is subject to change. Students will be notified of any changes as soon as possible. Written assignments will be evaluated and returned to students one week after submission. Email is the official communication route for this course. Students can expect email responses within twenty-four hours after email contact. All communications in this course are expected to be respectful. Blogs and discussion boards will be Monitored.

APPENDICES

General Information: Faculty Contact: Faculty Member Maureen Waller

Office HSC 2207C

Email waller@cod.edu

Clinical Site LaGrange Tues/Fri Clinical Lecture

Nursing Department Links Nursing Department http://www.cod.edu/programs/nursing/index/aspx

ADN Handbook http://www.cod.edu/programs/nursing/index/aspx/pdt/adn/adn-handbook2012_/pdt

Lecture Reading Assignment Nursing 1207

Week

Topic

Perry Chapters 1, 2, 8, 9, 10, 11, 12

Lewis

Hesi Case Studies Test Taking Tutorial

Antepartal Care Chapters 15, 16, 17, 18, 19

2 3

Intrapartal Care Exam 1 Postpartal Care Newborn / High Risk Newborn

Chapters 20, 21, 22, 23 Chapters 24, 25, 26, 27, 28

Postpartum Healthy Newborn; Newborn with Jaundice; Cleft Lip and Palate; Premature Infant Preeclampsia

Chapters 13, 14 5 High Risk Perinatal Care Exam 2 Well Child/Hospitalized Child Longitudinal Testing Womens Health Chapters 29, 31, 32, 34, 44

Chapter 51 (female only) Chapter 52 Chapter 54

Exam 3

Hybrid Activities: Hybrid activities will be included in this course and will be announced via Blackboard. The activities, which may include discussions, online lectures and other learning formats, are a vital component of this course.

Guidelines for Writing Assignments A. Postpartum Care Plan/Newborn Assessment The purpose of these assignments is to provide a learning experience which will enable the student to: 1) Integrate theoretical concepts and scientific principles when applying the nursing process when administering nursing care and; 2) Develop and implement a plan of nursing care for an assigned client based on his/her holistic needs. The student will select a client and follow the instructions on the care plan forms provided in the syllabus. Due date will be one week after selecting your client. All written assignments must be presented in a professional manner. Assignments must be legible, complete and submitted on time. A one-point deduction from your total grade will be made each day that the assignment is late. Your clinical instructor will give you instruction, guidance and feedback as needed. Your implementation and evaluation of the developed nursing care plans will assist in the assessment of your clinical performance. B. Labor and Delivery Observation A form is provided in the syllabus for your observations during clinical of one client. Forms should be complete, legible and due one week after selected observation. C. Patient Data Sheets Patient data sheets should be submitted on each mother/baby couplet cared for. Data should be submitted within one week of caring for your patient. All medications ordered for the client must be included on the data sheet, including prn medications. In the lab section, you must indicate if the lab values are normal, high or low, and give an explanation as to why the labs may be abnormal. D. Perinatal Nursing Guide Each student will complete a perinatal nursing guide; it is to be submitted to your clinical instructor at the start of the first clinical day.

Electronic submission of all written assignments vis Blackboard is strongly encouraged. All written assignments are due one week after caring for the patient. One point will be deducted per day that an assignment is late. Student Portfolio: Each student is required to maintain a portfolio of all written work in the course. It will be kept in a pocket folder. Please bring the portfolio to the midterm and final evaluation sessions. Guidelines for Clinical Presentations A. Evidenced Based Practice Each student will select an article from a professional nursing journal that reflects evidencebased practice related to the clinical practicum. Each student will present and discuss the article in clinical post-conference. The presentation should include:

Overview of topic Why the topic was selected The impact on nursing practice Potential impact on nursing practice at the clinical agency

NOTE: Please be certain that your article is from a nursing (not medical) journal. Articles selected should be no longer than five years old The article needs to reflect evidence based practice. A copy of the article will be given to the instructor at the time of the presentation. B. Community Teaching Presentation Guidelines Each student will develop a 10-15 minute presentation on a topic related to maternal-newborn or family centered care. This presentation should be directed to clients and families. Students will present during post-conference. The presentation should include appropriate teaching aids such as handouts, posters and other material related to the topic. These teaching aids must be developed by the student and be at a highly professional level. Suggested topics include: Bathing your baby (tub bath) Bathing your baby (sponge bath) Caring for the breasts while nursing Techniques for breastfeeding Post partum care Sudden Infant Death Syndrome (SIDS) Shaken Baby Syndrome Bottle feeding your baby Infant care for fathers Child proofing the home Post-partum depression Comfort techniques for labor Sex after pregnancy Contraception Programs in DuPage County for new families Circumcision; pros and cons (include care of the circumcised and uncircumcised male infant) Signs of illness in the neonate Newborn/Infant Safety Infant massage Signing with your baby Immunizations: Pros and Cons *Other topics may be appropriate; please consult your clinical instructor. Guidelines for Concept Map Presentation Each clinical group will do a formal poster presentation utilizing a concept map. Students will work in groups of three and will choose a patient from clinical. Utilizing HIPPA guidelines, the group will highlight a high risk maternal or neonatal condition. Guidelines for the concept map will be presented on the first lab day and students will present their research on the second lab day.

Guidelines for Community Activities Each student shall complete 3 community activities. The student will complete. 1) A nurse-midwife clinic session or a WIC clinic 2) A well-child observation session through DuPage Medical Group 3) A childbearing/childrearing education session Objectives for Community Activities 1) 2) 3) 4) 5) 6) 7) Observe the role of the registered nurse in the community health setting Describe the role of the nurse in the well child pediatric setting Discuss nursing implications for administration of vaccinations to infants and children List the components of a well child clinic visit Identify the role of the certified nurse midwife in the antenatal setting Observe the professional nurse in community education settings Discuss services offered through the WIC program

Registration for the nurse-midwife, WIC clinic and well-child observations will take place at the first lecture session. The student will contact the health care agency to register for the childbearing education class. The student must receive permission from the class instructor prior to attending the class. The criteria for class selection are as follows: 1) The class must be taught by a registered nurse. 2) The class must be at least two or three hours in length. Suggested classes include: prenatal, breastfeeding, infant safety, C-section, VBAC, sibling, grandparenting, and infant care; contact your clinical instructor for approval for other classes. *A signed verification of attendance form must be submitted for each community activity. This form is submitted to your clinical instructor. Students must submit a blog entry in Blackboard (minimum of six lines) for each community activity. The blog entry must be completed within one week of the community activity. Students will be in full uniform with name tag (as described in the student handbook) for each of these activities. All students will be required to make blog entries in Blackboard for their community activities (under Community Activity Blog in Blackboard). These entries must be made for all three community activities; they are to be completed within one week of the activity. The student should summarize the experience as related to the stated objectives for the activity. OPTIONAL BLOG POINT ACTIVITY In addition, students have the opportunity to earn Blog Points through participating in the Blog Point Activity. Blog points are extra credit points. They can be earned by participating in blog entries related to the QSEN Competencies and/or National Patient Safety Goals. In order to earn Blog Points, students must participate in the Blog Point Activity each week from weeks 2 through 7 in the course. Guidelines for the Blog Point Activity are listed below. NOTE: Blog points cannot be used to raise a students grade to 78 per cent. They will only be applied to a students point total if a grade of 78 per cent or higher has been earned.

Guidelines for Blog Activity Point Project Students must participate in the project from weeks 2-7;entries must be posted for each week in order to obtain points This is an optional extra credit activity The purpose of the activity is to explore the National Patient Safety Goals and QSEN competencies, and how they relate to clinical nursing practice. All entries must be posted by 1159 PM on Saturday of each week Entries will be placed in the Blog Activity section of Blackboard (not in the community blog section) All entries must be a minimum of ten lines Each entry must reflect a topic from the National Patient Safety Goals or the QSEN Competencies as they relate to the practice of nursing in the area of Maternal-Child nursing. Ideally, the postings will relate to a situation or practice you are observing in clinical. It may just describe a safe practice you are observing, or one that needs to be improved upon Blog points cannot be utilized to raise your grade above 77.9, as stated in the syllabus Your entries will be evaluated by your clinical instructor Please use the following chart as a guide to the National Safety Patient Goals and the QSEN competencies Goals/Competencies by Organization NPSG* Patient Identification Improve Communication QSEN** Patient-Centered Care Teamwork and Collaboration NLN*** Human Flourishing Nursing Judgment

Medication Safety

Evidence-Based Practice

Professional Identity

Health-Care Associated Infections Reduce Falls

Quality Improvement

Spirit of Inquiry

Safety

Pressure Ulcers

Informatics

Risk Assessment

*National Patient Safety Goals. Goals for 2011-2012. The Joint Commission. http://www.thejointcommission.org **Quality & Safety in Nursing Education. http://www.qsen.org/definition ***National League for Nursing. (2010). Outcomes and competencies for graduates of practical/vocational, diploma, associate Degree, baccalaureate, masters, practice doctorate, and research doctorate programs in nursing. New York: National League for Nursing.

Grading Rubrics and Verification Form

Community Teaching Presentation Grading Rubric Name of Student ______________________________ Date ____________

Possible Points Objectives clearly presented Content and delivery of presentation Presentation style Teaching Aids Total Comments: (1) (1) (1) (2)

Your Points _____ _____ _____ _____ _____

Points earned ______ Instructor Signature ______________________________ Date _________________

Concept Map Grading Rubric Group Participants: ______________________________________________________

Possible Point (s) 1. Provided objectives for the concept 2. Presentation/design 3. Oral communication 4. Stated application/relevance to practice 5. Group participation (1) (1) (1) (1) (1)

Your Point(s) _______ _______ _______ _______ _______

Comments:

Points earned ______

Instructor Signature ______________________________

Date _________________

Postpartum Care Plan Grading Rubric

Name of Student ______________________________ Area General Assessment Nursing Diagnoses Nursing Process Possible Point(s) (1) (1) (3)

Date____________ Your point(s) ______ ______ ______

Comments:

Points earned ______ Instructor Signature ______________________________ Date _________________

Newborn Assessment Grading Rubric Name of Student _____________________________ Area Student assessment findings Analysis of assessment findings Growth and Development Possible Point(s) (2) (2) (1) Date________________ Your point(s) ____ ____ ____

Comments:

Points earned ______ Instructor Signature ______________________________ Date _________________

BLOG ACTIVITY POINT GRADING RUBRIC Name of Student _______________________________________________ Item Total of six entries present All entries submitted by deadline All entries a minimum of ten lines All entries reflect either a National Patient Safety Goal or a QSEN Competency Content of each entry reflects thought process relative to clinical practice Present Absent

Points awarded Yes_____

No_________

Signature of Faculty Member _________________________________Date____________________

ATTENDANCE VERIFICATION FORM (To be used for each community experience) NURSING 1207: THE CHILDBEARING FAMILY COLLEGE OF DUPAGE ASSOCIATE DEGREE NURSING PROGRAM Name of Student Date and Time of Activity Name of Activity Location of Activity Name of Contact Person Signature of Contact Person Phone number of Contact Person

Please submit completed verification forms to your clinical instructor.

Perinatal Nursing Guide DIRECTIONS: Please complete the following norms for the areas of intrapartal, postpartum, and neonatal nursing. This assignment is to be completed by the beginning of your second clinical day (or as directed by your instructor). Please bring the completed assignment with you on the first of your clinical experience in obstetrics. Definitions: Define the following terms: Gravida Para T P EGA AGA SGA LGA IUGR EDD EDC LMP I. Intrapartal Nursing A. Describe the three phases of the first stage of labor. 1. Early (latent)

2. Active

3. Transition

B.

Define the cervical changes that occur during labor.

C.

Describe ways that the patient can cope with the discomforts of the first stage of labor.

D.

List aspects of the role of the labor support person (coach).

E.

Nurses assess the frequency, duration, and intensity of uterine contractions. Describe how you would assess contractions in each of these areas. 1. Frequency

2. Duration

3. Intensity

F. G.

Describe the nursing assessment/management of a client with an epidural anesthesia in labor Define the second stage of labor and list its characteristics.

H.

Describe the third stage of labor.

I.

Describe four signs of placental separation: 1. 2. 3. 4.

J.

Describe 4 nursing assessments in the fourth stage of labor. 1. 2. 3. 4. Fetal Monitoring 1. What is a fetal monitoring tracing? 2. What are the signs of a reassuring fetal heart rate pattern? 3. What are the causes of the following fetal heart rate decelerations? a. early b. variable c. late 4. List the appropriate nursing interventions for the following fetal heart rate decelerations. a. early b. variable c. late

K.

II.

Postpartum Nursing A. What are the normal pulse and blood pressure ranges for postpartum women?

B.

Where should the uterine fundus be palpable one hour after delivery? Where should the uterine fundus be palpable one day after delivery? When does it become a pelvic organ?

C.

Identify and describe the three types of lochia present in the postpartum period. 1. 2. 3.

E.

D. What is the normal hemoglobin for a newly delivered postpartum woman? List three ways a nurse can promote comfort for the postpartum woman? 1. 2. 3. F. Identify and describe three positions for breastfeeding. 1. 2. 3. G. Why is it important to know the mothers Rh status and status of immunity to rubella prior to discharge?

III.

Neonatal Nursing A. B. C. D. What is the normal range of heart rate for a neonate? What is the normal respiratory rate for a newborn? Are newborn respirations usually even and rhythmical? What is the normal range for a newborns temperature? (Centigrade and Fahrenheit) 1. Rectal 2. Axillary Define meconium.

E.

F.

Describe the normal stool pattern for a newborn infant.

G.

How often should a newborn be fed? 1. Breastfed infant 2. Formula fed infant

H.

What is acrocyanosis?

I. J.

What is an Apgar score? What is Ilotycin (erythromycin ophthalmic ointment)? What is it used?

K.

What is Aquamephyton? Why is it used?

L.

What is the first immunization given to the newborn? When is it typically given?

M.

What are three signs of respiratory distress in the newborn? 1. 2. 3.

Maternal Infant Nursing Students Name: _____________________

Room Patients Initials Age Allergies

Patient Data Sheet

Physicians Orders Diet

Date: _____________
Nursing Activities (orders/Interventions) (please include your own)

Current Diagnosis Gravida Para T P A L Concurrent Medical Conditions and their Relationship to current diagnosis

Activity IV Additional Physicians Orders LAB/Diagnostic tests(include results and interpretation)

Type/ Date/Time of Delivery

Blood Type _____ Rh _____ Hep B__ STS/VDRL/RPR _______Rubella_____ HIV______ Peripheral IV: ml/hr Saline lock Extremities: Upper: Color site site Warmth Capillary refill

T ___________ P ____________ R ___________B/P LOC and orientation Ability to follow commands Pupils (PERLA) Senses: Vision Hearing Touch Speech Pain Skin: Color Condition Mucous membranes Respiratory status: Quality O2 Lung sounds Use of accessory muscles Cardiac status: Apical purse Regularity Appetite Nausea Vomiting Bowel sounds Bowel Movements Abdomen Surgical incision Dressing Voiding Foley

Lower: Color Warmth Capillary refill Pedal pulses Peripheral edema Mobility status Gait Transfer Ability to perform ADL Muscle strength Emotional status/concerns: Verbal communication Nonverbal communication Spiritual concerns/needs Ethnic/cultural concerns/needs Maternal/Infant Bonding Assessment Other comments:

Postpartum Assessment: Breasts: Fundus: Lochia: Soft _____ Full _____

Nursing Diagnoses

Postpartum (3) Firm? _____ Midline? _____ Location _____ Type _____ Amount _____

Type Condition Bladder Palpable _____ Non-Palpable_____ Voiding________________ Assessment for signs of DVT________________ Neonatal Assessment: Sex _____ Birthweight _____ Kg. Gestational Age _____ Length_________in___ Head Circumference_________cm Vital signs T______ P________R_________ Respirations -__________________________________ Color -________________________________________ Feedings -_____________________________________

Episiotomy/incision:

Neonate (3)

Teaching presented: Urination -_____________________________________ Stooling -______________________________________ Circumcision -__________________________________ Vitamin K Given Erythromycin Ointment Given_________ Summary of Newborn Physical Assessment ____________________________________________ Discharge Planning Hep B __________ RhoGam ________ Circ ___________ Rubella Vaccine _________ Picture _________ tDap_______________ Newborn Screening __________ Discharge Teaching___________ Pertussis Vaccine_____________

Current Medication (include PRN Medications)

NAME OF DRUG/ DOSE/ CLASSIFICATION FREQUENCY

ACTION

SIDE EFFECTS

NURSING IMPLICATIONS

(use additional sheets if necessary; include maternal and newborn meds;ALL PRN MEDS NEED TO BE INCLUDED)

Nursing 1207 Guidelines for Medication Administration

All medications must be administered with the clinical instructor Students cannot administer medications with staff nurses Students cannot administer medications in labor and delivery Students must be prepared for medication administration by knowing the following prior To the administration of each drug: -Name of drug -Classification -Action of the drug at the cellular level -Side effects -Adverse effects -Nursing implications -Patient education -Is it safe to give? -Correct documentation Students must know patient allergies at the beginning of each shift Please be sure that supplies needed for medication administration are available prior to administration time(fresh water, cup, straw, etc., unless contraindicated)

Postpartum Care Plan

COLLEGE OF DUPAGE ADN PROGRAM DATE NURSING 1207 INSTRUCTOR

NAME __________________________

POSTPARTUM ASSESSMENT AND CARE PLAN Mother's Initials____ Age____ Gravida____ T_____ P._____ A_____ L_____ EDD____ Delivery Date____ Time____ Postpartum day____ Type of delivery_________________ Wound__________________ Diet______________ Activity____________ Breast or formula feeding_________

Current Physician's Orders (Include All Postpartum orders)

Rationale

Relevance for this Client

I. A.

Collection of Data Significant Social, Psychological, Medical History 1. Social a. education _____________ marital status __________________ career plans _________________________________________ b. family (who is living at home, extended family in area) __________________________________________________

2.

Cultural/Spiritual Please identify any cultural/spiritual concerns that may affect nursing care ___________________________________________________________ ___________________________________________________________

3.

History mental health/ emotional conditions _______________ ___________________________________________________________

4.

Medical history (not related to reproductive system) a. b. c. d. previous illnesses _____________________________________ previous hospitalizations ______________________________ previous surgeries _____________________________________ family history (genetic disorder, cancer, diabetes, etc.) _______________________________________________________ e. other __________________________________________________

B.

Significant Reproductive and Obstetrical History a. previous surgeries, hospitalizations ___________________ _______________________________________________________ b. previous labor and delivery experiences ________________ _______________________________________________________ c. age of onset of menses ______ duration of menses _______ L.M.P. _________ abnormalities _______________________ d. date of first prenatal visit ____ number of visits ____

e.

wt. gain _____ medications taken during pregnancy ______ ________________________________________________________

f. g.

preparation for childbirth _____________________________ diagnostic tests done during pregnancy (include Blood type, Rh, RPR, or STS, Rubella, and Hep B, ultrasound exams, Genetic Studies, and other tests should also be included) (see prenatal record) Date Results Norms Significance

Name

C. D.

Identified Medical, Obstetrical, or Genetic Risk Factor Events Precipitating this Hospital Admission (why did she come to the hospital when she did: contractions, ruptured membranes, etc.) Labor and Delivery 1. length length first stage client _______ normal range evaluation ____________ ____________ ____________ __________ __________ __________

E.

length second stage _______ length third stage 2. _______

Medications (identify drug classification, name route, dosage, time etc.) analgesic first stage second stage third stage anesthetic oxytocic

___________ __________ __________ ___________ __________ __________ ___________ __________ __________

other medications used:

3.

Fetus/Neonate FHR range during labor ________ Monitor leads used ________ Signs of distress _________________________________________ ___________________________________________________________ Sex of baby _____ 1 minute Apgar _____ 5 minute Apgar _____ Anomalies? _________________ Resuscitation needed (other than bulb syringe) ________________________________________ Condition now _____________________________________________

4.

Mother Complications during labor and/or delivery? _______________ ___________________________________________________________ Her description of the experience _________________________ ___________________________________________________________ Her contact with neonate in delivery room (see, touch, hold, etc.) ___________________________________________________________ support system ____________________________________________ other relevant information ________________________________

F.

First 2-3 hours postpartum complications _________________________________________________ comments or significant data __________________________________

II.

Current General Assessment A. Circulatory Status

B.

Respiratory Status

C. D.

Mental Status Emotional Status

E.

State of Rest and Comfort

F.

Sensory Perception

G. H.. I. J. K. III.

Mobility Status Nutritional Status Elimination Status State of Skin and Mucous Membrane Family Involvement

Assessment Specific to the Postpartum Client A. Vital signs (Today's) Your client's Temperature Pulse Respiration Blood Pressure Pain Score B. Fundus 1. 2. C. Lochia 1. 2. 3. Flow today (rubra, serosa, alba) _______________ Expected flow for this postpartum day ______________ Amount (none, scant, mod., heavy) ________ Expected ________ Present location in relation to umbilicus____ firmness _____midline? Expected location and firmness for this postpartum day _____ _____________ _____________ _____________ _____________ _____________ Normal Significance

___________ ____________ ___________ ____________ ___________ ____________ ___________ ____________ ___________ ____________

D.

Perineum 1. Wound (type)___________________ Appearance _________________ Expected appearance ________________________________________ Deviations from normal: ____________________________________ 2. Describe present care of wound ________________________ Is she complaining of discomfort due to her wound?________ If yes, what is being done to decrease this discomfort?_______ 3. Does she have hemorrhoids? ______ Are hemorrhoids expected at this time?_______ Why? _____________________________________ What is/can be done to reduce discomfort due to hemorrhoids? ____________________________________________________________ 4. other ______________________________________________________

E.

Breasts 1. Describe appearance and consistency (soft, firm, engorged, painful, redness, lumps, etc.) ____________________________ ___________________________________________________________ 2. Expected appearance and consistency for this postpartum day ____________________________________________________________ 3. Condition of nipples (red painful, inverted, cracks, etc.) ____________________________________________________________ 4. Expected condition for this postpartum day _________________ ____________________________________________________________ 5. Deviations from normal:_____________________________________ ____________________________________________________________ 6. If she is breastfeeding, describe degree of success: _______ ____________________________________________________________ 7. If breastfeeding, describe present breast care being given: ____________________________________________________________

8.

Does this patient need a referral to a lactation consultant? _____________________

Why?_______________________________________________________________ F. Elimination 1. 2. Time of first voiding after delivery _______ Amount ________ Expected length of time between delivery and first voiding: ____________________________________________________________ 3. G. Deviations from normal: ____________________________________

If delivered by C/S 1. Condition of incision/dressing _____________________________ ____________________________________________________________ 2. 3. 4. Deviations from normal: ____________________________________ Type of incision (classical, low cervical transverse)_______ Abdomen (soft, distended) ________ Bowel sounds ____________ Flatus ___________________ 5. 6. 7. 8. 9. Urinary Catheter _________________ I.V. ___________________ Lungs __________________ Legs (tenderness, Homan's sign) _______________ Activity: __________________________________________________ ____________________________________________________________ 10. Level of comfort: __________________________________________

H.

Bonding 1. Is mother at "taking in" or "taking hold" phase? ___________ (Support answer with examples) ________________________ ____________________________________________________________ Expected phase for this postpartum day _____________________ Comments ___________________________________________________ 2. Identify factors which might be significant in interfering with bonding between this mother and baby (consider prenatal, labor & delivery, support system, gender of child, comfort of mom, etc.)

3.

Identify signs that indicate a healthy mother-baby relationship (remember, baby should be included).

4.

Identify signs that indicate that mother and baby are having some difficulty establishing a positive relationship.

Please identify any referrals that need to be made for this patient and family (WIC, social service, pastoral care, home health nursing, etc).

I. Current Medication (include PRN Medications) NAME OF DRUG/ DOSE/ ACTION SIDE EFFECTS CLASSIFICATION FREQUENCY

NURSING IMPLICATIONS

(use additional sheets if necessary; include maternal and newborn meds)

Nursing Diagnoses (list actual and potential and include "related to" and "manifestation" factors can be wellness-related) List in order of priority. A minimum of 5 diagnoses are required; Additional diagnoses constitute a stronger care plan. Please include the entire family in the development of the nursing diagnoses.

Develop one diagnosis: Nursing Diagnosis Nursing Diagnosis: Goal Nursing Intervention Scientific Rationale Evaluation Objective

Related to:

Outcome Criteria

Subjective

As manifested by:

Conclusion

Develop one diagnosis: Nursing Diagnosis Nursing Diagnosis: Goal Nursing Intervention Scientific Rationale Evaluation Objective

Related to:

Outcome Criteria

Subjective

As manifested by:

Conclusion

Develop one diagnosis: Nursing Diagnosis Nursing Diagnosis: Goal Nursing Intervention Scientific Rationale Evaluation Objective

Related to:

Outcome Criteria

Subjective

As manifested by:

Conclusion

Develop one diagnosis: Nursing Diagnosis Nursing Diagnosis: Goal Nursing Intervention Scientific Rationale Evaluation Objective

Related to:

Outcome Criteria

Subjective

As manifested by:

Conclusion

Newborn Assessment

College of DuPage ADN Program NURSING 1207

NAME _______________________ NEONATAL ASSESSMENT DATE _______________________ INSTRUCTOR _______________________

Age of Neonate at time of assessment ____Mother's Initials _________ Date of Birth __________ Time of birth __________ Sex _____ Instructions: Using the assessment guide provided, do a complete assessment on your client. In the first column, write the data for your neonate. In the second column, the expected or normal findings have been provided. This information was referenced from your textbook. In the third column, write your evaluation of the comparison between the expected data and your infant. Remember to be descriptive, specific and objective to evaluate the newborn in relation to: gestational age, anomalies, central nervous system function, peripheral nerve function,etc. Do not put WNL! Your neonate Expected or normal range Significance A. Nutritional Status 2500 4000 grams 1. Birth weight and length 18 - 22 (48-52 cm.)

2.

Weight now (% lost)

10% or less Breast feeding q 2-3 hours Bottle feeding q 3-4 hours Calculate based on type of formula or breast milk. Pink skin is elastic and returns to normal shape after pinching; acrocyanosis may be normal. Occasional spitting of mucus or feeding normal; emesis should not exceed 10-15 ml.

3.

Intake per 24 hours

4.

Type of feedings (Calories)

5.

General Appearance (sub q fat, etc.) tone Regurgitation, emesis

6.

Your neonate B. Physical Characteristics 1. Head Circumference a. anterior fontanel size (approximate)

Expected or normal range 32-37 cm 3-4 cm long by 2-3 cm wide; diamond-shaped 1-2 cm at birth; triangle-shaped. May not be palpable due to molding. May be present in first 48 hours

Significance

b.

posterior fontanel size (approximate)

c.

other (caput, cephalhematoma, etc.)

2.

Chest a. circumference b. cm. difference between head and chest

32.5 cm on average 1-2 cm less than head

c.

shape

Normal shape without depression Male: Testicles descended Female: Labia majora covers labia minora White discharge and bloodtinged discharge may be present in females N/A

3.

Genitalia a. appearance

b.

discharge

c.

any abnormalities

Your neonate C. Temperature Status (State whether baby asleep, awake, etc.) Respiratory Status 1. Rate, rhythm, depth

Expected or normal range Axillary 36.5-37.2 Rectal 36.6-37.2 30-60 per minute. Irregular breathing normal; pauses do not exceed 15-20 seconds No accessory muscles can be used. Abdomen and chest movements are synchronous. Clear and equal bilaterally.

Significance

D.

2.

Muscles used

3.

Symmetry of movement

4.

Breath sounds

5.

Patency of nose

6.

Presence and characteristics of mucous

E.

Circulatory Status (State whether awake or asleep)

When mouth is occluded by nipple, infant breathes easily through nose. Small amounts, clear and thin. May see more in C-section babies soon after birth. NA

NA

1.

Apical pulse rate, rhythm, strength

2.

Presence of abnormal sounds, rubs, murmurs

120-160 BPM Asleep greater than 100 BPM Crying up to 180 BPM No abnormal sounds present.

Your neonate F. Elimination Status (State whether breast or bottle)

Expected or normal range NA

Significance NA

1.

Bowel a. color, consistency, amount

First 24 hours Black, tarry meconium. Transitional stool greenish, soft. Occasionally present

b.

flatus

c.

deviations from normal

N/A

2.

Bladder a. frequency

6-8 wet diapers/day Should void within 24 hours of birth

b.

color, consistency, amount, odor

Yellow, non-offensive, mild odor. Child may void scant to moderate amounts per void. N/A

c.

deviations from normal

Your neonate G. State of Skin and Mucous Membrane 1. Skin a. texture b. color (pallor, cyanosis jaundice, acrocyanosis)

Expected or normal range Smooth; occasional dryness after initial bath; peeling on hands and feet in post-term infants. Pink; acrocyanosis may be normal. Jaundice pathologic in first 24 hours. No lacerations; no lesions.

Significance

c.

intactness/lesions

d.

turgor/dryness

Elastic over abdomen; returns to normal after pinching. All may be present as normal.

e.

rashes, birthmarks, Mongolian spots, etc.

f.

vernix/lanugo

2.

Mucous Membranes a. color

May be present on infants born prior to term; assess in axillary & groin areas for vernix and over scapulae for lanugo. Pink Assess oral membrane. Moist

b.

teeth, gums

c.

intactness

Precocious teeth may be present; assess gums for lesions; Epsteins pearls. No lesions or lacerations present.

Your neonate 3. Umbilicus a. appearance

Expected or normal range Cord clamped for first 24 hours; drying; changing in color from white to a dark color. 3 (2 arteries; 1 vein)

Significance

b.

no. vessels

c.

discharge

None

4.

Hair (include eyebrows and eyelashes) a. texture

Smooth; fine variations may be present due to ethnic background. Varies

b.

length

c.

distribution

Even over scalp

5.

Nails a. texture

Soft, smooth

b.

length

May be long and peeling in postterm infants

Your neonate H. Anomalies (describe)

Expected or normal range NA

Significance

I.

Lab and Diagnostic Studies 1. Blood type and Rh

Any human blood type, Rh

2.

Other

Coombs test should be negative

J.

Emotional Status 1. Reactions to discomfort (wet diapers, pain, etc.)

Responds to uncomfortable stimuli by crying.

2.

Reactions to comfort (being held, etc.)

Quiets with comfort measures

K.

State of Rest and Comfort 1. Sleep pattern 24 hrs a. time duration

16-20 hours

b.

reactions to noise

2.

Awake, alert state a. activity describe

Startle response Turns head toward sound if awake. Sleeps 16-20 hours per day. Refer to text for sleep states

Your neonate 3. Pain, discomfort, restlessness a. time occurs, location

Expected or normal range N/A

Significance

b.

duration, frequency, how relief obtained

N/A

L.

Neurological and Reactivity State 1. Level of consciousness a. alertness-quick to respond b. drowsy-slow to respond

N/A

N/A

c.

difficult to arouse

N/A

2.

CNS Status Reflexes (describe expected response and how elicited) a. Babinski b. Moro

Fanning and extension of all toes when one side of foot is stroked from the heel upward across ball of foot. Systemic extension and abduction of arms with fingers extended; return to normal relaxed flexion. A response to sudden movement on loud noise. When held upright and one foot touching flat surface, will step alternately.

c.

Stepping

Your neonate d. Palmar grasp

Expected or normal range Fingers grasp adult finger when palm is stimulated and held momentarily. While awake and hungry, stroke side of cheek. Infant will turn in that direction and open mouth. Infant will suck when gloved finger is inserted into mouth. Infant will swallow in response to sucking or fluid in mouth. Infant will gag in response to hypopharyngeal stimulation. Tracks objects to midline. Fixed focus on objects at t distance of 10-20 inches. Attends to sounds; sudden or loud noise elicits Moro reflex. Sneeze or cough in response to stimuli.

Significance

e.

Feeding a. rooting

b.

sucking

c.

swallow

d.

gag

f.

Protective a. vision

b.

hearing

c.

sneezing, coughing

Your neonate 3. Muscle tone a. symmetry of movement of extremities

Expected or normal range Symmetrical spontaneous movements.

Significance

M.

Gestational Age 1. Scarf Sign

Place supine; draw arm across chest toward opposite shoulder. Compare to midline of chest. Areolar and nipple development increases as infant nears term. Degree of knee flexion: Place on back, thigh is flexed, the abdomen flat. Assess angle of flexion on back of knee. Thing is flexed on the abdomen and chest. Place finger behind ankle to extend the lower leg until resistance is met. Muscle tone increases as infant approaches term. One crease at top of toe at 36 weeks; increase in number of creases as approaches term. Labia majora covers minora as term approaches. Scrotum develops rugae and testicles. Descend near term.

2.

Areolar Tissue

3.

Popliteal Angle

4.

Heel-to-ear maneuver

5.

Posture

6.

Foot creases

7.

Genital development

Your neonate N. Medications 1. Given in DR

Expected or normal range Erythromycin ophthalmic ointment to both eyes; vitamin K 1 mg IM; both given within 1 hour of birth. Above medications if not given in DR; Hepatitis B vaccine may be ordered.

Significance

2.

Given in Nursery

II.

Developmental stage as described by Erikson: ________________________________________________________ Cognitive stage as described by Piaget: _____________________________________________________________ Describe the rationale for each of the following stimuli for the neonate: black and white mobile, reading to neonate, listening to classical music. Explain how each stimulus will assist the neonate to accomplish developmental tasks.

Labor and Delivery

Observation

LABOR AND DELIVERY OBSERVATION Name _____________________________ Instructor _________________________ Date ______________________________

I. Identify nursing interventions which you observed in the 4 stages of labor and the rationale for each.

Intervention Stage 1 1. 2. 3. Stage 2 1. 2. 3. Stage 3 1. 2. 3. Stage 4 1. 2. 3. 1. 2. 3.

Rationale

1. 2. 3.

1. 2. 3.

1. 2. 3.

II.

Develop 2 Nursing Diagnoses specific to each stage of labor (physical and psychological).

Stage 1 1. 2. Stage 2 1. 2. Stage 3 1. 2. Stage 4 1. 2.

III.

List all the medications used on your unit for each stage of labor and the primary action of each. Include the medications used in the epidural, IV push meds, augmentation meds, etc. Medication Action

Stage 1

Stage 2

Stage 3

Stage 4 IV. Identify any of the fetal monitoring patterns that you observed. Describe the nursing implications related to the observed patterns. (Variability, Bradycardia, Tachycardia, Early Decelerations, Late Decelerations, and Variable Decelerations).

TEST ITEMS Query Form Student may appeal a test question following the format below. Query forms must be submitted within one week after test results are distributed All queries will be evaluated on an individual basis. If an appeal is granted, there will not be any group distribution of points. Student Name: __________________________________________________________________ Exam # _________ Date of Exam _____________ Appeal Submitted (Date) ______________ Submitted to: (Instructor) _________________________________________________________ 1. Write the # of the test question below. # Question 2. What concern do you have about this question?

What was the rationale for your choice?

3. 1.

Cite Three References using the required materials for this course to support your rationale.

2.

3.

Add any additional comments in this section that support your appeal on a separate sheet of paper Faculty Response: ________ Accepted ________ Denied Rationale:

Faculty Signature: ___________________________ Date: ________________________ Students who have a query-denied should make an appointment with the faculty member to discuss any concerns about the appeal. Submission of a test item query does not guarantee a change in grade.

WK

SUN 6

MON 7
In-Service Professional Days-No Classes

TUE 8
In-Service Professional Days-No Classes

WED 9 10
In-Service Professional Days-No Classes

THUR
CLASSES BEGIN Antenatal Care

FRI 11

JAN

SAT 12

1 13 2 20 3

14

15

16
Lab 001

17
Intrapartal Care

18 Lab 002

19

21
Legal Holiday
M.L.KING NO CLASSES

22

23
Lab 003 (7AM) Lab 004 (3PM)

24
Exam I Postnatal Care

25

26

27 4 3 5 10 6 17 7

28

29

30

31
Newborn Care

1 FEB
Math Deadline

7
High Risk Perinatal Care

11

12

13
Lab 001

14
Exam II Well/Hosp Child Care

15 Lab 002

16

18

19

20
Lab 003 (7AM) Lab 004 (3PM)

21
Last Day to Withdraw 1st 8-wk Womens Health

22

23

24 8 3 9

25

26

27 HESI
Exam 3-7PM HSC 2301

28
Exam III

MARCH
8 9
CLASSES BEGIN
2nd 8-wk

End of 1st 8-Wk Classes

In-Service Day/Professio nal Day (No Classes)

10 10 17 11 24 12 31 13
SPRING BREAK

11

12

13
Lab 005 (7AM) Lab 006 (3PM)

14
Antenatal Care

15

16 7

18

19

20
Lab 007

21
Intrapartal Care

22

23 6

25
SPRING BREAK

26
SPRING BREAK

27
SPRING BREAK

28
SPRING BREAK

29
SPRING BREAK

30
SPRING BREAK

APRIL

4
Exam I Postpartal Care

6 4

7 14 14 15 21 16 28 17

10

11
Neonatal Care

12

13
Math Deadline

15

16

17

18
High Risk Perinatal Care

19

20 2

22

23

24
Lab 005(7AM) 006(3PM)

25
Exam II Well-Hosp Child

26
Last Day to withdraw for 2nd 8 wk

27 1 4 0

29

30

2
Womens Health

MAY
Lab 007 HESI Exam 5-9PM HSC 2301

9
Exam III

10 Final
Eval.Culminating Activities --

Commencement

18

11 Pinning Ceremony

Clinical Evaluation Tool

College of DuPage Associate Degree Nursing Program Clinical Evaluation Tool Course Number and Name: Key: GCO: General Course Objective SLO: Student Learning Outcome KSA: Knowledge, Skills, Attitude NUR 1207 The Childbearing Family Rating: S: Satisfactory U: Unsatisfactory NO: not observed (can only be used at mid-term)

Learner/Graduate Outcome A: CRITICAL THINKING - Utilizes critical thinking skills in the application of the nursing process to provide safe, quality care. SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Applies critical thinking. 7,11,12 A.1 Satisfactory: Describes the nursing process and applies critical
thinking when planning care to women and their families. Needs Improvement: Has difficulty describing the nursing process and application of critical thinking to women and their families. Unsatisfactory: Fails to describe the nursing process and apply critical thinking when planning care to women and their families. Utilizes systematic, sequential thinking process.

12

A.2

Satisfactory: Develops an individualized plan of care that

prioritizes nursing diagnoses for the childbearing /childrearing family. Organizes safe patient care effectively. Needs Improvement: Demonstrates difficulty developing an individual plan of care that prioritizes nursing diagnoses for the childbearing/childrearing family. Needs occasional guidance in the organization of patient care. Unsatisfactory: Unable to develop an individualized plan of care that prioritizes nursing diagnoses for the childbearing/childrearing family. Consistently requires guidance in the organization of patient care. Examines subjective/objective data.

11,14

A.3

Satisfactory: Values objectivity in the collection and analysis of

data.

Needs Improvement: Needs guidance in valuing objectivity in the

collection and analysis of data. Unsatisfactory: Unable to value objectivity and collection of data.

Learner/Graduate Outcome B: COMMUNICATION - Demonstrates effective communication utilizing technology, written documentation, and verbal expression. SLO and related KSAs

GCO SLO # SLO and examples behaviors Mid Describes different communication styles. 3,9, 4 B.1 Satisfactory: Describes different communication styles when working
with patients, families, and members of the health care team. Needs Improvement: Has difficulty describing different communication styles when working with patients, families, and members of the heath care team Unsatisfactory: Is unable to describe different communication styles when working with patients, families, and members of the health care team Applies strategies to augment therapeutic communication.

Final

3,9,4

B.2

Satisfactory: Demonstrates confidence and accuracy in therapeutic

communication Assess the teaching-learning needs of patients and families during the childbearing and early childrearing years Needs Improvement: Needs instructor assistance in therapeutic communication Needs assistance in the assessment of the teaching-learning needs of patients and families during the childbearing and early childrearing years. Unsatisfactory: Does not engage in therapeutic communication Unable to assess the teaching-learning needs of patients and families during the childbearing and early childrearing years Values the observation of health care situations from a patients perspective Satisfactory: Reflects on the patients perspective and the impact of their current condition. Needs Improvement: Has difficulty reflecting on the patients perspective and the impact of the current condition. Unsatisfactory: Unable to reflect on the patient perspective and current condition.

6,12

B.3

Learner/Graduate Outcome C: CARING Incorporates empathetic, compassionate, caring interventions and behaviors. SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Integrates understanding of the care concept in nursing 5,13 C.1 Satisfactory: Describes planned interventions specific to identified
problems for the childbearing family. Lists priorities when administering caring interventions. Needs Improvement: Needs assistance in describing planned interventions specific to identified problems for the childbearing family. Has difficulty listing priorities of caring interventions Unsatisfactory: Unable to describe planned intervention specific to identified problems for the childbearing family. Unable to list priorities when administering caring interventions. Demonstrates awareness of communicating a genuine caring attitude Satisfactory: Consistently demonstrates a caring attitude when caring for patients and families.

C.2

Needs Improvement: Inconsistent in demonstrating a caring attitude

when caring for patients and families Unsatisfactory: Does not demonstrate a caring attitude when caring for patients and families. Appreciates the significance of a caring attitude

C.3

Satisfactory: Values the importance of sensitivity to the childbearing

family.

Needs Improvement: Needs reminders regarding sensitivity to the

childbearing family Unsatisfactory: Does not value the importance of being sensitive to the childbearing family

Learner/Graduate Outcome D: DIVERISTY Demonstrates professional nursing care that incorporates sensitivity to culturally diverse clients across the lifespan. SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Describes limits and boundaries of caring relationships in relation 5,13 D.1
to diversity.

Satisfactory: Describes safe, compassionate and culturally sensitive

care to diverse populations. Needs Improvement: Has difficulty in describing safe, compassionate and culturally sensitive care to diverse populations. Unsatisfactory: Cannot describe safe, compassionate and culturally sensitive care to diverse populations Demonstrates a respectful attitude and nonjudgmental attitude of care. Satisfactory: Consistently demonstrates a respectful attitude and non-judgmental demeanor Needs Improvement: Inconsistent in demonstrating a respectful attitude and non-judgmental demeanor Unsatisfactory: Does not demonstrate a respectful and attitude and non-judgmental demeanor Accepts and respects cultural differences

5,13

D.2

13

D.3

Satisfactory: Recognizes own beliefs related to diversity Needs Improvement: Needs assistance in recognizing own beliefs
related to diversity

Unsatisfactory: Is unable to recognize own beliefs related to

diversity

Learner/Graduate Outcome E: QUALITY IMPROVEMENT Utilizes data to ensure quality improvement and support of evidence-based practice SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Describes the quality improvement process 6 E.1 Satisfactory: Identifies the initial steps in the quality improvement
process

Needs Improvement: Has difficulty identifying the initial steps in

the quality improvement process Unsatisfactory: Unable to identify the initial steps in the quality

E.2

improvement process Seeks quality improvement projects in the health care setting

Satisfactory: Utilizes the nursing process to enhance quality in the

health care setting. .

Needs Improvement: Needs assistance in utilizing the nursing

process to enhance quality in the health care setting Unsatisfactory: Does not utilize the nursing process to enhance quality in the health care setting

s 6

E.3

Values measurement and its role in quality care. Satisfactory: Appreciate the value of obtaining accurate data when caring for families. Needs Improvement: Needs guidance in recognizing the value of obtaining accurate data when caring for families. Unsatisfactory: Does not value the importance of obtaining accurate data when caring for families.

Learner/Graduate Outcome F: LEADERSHIP Demonstrates knowledge of basic delegation and leadership management skills. SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Explain the healthcare institutional chain command in respect to 1,2 F.1
the nurse

Satisfactory: Identifies different levels in the chain of command. Needs Improvement: Needs assistance in identifying different
levels in the chain of command. Unsatisfactory: Cannot identify different levels in the chain of command. Initiates plan for self-development as a team member

1,2

F.2

Satisfactory: Assumes the role of team member in the clinical setting;

identifies tasks that can be delegated. Needs Improvement: Needs assistance in assuming the role of team member in the clinical setting and in identifying tasks to be delegated. Unsatisfactory: Does not assume the role of team member in the clinical setting. Does not identify tasks that can be delegated. Respects the different attributes that members bring to the team

1,2

F.3

Satisfactory: Fosters an attitude of mutual respect when working

with others.

Needs Improvement: Inconsistent in fostering an attitude of mutual

respect when working with others. Unsatisfactory: Does not have an attitude of mutual respect when working with others.

Learner/Graduate Outcome G: INFORMATION MANAGEMENT Demonstrated and utilizes information systems in the healthcare system. SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Describes the role of the nurse in information management 14 G.1

Satisfactory: Describes the use of electronic medical records and

other technological systems. Needs Improvement: Inconsistently describes the use of electronic medical records and other technological systems. Unsatisfactory: Unable to describe the use of electronic medical records and other technological systems. Utilizes valid resources for data collection

14

G.2

Satisfactory: Consistently utilizes valid resources for data collection. Needs Improvement: Needs assistance in utilizing valid resources
for data collection.

Unsatisfactory: Does not utilize valid resources for data collection. 3,14 G.3
Values the need for accurate communication of data.

Satisfactory: Appreciates the importance of accurate communication

of data.

Needs Improvement: Inconsistently demonstrates an appreciation

for accurate communication of data. Unsatisfactory: Does not demonstrate an appreciation for accurate communication of data

Learner/Graduate Outcome H: Professionalism Demonstrates knowledge of professional development and incorporates evidence-based practice in the nursing profession. SLO and related KSAs GCO SLO # SLO and examples behaviors Mid Final Examines nursing roles that contribute to coordination and H.1 integration of care 1,8,10 Satisfactory: Identifies professional behaviors in the student nurse
role. Verbalizes the need to coordinate patient care with the health care team. Needs Improvement: Needs assistance in identifying professional behaviors in the student nurse role. Does not consistently verbalize the need to coordinate patient care with the health care team. Unsatisfactory: Does not identify professional behaviors in the student nurse role. Does not verbalize the need to coordinate patient care with the health care team. Apply the nursing process and methods of health promotion and maintenance Satisfactory: Applies the nursing process in promoting an optimal level of wellness in women and their families. Identifies actual and potential health care problems to promote an optimal level of wellness for women and their families. Needs Improvement: Inconsistently applies the nursing process in promoting an optimal level of wellness in women and their families. Needs assistance in identifying actual and potential health care problems to promote an optimal level of wellness for women and their families. Unsatisfactory: Does not apply the nursing process in promoting an optimal level of wellness in women and their families. Does not identify actual and potential health care problems to promote an optimal level of wellness for women and their families. Seeks professional opportunities

1,12,15 H2

H.3

Satisfactory: Demonstrates an eagerness for learning and a sense of

inquiry.

Needs Improvement: Occasionally demonstrates an eagerness for

learning and a sense of inquiry. Unsatisfactory: Does not demonstrate an eagerness for learning or a sense of inquiry.

General Comments Date Comments Faculty signature

Mid-term review signatures and date Student Faculty __________________________________________ __________________________________________ _________________ _________________

Final review signatures and date Student Faculty __________________________________________ __________________________________________ _________________ _________________