1. Welcome to RNSG 1105 Nursing Skills I
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2. General Agenda Introductions ACC ADN Program Key Skills in Nursing
Break
Nursing as a Profession
Nursing Process
Safety Measures
Medical Asepsis / Infection Control
Lab - Medical Asepsis
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3. Introductions Instructor(s) Students Roster Calendar The Basics
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4. Program Philosophy
The Austin Community College Associate Degree Nursing Program operates within the philosophical framework of Austin Community College subscribing to the college values of communication, access, responsiveness, excellence and stewardship.
The program exists to meet the community need for responsible, competent, and caring registered nurses.
We are committed to contributing to the profession of nursing through providing a sound educational program.
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5. ACC ADN Conceptual Framework
The illustration below identifies the structure of the conceptual framework.
The conceptual framework serves as a guide for the selection of nursing content and learning experiences.
Major concepts selected from the philosophy are emphasized throughout the curriculum. The framework consists of five major concepts:
Individual’s Needs.
Roles of the Associate Degree Nurse (provider of care, coordinator of care, member of the profession).
Nursing Decisions (nursing process and critical thinking).
Nursing Goals (health promotion, maintenance, and restoration).
Nursing Interventions. The following illustration identifies the structure of the conceptual framework.
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6. RNSG 1105 Course Description
Study of concepts and principles essential for demonstrating competencies in the performance of nursing procedures.
Topics include knowledge, judgment, skills, and professional values in a legal / ethical framework.
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7. Nursing Skills I – Course Objectives
Describe concepts and principles that are basic to the safe performance of nursing skills.
Demonstrate competence in performance of nursing procedures.
Communicate clearly the English language in speaking, reading, and writing during performance and evaluation of nursing procedures and simulated nurse- patient interactions.
Demonstrate the values of the nursing profession.
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8. Course Requirements
Prior to coming to class complete and highlight anything unclear from the following required documents:
Required Reading
Learning Guide
Power Points
Attendance – mandatory!! If you must be absent– you must contact the instructor prior to class & plan to make it up.
Printouts - Print out anything from the Blackboard site that states “print and bring to class.”
Schedule Labs – You are expected to identify your learning needs and take full advantage of the opportunities in the learning lab.
Open Labs - Use open lab time for independent study / practice, small groups study / practice, and validating your learning. 
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9. Dress Code
Scrubs required in lab - does not have to be the ACC teal scrubs
Shoes must have closed toes
Hair can not fall in front of the shoulders and must
be secured from falling across the face.
Mustaches, beards, and/or sideburns will be neatly
trimmed and short.
Fingernails short; no artificial nails or gels.
Jewelry will be conservative. Rings without raised
stones, earrings 1/4 in. diameter or smaller; fit snugly
against the ear lobe; maximum of two earrings per lobe.
No other jewelry will be visible while in any lab setting.
Tattoos will be covered and no body piercings will be visible.
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10. Successful completion
Theory:
Have a theory grade average of 75% or above from the exams and final. <75% you will fail the course. The theory grade will not be averaged with the skill performance grade if the average is <75%.
Skill Performance:
2. Satisfactory pass all mastery skill check-offs and have an
average of 75% or above.
Satisfactory passing of all mastery skill check-offs
a. Pass 1st attempt = Score of 100.
b. Fail 1st attempt, get a 2nd attempt. Pass = Score of 50.
c. Fail 2nd attempt = Withdrawn from the course.
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11. 60% grade comes from the Theory exams
Grading Policy
60% grade comes from the Theory exams
Tests 1-3 count - 20% (of theory portion)
Final exam counts double - 40 %
40% grade comes from check-offs
Check-off 1-3 = 20% (of check-off portion)
Comprehensive mastery check-off = 40%
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12. You must make a C in all nursing courses to continue in nursing.
Grading Policy
This course follows grade policy as described in the ACC ADN student handbook. A=
B= 83-90
C=75-82
D=60-74
F=below 60
** Note- this is different from other courses
You must make a C in all nursing courses to continue in nursing.
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13. Syllabus, Textbooks & DVD’s
Required RNSG 1105 Syllabus – found on the blackboard site.
The following required textbook and Skills DVDs should be purchased as a bundle and are available from the Eastview, Cypress Creek, or Round Rock Campus bookstore or online. The textbook (E-Reader /Text) can also be purchased for I PAD /Kindle.
Fundamentals of Nursing, the Art and Science of Nursing Care, 7th Edition, Taylor..[et. al]
Taylor's Video Guide to Clinical Nursing Skills: Student Set on Enhanced DVD [DVD-ROM]. (Please note the Skills DVD is different from the single DVD that comes inside the cover of the text.)
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14. Syllabus on Blackboard
Module Objectives
Learning Activities:
Lab preparation/ learning resources/ practice activities
Readings
Learning Guide
PowerPoints
Practice Activities and Exercises – print and bring to class
Performance Check lists – print and bring to class
Supplemental Learning – optional activities
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15. Ready to get started What is Nursing
Complete the following sentence,
“To me, nursing is_______________”
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16. Nursing has evolved through history from a technical service
Definition of Nursing
The word nurse originated from the Latin word nutrix – which meaning “to nourish.”
Nursing has evolved through
history from a technical service
to a person-centered process
that allows maximizing of
human potential.
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17. Essential Competencies in Meeting the Aims of Nursing
Essential competencies in providing safe nursing care include:
Cognitive Skills – have to think.
Technical Skills– have to do –performance of skills.
Interpersonal Skills– have to care and communicate.
Ethical/ Legal Skills – have to value and obey the rules.
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18. Cognitively Skilled Nurses
Offer scientific rationale for patient plan of care.
Select nursing interventions most
likely to yield desired outcomes.
Use critical thinking to solve patient problems and meet their needs creatively.
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19. What is Critical Thinking ?
Process that challenges the nurse to interpret and evaluate information / data to derive judgments.
Organizing information
Picking out relevant information
Judgments are made—based on reason and rationale rather than on prejudice, preference, self-interest, or fear.
Overtime, nurses expertise increases, learning from successes and failures.
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20. Technically / Psychomotor Skilled Nurses
Use psychomotor skills to provide care and meet needs of patients.
Use technical equipment with
competence & ease to achieve
goals with minimal distress to
patients.
Creatively adapt equipment & technical procedures to needs of patients in diverse circumstances.
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21. Interpersonally Skilled Nurses
Communicate with the patient, family and members of the health care team.
Use interactions with patients,
significant others & colleagues to
promote human dignity & respect.
Elicit personal strengths & abilities of patients to achieve health goals & establish caring relationships.
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22. Ethically and Legally Skilled Nurses
Are trusted to act in ways that advance interests of patients.
Are accountable for their own practice.
Act as effective patient advocates.
Mediate ethical conflict among patient, significant others, and healthcare team.
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23. Question
A nurse who uses critical thinking skills to develop a nursing care plan for an expectant mother of triplets is said to be using which of the following skills?
A. Cognitive
B. Technical
C. Interpersonal
D. Ethical
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24. Question
A nurse’s personal moral code is to assist all patients to the best of her ability. What blended skill would she use when seeking out special services for a homeless patient with a diabetic foot ulcer?
A. Cognitive
B. Technical
C. Interpersonal
D. Ethical
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25. Professionalism Class Question
Identify three personal traits you think are required for an individual to be a Professional Nurse.
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26. Definitions of professional nursing have evolved to acknowledge eight essential features:
The services provided are vital to human beings and the welfare of society.
There exists a special body of knowledge that undergoes continual growth through research.
The services provided involve intellectual activities and individual responsibility or accountability.
Practitioners receive education in institutions of higher learning.
Practitioners have autonomy and control their own policies and activities.
Practitioners are motivated by the service they provide and consider their work important to their lives (altruism).
Practitioners’ decisions and conduct are guided by a code of ethics.
High standards of practice are encouraged and supported by an organization.
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27. Nursing is a Profession
Professionalism
Nursing is not simply a collection of skills.
A criteria of a profession is having a professional organization that sets standards for practice and education.
Nursing is a Profession
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28. Professional Nursing Organizations
American Nurses Association‘s (ANA) defines standards that allow nurse to carry out professional roles, serves as protection for the nurse, the patient, and the institution where healthcare is given.
National League for Nursing (NLN) is accreditation agency for nursing schools.
National Council Licensure Examination (NCLEX) provides the licensing examination.
Quality and Safety Education in Nursing (QSEN) - The Robert Wood Johnson Foundation has funded this project with the overall goal to address the challenge of preparing future nurses with the knowledge, skills and attitudes necessary to improve the quality & safety of healthcare.
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29. Guidelines for Practice
As a nurse, your actions are guided by legal standards of nursing practice.
TBON- Texas Board of Nursing - Defines legal scope of nursing practice in Texas via NPA – Nurse Practice Acts
TJC – the Joint Commission - Defines the National Patient Safety Goals.
ANA Code of Ethics for Nurses – Defines the ethical scope of nursing practice.
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30. Define legal scope of nursing practice for a state.
Nurse Practice Acts
Define legal scope of nursing practice for a state.
Exclude untrained or unlicensed people from practicing nursing.
Make and enforce rules and regulations for nurses.
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31. Texas Board of Nursing (TBON)
The Texas Board of Nursing legally defines and regulates the scope of nursing practice in Texas, establish criteria for education, and licensure.
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32. Scope of Practice
Each nurse / student is held legally responsible and accountable for meeting the standards of nursing practice.
The student nurse , you, should NEVER act beyond your “Scope of Practice”
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33. The Goals focus on problems in health care safety & how to solve them.
TJC – the Joint Commission - Defines the National Patient Safety Goals.
The purpose of the National Patient Safety Goals is to improve patient safety.
The Goals focus on problems in health care safety & how to solve them.
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34. Goal 1: Identify patients correctly
Use at least two ways to identify patients.
1. Patient’s name
2. Medical record
number
This is done to make sure that each patient gets the medicine and treatment meant for them.
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35. Goal 2: Improve staff communication
Quickly report important results of tests and diagnostic procedures to the right staff person.
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36. Goal 4: Prevent infection
Use the hand cleaning guidelines from the Centers for Disease Control and Prevention or the World Health Organization.
Use proven guidelines to prevent infections that are difficult to treat.
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37. Goal 5: Identify patient safety risks
Reduce the risk of falls.
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38. ANA Code of Ethics for Nurses
Is a succinct statement of the ethical obligations & duties of every nurse.
Is the profession’s nonnegotiable ethical standard.
The ultimate ethical responsibility for professional practice of nursing and nursing skills lies with YOU, as an the individual nurse.
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39. Question
What is the purpose of the ANA’s Scope & Standards of Practice?
To describe the ethical responsibility of nurses.
To define the activities that are special and unique to nursing.
To establish nurse as an independent and free-standing profession.
To regulate the practice of nurses.
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40. Answer
Nursing Code of Ethics describes the ethical responsibility of nurses.
Nursing is a collaborative profession not an independent or a free-standing profession.
The Nurse Practice Acts regulates the practice of nurses.
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41. An organization can provide guidelines, but
In Summary
An organization can provide guidelines, but
it is the individual nurse who must maintain the standards and take responsibility and be accountable for own nursing practice.
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42. What is the Nursing process? Why do nurses use this process?
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43. 5 Steps in the Nursing Process
Assessment
Collect Data
Validate Data
Organize Data
Diagnoses
Analyze Data
Formulate
diagnosis
Evaluation
Goal achievement
Reassess / Revise
Terminate if goal
met
Implementation
Carrying out the
plan/ perform
the skills
Planning
Establish goals
Develop
outcome criteria
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44. Example of how the Nursing Process applies to everyday life:
You are driving along and suddenly you hear a bang, you start having trouble controlling your car's direction and it's hard to keep your hands on the steering wheel. You pull over to the side of the road. "What's wrong?" you're thinking. You look over the dashboard and none of the warning lights are blinking. You decide to get out of the car and take a look at the outside of the vehicle. You start walking around it. Then, you see it. A huge nail is sticking out of one of the rear tires and the tire is noticeably deflated.
What you have just done is: STEP #1 - Assessment
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45. Step 2 – Nursing Diagnosis
Nursing Process
Step 2 – Nursing Diagnosis
Analyze all the data collected and arrive at a conclusion as to the problem.
What would you say is the problem?
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46. Example of how the Nursing Process applies to everyday life cont.:
Step 3 – Planning – Setting Goals
What is your goal?
What is your plan to deal with the current problem?
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47. Example of how the Nursing Process applies to everyday life cont.:
 Step 4 - Implementation
This is an action – carry out your plan.
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48. Step 5 - Evaluation
After the new tire is installed you put the flat one in the trunk along with the jack, dust yourself off, take a long drink of that bottle of water you had with you and prepare to drive off. You begin slowly to test the feel as you drive. Good. Everything seems fine. The spare tire seems to be OK and off you go and on your way.
Was your goal met?; partially met? Or not met at all?
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49. Question
Which step of the nursing process is a nurse using when she takes the patient blood pressure every 4 hours?
A. Assessing
B. Diagnosing
C. Planning
D. Implementing
E. Evaluating
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50. Step I – Assessment ACC ADN Program Guide for Assessment of a Patient
P = Psychosocial Needs
E = Elimination Needs
R = Rest, Regulatory,
Reproductive Needs
S = Safety Needs
O = Oxygenation Needs
N = Nutrition Needs
Give examples of what you would assess in each of these categories
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51. Safety Measures – These measures will be utilized with every skill.
Safety Measures for All Clinical Skill Performances
* Indicates a critical behavior – all are critical
2nd 
I. Verify Health Care Provider’s (HCP’s) orders and/or hospital policy.
II. Gather all needed equipment and supplies. Check expiration dates as needed.
Entry Measures:
Perform hand hygiene, put on PPE, if indicated.
Greet patient and introduce self (Name, ACC Nursing Student)
Identify patient using two acceptable identifiers (ask patient their name & assess MR#/DOB)
Assess patient for allergies.
Explain the procedure to the patient and why this intervention is needed. Answer any questions as needed. (add from all of Taylor’s videos)
Provide privacy.
Raise bed to a working height.
Exit Measures:
4 P’s (Pain, Potty, Possessions and Position).
Bed in lowest position.
Two side rails up.
Call bell within reach.
Verbalize to patient that you are leaving.
Perform hand hygiene.
Performance Summary Measures:
Perform procedures in safe, logical, organized manner.
Demonstrate asepsis, infection control, and/or sterile technique.
Follow the “6 rights” of medication administration.
Start Time: _________ End Time: ________Completes procedure in ___minutes.
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52. Exiting a Room Ensure all safety precautions are in place:
Is in the bed in position?
Are only two side rails as needed?
Is Call Bell in reach?
Did you perform hand hygiene as leaving?
Lowest Up
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