NURS 433 01: Clinical Practicum III

NURS 433 - Clinical Practicum III

2023 Fall Syllabus, Section 01, CRN 2226

Course Information

You are responsible for knowing this material, so please read carefully. Any changes will be announced in a Blackboard Announcement. You will be responsible for any changes. Your continued enrollment in this course is your implicit agreement to abide by the requirements of this class.

4 semester credits

Pre-Requisites: NURS 330, NURS 331, NURS 332, NURS 333, NURS 334

Co-Requisites: NURS 404, NURS 420, NURS 430, NURS 406, NURS 403

Course Placement: Semester Three of Traditional BSN Program

Times and Location

T 7am-3:30pm in TBA
W 7am-11am in TBA
T 8am-3:30pm in UND Nursing, Rm 102
W 7am-11am in UND Nursing, Rm 216
W 7am-11am in UND Nursing, Rm 204

We will meet only once from 8:00am-3:30pm for our orientation day. The other days/times listed above are correct and are the weekly meeting times throughout the semester.

Instructor Information

Raquel Zeidlik, MS, RN

Semester Coordinator


Office: Room 323, Nursing Building

Office Phone: 701-777-4514

Cell Phone: 701-740-1665

Hannah Hathaway, MSN, RN


Office: Room 329, Nursing Building

Cell Phone: 701-777-4532

Stephanie Christian, PhD, RN

Department Chair


Office: Room 359, Nursing Building

Office Phone: 701-777-4505

Cyndee Leppke

Administrative Assistant


Office: Room 313, Nursing Building

Office Phone: 701-777-4542

Course Description

This clinical course broadens the student's development of clinical skills needed for safe, competent provision of care for diverse patients with multiple/complex problems across the life span. Students will work with other members of the inter-professional team to plan, implement and evaluate safe, quality care for patients based on concepts that complement the Health & Illness III course. The course emphasizes proficiency and efficiency in applying evidence-based knowledge, skills, attitudes and patient care technologies that will promote a state of optimal health for patients.

Course Objectives

Upon completion of this course, the student will:

  1. Professionally communicate with patients and the health care team.
  2. Synthesize knowledge of altered health states and psychosocial needs of patients to develop a plan of care.
  3. Utilize a comprehensive evidence-based approach to assessing, planning, implementing, and evaluating care for patients with complex health conditions. 
  4. Exhibit professional nursing behaviors when applying skills and knowledge in a clinical setting.
  5. Demonstrates independence and interdependence in communication and collaboration within the health care team as a case manager


  1. Mood and Affect
  2. Perfusion: Clotting
  3. Reproduction/Sexuality
  4. Interpersonal Violence
  5. Gas Exchange
  6. Fluids and Electrolytes
  7. Addiction
  8. Mobility
  9. Intracranial regulation
  10. Psychosis
  11. Inflammation
  12. Infection/Immunity
  13. Perfusion: Shock/Trauma


  1. Onsite Clinical Experiences
  2. Pre and post clinical conference discussions, guest speakers
  3. Written patient care assignments
  4. Concept-based learning activities, case studies
  5. Required and recommended readings
  6. Student Led Post Clinical Discussion
  7. Clinical Simulation Experiences
  8. Clinical Performance Evaluation

Course Materials

Required Resources

Technologies Institute. RN adult medical surgical nursing edition 11.0. Overland Park, KS: Assessment Technologies Institute, LLC. 

Giddens, J.F. (2021). Concepts for nursing practice. (3rd ed.). St. Louis, MO: Elsevier.

Trakalo, K., Horowitz, L., & McCulloch, A. (Eds.) (2019). Nursing: A concept-based approach to learning. (3rd ed.). Boston, MA: Pearson Education, Inc.

Pagana, K., Pagana, T., & Pagana, T. (2022). Mosby’s manual of diagnostic and laboratory tests. (7th ed.). St. Louis, MO: Elsevier.

Kizior, R.J., & Hodgson, K. (2023). Saunders nursing drug handbook. St. Louis, MO: Elsevier.

Assessment Summary


Learning will be assessed using a standardized clinical performance evaluation tool. Learning activities will include clinical activities, assigned readings, in-class discussion, seminar, written assignments, videos and instructional media, student presentations, virtual assignments, and simulations.

Method of Evaluation*

Grades are earned in clinical courses based on the student's ability to apply knowledge and skill to client care, to meet the clinical objectives for the course, and to give safe, competent nursing care.

Assignment Points
Syllabus Quiz 10 points
Cardiac Quizzes (x2) 10 points
Weekly Clinical Assignments (x4)

140 points

ATI Practice Assessments (x6)

30 points

Team Lead Assignment

100 points

Case Management Assignment

50 points

Clinical Simulation Assignments (x4)

80 points

Post Conference Participation (x10)

30 points

Clinical Performance Evaluation



450 points

Final Grade Scale

> 92.00% A

83.00-91.99% B

74.00-82.99% C

66.00-73.99% D

< 65.99% F

I - Incomplete

Grading Policies

According to CNPD procedure # 403a:

  1. Students must earn a minimum grade of “C”. A final grade of “D” or “F” is considered to be a course failure.
  2. According to University policy, grades cannot be given over the telephone or discussed over e-mail. Please make an appointment with course faculty to discuss grades.
  3. There will be no rounding up of grades or extra credit offered for any reason.
  4. Incomplete grades will be given in accordance with UND policy.
  5. A student may challenge a grade on an assignment within five school days of the date the grade was given.
  6. *Graded activities will use a rubric to provide grading consistency and expectations. Rubrics are posted in Blackboard.
  7. Students are responsible to know what their grades are during the course and are expected to review the gradebook frequently. Students should contact course faculty to discuss a plan to improve, if appropriate.
  8. Clinical Grades:
    1. Students must attain a Satisfactory Final Clinical Performance Evaluation, 74% average on weekly clinical assignments, and a total point average of 74% or above in order to pass the course.
    2. Responsible members of the health team may also contribute their observations of students' performance to be added to the evaluation of students.


Students must come prepared to clinical simulation experiences by completing assigned readings and a simulation worksheet prior to each learning experience.  This work will serve as your “ticket” into the simulation experience.  Unprepared students will not be allowed to participate and will earn a zero for that assignment.


In the N433 Clinical Practicum, as in all nursing courses at the University of North Dakota, students are representatives of the College of Nursing and Professional Disciplines.  As such, students are expected to display professional behaviors including honesty, integrity, and respect in their interactions with peers, colleagues, agency personnel, faculty, and clients. This includes verbal and non-verbal communication.  Unsatisfactory professional behavior can result in failure of the course or dismissal from the College of Nursing and Professional Disciplines. 

Expectations for professional behavior in classroom and clinical experiences include the following:

  • Students will arrive prepared for clinical on time and will remain alert and attentive throughout those experiences.
  • Students will be appropriately dressed in accordance with policies outlined in syllabus and UND dress code; students will also abide by dress code as dictated by clinical agencies.
  • Students will not engage in text messaging, e-mailing, searching the web, or accepting or making phone calls during clinical time unless these activities are related to the clinical experience. Cell phones are to be turned off and stored in locker or bag, except for break and lunch time, unless prior approval of the clinical instructor has been obtained.
  • Students will not read any materials, such as textbooks, assignments, newspapers, or magazines not related to the clinical experience during clinical time.
  • Students will not bring food into the clinical setting unless approved by instructor and/or clinical agency. Lunches may be brought to clinical for break time/lunch time.
  • Students will demonstrate accountability and responsibility for their own professional behavior and development.


The clinical instructor evaluates student performance after each clinical experience.  Periodic written evaluations on student progress will be individually reviewed and signed by the student and faculty during student evaluation sessions.  Responsible members of the health team may also contribute their observations of students’ performance. 

Students must attain a Satisfactory Final Clinical Evaluation based on the N403 Clinical Performance Evaluation Tool Objectives and Competencies.  However, failure to meet the Critical Behavior Objectives and/or Competencies related to patient safety, medication administration and/or professional accountability & responsibility will result in a failing clinical grade.

Course Policies


  1. Attendance in clinical is mandatory.  An excused absence may be given for reasons of illness, death of a family member, or other serious need determined by the clinical instructor (vacations, weddings, family reunions, etc. will not be given an excused absence).
    1. Students must contact their clinical faculty member at least one hour prior to the expected absence or it will be counted as an unexcused absence.
    2. It is the student’s responsibility to notify the faculty by sending an email through the UND e-mail system of their inability to be present. Phone calls and text messages are not acceptable means of notification.
    3. Excused absences from clinical will require makeup.  Specific requirements for the make-up will be determined by the clinical instructor. 
  2. Any unexcused absence will result in an unsatisfactory grade for professional development on the Clinical Evaluation Performance Tool, which will result in a failure of the course.
  3. Absences during orientation week or in the last week of the semester will result in up to a 10% reduction in the final course grade.

Grading/Professional Behavior Criteria

  1. Students are required to use your UND e-mail address for communication and are responsible for information posted on the course blackboard site or sent via e-mail.
  2. Due dates for assignments will be determined by your Clinical Instructor.  Late work will not be accepted, and the student will receive a 0, unless the late submission has been approved by the course faculty.
    1. Extensions of assignment due dates is not the norm.  Any extension of an assignment must be discussed with the clinical instructor at least 24 hours prior to the assignment due date/time and will be determined by the clinical instructor – the maximum amount of any extension will be no greater than one day.
    2. Written assignments shall be typed in Microsoft Word (or a Microsoft Word compatible program) and submitted through the designated Blackboard drop box in a Word document format.  Proper spelling, grammar, and APA format are expected.
    3. Individual student work is the expectation of all clinical assignments, unless otherwise specified by the clinical faculty.  All written assignments will be run through an online plagiarism detection tool called Safe Assign.
    4. It is a good practice to make sure your assignments are submitted well before the due date to avoid last minute technical issues that may interfere with submission of the assignment.  If an assignment is not noted in the student’s gradebook on Blackboard, it is then treated as though the student did not complete the assignment. The student must provide written documentation as proof of submission for the assignment to be considered for acceptance.
  3. Invasive skill procedures are to be practiced only in supervised settings.
  4. Students may not leave the hospital premises during clinical hours.
  5. The use of electronic devices (cell phones, etc.) during clinical hours is prohibited according to Altru Hospital policy, except for educational purposes and only in specifically designated areas of Altru Hospital.  You will not be allowed to carry your cell phone during hands on patient care clinical hours.
  6. All medications given need to be looked up PRIOR to administration.  This is a safety issue.  Failure to do this is considered unsafe nursing practice and may result in failure of the course.
  7. No photocopying/picture taking of client records is allowed.  This is considered a breach in confidentiality and may result in failure of the course.  Any computer-generated documents with client name and identifying information are not to be removed from the clinical agency.

Academic Integrity

Academic dishonesty is defined in the UND Code of Student Life and Nursing Policy 257. This includes, but is not limited to cheating, plagiarism, and collusion.  In this course, there is a ZERO TOLERANCE policy; we uphold behaviors reflective of individual responsibility, mutual trust, professional values, and standards.  Any student observing academic dishonesty is required to report the incident to the course instructor.  Infractions may result in failure of the assignment, a maximum grade achievement of “C”, and/or failure of the course.  Alternatively, the instructor may refer the case as a disciplinary matter to the assistant dean of students.

Dress Code

  • The UND green scrub top and bottom nursing uniform along with your UND photo identification must always be worn in the clinical agency.  Professional dress is expected at all times (no vests, no sweatshirts, no sweatpants, etc.). 
  • Students may wear black, white, gray, or light pink solid color t-shirt under scrubs.  Students may wear UND green scrub jacket over scrubs.

Equipment Requirements

  • Students are required to have purchased the following equipment for use in the clinical setting: watch (with second hand), stethoscope, bandage scissors, and pen light.  Hemostat is optional.

Student-Faculty Conferences

  • Faculty are available for conferences and should be consulted for any concerns the student has related to the clinical expectations and performance. Students are asked to make appointments to see faculty. 

College/Department Policies


  1. Students who do not have the required verifications documented will not be allowed to participate in clinical learning activities until such verification is on file and will receive an unexcused absence for missed clinical experiences. 
  2. Students must earn a “C” or better in all nursing courses to progress to the next nursing course.
  3. Students may be required to attend workshops pertinent to the course.  Students are required to pay the registration fee and other workshop expenses (Policy #243).


Important information is available to you through Starfish, which is an online system used to help students be successful. When an instructor observes student behaviors or concerns that may impede academic success, the instructor may raise a flag that notifies the student of the concern and/or refer the student to their academic advisor or UND resource. Please pay attention to these emails and take the recommended actions. They are sent to help you be successful!

Starfish also allows you to (1) schedule appointments with various offices and individuals across campus, (2) request help on a variety of topics, and (3) search and locate information on offices and services at UND. You can log into Starfish by clicking on Logins on the UND homepage and then selecting Starfish. A link to Starfish is also available in Blackboard once you have signed in.

University of North Dakota Policies & Resources

Academic Integrity

Academic integrity is a serious matter, and any deviations from appropriate behavior will be dealt with strongly. At the discretion of the professor, situations of concern may be dealt with as a scholastic matter or a disciplinary matter.

As a scholastic matter, the professor has the discretion to determine appropriate penalties for the student’s workload or grade, but the situation may be resolved without involving many individuals. An alternative is to treat the situation as a disciplinary matter, which can result in suspension from the University, or have lesser penalties. Be aware that I view this as a very serious matter and will have little tolerance and/or sympathy for questionable practices. A student who attempts to obtain credit for work that is not their own (whether that be on a paper, quiz, homework assignment, exam, etc.) will likely receive a failing grade for that item of work, and at the professor’s discretion, may also receive a failing grade in the course. For more information read the Code of Student Life.

Access and Opportunity, Disability Support, & Medical Services

The University of North Dakota is committed to providing equal access to students with documented disabilities. To ensure access to this class and your program, please contact Disability Services for Students (DSS) to engage in a confidential discussion about accommodations for the classroom and clinical settings. Accommodations are not provided retroactively. Students are encouraged to register with DSS at the start of their program. More information can be obtained by email or by phone at 701.777.2664.


UND is committed to maintaining a safe learning environment while providing quality learning experiences for our students. COVID-19’s continued presence within our UND community may necessitate changes in classroom management as the academic year progresses. As such, UND asks students and instructors to be flexible when necessary to promote a safe environment for learning. Please do not attend an in-person class or lab if you are feeling ill, particularly if you are experiencing symptoms of COVID-19, or if you have been directed by health professionals to quarantine or isolate. If you are not able to attend class or lab, please notify your instructor as soon as possible and discuss options for making up any missed work in order to ensure your ability to succeed in the course. If you will have an extended absence due to serious illness or other uncontrollable circumstances, you may request an absence notification through the Office of Student Rights and Responsibilities. Similarly, if your instructor is ill they may need to cancel class or temporarily move your course to online delivery to ensure that you are able to complete the course successfully.  Instructors may require students to wear masks in the classroom or in the laboratory as a preventative measure designed to facilitate uninterrupted classroom engagement and to facilitate health and safety in the classroom.   If your instructor does require masks in class or in a laboratory, you are expected to comply with that request.

UND also strongly encourages all members of the University community, including students, to get vaccinated, seek out testing when needed, and model positive behavior both on- and off-campus to foster a healthy and safe learning environment for all students. Individuals who would like to discuss disability accommodations regarding masks should contact the Disability Services for Students (DSS) office at 701.777.2664 or Individuals who are unable to wear a mask due to a sincerely held religious belief should contact the UND Equal Opportunity and Title IX Office at 701.777.4171 or

Religious Accommodations

UND offers religious accommodations, which are reasonable changes in the academic environment that enable a student to practice or observe a sincerely held religious belief without undue hardship on the University. Examples include time for prayer or the ability to attend religious events or observe a religious holiday. To request an accommodation, complete the student religious accommodation request form. If you have any questions, you may contact the Equal Opportunity & Title IX Office.

Pregnancy Accommodations

Students who need assistance with academic adjustments related to pregnancy or childbirth may contact the Equal Opportunity & Title IX Office or Academic Affairs to learn about your options. Additional information and services may be found at Pregnancy Resources.

Notice of Nondiscrimination

It is the policy of the University of North Dakota that no person shall be discriminated against because of race, religion, age, color, gender, disability, national origin, creed, sexual orientation, gender identity, genetic information, marital status, veteran’s status, or political belief or affiliation and the equal opportunity and access to facilities shall be available to all. Concerns regarding Title IX, Title VI, Title VII, ADA, and Section 504 may be addressed to Donna Smith, Assistant Vice President for Equal Opportunity & Title IX and Title IX/ADA Coordinator, 102 Twamley Hall, 701.777.4171, or the Office for Civil Rights, U.S. Dept. of Education, 230 S. Dearborn St., 37th Floor, Chicago, IL 60604 or any other federal agency.

Reporting of Discrimination, Harassment, or Sexual Misconduct

If you or a friend has experienced sexual misconduct, such as sexual harassment, sexual assault, domestic violence, dating violence, or stalking, please contact the Equal Opportunity & Title IX Office or UND’s Title IX Coordinator, Donna Smith, for assistance: 701.777.4171;; or visit the Title IX webpage. You may also contact the Equal Opportunity & Title IX office if you or a friend has experienced discrimination or harassment based on a protected class, such as race, color, national origin, religion, sex, age, disability, sexual orientation, gender identity, genetic information, pregnancy, marital or parental status, veteran's status, or political belief or affiliation.

Faculty Reporting Obligations Regarding Discrimination, Harassment, or Sexual Misconduct

It is important for students to understand that faculty are required to share with UND’s Title IX Coordinator any incidents of sexual misconduct or of discrimination or harassment based on a protected class that they become aware of, even if those incidents occurred in the past or are disclosed as part of a class assignment. This does not mean an investigation will occur if the student does not want that, but it does allow UND to provide resources to help the student continue to be successful at UND. If you have been impacted by discrimination, harassment, or sexual misconduct, you can find information about confidential support services on the Equal Opportunity & Title IX webpage..

UND Cares Program

How to Seek Help When in Distress

We know that while college is a wonderful time for most students, however, some students may struggle or have issues that arise. You may experience students in distress on campus, in your classroom, in your home, and within residence halls. Distressed students may initially seek assistance from faculty, staff members, their parents, and other students. In addition to the support we can provide to each other, there are also professional support services available to students through the Dean of Students and University Counseling Center. Both staffs are available to consult with you about getting help or providing a friend with the help that he or she may need. For more additional information, please visit the UND Cares Program Webpage.

How to Recognize When a Student is in Distress

The term “distressed” can mean any of the following:

  • Student has significant changes in eating, sleeping, grooming, spending, or other daily activities.
  • Student has cut off or minimized contact with family or friends.
  • Student has significant changes in performance or involvement in academics, sports, extracurricular, or social activities.
  • Student describes problems (missing class, not remembering, destructive behavior) that result from experiences with drinking or drugs.
  • Student is acting withdrawn, volatile, tearful, etc.
  • Student is acting out of character or different than usual.
  • Student is talking explicitly about hopelessness or suicide.
  • Student has difficulty concentrating or difficulty carrying on a normal conversation.
  • Student has excessive dependence on others for company or support.
  • Student reports feeling out of control of one’s emotions, thoughts, or behaviors.

Land Acknowledgement Statement

Today, the University of North Dakota rests on the ancestral lands of the Pembina and Red Lake Bands of Ojibwe and the Dakota Oyate - presently existing as composite parts of the Red Lake, Turtle Mountain, White Earth Bands, and the Dakota Tribes of Minnesota and North Dakota. We acknowledge the people who resided here for generations and recognize that the spirit of the Ojibwe and Oyate people permeate this land. As a university community, we will continue to build upon our relations with the First Nations of the State of North Dakota - the Mandan, Hidatsa, and Arikara Nation, Sisseton-Wahpeton Oyate Nation, Spirit Lake Nation, Standing Rock Sioux Tribe, and Turtle Mountain Band of Chippewa Indians.

Additional Resources

It is my goal to foster an environment of mutual respect in which everyone feels comfortable voicing their opinions, sharing their stories, and learning about potentially heavy or personally relevant material. If, at any point, you feel like the information covered in this class elicits thoughts, feelings, or concerns that you would like to discuss further, don’t hesitate to reach out to me, or the UND Counseling Center (701-777-2127).

Further, if you experience extenuating circumstances, sexual violence, identity-based harm, or any other personal crisis during the semester, don’t hesitate to reach out to me so we can provide academic assistance and help you in this course, and put you in contact with the appropriate resources and services (if needed).