MAISHA1995
My observation…just to give you an idea what to write on…. The…
My observation…just to give you an idea what to write on…. The floor I was on was Labor and delivery.
PLEASE ANSWER THE QUESTIONS 1-3.
I was on the OB floor and I witnesses a C- section of a PPM baby of 32 weeks where the mom’s water was broken…I think that was pretty cool.
I think the connection/communication between nurses were excellent, like they watch out for each other…
OB Reflection #1
This was my first day in Labor and Delivery
Reflect back on your first day in OB clinical. The concepts of communication, patient education, care coordination and prioritization are the foundation of the nursing profession. Identify and describe how you saw one or two of these concepts in action this week at clinical.
Identify one (1) of the course competencies (from your syllabus) and how you met it this week in clinical.
What questions do you have about your day in LDR/PP/NICU? It may be a procedure you saw, a medication that was used, or a general practice question. Ask away!
Respond thoughtfully to one classmate by the due date.
Here is our syllabus below:
Description
Using the childbearing family as an extensive exemplar, this course focuses on family and
community health: community assessment, epidemiology, and intervention with individuals,
families, communities, and populations. Students address prenatal care, normal and high-risk
pregnancy and childbirth, newborn care, genetic counseling, care coordination, complementary
care, and environmental health.
Course Concepts
Population Health, Genetics and Genomics, Family Dynamics, Culture, Health Policy, Nutrition,
Pain and Comfort, Palliative Care, Professionalism, Quality and Safety, Reproduction & Sexuality
Classroom Conduct
? Civility in a classroom environment optimizes the learning opportunities and positive
experiences for both students and faculty. Students in this course should be respectful
and professional in their behavior. This includes turning cell phones to silent mode, not
sleeping in class, and refraining from side conversations. It is our intention to ensure the
classroom is a safe place for everyone to voice their opinion, learn, and grow
professionally.
? Students should request permission from the instructor before tape-recording any class
or Zoom discussions/meetings.
? Students must check course announcements and email frequently for updates and
related course information.
Program Learning Outcomes (PLO)
At the conclusion of this program, the student will be:
1. A critical thinker who demonstrates intellectual engagement and uses evidence as a basis
for clinical reasoning and decision making.
2. A culturally sensitive individual who provides holistic, individual, family, community, and
population-centered nursing care.
3. A knowledgeable care coordinator who facilitates access to resources across the continuum
of health care environments to meet the evolving health care needs of individuals, families,
communities, and populations.
4. An individual who understands and considers the impact of health care policy, finance, and
regulatory environments on care delivery.
5. An individual who embodies the professional identity of the nurse and who translates the
inherent values of the nursing profession into the ethical and legal practice of nursing.
6. An effective communicator who collaborates with inter professional team members,
patients, and their support systems for improved health outcomes.
7. A competent care provider who is prepared to practice to the full capacity of the
professional nurse role in diverse health care environments.
8. An accountable leader and manager who applies principles of systems and organizational
processes and balances resources to promote quality care and patient safety.
9. An individual who embraces and employs innovations in information management and
technology in the delivery of quality patient care.
Course Objectives
At the conclusion of this course the
student will be able to:
Profiles of Learning for
Undergraduate Success (Plus+)
Evaluation
1. Use evidence-based practice in
caring for the individual, family, and
community including teaching,
counseling, and screenings (Learning
Outcome 1).
Problem Solver
-Thinks Critically
-Collaborate
-Analyzes, Synthesizes, Evaluates
-Perseveres
Classroom Assignments
Examination
Clinical Assignments
2. Assess needs of individuals, families,
and communities in a given
population (Learning Outcomes 1 &
2).
Community Contributor
-Builds Community
-Respectfully Engages Own and Other
Cultures
-Behaves Ethically
-Anticipates Consequences
Classroom Assignments
Examination
Clinical Learning
Discussion Posts
3. Demonstrate accountable,
professional, ethical, and legal
interactions with colleagues,
patients, families, and communities
(Learning Outcome 5).
Innovator
-Creates/Designs
-Confronts Challenges
Community Contributor
-Builds Community
-Respectfully Engages Own and Other
Cultures
-Behaves Ethically
-Anticipates Consequences
Clinical Learning
Group Project
4. Apply concepts that are necessary
for development of professional
behavior (Learning Outcome 7).
Innovator
-Creates/Designs
-Confronts Challenges
Community Contributor
-Builds Community
-Respectfully Engages Own and Other
Cultures
-Behaves Ethically
-Anticipates Consequences
Clinical Paper
Clinical Learning
5. Collaborate with others to develop a
plan of care in individuals, families,
and communities (Learning Outcome
6).
Communicator
-Evaluates Information
-Listens Actively
-Builds Relationships
-Convey Ideas Effectively
Classroom Assignments
Examination
Clinical Learning
Discussion Posts
6. Participate in prevention strategies
for individual, family, and
community with attention to
effectiveness, efficiency, cost, and
equity (Learning Outcome 8).
Innovator
-Investigates
-Creates/Designs
-Confronts Challenges
-Makes Decisions
Classroom Assignments
Examination
Clinical Learning
7. Incorporate the use of technology
and community resources in caring
for individuals, families, and
communities (Learning Outcome 9).
Innovator
-Investigates
-Creates/Designs
-Confronts Challenges
-Makes Decisions
Clinical Paper
Clinical Learning
Required Textbooks
Nies, M. A. & McEwen, M. (2019). Community/public health nursing (7th ed.). Elsevier.
Perry, S. E., Hockenberry, M. J., Cashion, K., Alden, K. R., Olshansky, E. F., & Lowdermilk,
D. L. (2023). Maternal child nursing care (7th ed.). Elsevier.
Recommended Textbooks
American Psychological Association. (2020). Publication manual of the American Psychological
Association (7th ed.). American Psychological Association.
ATI Nursing. (2019). Content mastery series review module: RN community health nursing
(8th ed.). Assessment Technologies Institute, LLC.
ATI Nursing. (2019). Content mastery series review module: RN maternal newborn nursing
(11th ed.). Assessment Technologies Institute, LLC.
Required Readings
In addition to text readings, journal articles and news reports will be posted in Canvas under
Modules.
Teaching and Learning Strategies
? Case methodology
? Collaborative learning
? Socratic methodology/dialogue
? Lecture
? Simulation
? Clinical application
? Care Plan
? Group Project
Evaluation
The student’s performance in the course will be measured as follows:
? Examinations & Quizzes (maximum 175 points) 70%
o Exam 1 @ 40 points
o Exam 2 @ 40 points
o Final Exam @ 65 points
o 6 Community Quizzes @ 5 points each
? Course Assignments (maximum 40 points) 16%
o 2 CAP Assignments @ 1 point each
o 4 CAP Assignments @ 4 points each
o Community Assessment Presentation @ 15 points
o Additional Assignments @ 7 points
? Clinical Assignments (maximum 35 points) 14%
online by the student prior to the listed due date. The ATI Content Mastery Exam Maternal
Newborn will be taken as part of the B334 course. Completion of the ATI Practice Exam is a
requirement for this course. For full credit on the practice exam, students are required to
submit the detailed score report and proof of completion of the Focused Review quiz generated
from the practice exam. For more details on this assignment, please see canvas site assignment.
These activities are required before the proctored exam.
The purpose of the ATI testing is to help you to be successful in taking the NCLEX exam and
provide continuous feedback on competency achievement within the nursing program content.
Students should utilize the RN Outcomes Document to trend content mastery scores
throughout the program and self-reflect on areas needed for improvement in preparation for
IMPORTANT NOTE
? The performance of skills checkoffs, lab, and clinical requirements will be graded
satisfactory/unsatisfactory.
? Unsatisfactory performance in the lab or clinical portion of this course will result in a
failing grade (C minus or lower) for the course and necessitate retaking the course
before progressing to the next semester nursing courses.
? If didactic score is lower than a C minus, you will receive the didactic grade as a final
grade for this course.
Lab/Clinical Activities
? Practice and check-off on fundamental nursing skills
? Simulation/scenarios – put new skills in context
? Learn normal routine of a labor and delivery and postpartum nursing unit
? Practice communication (patient, reporting, and electronic health record)
? Navigate healthcare facility resources to find policies and procedures and retrieve data
? Perform with direct supervision fundamental nursing skills in the care of patients
? Obstetric paperwork consisting of the following: Client history and physical assessment,
care plan (nursing diagnosis with supporting subjective and objective data, intervention
with rationale, measurable patient outcome and evaluation), and medication grid.
? Community windshield survey and assessment data with care plan (nursing diagnosis
with supporting subjective and objective data, interventions with rationale, measure
outcomes and evaluation).
? Student goal setting and evaluation
Dates Concept Exemplar
Weeks 1, 2,
3, 4, 5, 6, 7,
9, 11, 12, 13,
14
Population
Health
Health education, Health literacy, Community Health,
Community Assessment, Community Empowerment,
Homeless Population, Epidemiology, Surveillance,
Windshield Survey, Environmental Health, Disaster
Management, HIV, Environmental Teratogens, Global
Health
Week 7 Genetics and
Genomics
Genetics (Reproduction), Genetic Counseling
Weeks 1, 2,
4, 8
Family Dynamics Prenatal Assessment, Prenatal Education, Postpartum
Care, Antepartum Care, OB Care Plan, Postpartum
Depression
Dates Concept Exemplar
Weeks 3, 4,
7, 8, 13, 14
Quality and
Safety
Environmental Health, Epidemiology, Disaster
Management, Preterm Labor and Birth, Bioterrorism
Weeks 1, 3,
6, 7, 12, 13,
14, 15
Reproduction &
Sexuality
Gestational Conditions, Fetal Complications, Pregnancy,
Fetal Monitoring, Bleeding with Pregnancy, DIC, Induction,
Bleeding with Pregnancy, High Risk Pregnancy, High Risk
Delivery, High Risk Newborn, Endocrine Disorders,
Infertility
Week 2 Culture Cultural Beliefs about Postpartum Care
Week 1, 2 Professionalism Community Health Nursing Roles
Week 12 Palliative Care End of Life – Perinatal Loss
Week 6 Pain and
Comfort
Management of Discomfort, Anesthetic and Analgesic
Methods, Non-Pharmacologic Support
Week 4 Nutrition Normal Newborn Nutrition
Weeks 1, 2,
7, 8, 13, 14
Health Policy Public Health, Local/State/Federal Health Policies and
Agencies
HIPAA Statement
Patient-related information cannot be removed from the clinical unit. Charts may not be
photocopied. Clinical information system printed items cannot be taken from the clinical
facility. Any notes and or written assignments must not contain any of the following 18 Data
Elements for HIPAA De-identification:
1. Names
2. Geographic subdivisions
3. All elements of dates
4. Telephone #
5. Fax #
6. Electronic mail addresses
7. Social security #
8. Medical record #
9. Health plan beneficiary #
10. Account #
11. Certificate/license #
12. Vehicle identifiers and serial #
13. Device identifiers & serial #
14. Web Universal Resource Locators (URLs)
15. Internet Protocol (IP) address #
16. Biometric identifiers, including finger and voice prints
17. Full face photographic images and comparable images
18. Any other unique identifying number, characteristic code
? OB Clinical Hours: 34 clinical hours
Various students may be required to take computer courses for training, and this is not
included in clinical hours. Some students may have to attend prenatal classes as part of
their clinical hours, depending on clinical unit times available. Please note that we
cannot guarantee you see a delivery during your clinical time.
? Community Clinical Hours: 41 hours
Because of the wide variety of sites used for community, various arrangements and
hours will be given to individual students. Your hours may be very different than
another student’s hours in your same clinical section. Agencies close and change
requirements frequently, so you may be asked to change your site/hours suddenly. We
consider student time demands, but please plan on keeping all Thursdays/Fridays
available for clinical for this semester, as things may change suddenly. Clinical hours
include time spent completing the Community Assessment Project.
Special Notes Regarding Clinical Hours
Clinical generally meets between the hours of 07:00 and 17:00 on your scheduled
practicum day. Hours vary widely depending upon the site(s) you are assigned. Transit
time from your home or place of business to campus or to a clinical site will not be
counted. Hours spent online or by telephone for planning, etc. is considered homework,
