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Quality and Safety Education in Nursing (QSEN) competencies which were developed to prepare future nurses to have the knowledge,skills and attitudes necessary to continuously improve the quality and safety of healthcare are defined as: Patient-Centered Care: “Recognize the patient or designee as the source of control and full partner in providingcompassionate and coordinated care based on respect for patient’s preferences, values, and needs” (QSEN, 2018).Safety: “Minimizes risk of harm to patients and providers through both system effectiveness and individual performance”(QSEN, 2018).Informatics: “Use information and technology to communicate, manage knowledge, mitigate error, and support decisionmaking” (QSEN, 2018).Teamwork and Collaboration: “Function effectively within nursing and inter-professional teams, fostering opencommunication, mutual respect, and shared decision-making to achieve quality patient care” (QSEN, 2018).Evidence-Based Practice: “Integrate best current evidence with clinical expertise and patient/family preferences and valuesfor delivery of optimal health care” (QSEN, 2018).Quality Improvement: “Use data to monitor the outcomes of care processes and use improvement methods to design and testchanges to continuously improve the quality and safety of health care systems” (QSEN, 2018).REFERENCESNational League for Nursing. (2010). Outcomes and Competencies for Graduates of Practical/Vocations, Diploma, Associate Degree,Baccalaureate, Master’s, Practice Doctorate, and Research Doctorate Programs in Nursing. New York, NY: National League forNursing.Quality and Safety Education for Nurses (QSEN) Institute. (2018). QSEN Competencies.Revised May 21, 2021

KENTUCKY COMMUNITY AND TECHNICAL COLLEGE SYSTEMASSOCIATE DEGREE NURSINGGRADUATE OUTCOMESTechnical Competencies: Associate Degree in NursingUpon completion of this program, the graduate can:1. Advocate for patients and families in ways that promote their self-determination, integrity, and ongoing growth as humanbeings (human flourishing).a. Incorporate culturally competent, individualized plans of care focusing on services and activities that promoteindependence, maintain or restore health, or support a peaceful death and advocate for access and quality of care forpatients.b. Formulate teaching/learning processes to facilitate patients’ informed decision-making to support and achievepositive outcomes that demonstrates respect for diverse patients.2. Formulate judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, qualitycare and promote the health of patients within a family and community context (nursing judgment).a. Utilize the nursing process as a basis for clinical judgment to optimize outcomes of care for the patient, family, andcommunity.b. Establish and maintain effective/therapeutic communication in collaboration with patients, families, significantothers, and members of the health care team.c. Manage the direct provision of nursing care through effective organizational skills, appropriate delegation, andsupervision within the scope of practice.3. Develop one’s role as a nurse in ways that reflect integrity, responsibility, ethical practice and an evolving identity as a nursecommitted to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients within a family andcommunity context (professional identity).a. Employ principles of advocacy, quality and safety, healthcare policy, and cost effectiveness to improve healthcareoutcomes.b. Exhibit professional behaviors/practice as defined by the ethical, legal, and regulatory frameworks of nursing.c. Incorporate the ability to ethically and responsibly integrate technology to skillfully locate, evaluate, use, create andcommunicate information to improve the quality and safety of patient care and the life and employability ofgraduates.4. Consider the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions,and offer new insights to improve the quality of care for patients, families, and communities (spirit of inquiry).a. Interpret evidence-based literature/research for use in nursing practice.b. Exhibit continuous learning within the nursing profession.Nursing – Associate DegreeDegrees:AAS NursingTracks:Modular 62-66Standard 62-66Description:The Associate Degree Nursing program prepares graduates to use their skill and knowledge to fulfill the role of the nurse and issupported by the works of the National League for Nursing (NLN) Education Competencies and Quality and Safety Education inNursing (QSEN). The NLN Outcomes and Competencies for Graduates of Associate Degree Programs in Nursing which serve asgoals of nursing education for entry into nursing practice are: human flourishing, nursing judgment, professional identity, andspirit of inquiry. QSEN competencies which were developed to prepare future nurses to have the knowledge, skills and attitudesnecessary to continuously improve the quality and safety of healthcare are: patient centered care, safety, informatics, teamworkRevised May 21, 2021

and collaboration, evidenced based practice, and quality improvement. These core components are introduced, developed andbuilt upon through the curriculum. Graduates are eligible to take the National Council Licensure Examination for RegisteredNurses (NCLEX-RN). The Associate Degree Nursing curriculum is organized around a clearly defined conceptual framework andcombines general education and nursing courses. The nursing courses correlate classroom and clinical instruction in a variety ofcommunity agencies.Acceptance into the Associate Degree Nursing program is based on a selective admissions process. In order to be considered foradmission, applicants must comply with college and program admission requirements.Progression in the Associate Degree Nursing program is contingent upon achievement of a grade of “C” or better in eachbiological science, nursing and mathematics course. Completion of the nursing program will meet the KCTCS graduaterequirement of digital literacy.Note: The Kentucky Board of Nursing may deny a nursing graduate admission to the NCLEX-RN Exam if an individual has beenconvicted of a misdemeanor or felony which involves acts that bear directly on the qualifications of the graduate to practicenursing.The following Associate Degree Nursing programs are accredited by the Accreditation Commission for Nursing in Education,3390 Peachtree Rd. NE, Suite 1400, Atlanta, GA 30326, www.acenursing.org, telephone: (404) 975-5000:Ashland Community and Technical College, Bluegrass Community and Technical College, Elizabethtown Community andTechnical College, Henderson Community College, Hopkinsville Community College, Jefferson Community and Technical College,Madisonville Community College, Somerset Community College, Southeast Kentucky Community and Technical College, WestKentucky Community and Technical College.The following Associate Degree Nursing program is accredited by the National League of Nursing Commission for NursingEducation Accreditation (CNEA), 2600 Virginia Avenue, NW, The Watergate, Washington, DC 20037, www.nln.org/cnea,telephone: (202)-909-2487: Owensboro Community and Technical College.Implementation:Fall 2019Competencies:Nursing – Associate DegreeUpon completion of this program, the graduate can:1. Advocate for patients and families in ways that promote their self-determination, integrity, and ongoing growth as humanbeings (human flourishing).a. Incorporate culturally competent, individualized plans of care focusing on services and activities that promoteindependence, maintain or restore health, or support a peaceful death and advocate for access and quality of care forpatients.b. Formulate teaching/learning processes to facilitate the patients in informed decision-making to achieve positiveoutcomes and support the client’s functional patterns that demonstrates respect for diverse patients.2. Formulate judgments in practice, substantiated with evidence, that integrate nursing science in the provision of safe, qualitycare and promote the health of patients within a family and community context (nursing judgment).a. Utilize the nursing process as a basis for clinical judgment to optimize outcomes of care for the patient, family, andcommunity.b. Establish and maintain effective/therapeutic communication in collaboration with patients, families, significantothers, and members of the health care team.c. Manage the direct provision of nursing care through effective organizational skills, appropriate delegation, andsupervision within the scope of practice.3. Develop one’s role as a nurse in ways that reflect integrity, responsibility, ethical practice and an evolving identity as a nursecommitted to evidence-based practice, caring, advocacy, and safe, quality care for diverse patients within a family andcommunity context (professional identity).Revised May 21, 2021

a. Employ principles of advocacy, quality and safety, healthcare policy, and cost effectiveness to improve healthcareoutcomes.b. Exhibit professional behaviors/practice as defined by the ethical, legal, and regulatory frameworks of nursing.c. Incorporate the ability to ethically and responsibly integrate technology to skillfully locate, evaluate, use, create andcommunicate information to improve the quality and safety of patient care and the life and employability ofgraduates.4. Consider the evidence that underlies clinical nursing practice to challenge the status quo, question underlying assumptions,and offer new insights to improve the quality of care for patients, families, and communities (spirit of inquiry).a. Interpret evidence-based literature/research for use in nursing practice.b. Exhibit continuous learning within the nursing profession.Outline: AAS in Nursing (Modular Track)Revised May 21, 2021

CoursePrefixCourse 199NSGNSGNSGNSGNSG211212213229239Course TitleCredit HoursHuman Anatomy & Physiology IHuman Anatomy & Physiology IIMedical MicrobiologyGeneral PsychologyWriting IQuantitative Reasoning Course atAA/AS LevelHeritage/Humanities Course444333Subtotal24Nursing Assistant Skills ICPR for Healthcare Professionals***Nursing Practice I***Medical/Surgical Nursing I OR**Transition to ADN OR**Accelerated Transition: PN-ADNBridgeMaternal Newborn NursingBehavioral Health NursingPediatric NursingMedical/Surgical Nursing IIMedical/Surgical Nursing III0-30-197(4)(2)Subtotal38-42TOTAL CREDITS62-66333376**Taken by Licensed PracticalNurses who meet specificprogram requirements.***Credit may be awarded toLicensed Practical Nurses whomeet specific programrequirements.Completion of the nursingprogram will meet the KCTCSgraduate requirement of digitalliteracy.Dates of Actions:Approved: May 2001Revised: May 2002, Fall 2003, May 2004, Fall 2006, May 2008; December 2008; October 2011; December 2013, March 2017,December 2017Revised May 21, 2021

CPR CERTIFICATIONALL STUDENTS ARE REQUIRED TO HAVE CURRENT AHA "AMERICAN HEARTHEALTHCARE PROVIDER" CPR CERTIFICATION prior to the beginning of NSG 101. A copy of the signed CPR certification cardmust be on CastleBranch. Students who are not certified will not be admitted to the clinical agencies.COURSE LOADThe course load carried by a student may not exceed that described in the KCTCS Catalog.CURRENT CURRICULUMNSG 101 - Nursing Practice I - 9 CreditsDescription:Focuses on nursing practice within the context of the contemporary health care delivery system by introducing the nursingprocess and basic nursing concepts as a framework for organizing care delivery. Emphasizes foundational knowledge of nursingpractice, skills acquisition, and the basic care of diverse patient populations. Introduces the four competencies of nursingpractice including human flourishing, nursing judgment, professional identity, and spirit of inquiry and Quality and SafetyEducation for Nurses (QSEN).Components: Lecture: 5 credit hours (75 contact hours). Laboratory: 4 credit hours (180 contact hours).Pre-requisite: Admission to the Associate Degree Nursing program. BIO 137 and Quantitative Reasoning Course at AA/AS levelwith a grade of “C” or better, PSY 110, 75 hour nursing assistant course or its equivalent.Pre- or Co-requisite: BIO 139 with a grade of “C” or betterImplementation: Fall 2019Competencies:Upon completion of this course, the student can:1.2.3.4.5.6.7.8.9.Examine assessment data to develop and implement a patient centered plan of care for the adult and gerontologic patient thatpromotes independence, maintenance and restoration of health or supports a peaceful death; (1A, 3B, 4A) *Perform identified foundational nursing skills according to evidenced based critical criteria documented in the Essential Skills; (2B,2C, 3B, 4A) *Identify and apply at a beginning level, the nursing process to nursing judgment and the holistic management of care for onepatient experiencing alterations in health; (1A, 2A, 2C, 3B, 4A) *Utilize basic communication techniques with patients and members of the health care team; (1A, 2B, 3C) *Recognize caring behaviors in self and others; (1A, 2B, 3B) *Demonstrate a beginning knowledge of professional behaviors as identified by the standards of nursing practice; (2C, 3A, 3B, 3C,4A, 4B) *Identify and respond to situations that require basic knowledge of teaching and learning strategies; (1B, 2A, 4A, 4B) *Recognize and report situations that require collaboration with the patient and other members of the health care team. (1A, 2B,2C, 3A, 4A) *Demonstrate digital literacy with ethical and responsible knowledge, behavior, and skills (including communication) required fornurses to collect, store, retrieve, and process information. (1A, 1B, 2A, 2B, 3A, 3B, 3C, 4A)** This indicates which end of program student competency that the course competency reflects.Outline:Revised May 21, 2021

I.II.III.IV.V.VI.VII.Professional Identity: Context of Nursing PracticeA. The Nursing Profession as a Context for PracticeB. Health Care Delivery System as a Context for PracticeNursing Judgement: Framework for Nursing PracticeA. Developing a Framework for Practice: Nursing ProcessB. Critical Thinking and Clinical JudgmentC. Physical Assessment TechniquesD. Managing Care of a PatientHuman Flourishing: The Tools of PracticeA. Patient Teaching and LearningB. CommunicationC. Caring InterventionsD. Patient AdvocacySpirit of Inquiry and Nursing InformaticsA. Tools of TechnologyB. Ethical/Responsible UseC. Manage InformationGrowth and Development and Health PromotionA. Young AdultB. Middle AdultC. Older AdultD. Variability in the Adult LifespanRole of the Nurse in the Management of CareA. SafetyB. Infection ControlC. Basic Concepts of Medication AdministrationD. Perioperative CareBasic Nursing Care Concepts and Introduction to IllnessA.B.C.D.E.F.G.H.I.J.K.Sensory onUrinary EliminationBowel Fluid and Electrolytes/ Acid-BaseSkin al Principles (overriding)*Safety Practices (overriding)*Standard Precautions (overriding)* Physical Assessment*Administration of Medications*Teaching – Learning*Surgical AsepsisHeat ApplicationCold Application*I.V. Maintenance and TerminationOxygen AdministrationRevised May 21, 2021

Glucose MonitoringEnemasBasic Care and ComfortTherapeutic CommunicationRest and SleepPain ManagementActivity and MobilityApplication of Soft/Medical Physical RestraintsMeasuring and Evaluating Intake and OutputAssessing, Evaluating, and Facilitating Nutrition Needs*Management of CareLibrary orientation to health related databases (locating, evaluating, etc.)Technology tools (learning management system, computerized examinations, electronic health record, etc.)Accessing and inputting data through electronic meansLearning Resources:Ignatavicius, D & Workman, M. (2017), Medical-surgical nursing patient-centered collaborative care (9th ed.). St. Louis, MO:Elsevier.McCuistion, Vuljoin-DiMaggio, Winton & Yeager (2018). Pharmacology: A patient-centered nursing process approach (9th ed).St. Louis, MO: Elsevier.Abrams, A.C. (2017) Clinical drug therapy (11th ed.), Philadelphia, PA: J. B. Lippincott.Ackley, B. J., Ladwig, G. B., & Makic, M. F. (2017) Nursing Diagnosis Handbook (11th ed.). St. Louis, MO: Elsevier.Potter, P. A., Perry, A. G., Stockert, P., & Hall, A. (2017) Fundamentals of nursing (9th ed.). St Louis: Elsevier.Jarvis, C. (2016) Physical examination and health assessment (7th ed.). St Louis: Elsevier.Fischback, F. R. & Fischback, M. A. (2017). Fischback’s A manual of laboratory and diagnostic tests (10th ed.). Philadelphia, PA: J.B. Lippincott.Cherry, B. & Jacobs, S. R. (2017) Contemporary nursing: Issues, trends, and management (7th ed.). St. Louis, MO: /ElsevierNSG 219 – Medical Surgical Nursing I - 7 CreditsDescription:Focuses on the application of the core components of nursing practice to adult patients experiencing actual or potentialalterations in health. Strengthens the four competencies of nursing practice including human flourishing, nursing judgment,professional identity, and spirit of inquiry and Quality and Safety Education for Nurses (QSEN). Emphasizes the concepts ofnutrition, metabolism, endocrine, elimination, and integumentary.Components: Lecture: 4 credit hours (60 contact hours). Lab/Clinical: 3 credits (135 contact hours).Pre-requisite: NSG 101 and BIO 139 with a grade of “C” or betterPre- or Co-requisite: NSG 212 with a grade of “C” or better and ENG 101Revised May 21, 2021

Implementation: Fall 2019Competencies:Upon completion of this course the student can:1. Interpret assessment data to develop and implement a patient centered plan of care for the adult and gerontologic patientexperiencing actual or potential alterations in nutrition, metabolism, elimination, and integumentary. (1A, 3B, 4A) *2. Provide safe nursing care while maintaining previously learned skills and acquiring additional essential skills that adhere toevidence based critical criteria. (2B, 2C, 3B, 4A) *3. Apply the nursing process as a basis for nursing judgment and the management of care for a minimum of two patients. (1A,2A, 2C, 3B, 4A) *4. Communicate effectively with patients, families, significant others and members of the health care team. (1A, 2B, 3C) *5. Translate caring behaviors into nursing practice. (1A, 2B, 3B) *6. Demonstrate professional behaviors according to the standards of nursing practice in the delivery of patient care. (2C, 3A, 3B,3C, 4A, 4B) *7. Implement understanding of the teaching-learning processes. (1B, 2A, 4A, 4B) *8. Demonstrate teamwork/collaboration with the patient, family, significant others and members of the health care team in thedelivery of safe, quality, cost effective health care. (1A, 2B, 2C, 3A, 4A) *9. Apply information technology in an ethical and responsible manner to enhance the delivery of safe and quality patient care.(1A, 1B, 2A, 2B, 3A, 3B, 3C, 4A) **This indicates which end of program student competency that the course competency reflects.Outline:Managing Care for Patients with an emphasis on w

Henderson Community College Associate Degree Nursing Student Handbook 2021-2022 The purpose of the Henderson Community College Associate Nursing Degree Handbook is to present guidelines and policies for the students. It is given to each student at nursing orientation. However, the policies are subject to change without notice with each