Title: Mrs. Spinella’s Expectations for ASN 210
Course: 16SP-ASN-210-GH1A1-ADV NUR THROUGH LIFESPAN I > Section: Clinical Syllabus & Assignments

Ozarks Technical Community College
Mercy Lebanon Clinical Rotation
Mrs. Spinella’s Expectations for ASN 210
Spring 2016 Semester

Instructor Info: Amy Spinella, RN, BSN
Email:spinella@otc.edu
Cell: 417-988-3937 (email is preferred. Text or call in emergencies)
Arrival Time: 0630 Ready to take Report.  Arrive in uniform, prepared for clinical.
Place: 1^st^ Floor Medical/ Surgical Unit. We will meet in Room 6 downstairs prior to going to the floor
Student Roles: Charge Nurse & Staff Nurses; as assigned by instructor
Items to bring with you:

• Complete clinical uniform per handbook
• Copy of clinical syllabus
• Drug book or drug reference
• Lab reference (may bring if you want)
• Clinical companion for med/Surg book (If you have, do not have to bring)
• Your nurse report sheet, or notebook or paper to jot notes (must display your ability to be organized)
• Lunch or money for lunch

Reminders for Mercy Lebanon-

Here are a few reminders for your clinical rotation at Mercy Lebanon:

1. Be on time.  Park in the lower lot in the white spaces closest to the Kum & Go across from the hospital.
2. Be professional.
Appearance. Please review OTC’s guidelines for clinical dress (hair, nails, jewelry, uniform, etc.) prior to clinical. No visible tattoos as this is a Mercy policy.  Be sure to wear your nametag(s) in a visible location, preferably on or near your collar. Communication and interaction with fellow students, hospital staff, and patients and family members. Attitude. Leave unprofessional behavior at the door!
3. Be prepared.
Equipment. Be sure to bring your stethoscope any other supplies/equipment you will need for the day. Reference materials. Please coordinate with your fellow students so that you don’t all bring the same books. Organization. Many nurses use an organizational sheet for keeping themselves on track for their shift (tasks, medications, PMH, code status, etc.). Feel free to use a method of your choice.  Cell phones applications may be used for medication information, but never in the presence of a patient.  Mercy does allow the use of healthcare applications, but prefer that students and staff use applications available on the computer system.  Cell phones are not to be used to text or for personal use during clinical hours.
4. Be in compliance with facility and OTC’s guidelines and expectations.  Cell phones applications may be used for medication information, but never in the presence of a patient.  Mercy does allow the use of healthcare applications, but prefer that students and staff use applications available on the computer system.  Cell phones are not to be used to text or for personal use during clinical hours.

Please take the opportunity to review the guidelines for clinical expectations and paperwork as provided in the OTC Nursing Student Handbook, Clinical Handbook, and in the ASN 210 Syllabus.

1. Be reflective.
You will see different methods of doing things (nursing care, communication, etc.) that may not be quite the same as what you have been taught. Rather than being critical of such practice, evaluate the rationale behind each method, and identify practice(s) which you would do well to employ or avoid.
2. Be proactive.

Look for opportunities to participate in new procedures and activities. Make the most of your clinical experience!

1. Be a team.

Effective nursing care is a team effort. Look for opportunities to assist your fellow students and the hospital staff with all patients, not just your patient(s). Be willing (and eager!) to answer call lights, assist with AM care, pass meal trays, etc.

• Parking: Students are to park in the white spaces in the lower lot closest to the Kum& Go.  Students are not to park on the top level. No parking passes are required.

• We may not get to administer routine medications on the first day of clinical, but we may assist the RNs with their PRN medications depending on time and the situation. I would, however, like you to take note of your patient’s medications on day 1, and familiarize yourself with them. Students will give medications on clinical days 2 and 3, with further information to follow.  Breakfast POC glucose checks and insulin administration will be administered by the RN due to time constraints early in the shift.  Students will do lunch and dinner glucose checks and insulin administration.

• Please do not leave the floor without permission from the instructor or without reporting off to the appropriate staff/student(s). We will all leave the floor together for lunch and for debriefing at the end of the clinical day.

• For the first day of clinical rotation, please complete the following tasks:

On one side of a 3x5 card, please briefly write your motivation for completing your ASN program.
On another 3x5 card, please include one goal for the day. This could be anything (IV start, patient education, etc.), but be specific and realistic.

Commonly used Medications: • Famotadine IV and PO • Pantaprazole V and PO • Odansetron IV and PO • Reglan IV and PO •Lovenox SubQ • Heparin IV and SubQ • Magnesium IV Per Protocol (know lab values) • Calcium IV Per Protocol (know lab values) •Phosphate IV Per Protocol (know lab values) • Hydralazine • Lopressor • Hyromorphone IV and PO • Metoprolol • Morphine IV •Oxycodone • Hydrocodone • Insulin (know how to use an insulin pen) o Rapid acting o Intermediate o Long Acting o Mixed or combination • Oral antidiabetic agents • Other medications as prescribed.

Student Staff Nurse Role- Staff nurses will work with the instructor to administer total patient care within the scope of practice for an RN. You will be responsible for ongoing report to your instructor prior to providing approved care tasks (see above and see ASN Handbooks).

Student Charge Nurse Role - Charge nurse will work with the instructor to aide in ensuring safe, quality provision of care to the patients assigned to OTC ASN students. This student will be charge nurse for the first ½ of the clinical day (0630 to 2 pm). Then Charge nurse will take on patient care and help all the other student staff nurse the other ½ of the day. Each student will report off when changing duties.

Duties:
• Introduce self to charge nurse as student charge nurse for the day.
• Review records of all patients assigned to OTC students.
• Make rounds on all patients assigned to OTC students at least every 2 hours.
• Check with students to ascertain if any help is needed.
• Check with charge nurse to ascertain if they can be of help.
• Keep in regular contact with clinical instructor.
• Assign lunchtime and break times to students.
• Cover for students during break times.
• Give final report of the day to instructor
• Type an entry regarding day as a charge nurse including:
o Issues with time management
o Resource management
o Any staffing issues
o Did you learn anything
o What do you feel about the role of a charge nurse
Note: entry will be turned in on the Self Evaluation at the end of the clinical rotation.

Charge Nurse Assignments:

Monday. Jan 11- None

Monday. Jan 25- Daryl Classen

Monday, Feb 1-  Jeffrey O'Flynn

Monday, Feb 8-  Scott Zobel

Monday Feb 22- Candice Schlenker

Monday Feb 29- Christina Jones