Nursing 214
Nursing Care of the Adult and Child - II



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About Clinical

Every NUR 214 student is assigned to a clinical group at one of the following locations: Highland Hospital, Unity Hospital, Rochester General Hospital, or Strong Memorial Hospital. Clinical days are 9 hours long and are pre-assigned. Various other community agencies are used for additional clinical experiences such as community health and manager of care. Each student is also required to attend a full day pediatric clinical rotation at Strong Memorial Hospital. Your clinical instructor will provide additional information about the clinical experience in NUR 214.


The clinical laboratory grade is "S" (Satisfactory) or "U" (Unsatisfactory). A satisfactory grade is achieved when the student

1. prepares for each clinical laboratory session by

a. describing the theory and nursing skills related to the Primary Clinical Objectives and Suggested Activities.

b. stating theoretical content related to the assigned client, as listed on the Nursing Process Assignment.

2. meets the standard in the clinical laboratory by achieving 64 of 71 criteria on the NUR 214 Clinical Performance Appraisal, including all of the criteria identified as critical (marked with an asterisk).


3. meets the standard on all criteria for these skills

a. Documentation

b. Tracheostomy Suctioning

c. Neurological Check of an Adult

If the student does not meet the standard for a skill, the student and faculty will determine a plan to achieve the standard. The student will need to demonstrate that the standard is met before the end of the semester. A rating will be recorded each time the skill is evaluated. If a student accumulates 3 DNMS ratings on skill evaluations (cumulative for all skills evaluated) a Review of Clinical Laboratory Progress is initiated.

4. meets standards for completion of these written assignments

a. Clinical Observation Experience (one for each observation)

b. Evaluation of the Discharge Process for a Client

c. Health History Assignment

d. Managing Care Assignment

e. Nursing Process Assignment

f. Community Health Nursing Experience

g. Development of an Individualized Teaching Plan

5. meets standards for Pediatric Inpatient Clinical Experience


At least one student/faculty conference will be scheduled during the semester for reviewing student progress toward meeting the standard on the Clinical Performance Appraisal (CPA). Additional conferences may be initiated by either the student or the faculty. A conference for final review of the student's CPA will be scheduled at the end of the semester.

Students are accountable for material presented in NUR 214 and all previous nursing courses in the program.

When a student's performance (including attendance), during the clinical laboratories does not meet the course standards, the student will be informed of this by the faculty. This information will be given to the student in one or more of the following formats:

    • verbal report
    • written synopsis of the clinical performance
    • review of clinical faculty's anecdotal records
    • written incident report

Notification of the incident will occur prior to the next week's clinical laboratory.

NUR 214 faculty will review the status of any student who shows insufficient progress toward meeting the standard of performance. During the review, faculty will consider the student's plan for remediation, theory grade, past progress, current status on the Clinical Performance Appraisal, and attendance. After the review, faculty will make a recommendation which may include remediation, reevaluation, lowering a course grade, and/or designation as a clinical failure.

When a student's clinical performance is documented as consistently unsafe based on the Clinical Performance Appraisal and/or Incident Report(s), the student will receive an unsatisfactory clinical grade and will be prohibited from participation in the clinical laboratory experience for the remainder of the course.

Professional Appearance/Student Dress Code for Clinical Laboratory

Students not in compliance with the guidelines for professional appearance or the dress code will not be permitted to participate in the clinical experience. Exceptions or modifications may be made at the discretion of the instructor.

  1. Personal grooming means strict personal hygiene
  2. Fingernails are to be kept short, clean and are not to extend more than 3 in. beyond the fingertip. Nail polish and false fingernails are not to be worn in the clinical setting.
  3. No scented perfumes, colognes, hair products or after shave lotions. (Ill clients often find odors of any kind offensive. Many clients have allergies to these products.)
  4. Hair must be contained at or above the collar or pulled back. Any student having a mustache or beard must keep it neat and trimmed.
  5. Excessive makeup is prohibited. Wearing of jewelry other than wedding rings and small, post-type earrings (pierced, lower earlobe) is prohibited. Wearing of visible facial metal and/or body jewelry (including tongue piercing) is prohibited.

Clinical experiences requiring MCC student nurse uniform (e.g.: hospitals, long termcare agencies, etc.):

  1. Uniform must be regulation MCC uniform. Uniforms must be clean and neat.
  2. Name pin, stethoscope, pen, and watch that indicates seconds are essential parts of the uniform.
  3. Shoes must be white nurse shoes with nonskid soles or clean, white leather sneakers that have been designated only for clinical use. No clogs are permitted. Shoes are to be polished and have clean laces. White or skin tone stockings are required for dresses (no ankle stockings). Women should wear white or skin tone stockings or white socks with pants. White socks are required for men.
  4. Clean white hip packs are permissible but are not required.

NOTE: Students may not wear visibly soiled uniforms on campus.

When student uniforms are not required for clinical laboratory, clinical faculty will inform students of appropriate attire.

Clinical experiences not requiring MCC student nurse uniform:(childbirth education classes, etc.)

  • Street clothes are to be worn.
  • Women should wear professional attire such as a suit, dress, skirt or dress slacks.
  • Men should wear professional attire such as dress slacks with a dress shirt and tie or sport shirt.
  • Jeans, shorts, T-shirts, sneakers, see-through/midriff length/low-cut shirts, short skirts, tight clothing and/or seductive clothing should not be worn.
  • Name pin (except for self-help group attendance)
  • Low heeled shoes only; nurse's shoes are acceptable (no sandals, clogs, high-heels, sneakers).

Clinical experiences not involving client contact: (visiting community agencies, etc.)

  • Women should wear professional attire such as a suit, dress, skirt or dress slacks.
  • Men should wear professional attire such as suit, dress slacks with sports jacket, dress shirt. A tie is recommended.
  • Jeans, shorts, T-shirts, sneakers, see-through/midriff length/low-cut shirts, short skirts, tight clothing and/or seductive clothing should not be worn.
  • Drinks or food should not be taken (i.e. no travel mugs)

NOTE: For some clinical experiences the student should dress as required by the agency. Students should check with their clinical instructor for further instructions.

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