HACC Clinical Jeopardy

Nursing Handbook

100

True or false Students not complying with the dress code and uniform requirements while in the clinical setting will be send home by the faculty member, unless the issue can be remedied immediately.

True.

200

You overhear one of your students in clinical saying that she is pregnant. You were unaware of this. What do you want to discuss with this student?

Needs health care provider to fill out a "Health Policy related to illness, injury, or pregnancy" form and student signs acknowledging the policy, Notify the course coordinator, Student's responsibility to be aware of the recommendations from the CDC R/T the avoidance of exposure to infectious diseases by pregnant women (pg. 18)

300

Your nursing student suddenly develops a migraine 2 hours before clinical is due to end. The student has vomited in the bathroom, and wishes to go home. The instructor advises the student that she is going to get an academic deficiency for "failure to complete the entire clinical experience as scheduled." Is this correct? Why or why not?

No it is not correct. If a student becomes ill in clinical, send them home and no academic deficiency. If they leave more than 30 minutes before the end of clinical, please notify your course coordinator so they arrange how the student will make up the day.

400

Your student is taking care of a client in a regular room when you discover that the client's diagnosis has come back as TB (the student has had accidental exposure to TB). What do you do with this student?

1) Report exposure to clinical site and DCE 2) Follow agency's policy- typically incident report 3) Report- PCP/health department- Should get PPD and teaching (S & S of TB) 4) Complete a "HACC Health Career Program Blood and Body fluid or TB incident report" within 24 hours. 5) Sign the "HACC Health Career Programs' Post Exposure Responsibility Form" 6) Student needs to provide results of PPD. 7) Expected that student will do all post exposure follow up (page 52)

500

You smell alcohol on the breath of one of your clinical students. Who do you notify and what do you do/say to this student?

Remove the student from direct patient care, Objective 2nd opinion, Notify DCE/Director, Fill out "Reasonable Suspicion Documentation form", student required to undergo testing, Student transportation home arranged (emergency contact or taxi), if + dismissed from the program (pg 37-38)

Adjunct Matters

100

True or False Nursing adjuncts need to mark the clinical make-up day on their calendar (the dates are part of their contract) and are expected to be available to work if selected by their course coordinator.

True. Please mark the make-up days on your calendar and keep your schedule free!

200

True or false If the clinical adjunct calls in sick, the day may be made up or a alternative assignment issued by the course coordinator or Director of Clinical education. True or false If a student calls the clinical instructor at least 30 minutes prior to arriving late (they had a flat tire), they do not get an Academic deficiency.

True. The course coordinator or DCE will decide how you and your students will be making up the clinical time. **False. Students arriving late, regardless of the reason, get an AD (If you are not sure, give it and the director/DCE can investigate whether there was a massive closure of 283, etc that affected multiple students).

300

What is the expectation when a nursing adjunct "calls in sick"? Who do you need to notify?

You need to notify: Your students, Your course coordinator, the clinical site, and the Director of Clinical Education

400

Why is it problematic when nursing adjunct faculty end clinical early or allow students to take an extended lunch break? How would you advise a student who feels that he is being discriminated upon for being male by his clinical instructor (who is not you)?

We need to report a certain number of clinical hours to the state and for accreditation; Students talk- sets up for grievance **Zero tolerance policy- Need to talk directly with the instructor, then Course Coordinator, then unresolved concerns to Campus Director, then unresolved concerns to Campus Dean. Chain of command!

500

What is FERPA and how does it relate to your role as a nursing adjunct faculty? How would you facilitate learning for a deaf student? What special considerations do you need to consider for transgender students?

FERPA-Family Educational Rights and Privacy Act is a federal law that protects the privacy of student educational records and information. Utilize email to send student information, protect information, etc. **Deaf student- entitled to an interpreter, specialized equipment, communication with Disability Services **Transgender- Refer to as the pronoun that he/she identifies with, bathroom usage with the gender identified with, no discrimination, etc.

Scenarios

100

Your student in clinical stumbles through inserting a urinary catheter, needing lots of prompts from you, despite already testing off on this skill in N 141. What would you do?

Discuss with the student privately and obtain feedback "How do you think that you did?" Student needs a lab prescription (needs done within 1 week), Notify Mrs. Mumma about lab prescription, not met in the tool under "Caring" (demonstrates consistent ability to perform basic nursing skills).

200

A student arrives to clinical with black nail polish on and a large tattoo showing on the back of their neck. You do not notice it until clinical has already started on the floor. What do you say/do with this student?

Not following the clinical dress code in the handbook. Can the student remedy the situation immediately? If so, they get a "not met" in the tool under "CARING" (demonstrates clinical preparation) and get to stay in clinical. If not, they get sent home and AD (failure to comply with printed clinical requirements) and "Not Met" in the tool.

300

Your student is not meeting the clinical objectives consistently in clinical every week after the first 2 weeks. What do you do?

Discussion with the student (need to know what objectives they are not meeting and how to fix), student writing their own remediation plans, communication with the course coordinator, Do they need a lab prescription, etc.?

400

A student arrives to clinical four minutes late, smelling like cigarette smoke, chewing gum, hair hanging down on collar, and in a wrinkled uniform. Would this student be able to stay and complete the clinical day? Why or why not? *What is the required clinical dress code?

Handbook page 36- “sent home unless the issue can be remedied immediately”- so they would be sent home and receive an AD for being late. You can mark multiple reasons on the AD (failure to arrive at scheduled time, failure to comply with printed clinical requirements, unexcused absence from clinical); ** clean uniform, non-permeable white, navy, or black shoes, name pin, bandage scissors, (hemostat-second level), black pen, watch with a second hand, stethoscope, HACC photo ID with name pin, facility ID if required, wedding band and stud earring only, short fingernails no polish or artificial nails, no excessive make-up, hair off the collar, free of fragrances and odors, no gum chewing

500

Your student forgets to prime the IV tubing and is ready to hook the primary tubing filled with air up to the client's central line. What do you do (say, document, recommend)?

Stop the student! :-) Discuss safety, Document not met medication administration, need to do a remediation prescription, notify course coordinator, discussion of student performance (is this a pattern)?