Course of Study- Clinical Course

Sophomore Experience

Foundations of Nursing Interventions-20030

    • Competencies: Complete Head-To-Toe Assessment; Focused Assessment; Nursing Process: Assessment, Diagnosis, Outcome, Planning, Implementation, and Evaluation; Concept Care Map; Patient Communication; Personal Hygiene; Clinical Inter-Personal Recording; and Safe Medication Administration
    • Patient teaching: Ambulation, Skin care, Medication teaching 
    • Evidence based practice: Ambulation, Safe medication administration, turning, Pulse-oximetry
    • Personal reflection: Foundations of Nursing Interventions has created a foundation of the basic nursing skills through class and my clinical experience that I will continue to build upon throughout my education and career
Junior Experiences

Parent and Newborn Nursing- 30010

    • Competencies: Postpartum and Newborn Assessments and care; vital signs; cord care; assessing the fundus position; patient care; adminsitering po, subq, IM, topical, and IV push medications (some to the mother, and some to the newborn); newborn heel-stick; care mobile; computer charting; time management; organization skills; prioritizing patient care and time; patient safety; communication skills; and critical thinking. Observed vaginal exam, cesarean birth, CBC blood draw, and PKU testing.
    • Patient teaching: Cord Care; What breast engorgement is and how to prevent it; tips on how to get a better latch during breastfeeding; sleeping position; timing feedings; how much lochia is normal and the rubra, serosa, and alba and when each should occur. 
    • Evidence based practice: Assessing for signs and symptoms of postpartum hemorrhage; Assessing the fundus height and firmness; Providing proper cord care on the newborn; and the Importance of sleeping position and SIDS. See Nursing Process Paper
    • Personal reflection: My experience in Parent and Newborn Nursing was a great and positive experience. It gave me the opportunity to strengthen my patient care, communication skills, as well as developing new skills. This class has allowed me to focus more on patient teaching, as well as exploring and utilizing Aultman's computer charting on the Labor and Delivery floor. It was another step towards becoming the nurse I want to become.

Health Care of Children- 30020

    • Competencies: Pediatric Head-to-Toe Assessment; Pediatric Focused Assessment; Vital signs; patient care; administering po, subq, IM, topical, and IV push medications; medication dosage calcualtions; computer charting; time management; organization skills; patient safety; communication skills with the parent and patient depending on their developmental age; and critical thinking.
    • Patient teaching: Infection control; importance of fluids after a T&A; What Bronchiolitis is, the symptoms, and the usual treatments; and maintaing good health by eating fruits and vegetables, and exercise.
    • Evidence based practice: SBAR when reporting off to nurse; monitoring pulse-oximetry; nursing process paper; prevention of infection, and warning signs of infection. See Nursing Process Paper
    • Personal reflection: My experience in Health Care of Children was an amazing class. It allowed me to strengthen my communication skills with the patient and parents. I had to assess the patient's developmental age, and according to the age, I had to learn how to best communicate with them. I was able to focus on patient teaching, as well as exploring and utilizing the Aultman's computer charting on the Pediatric floor. This class was another building block in helping me become the nurse I want to become. It was a great experience.
      • I had a community service project where I had to teach a preschool class about a health-care topic. I made a teaching plan about dental care; in which I read them a book and did an activity with them. This allowed me to work with healthy kids for once, as well as give me the opportunity to teach and do a health promotion class. The kids really enjoyed the lesson and learned a lot.

Nursing of Adults- 30030

    • Competencies: Assessment: head-to-toe, focused, IV site, Braden scale; vital signs; personal care; recording I & O's, turning; assist with ambulation; wound irrigation; Accu-checks; Administering po, subq, and topical medications; coughing & deep breathing; incentive spirometry; fall precautions; computer charting; time management; and organization.  
    • Patient teaching: Medications, KUB procedure, importance of increasing activity, incentive spirometer, and mode of transmission
    • Evidence based practice: Glucose monitoring and medication, coughing and deep breathing, turning, and monitoring Pulse-oximetry. 
    • Personal reflection: My experience in Nursing of Adults has given me the opportunity to strengthen my skills; as well as, creating a new foundation to begin improving new skills throughout my education and career. This course has challenged me to become more assertive and organized. I believe I consistently met these high standards. It has allowed me to become more confident in the care I provide, which I believe is a necessity as a nurse. This class was another stepping stone in my life and on my journey to becoming an RN.

Nursing of Adults with Gero/Rehab Needs- 30040

    • Competencies: Geriatric assessment: head-to-toe, focused, Braden scale; vital signs; personal care; recording I & O's; turning; assist with ambulation; wound packing; Accu-checks; Administering medications orally, subcutaneous, intramuscular, and topical; administering aerosol treatments, and eye drops; fall precautions; nurses progress notes; tracheotomy care; Tube feeds (continuous and bolus); time management; organization skills; patient safety; communication skills; and critical thinking. 
    • Patient teaching: Tracheotomy care; mode of transmission; Incentive spirometer; and Breathing Treatments.
    • Evidence based practice:Accu-checks; monitoring pulse-oximetry; Incentive spirometer; turning; and nursing process paper.
    • Personal reflection: My experience in Gero/Rehab has given me the opportunity to strengthen all of my skills. We took care of patients that needed acute care; as well as, those who needed long term care. These are two of the many aspects of nursing and it is another learning experience that will help me decide what I want to do after I graduate and allow me to become a more confident nurse.
Senior Experiences

Community Nursing- 40020

    • Competencies: Community assessment with care plan and then teaching provided, vital signs; administrating subcutaneous, and intramuscular medications; time management; organization skills; therapeutic communication skills; critical thinking skills.
    • Patient teaching: Facts about sexually transmitted infections (STI's); safe sex; abstinence; HIV/AIDs; Importance of community resources and medication compliance and follow-up appointments.
    • Evidence based practice: Community Assessment; community teaching regarding the above topics; Making sure people in the community are aware of the resources available to them in the specific community. See Community Assessment Paper
    • Personal reflection:  My experience in Community Health Nursing was great. I learned a lot about the different community services that are provided and got to have hands on experience/observation within each of those services. The experience gave me another option to examine; therefore, I can figure out which aspect of nursing I prefer for one I graduate. It was a great experience that contributed to my journey of becoming the nurse I want to become, confident and competent.

Psych/Mental Health Nursing- 40030

    • Competencies: Bio-psychosocial Assessment; progress notes; time management; organization skills; therapeutic communication skills; critical thinking skills; Provided psychiatric care to patients admitted to crisis center, crisis floor of a hospital, children hospital, and outpatient facility. 
    • Patient teaching: About the Crisis Center Hotline; Self-Esteem; Importance of medication compliance; teaching about resources within the community; and Importance of follow up appointments and medication compliance.
    • Evidence based practice: Bio-psychosocial Assessment; Therapeutic Communication, Self-Esteem teaching. See Interactional Process Recording 
    • Personal reflection: My experience in Psychiatric Nursing and Mental Health Nursing Care was great. I learned a lot and was able to improve my communication skills, especially with a population where communication is crucial. This experience is another stepping stone to graduation and ultimately an opportunity to become a more confident nurse.

Nursing of the Critically Ill- 40010

    • Competencies: Assessment: head-to-toe, focused, IV site, Braden scale; vital signs; personal care; recording I & O's, turning; assist with ambulation; wound care; Accu-checks; Administering medications po, subq, topical, IV push and piggyback, and via PEG tube; coughing & deep breathing; incentive spirometry; fall precautions; documentation with Meditech; Hand held; SBAR; IV starts; pull chest tubes; chest compressions; prioritization; therapeutic communication; time management; and organization.  
    • Patient teaching: Medications, care plan, elevation of legs when edema is present, use of incentive spirometer, SCDs, and hypoglycemia.
    • Evidence based practice: Glucose monitoring and medication, coughing and deep breathing, turning, monitoring Pulse-oximetry, SBAR, and Use of SCDs. 
    • Personal reflection: My Critical Care experience has given me the opportunity to get a grasp on how certain diagnoses play into others. I was able to see the larger picture of everthing that was related to the diagnosis and the assessment findings I found or the labs that I noticed were either high or low. This class also has allowed me to gain new skills. Overall, the class was tough, but I learned so much from it. Critical Care was one of my final stepping stones to becoming a new graduate nurse and I am thankful. See Critical Care Process Paper 1; See Critical Care Process Paper 2

Integration of Leadership and Management in Nursing- 40045

    • Competencies: Assessment: head-to-toe, focused, IV site, Braden scale; vital signs; personal care; recording I & O's, turning; assist with ambulation; wound care; Accu-checks; Administering medications po, subq, topical, IV push and piggyback, and via PEG tube; coughing & deep breathing; incentive spirometry; fall precautions; documentation with Cerner; Care Mobile; SBAR; IV starts; Effectively and safely careing for six patients; empty JP drains; Draw blood labs and cultures via PICCs and Ports; Insert and discontinue Foley Catheter; Straight cath; hanging blood protocol-vital signs, and assess for reaction; central line dressing change; prioritization; therapeutic communication; time management; and organization.  
    • Patient teaching: Care Plan, SCDs, when to call for a healthcare provider, medications (Coumadin), Fall risk, and pain management. 
    • Evidence based practice: Biopatch with ports, change IV tubing and IV site, Fall Risk protocol- Bed alarms, yellow slipper socks and arm bands, magnets on door, and rooms located near nurses station; and medicate patients for pain when it is slight to moderate to manage it better.
    • Personal reflection: I have grown more through this experience than what I have in all the previous years. Practicum has given me the opportunity to put all the book knowledge from the past couple of years into practice. I feel much more confident as an almost graduated nurse and I feel up for the challenge of becoming the best nurse I can become. I know I still have a long road ahead of me and much, much more to learn. I will be learning the rest of my nursing career because research is always being done, which will then change our interventions to keep up with EBP. Overall, it has been a wonderful experience and a true blessing to be able to see the improvements I have made thus far. I am so thankful this is part of the curriculum at Kent State University. 
      See 40-Hour Journal; See 80-Hour Journal; See 120-Hour Journal

         

 

 

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