NURS 242 Clinical Online

Syllabus
Spring 2020
Lake Washington Institute of Technology

Course Information

• 5 Credits practicum
• Class time 6:30 am to 4:00 pm Mondays, Tuesdays and Fridays

• Class location is professor hosted synchronous/live sessions via Zoom

• Online via Canvas (http://lwtech.instructure.com
• Last day to withdraw is June 8, 2020
• Advising day is Tuesday May 12th
• Holiday is Monday May 25^th, 2020

 

Due to current and changing events as a result of COVID-19, please be prepared for unexpected closures and make-up days that may occur outside of the currently published schedule. The schedule as listed above may change. The college appreciates your flexibility during this unprecedented situation.

Professor Contact Information

• Tessa Blomberg, Laura Ouellette and Terri Fredlaw
• Canvas Inbox (http://lwtech.instructure.com)
• Preferred method of contact: canvas messaging and email

• Email addresses: Tessa.Blomberg@lwtech.edu; Laura Ouellette@lwtech.edu;Terri.fredlaw@lwtech.edu

• Professor office hours are by appointment only and may be via Zoom or telephone.
• Response time expectation for contact made via Canvas or email is 24 to 72 hours

 

COURSE DESCRIPTION 

This course provides opportunities for students to combine, integrate and relate critical thinking skills, knowledge of the nursing process, communication techniques, and technical skills in an acute care setting with clients manifesting multi-faceted physiological, mental, and social health disturbances.

 

This course teaches to the Global Outcomes of: 

Communication

Teamwork

Technical and Information and Literacy

Intercultural Appreciation

Critical Thinking

 

PREREQUISITE(S): 

NURS 221, NURS 222, NURS 225, NURS 226

COREQUISITE (s): 

NURS 241

 

STUDENT OUTCOMES/COMPETENCIES 

Upon successful completion of this course students will:

 

• Construct an approach for culturally competent care that elevates patient wellness and human dignity while supporting the therapeutic relationship within the medical-surgical, critical care and emergency settings.  (GO- Communication; GO- Intercultural Appreciation; QSEN - Patient centered care)

 

• Investigate and evaluate technical and communication strategies to obtain, organize, analyze and record data that convey information pertaining to health education and multidisciplinary treatment for patients in medical-surgical, critical care and emergency settings.(QSEN – Informatics, Teamwork and Collaboration GO- Teamwork)

 

• Analyze signs and symptoms of unpredictable/unstable physiologic, mental and social health disturbances to help formulate appropriate nursing diagnoses and combine these with advanced clinical knowledge and skills to develop a comprehensive plan of care. (GO- Technical and Information and Literacy; GO- Critical Thinking)

 

• Examine, critique and evaluate the implementation of prescribed interventions per nursing plan of care for scientific value, safety, proficiency, while supporting patient and family advocacy. (GO- Technical and Information and Literacy; GO- Critical Thinking; QSEN- Safety; QSEN - Evidenced based practice; QSEN - Patient centered care; GO- Teamwork)

 

• Execute an array of organizational skills that will effectively deliver care to a caseload of patients while maintaining personal and professional responsibility and self-direction in pursuing short-term and long-term opportunities for learning. (QSEN-Safety; GO-Critical Thinking)

 

*Commit to using global outcomes of Teamwork, Information and Technical Literacy, and Critical Thinking.

 

 

METHOD OF INSTRUCTION 

• Guided Practice (Lab and Clinical): Students are actively engaged in practicing and mastering skills under the supervision of the instructor. This category of instruction could include but is not limited to labs, studios, shops, clinical experiences, computer-mediated learning, hands-on projects, or other skill building activities. Instruction may be individualized or group-focused and include skills assessment. One credit is generated by two weekly contact hours of instruction or the equivalent amount of work over a different amount of time. May also include out-of-class student effort, typically one hour per two class hours. Specifically, this practicum provides the registered nurse student the opportunity to provide care for the patient with complex medical/surgical disturbances as well as to integrate the responsibilities of the registered nurse in day to day practice.   Observation, demonstration, discussion/lecture, hands-on skill practical

Online Course Delivery

• All class activities – lecture, discussion, assignments, etc. – take place through Canvas. It is recommended that students plan regular days and times to complete the online work. In addition, clinical class time will take place online as normally scheduled. Plan additional time for assignments.

 

 

TEXTBOOK(S) AND REQUIRED TOOLS / SUPPLIES /MATERIALS

• Lewis, S., Heitkemper, M., Dirksen, S. Medical surgical nursing; assessment and management of clinical problems. Mosby 10^th edition

 

Recommended Reference Materials:

• Deglin, J., Vallerand, A. (2015/2017) Davis’s drug guide for nurses. Philadelphia; F.A. Davis
• Schnell, Z., Van Leeuwen, A, Kranpitz, T. (2015) Davis’s comprehensive handbook of laboratory and diagnostic tests with nursing implications Philadelphia F.A. Davis Company 7th edition
• Carpenito-Moyet L. (2017) Handbook of nursing diagnosis. 11^th edition Philadelphia.
• Lippincott Williams
• ATI Medical-Surgical Nursing RN edition Review Module

 

Textbook is available for purchase in the LWTech bookstore. During Spring Quarter 2020, shipping is free on all textbooks and required class materials purchased through the bookstore (lwtech.edu/bookstore).

 

See Canvas modules for additional resources: handouts, scanned documents, YouTube videos, power points, etc.

 

Online Course Delivery

For online class: please present self during online meetings with uniform on. Please have clinical supplies available as directed by your professor.

 

Technology Requirements, Textbook(s), and Required Tools, Supplies, and/or Materials

Technology Requirements

In order to successfully participate in and complete this online class/the online portion of this class, students need the following minimum technology:

• Laptop or tablet
  • Include specific, higher end computer requirements if applicable.
• Reliable Internet access
• Webcam with mic
• Repondus’ lockdown browser and monitoring is required for testing days. Please refer to Repondus’ tech requirements online: LockDown Browser and Monitor.
• Specific programs providing virtual simulation which will replace direct patient care will be used and they include: ATI and Leardal V Sim programs

 

Contact the professor if you have questions or cannot currently meet the technology requirements for the course. LWTech has some technology available to checkout. To request a basic tablet with Internet access or a webcam, contact Sally Heilstedt (sally.heilstedt@lwtech.edu).

 

 

Nursing program grading scale

Grading for the course will follow a 4.0 grading system used for the nursing program (see below). Nursing theory course, lab and clinical must be passed with a cumulative score of 80% in order to progress to the next quarter. 

Nursing Program Grading Scale

4.0                   96-100% 3.8                   94-95% 3.6                   92-93% 3.4                   91% 3.0                   89-90% 2.9                   87-88% 2.6                   86%

2.5                   85% 2.4                   84% 2.3                   83% 2.2                   82% 2.1                   81% 2.0                   80%

 

Each student is unique in life experiences, motivation for learning, and scholastic achievement. The success of the student’s journey in nursing depends upon the amount of commitment the student is willing to make. You oversee your own learning and the instructor is here to provide direction and facilitation in your learning processes. 

 

Key Criteria for successful grade; the student will

• Employ safe and competent nursing care as evidenced through virtual simulation exercises. 
• Demonstrate clinical reasoning skills utilizing nursing process
• Practice appropriate communication and psychomotor skills in the care of healthy, acute and chronically ill individuals across the lifespan as evidenced through virtual simulation exercise. 
• Demonstrate responsibility and accountability for his/her nursing practice and growth/learning development.
• Abide by the policies and procedures of Lake Washington Institute of Technology and Evergreen Hospital for reflection purposes during simulation exercises.
• Abide by the ANA code of nursing ethics at all times (see ANA website for details).
• Attend all scheduled clinical days or re-schedule with instructor.
• Complete all care plans/assignments satisfactorily.

 

Medication Math

This class has a medication mathematics component.  During the class the student will be required to demonstrate safety and proficiency in medication mathematics.  This/these test(s) must be passed with a score of 100% for a student to receive a passing grade for this course, regardless of other grades earned in the course.  If a student fails to pass the medication math exam, they will be allowed further attempts to demonstrate proficiency as arranged by the instructor. Please refer to the medication and med math policy in the Lwtech Nursing student handbook. Testing will be conducted online via Respondus’ monitoring or ZOOM monitoring.

 

Preparation for the exam is on your own.  Class time will not be specifically allotted to math, however, if a student is challenged by a topic, instructors will be available to assist as time allows. 

 

 

ASSIGNMENTS (Please see Canvas for details):

In addition to attending all virtual clinical days, satisfactorily caring and documenting care for their assigned patients, students are required to complete the following satisfactorily:

 

• Weekly simulation submissions which will include any debrief and evaluation forms that are connected to the weekly virtual simulation assignment.
• Weekly virtual participation during simulation activities and discussions surrounding experiences.

• 3 Care plans/concept maps on a patient they cared for. See Canvas for deadlines and submission details. Written patient care plans with 80% score or above (THREE care plans/or concept maps must receive an 80% or better score). Instructor written and verbal evaluation. (Mid-term-oral and Final-written) *It is the student responsibility to gain familiarity with clinical evaluation tool and understand the requirements and expectations for a satisfactory clinical experience.
•  “Presentation” Clinical case study will take place on the last clinical day: present “favorite patient” and ask peers a thought-provoking question to stimulate critical discussion.  For example: What would be a priority nursing diagnosis for this patient? What signs and symptoms would you typically see with this patient? What priority nursing intervention should take place? What problems could be seen with a physician order (named), etc.?
• Drug cards
• Clinical topics discussion posts

• Develop proficiency in basic and advanced skills as evidenced through virtual simulation.
• Provide safe and effective care to two clients as evidenced through virtual simulation.
• Establish effective relationships with the hospital patient care team as evidenced through virtual simulation.
• Apply nursing process, critical thinking and legal/ethical/and safety principles in performing nursing care

 

Course Policies and Procedures

Online Class Expectations

• Check Canvas and your student email daily. In an online environment, these are the college’s and the professor’s primary mode of communication with you.
• Complete Module assignments outside of class as indicated. The content is designed to help you better understand learning in an online class and implement online student success strategies. It also includes expectations for effective online communication.
• Virtual simulations with simulation support will occur during regular online class time which is your normal clinical day and time.
• You should expect to spend approximately 3 hours per credit on this course each week.
• Minimize the potential for those who live with you, if applicable, to see your online classes, especially live class sessions. Ways to do this include using a room with the door closed or sitting with your back to a wall.

Zoom Meetings

Zoom is a video conference tool that you can use to interact with your professor and fellow students by sharing screens, chatting, broadcasting live video/audio, and taking part in other interactive online activities. We will be utilizing this tool to hold class sessions and individual meetings.

• Zoom Class Sessions will be held during your regularly scheduled clinical day and time with your assigned instructor and clinical group

Exam Make-Ups and Late Work

• Students should notify the professor in advance if they will miss a class session.
• Students who miss class meetings are still responsible for lecture material covered, handouts, and announcements. Contact a class member for additional instructions and/or assignments given in class. Students are encouraged to make an appointment with the instructor or meet during office hours for any further clarification.
• Late assignments will receive a 25 % reduction in grade.

Attendance, Participation, and Tardiness

• Attendance is expected to be at 100 percent.
• Participation is expected to be at 100 percent. Example: Students are expected not only to attend class sessions, but also to participate actively in discussions, group work, etc.
• If you must arrive late or leave early, you must notify your professor in advance. Absences and Accommodations for Faith and Conscience

 

Students who will be absent from course activities due to reasons of faith or conscience may seek reasonable accommodations so that grades are not impacted. Such requests must be made within the first two weeks of the quarter and should follow the procedures listed online (https://www.lwtech.edu/about/policies-procedures/absence).

 

PROFESSIONAL NURSING STANDARDS EXPECTATIONS/RESPONSIBILTIES:

The student will adhere to the Student Responsibilities, Professional Behavior/Personal Accountability and Essential Abilities as stated in the Nursing Programs Student Handbook. Students are expected to adhere to the ANA Code of Ethics, expectations addressed in the LWIT Student Handbook and the policies and procedures of outside clinical institutions.

• It is expected that assigned readings be completed prior to class and that students are prepared to discuss these readings and to participate in classroom activities.
• Students are responsible for information on course outline and schedule.  Instructor is not responsible to remind students of deadlines.
• Schedule is tentative.  Instructor reserves right to change schedule as necessary to accommodate need to cover content areas and any circumstance that arises.  It is your responsibility to keep track of your unit and assignment scores. 
• If you are not passing unit exams, it is your responsibility to contact instructor for assistance.
• Outside study time: For the average student to be successful in the nursing program and individual courses, significant study time outside of class is necessary to read, analyze, and retain the course material.  The amount of study time to complete required readings, assignments, prepare for exams, and perform group work varies based upon an individual student’s study habits, learner style, and level of understanding. 
• Attendance and punctuality is expected professional behavior.  This WILL be a graded portion of each course.  Please refer to the Nursing Student Handbook for details.
• It is the student’s responsibility in the event of an absence to obtain information and materials provided in class.

 

Additional course specific expectations for safe virtual clinical simulation days:

• Students are responsible to maintain their clinical passport and all facility requirements in current standing through the duration of the clinical experience. 
• Arrive to the ZOOM clinical on time:  greater than 5 minutes late is considered tardy.  If a student is tardy 2 times it is equal to an absence. Punctuality is an expected professional behavior.
• Attendance at all clinical days is mandatory.  If student is absent from clinical for any reason, he/she will need to meet with instructor to discuss circumstances and ability to achieve course objectives.  
• If a student must miss a clinical day, it is the student’s responsibility to notify the instructor prior to the start of clinical. 
• Signs of illness: Student should contact their clinical instructor and their primary care physician with questions regarding illness, communicability and safety of attending clinical. 
• Review the handbook for dress code rules/EHMC policy. 
• Students are expected to provide safe nursing care as evidenced within virtual simulation exercises:

• Correctly utilize all safety measures/devices
• Demonstrate 7 rights in medication administration
• Accurately and completely document in patient record assessment/interventions and evaluation of patient care
• Demonstrate knowledge of patient limitations, allergies
• Demonstrate understanding of relationship between diagnosis**/medications/lab results and assessment
• Evaluate all nursing actions
• Understand facility emergency policies and procedures
• Report immediately any significant changes in patients’ condition to primary nurse, and instructor
• Follow all policies and procedures of Evergreen Hospital and LWTC nursing program

• Self-evaluate all actions and participate in mid-term and final course evaluations
• Communicate professionally with classmates and instructors
• Demonstrate professional behavior in all nursing activities
• Be accountable and positive in all actions
• Be respectful to colleagues and instructor

 

**It is an expectation that students come prepared to clinical understanding common acute care conditions and medications. The unprepared student may be required to complete a remediation assignment and an educational plan may be initiated.

 

ALL medication administration through the virtual simulation requires supervision of the clinical instructor or assigned/primary RN (the assigned RN may supervise medication administration after approval of the instructor). The student will ensure that the primary RN responsible for the patient has been notified.  Students are expected to understand the reason the patient is receiving the medication, check to see if the ordered dose is within dosing range, identify side effects of the medication, and ensure the patient is not allergic to the prescribed drug.  Under no circumstances will a student give medication by bypassing the organization’s bar-coding process.  

 

Virtual Nursing Skills

It is expected that the student demonstrates clinical competence in the following skills during virtual simulation:

1. Head to toe physical exam
2. Basic nursing skills
3. Sterile wound care
4. Enteral feeding including NG and PEG
5. Maintenance of Nasogastric tube for suctioning
6. IV site assessment
7. Peripheral IV flush, dressing management
8. Ostomy care
9. Oral/pharyngeal suctioning
10. JP/hemovac emptying of drainage container
11. Urinary catheterization
12. Urinary catheter maintenance, emptying of foley bag
13. Safe administration of medications: Oral, IV, IM, SQ

 

The student role for the following nursing responsibilities is limited to observation only during virtual simulation (in addition, please refer to hospitals’ policies regarding restrictions):  

1. Administration of TPN
2. Administration Blood products
3. Warming fluids
4. Conscious sedation
5. Administration of chemotherapy
6. Telephone or verbal orders
7. Transcription of MD orders
8. Regulation of any medication or dose rate calculator
9. Accessing a central line port a cath
10. De-accessing a central line port a cath
11. Use of therapeutic equipment such as CPM’s
12. Management of PCA or epidural pumps
13. Signing out for or witnessing wasting of controlled substances
14. DC epidural lines or central lines
15. (Please see Evergreen Hospital’s specific guidelines included in orientation documents for further guidelines)

 

The student is responsible for understanding and following (not exceeding) practice boundaries of the student nurse per LWTC, and facility guidelines within the virtual simulation. The student will provide care within practice boundaries and ensure primary nurse is aware of patient needs/physician orders that student is unable to safely/legally provide. If questions arise as to limitations or expectations speak with the instructor. It is the student responsibility to adhere to the student limitations that are specific to each facility.

 

Virtual simulation expectations and organization of clinical day:

 

1. Report to the RN assigned you by the charge nurse.
2. Introduce self to assigned RN, share learning goals and student boundaries for week
3. Listen to shift report. Discuss with primary nurse appropriate patient assignment based on course objectives and learning goals for the week. (Ensure patient consent to have a student nurse do care)
4. Review client chart: paper and electronic
   1. Note upcoming meds
   2. Recent progress notes
   3. Recent labs
   4. Recent vital signs
   5. Impending orders/procedures
   6. Note isolation and fall precautions
5. Perform a focused assessment, including vital signs
6. Document and report promptly to primary nurse
7. Communicate to instructor priority problems, plan of care based on assessment findings using SBAR communication format.
8. Provide basic nursing care including AM or HS hygiene.
9. Address or seek RN support to meet client needs staying within boundaries established by hospital, instructor and scope of practice.
10. Organize and manage time effectively to ensure delivery of timely care.
11. Recognize and report abnormal findings, changes, or trends in client assessment.
12. Prioritize care appropriately
13. Communicate effectively
14. Strictly adhere to client isolation precautions
15. Evaluate the nursing process, plan of care
16. Complete all required documentation
17. Evaluate performance and establish goals for next clinical
18. Vital signs must be documented by the time designated by facility. Any abnormal findings or abnormal trends must be reported immediately to primary RN (or if unavailable, the charge nurse). 
19. The student is responsible for providing safe and effective nursing care to the assigned client(s). The student is responsible to stay informed of changes in medical orders and plan of care. The student is responsible to recognize and report changes in client status to primary RN in a timely manner recognizing situations that require immediate notification. 
20. The student is required to report to Primary RN (and instructor) prior to leaving floor for break/lunch or post conference.
21. It is expected that the student practice professional communication with all team members.
22. The student will recognize (and defer to) the primary RN authority and responsibility for the care of the patient.
23. The student will follow the directions of the RN regarding documentation. Hospital policy will be followed regarding co-signatures for medication administration and/or documentation.

 

Academic Integrity

Complete the description below, ensuring that the consequences of academic dishonesty in your class are very clear.  All incidences of academic dishonesty (plagiarism and cheating) should be submitted via the Academic Dishonesty Documentation form (bookmark the form).

Students should review the Academic Dishonesty and Classroom, Lab, Clinic Conduct section of the Student Code of Conduct (WAC 495D-120, beginning on p. 22). Academic dishonesty includes, but is not limited to, cheating, plagiarism, and fabrication.

• Cheating includes any attempt to give or obtain unauthorized assistance relating to the completion of an academic assignment.
• Plagiarism includes taking and using as one’s own, without proper attribution, the ideas, writings, or work of another person in completing an academic assignment. Prohibited conduct may also include the unauthorized submission for credit of academic work that has been submitted for credit in another course.
• Fabrication includes falsifying data, information, or citations in completing an academic assignment and also includes providing false or deceptive information to an instructor concerning the completion of an assignment.

Violations of academic honesty as defined in the Student Code of Conduct, including plagiarism, may result in a zero for the assignment or assessment in question. A second violation of academic integrity will result in failure of the course and dismissal from the nursing program. Please refer to the Nursing Student handbook and Lwtech college website. All violations of academic integrity shall be reported to the college's confidential database, which may result in additional investigation and corrective action through the student conduct process.

Computer and Cell Phone Usage

• Cell phones may be used only when directed by the professor for class activities.
• Utilize laptops and classroom computers for class activities only.

Community Standards

It is expected that you will respect the rights and dignity of classmates, faculty, and all others on campus and online at all times. This includes doing your part to create a safe, distraction-free, and collaborative learning environment. Homophobic, racist, sexist, and other demeaning language and/or actions are not permitted.

Non-Discrimination

Lake Washington Institute of Technology is committed to equality of educational opportunity. LWTech does not discriminate in offering access to its educational programs and activities on the basis of race, creed, color, national origin, citizenship or immigration status, sexual orientation, gender identity, sex, honorably discharged veteran or military status, status as a mother breastfeeding her child, the presence of any sensory, mental, or physical disability, or the use of a trained dog guide or service animal by a person with a disability (RCW 49.60.215).

Title IX

LWTech provides a safe learning environment for all students that is free of all forms of discrimination and sexual harassment, including sexual assault, domestic violence, dating violence, and stalking.  If you (or someone you know) has experienced or experiences any of these incidents, know that you are not alone.

As an institution of higher learning that receives federal funds, LWTech is required to abide by Title IX, which states: "No person in the United States shall, on the basis of sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any education program or activity receiving Federal financial assistance.” For more information on Title IX, including contact information, go to the college’s Policies and Procedures, Title IX webpage (https://www.lwtech.edu/about/policies-and-procedures/title-ix-and-sexual-misconduct).

In many cases, such discrimination violates state and federal law. The Title IX / Equity Coordinator, James Wagner (james.wagner@lwtech.edu) has been designated to handle inquiries regarding LWTech’s non-discrimination policies.

Campus Public Safety

Your safety and security are taken seriously at LWTech. All incidents of confirmed or suspected crimes are reported. If you require assistance or would like to report an incident, please dial 425-739-8224 to reach Campus Public Safety. In an emergency, call 911 and then Campus Public Safety.

• Safety Procedures – Review LWTech’s Safety Procedure Videos on Lock Downs, Run. Hide. Fight., Earthquakes, Fire Safety & Evacuation, and Medical Emergencies.
• Evacuation procedures—posted in each classroom
• School closures – Please check Emergency Communications in case of inclement weather
• Campus Security Location: Room E145
• If You See Something, Say Something: In support of the college safety plan, the Campus Assessment, Response, and Evaluation (CARE) team uses collaboration, information collection, risk assessment, and intervention to create a safe campus community. Based upon reports of student behavior, the CARE team plans preventive strategies and interventions to assist students, faculty, and staff in supporting students who may be at risk. Please use our online reporting form to contact us.

Support Services During LWTech Remote Operations

eLearning – Canvas Support

The Office of eLearning is here to help with Canvas-related questions and issues. The best way to get help with Canvas is to use the Canvas Help link in the left-hand, blue menu any time you are logged into Canvas. Click on the “Get help with Canvas” option when you are on the page where you are having trouble. You can also email eLearning (elearning@lwtech.edu) for support.

Counseling Services

Visit the Counseling Services website for resources for dealing with anxiety related to COVID-19, as well as other mental health resources. To schedule a counseling appointment, contact Katie Peacock via email (katie.peacock@lwtech.edu) or by phone at 425-739-8362.

If you or someone you know is in crisis, please call the 24-Hour Crisis Clinic hotline at 866-427-4747, TTY: 206-461-3610.

Disability Support Services

If you have a physical, psychological, medical, or learning disability that may impact your course work, you may request accommodations and apply for services through DSS Online (https://cascade.accessiblelearning.com/LWTech/ApplicationStudent.aspx).

After you provide documentation of a disability, the office will coordinate directly with your faculty to ensure you are given reasonable accommodations to support your success. All information and documentation is confidential. You can reach DSS by phone at 425-739-8300 or by email (dssinfo@lwtech.edu). For additional information please refer to lwtech.edu/dss.

Financial Assistance: Financial Aid and Workforce Development

Financial assistance is available for students for tuition, living expenses, and emergency needs through the Financial Aid Office (lwtech.edu/financial-aid/). Contact Financial Aid by phone at 425-739-8106 or by email (financialaid@lwtech.edu). Scholarships are also available twice yearly through the LWTech Foundation. Information about scholarships can be found on the LWTech Foundation webpage (lwtech.edu/about/foundation/scholarships).

Additional funding for tuition, books and supplies, testing fees, and childcare may be available to eligible students from Workforce Development (WFD). To see if you qualify for WFD funding and to sign up for an orientation, take the survey at www.lwtech.edu/wfd or contact us via email (wfd@lwtech.edu) or phone at 425-739-8339. 

Supplemental Instruction

Supplemental Instruction provides students with additional learning opportunities related to course content. Study sessions are hosted online. If you would like to be added to the Canvas site for one of the following subjects, contact Sally Heilstedt via email (sally.heilstedt@lwtech.edu).

• Writing
• Math
• Computing and Software Development (CSD)

Look for emails from Sally Heilstedt about support with other subjects as the sites become available.

Tutoring

Contact The Learning Lab (thelearninglab@lwtech.edu) for information about tutoring services.

Library-Learning Commons

lwtech.edu/library

Librarians are available to help individual students with any part of research, including determining a topic and information need, finding and accessing sources, evaluating information, and citation. Please email library@lwtech.edu with your requests. If you know which librarian your class is working with, you can contact them directly.

• Sue Wozniak, wozniak@lwtech.edu
• Greg Bem, bem@lwtech.edu
• Katherine Kelley, kelley@lwtech.edu

Bookstore

lwtech.edu/bookstore

Counseling Services

Visit the Counseling Services website (lwtech.edu/counseling) for resources for dealing with anxiety related to COVID-19, as well as other mental health resources. To schedule a counseling appointment, contact Katie Peacock vie email (katie.peacock@lwtech.edu) or by phone at 425-739-8362.

Tentative Assignment Schedule

The following schedule is subject to change. Check Canvas regularly for updates to assignments and due dates.

Week/Date	Topic(s)	Zoom Session Activities	Out-of-Class Work and Due Dates	Point Values
Week 1	Intro duction to virtual clinical Overview of syllabus and virtual clinical expectations Respiratory sim Case study on hand off and HIPPA	Review Masters skills checklist V Sim:  Kenneth Bronson (Pneumonia with severe reaction to ABO ATI Video Case studies: 1.      Hand off 2.      HIPPA	ATI apply tab civility 1 Dosage and calculation Drug cards	Participation and Simulation paperwork: 1 Drug cards:1 ATI: 1
Week 2	Assessment and med checks begin individually with clinical professor Simulation PE Acute care conditions	Assessment and med pass check offs #1 begin Share clinical brains V Sim: Vernon Watkins post op hemicolectomy and pulmonary embolism V-sim pharmacology: Anticoagulation bridge for PE	ATI apply tab civility 2 Acute care conditions Drug cards	Participation and Simulation paperwork:1 Drug cards:1 ATI:1
Week 3	Assessment and med checks continue with individually with clinical professor Simulation MI	Assessment and med pass check offs #1 continue Review 6 second ECG V Sim: Carl Shapiro MI V sim V-sim pharmacology:  NTG for angina	ATI apply tab civility 3 Specialty paper Drug cards Care plan 1	Participation and Simulation paperwork:1 Drug cards:1 Care plan 1:10 ATI:1 Roll call:1
Week 4	Assessment and med checks continue with individually with clinical professor Simulation IV therapy and communication scenarios	Assessment and med pass check offs #1 continue ATI Video Case studies 1.      Titrating IV 2.      TPN ATI The Communicator 1.      Aggressive behavior 3.      Aging client 4.      Stressful family ATI: real life3.o Myocardial infarction	ATI apply tab civility 4 Drug cards	Participation and Simulation paperwork:1 Drug cards:1 ATI:1 Roll call:1
Week 5	Assessment and med checks continue with individually with clinical professor Midterm evals due Simulation COPD	Assessment and med pass check offs #1 continue Discuss concept maps Midterm eval V Sim: Vincent Brody (COPD- Spontaneous pneumothorax V-sim pharmacology: Managing medication for COPD	ATI learn tab the communicator Drug cards Care plan/concept map 2	Participation and Simulation paperwork:1 Drug cards:1 Care plan/concept map 2:10 ATI:1 Midterm eval:2.5 Assessment and med pass check offs #1: 2.5 Roll call:1
Week 6	Assessment and med checks continue with individually with clinical professor Simulation Heart failure	Assessment and med pass check offs #2 continue ATI Video Case studies heart failure V-sim pharm Digoxin Toxicity of the heart   V-sim nursing: Skyler Hansen hypoglycemia	ATI learn tab nurse logic Drug cards	Participation and Simulation paperwork:1 Drug cards:1 ATI:1 Roll call:1
Week 7	Assessment and med checks continue with individually with clinical professor Simulation regarding CVA and advanced nursing role	ATI The Communicator 1.      Aphasia 2.      Thrombosis 3.      Stroke V-sim nursing: StanChecketts SBO   o ATI Video Case studies: 4.      Priority setting 5.      Teamwork and collaborati n	ATI learn tab nurse’s touch Drug cards Concept map	Participation and Simulation paperwork:1 Drug cards:1 Concept map:10 ATI:1 Roll call:1
Week 8	Assessment and med checks continue with individually with clinical professor Simulation regarding post op and medication	Presentations begin Assessment and med pass check offs #2 continue V Sim: Doris Bowman post op hysterectomy opioid overdose V-sim pharmacology: 1.Managing back pain 2.IV antibiotic and reduced renal Morphine overdose	ATI learn tab nurse’s touch Drug cards	Participation and Simulation paperwork:1 Drug cards:1 ATI:1 Roll call:1
Week 9	Assessment and med checks continue with individually with clinical professor Simulation regarding common medication scenarios	V-sim pharmacology: 1.Adverse effects of antidepressants, anxiolytics and ETOH  Jones V-sim Nursing: Mary Huges fx care ATI Video Case studies: 4.      Priority setting 5.      Teamwork and collaboration	ATI learn tab nurse’s touch Drug cards	Participation and Simulation paperwork:1 Drug cards:1 ATI:1 Roll call:1
Week 10	Assessment and med checks continue with individually with clinical professor	V-Sim nursing Lloyd Bennett post op bleeding   Final eval Professionalism grade due	ATI learn tab nurse’s touch Drug cards	Participation and Simulation paperwork:1 Drug cards:1 ATI:1 Professionalism:2.5 Assessment and med pass check off #2: 2.5 Presentations due: 2.5 Roll call:1
Week 11	Final evals and grades due			Evals due:2.5 Masters skills checklist:2.5

 

 

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