Comprehensive Notes on Clinical Rotations, Simulations, Skills Labs, and Practicums
Professionalism and Grading
- Professionalism is graded on the same scale as clinical lab and sim time.
- Points are awarded based on participation, writing, and meeting expectations.
- Grading details are available on Canvas.
- Professional development expectations align with competencies.
Course Breakdown
- 35% of the grade is based on clinical assignments (weekly).
- The remaining portion comes from skills and learning activities like simulations.
- A minimum of 80% is required to pass the course.
- Clinical questions/concerns: Contact the instructor via email or in the hall office.
- Simulation-related questions: Contact the simulation instructor.
- Skills lab/skills day/pass-off questions: Contact Natasha.
- Practicum-related questions: Contact Nikki.
- For general inquiries, email the instructor.
- Seven clinical rotations this semester at various facilities.
- Shifts are 12 hours long.
- Clinical Orientation: Details will be provided separately.
- Punctuality is mandatory.
- If you anticipate missing clinical, simulation, or lab time, notify instructors ASAP for potential make-up hours.
- All hours of skills lab, simulation, and clinical are mandatory.
- In case of weather-related cancellations, instructors will notify you. Otherwise, proceed to the hospital. Failure to attend without notification results in a zero for professionalism and requires making up the entire shift.
- Inform instructors of any special precautions (e.g., latex allergy, pregnancy) for appropriate accommodations.
- Report any injuries at clinical to the clinical instructor immediately to ensure proper handling and policy adherence.
- Clinical evaluations occur at midterm and final, graded on a scale of satisfactory, developing, or needs improvement.
- Instructors will discuss midterm evaluations with students.
- Self-evaluations are completed at midterm and after the final.
- To pass the course, the final clinical evaluation must show developing or satisfactory in every category. "Needs improvement" in any category results in course failure.
- Instructors aim to address concerns and help students improve during clinical rotations.
- Read all directions and rubrics in Canvas for due dates and requirements.
Clinical Paperwork
- Complete all required clinical paperwork by the due date.
- Failure to complete paperwork may prevent the entire cohort from attending clinicals at certain hospitals.
- The clinical forms assignment outlines required tasks for each facility.
- Lakeview and Arvo Regional require an employment verification form (Step 2) to be completed and uploaded to Canvas.
- The employment verification form requires a work history of the last ten years or since the age of 18, including job titles and approximate salary ranges.
- One can check the enrollment suite portal to verify completion status. "Complete, nothing to do" indicates that the requirements are met.
- Updates will be provided, and instructors will add scores in the Gradebook.
- Four simulations are scheduled during the semester in place of clinicals.
- Intro Simulation: Introduces the sim lab and its mannequins with realistic body sounds.
- Baseline Simulation: Involves assessments on live patients prior to clinical experiences.
- OB Simulation: Provides OB experience for all students, including those at hospitals without OB units.
- Safety Simulation: Low-stress simulation with a scavenger hunt format focused on safety protocols.
- Each simulation has a pre-assignment (approximately 20 minutes) to prepare students for the simulation content.
- Simulations involve role-playing scenarios where students act as nurses, assess patients, and communicate with physicians using SBAR.
- Debriefing sessions follow each scenario to discuss strengths and areas for improvement.
- Post-simulation assignments include reflective journals to identify strong areas, areas for improvement, and knowledge gains.
- Simulation feedback is collected to improve future simulations.
Skills Lab and Pass-Offs
- The first skills lab is integrated into the regular classroom setting.
- Clean skills like enemas, ostomy care, NG tube insertion, and feeding will be taught.
- Students will be well-prepared for skills lab pass-offs through practice and confidence-building activities.
- Resources are available in the nursing office for additional practice.
- Each pass-off is worth 3% of the grade.
- Simulate skills on a real patient, including proper patient identification and glove usage.
- Smartwatches are not allowed during pass-offs to prevent referencing rubrics.
- Pass-offs contribute 15% to the overall grade.
- Each pass-off is paired with a quiz to assess knowledge. Quizzes now include what was previously said in the past off.
- The knowledge-based component is separated from the demonstration, aiding in knowledge assessment.
- Study guides are provided for each quiz.
- If a score is below 80%, a remediation quiz is required, though it will not improve the original score.
Practicums
- Practicums provide a dress rehearsal for skills, allowing students to practice with a partner.
- Uniforms are not required for practicums.
- The practicum allows students to prepare for skills with their partner.
- Students alternate roles, with one demonstrating the skill and the other providing feedback using a rubric.
- The effectiveness of the practicum depends on thorough coaching from the partner, including correcting mistakes and ensuring proper technique.
General Reminders
- Plenty of communication and scheduling will occur via calendars.
- Students are encouraged to ask questions for clarification.
- Instructors are available to address concerns and offer support.
- Employment verification must be turned into a clinical work assignment.