Bon Secours Memorial College of Nursing

Annual Practicum Course Report

Course Information
Academic Year 2016-2017
Course Number NUR 3104
Course Title Competencies for Nursing Practice II
Course Credit (Contact Hours) 2 (75)
Type of course
(Identify the type of course from the following list- BSN Practicum, BSN Practicum/Lab
RN-BSN Practicum)
Faculty Completing Report Tamarah Pearson
(Insert faculty name leading the course report)
Additional Faculty Karyn Schultz, Wendi Liverman, Ann Pryor, Kaitlin Chidley
(Insert additional faculty names that taught course within the
Academic Year)
Review of the Previous Academic Year
Course Action Plan Course Recommendations
(does not need curriculum approval) (need curriculum approval)
Based on the analysis you completed last academic year, Based on the analysis from last academic year, what
what course improvements were you planning making? recommendations were provided to curriculum last year?
[e.g. modify teaching/learning strategies, test revisions,] [e.g., syllabus recommendations to curriculum to include
(copy & paste information from last years report) change in content/modules, change in course objectives,
change in evaluation methods ]
(copy & paste information from last years report)

1.Nothing at this time 1. Nothing at this time

2. 2.
3. 3.

For each item on the action plan listed above, indicate if Were the recommendations accepted by curriculum? If so,
it was completed, in progress, or not done. Provide brief how did the change(s) impact students? Provide an expert
description or explanation if needed. analysis.

1. N/A 1. N/A
2. 2.
3. 3.

Practicum Hours
Detailed practicum hours need to be submitted separately in spreadsheet format and include all clinical groups within
the practicum course. In the table below please provide a summary of the average total hours spent in each practicum
setting. This information will come directly from the course practicum hour spreadsheet.
Expected Hours/Student # # # # # # #
Type of Setting DC/A DC/C DC/SIM OBS Alt. Exp Other Total
Average for Fall 21.71 15.4 6.92 29.93 73.96

Average for Spring 19.22 15.64 6.67 28.64 70.37

Average for Summer N/A

 Bon Secours Memorial College of Nursing
Annual Practicum Course Report
Provide an expert analysis of the practicum hour - Simulation truly augments practical experiences
breakdown. Consider the following: Does the - No community experiences in this course, and adding
breakdown of practicum hours provide the best this would not be appropriate for the content delivery
opportunity to meet course objectives? Does it provide - All course objectives are met with the current
enough variety between acute and community breakdown of hours in each setting.
experiences? Does simulation augment the practicum
experience?

Course Assignments
Type Description Evaluation Is the evaluation method appropriate,
(Reflection, Criteria the appropriate weight, and effective?
simulation, paper, (satisfactory/ Provide an expert analysis.
concept map, ATI etc.) unsatisfactory,
point system)
Reflections x4 One for each simulation S/U Yes personal learning reflected and
experience individualized per student, however the
students seem less engaged in the
process as the semester progresses
ATI modules x 6 Pain Management, IV Therapy, Complete/Incom Yes instruct the student in skills and
Blood Administration, Closed Chest plete reinforce lab instruction
Drainage, CVAD, Medication
Administration
Healthstream Code Blue Documentation, ECG, Complete/Incom Yes instruct the student in skills,
modules x3 Phlebotomy One plete reinforce lab instruction, preparing the
student for Connect Care use
Simulations x4 Medication Administration, End of S/U Yes allow students to experience a
Life, Blood Transfusion Reaction, variety of patient scenarios in a safe
and Pre-Op Simulation environment
Short Answer Renal Observation Experience Complete/Incom Yes helps the student to focus their
assignment plete observations and questions on the
important aspects of hemodialysis and
the patient experience
Skills Checklist Program skills checklist required Complete/Incom Yes included in the students portfolio
for NUR 2103 and NUR 3104 plete and immersion preceptor packet
Practicum Midterm and Final self-evaluation Complete/Incom Yes provides student the opportunity to
Evaluation Tool and instructor feedback pmlete reflect on experiences and compare their
thoughts to the instructors feedback.
Grade Distribution
Semester A B+ B C+ C D+ D F P W WS WU
Fall 1 55

Spring 56

Summer
Faculty Analysis of Grade Distribution
(As the course expert, write a paragraph critically reflecting on the grade distribution considering the following questions:
Is the grade distribution appropriate? What percentage of students were successful/unsuccessful? Are there trends that you would like to explore?
Were there unusual circumstances that you would like to provide rationale? )
 Bon Secours Memorial College of Nursing
Annual Practicum Course Report

Grade distribution is expected based on the type of course.

Student Course Evaluations

Course Evaluation Participation Rates Course Evaluation Satisfaction Rates
(Benchmark 35%) (Benchmark 85% Positive Responses)
Semester Rate Did it meet Semester Rate Did it meet
benchmark? benchmark?
Fall 69% Yes Fall 100% Yes

Spring 61% Yes Spring 100% Yes

Summer N/A Summer N/A

Select Student Comments from Course Evaluations

Fall Sometimes it is unclear what is expected in a simulation. Ex. are all props
supposed to be indicative of real life or are they just "props" for the sim? It
makes a difference when making clinical decisions.

I especially enjoyed the observations and skills practice.

The time in lab was suitable for learning new skills, but it often became
boring because I feel like we could have been taught it quicker or more
efficiently.

Thank you for a great semester. I have learned a lot, and I will value the
skills that have developed and grown. I encourage a bit of revamping or
tweaking in some of the powerpoints that are taught in class.

Spring Being able to pass meds in the ED was SO wonderful and helpful. I would
love to have had more ED opportunities.

I thought this class didnt need to be as long as it was. Time was dragged
out but was a very good learning experience. Enjoyed the ED rotations the
most

The instructors were most helpful in proving assistance and information

needed during clinical practice. They made sure that clinical skills were
practiced in live setting and we were exposed to as much scenarios as
possible.

I especially enjoyed going to the emergency departments and having the

opportunities to practice what we have learned in the lab.

Summer

N/A
 Bon Secours Memorial College of Nursing
Annual Practicum Course Report
Faculty Analysis of Student Course Evaluations
- There is room in the course to rearrange content a little to fill in the open lab time that students suggested as boring.
- Several PowerPoints have been modified and will be updated again as needed.

Student Practicum Site Evaluations

PR = participation rate; SR= satisfaction rate
Fall Spring Summer
Site PR SR PR SR PR SR Select Student Comments
Dialysis 0% 57% This was an interesting experience, however I felt a bit useless
as all we did was observe all day. We were not included in any
patient care so I felt idle just standing around watching the staff
work.

Wonderful experience! This observation helped to really shed

some light on all of the steps that go into dialysis treatments.
The staff was very willing to explain and educate the process
that they go through with each patient from beginning to end.

It was a good learning experience, I feel like I could have

learned more if I was there when they first opened so I could see
them set up a patient and hook them to the machine. That was
one thing I wanted to see but did not get to.

Spend more time on dialysis so that when we go to the facility

we will be more prepared.
MRMC VAT 0% 27% This was a fun experience as well. We got to watch 2 central
lines placed. The people we watched we extremely nice and
explained everything. They were very welcoming and seemed to
like to teach. That was a great experience.

This rotation was so helpful! We saw a PICC line insertion and

all different types of lines started on patients. The PICC team at
MRMC was so helpful and the orientation at the beginning made
the whole experience make sense. She explained what their
team did and reviewed PICC lines in detail. Overall this was a
great clinical experience.
SMH - VAT 0% 27% We were not able to view any patients getting a PICC line
inserted simply because there were none that needed one
during the time we were there. The VAT team said afternoons
were the time they did more PICC lines, and we were there from
0800 til 1200. We saw one patient have a Quinton removed.
Other than that, we sat in the VAT team office with the VAT team
and learned as much as we could from the equipment they
showed us. Thery were very kind and taught us as much as they
could, but it was a bit disappointing that we did not get out to see
more patients.

This observation was extremely underwhelming on our particular

day. The nurses we were with were great, but we basically sat in
an office for 4 hours and only saw an IV placed (which I've
already been checked off on and done myself). I would suggest
removing this experience from Comp II's curriculum.
 Bon Secours Memorial College of Nursing
Annual Practicum Course Report
MRMC IC 0% 14.5 This experience taught me a lot about
% administering chemotherapy, blood transfusions, and
accessing/caring for patients with chest ports.

Was informative to observe and learn about the different drugs,

blood administration and illnesses that bring these patients in. I
also got to observe a patient who was part of a clinical trial and
that was interesting to see the different steps they have to take
to accommodate the trial. The physician overseeing the trial
was present that day and shared a lot of information with me
about the trial and research.
SMH - IC 0% 14.5 This was a great experience! I would count this as an area I
% would do after graduation.

I felt like this observation should've been shorter. I spent a lot of

time just sitting and waiting for something to happen.
RCH - ED 0% 38% Smaller groups for this ED experience might make the day run
faster.

As my first ER rotation it was an extremely satisfying and

educational experience.

I wasn't a big fan of RCH ED because I felt like there wasn't

much to do. It's definitely a different environment and a
community hospital.
SFMC - ED 0% 45% The nurses and other staff were great to be with. The nurses
seemed happy to teach the students and made an effort to
provide teaching. The nurses provided plenty of opportunities for
skills practice and even gave some pointers about what works
best. The teamwork there was great, which makes a big
difference.
MRMC - ED 0% 61% The staff here was excellent at finding the students when they
had interesting things for us to see or experience. Every
time something out of the ordinary came in, the staff made an
effort to find us and make us apart of the situation so we could
learn and experience. They were excellent at teaching,
encouraging and helping us through tasks and situations. They
worked so well as a team and made us as students a part of that
team when teaching.

Ultimately its about the patient, but I did not feel welcome, I felt
that I was in the way and a bother to a good portion of the staff I
interacted with and I was uncomfortable and a spaz because of
it. I really looked forward to my experience here because of the
great things I heard about the unit. We did have amazing
experiences and got to practice our skills, but I felt off.
SMH - ED 0% 58% This ED experience was so helpful with practicing skills. We
were constantly pulled to see different procedures and test out
skills from our instructor. I liked how we were paired up with a
nurse throughout the day as well. We got to experience a lot
between shadowing an RN and Mrs. Shultz finding interesting
patients for us to observe.

Overall, my experience at SMH ED was not great. I did not feel

that the nurses worked as a team or were happy to teach
students. I did have a chance to work with a good nurse for a
 Bon Secours Memorial College of Nursing
Annual Practicum Course Report
little bit, but overall I was a little disappointed by my time there. I
was presented with an opportunity to insert a foley and did learn
a bit about foley placement. I also learned about MAP with BPs
and about DNR patients from the good nurse I spent time with.

Faculty Analysis of Practicum Sites

Please provide your expert analysis of the practicum sites used in the course considering student evaluations and your expert analysis.
Students reported good experiences with dialysis, especially the Amelia location. Students reported good experiences
with the MRMC VAT as well. All students spoke highly of the ER experiences. Instructors feel that the rapport between
students, instructors and staff at the ERs is beneficial and positive for the student experience. Instructors adjusted ER
times for spring semester to accommodate census fluctuations in ED, resulted in marked improvement in involvement of
students during their experience.

Faculty Impression, Action Plan, and Recommendations

Critically reflect on the data provided above and critically reflect on the course.
Strengths and Best Practices
As the course expert, describe the course strengths and best
practices. Consider the following: practicum hours,
practicum sites, ATI, grade distribution, student course
evaluations, and site evaluations.
Opportunities
As the course expert, describe the opportunities that exist in
the course. Consider the following: instructional
methodology, technology, evaluation measures, ATI, grade
distribution, student course evaluations, and site
evaluations
- Hands on experiences in the ED
- Exposure to unique specialties such as Vascular Access and
Dialysis
- Simulations, especially End of Life
- Addition of a simulation team member as the physician in the
End of Life sim (provided consistency during the experience and
allowed the instructor to truly observe and evaluate the sim)
- Too much lecture during the lab hours
- No evaluation of student learning during the VAT/IC observation
experience
- Adjust times of experiences to offer the best opportunities for
student learning

Course Action Plan (Does not require Curriculum
Approval)
Recommendations (Requires Curriculum
- Consider alternative methods of instruction during lab hours, to
include student-led learning (self-taught workstations)
- Addition of the student observer role in 2 simulations
- Shorten the final simulation day (End of Life) by 30 minutes and
redistribute the time to another experience in order to decrease
the stress of the content and experience on the students and
instructors.
None at this time
 Bon Secours Memorial College of Nursing
Annual Practicum Course Report
Approval)

Curriculum Committee Impression of the Course Report

Overall impression
Was their critical reflection?
Is more information needed?
Does the committee have questions for the
faculty?
Are the grade distributions appropriate?
Did the faculty critically reflect on their
course, provide insight, and appropriate
recommendations to provide the committee
information for review?
How does this course contribute to the
program?
Are the assignments appropriate?
Are the curriculum threads (concepts listed in
the program outcomes) built upon in course
assignments?
Was their critical reflection? Yes
Is more information needed? No
Does the committee have questions for the faculty? No
Are the grade distributions appropriate? Yes
Did the faculty critically reflect on their course, provide insight,
and appropriate recommendations to provide the committee
information for review? Yes
How does this course contribute to the program? Skills and
safely
Are the assignments appropriate? Yes
Are the curriculum threads (concepts listed in the program
outcomes) built upon in course assignments? Safety, lifelong
learning

Curriculum vote on recommendations

N/A

Communication from the committee to the Thank you for submitting a thorough and complete course report.
course faculty