Lamar State College - Port Arthur

House Bill 2504

Fall 2017 Course Syllabus

VNSG-1463-01 - Clinical LPN-LVN Training

 
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Faculty Information
SemesterFall 2017
InstructorHare, Diane Lynn
Phone(409) 984-6358
E-mailharedl@lamarpa.edu
Department
Allied Health
Chair:Shirley MacNeill
Phone:(409) 984-6365
E-mail:macneisb@lamarpa.edu
Office
Hours:As posted and by appointment
Building:Allied Health (AH)
Room:127
MyLamarPA Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When youve logged in, click the email icon in the upper right-hand corner to check email, or click on the My Courses tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Course Information
Course Number90384
Course Description A Health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional
Course Prerequisites VNSG 1204 Foundations of Nursing
VNSG 1234 Pediatrics
VNSG 1261 Clinical LVN Nursing
VNSG 1400 Nursing in Health & Illness I
VNSG 1409 Nursing in Health and Illness II
VNSG 1462 Clinical LVN Nursing
Mandatory Co-requisite: VNSG 2410
Required Textbooks Nursing Diagnosis Handbook by ACKLEY. 11th ed. 2017. Publisher: Elsevier
Vallerand Drug Guide/Tabers Index – The Perfect package: A Comprehensive Collection for Nurses. 17th ed. Publisher: Davis FA.    
Langford, R.W. Mosby’s PDQ for LPN: Nursing Facts at Hand (4th ed.). St. Louis: Mosby. Publisher: Elsevier.    
Pass point NCLEX® PN Review 5,000: Please note: No other NCLEX® PN Review will be accepted. You must use the NCLEX® PN Review 5,000 access code provided to you
for this course 470DF09C & CA902334
*You will be required to complete twelve (12) topics with a mastery level of at least 5 as listed on the class schedule. Failure to reach level 5 by the due date will result in a zero (0) for the assignment.

Note: the Average of Pass point grades and other computer assignments will be calculated in with clinical grades.
Attendance Policy Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below:
1.    Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled clinical is expected.
2.    A student who is absent from clinical for more than three (3) days may be dropped from the program by the Program director. A student who is absent from clinical without notification to faculty, may be withdrawn from the program by the program director.
3.    It is the student’s responsibility to notify the instructor prior to any absence from class or clinical. If the student is missing a clinical day, s/he must notify the faculty and that s/he is unable to attend clinical. Each clinical instructor is supplied by the college with a cell phone; the student can call and leave a message if the instructor does not answer. If the student is unable to contact the instructor, the student should call 409-984-6356 or 1-800-477-5872, ext. 6356 and leave a message. Also, the student may email, and/or call the instructor’s office and leave a voice message.
4.    Students who arrive greater than 15 minutes after assigned clinical time will be given a verbal warning and may not be allowed to remain. Students who arrive after assigned clinical time on two (2) occasions will receive a written counseling and will not be allowed to remain. If the student is sent home s/he will be counted absent from clinical.
5.    Students must be present the entire clinical day, including post/pre-conference to get credit for their attendance.
6.    Since clinical is such an important component of the VN Program, students are required to attend 100 percent of the scheduled clinical days in any given semester. Additional written work/computer assignments will be required for each day the student is absent from clinical. These assignments, if required, will not be calculated in the final clinical grade, but be considered as (S) Satisfactory or (U) Unsatisfactory based on submission criteria set forth by clinical instructor. Any student who misses any clinical days in a semester may receive an unsatisfactory (U) in the clinical course and be required to repeat both the didactic and clinical courses. Absence of the required clinical days necessitates the Standards Committee to review the student’s performance in the VN Program. Students who:
a.    Have a 75 test average in the didactic course
b.    Have satisfactory written work/computer assignments in the clinical course
c.    Are up-to-date on skills check-offs in clinical prior to the most recent absence may be allowed to continue in clinical.
Students will be required to do additional written work to continue in clinical. Students who do not meet the above criteria may be dismissed for the semester.
7.    Any student who is “no call, no show” for clinical demonstrates a lack of accountability and unprofessional conduct. Therefore, s/he may fail clinical that semester and must repeat both the clinical and didactic courses to progress in the program. The only possible exception is if a student is physically unable to call the faculty.
8.    Students may be required to attend seminars or workshops to meet clinical objectives. Students will be informed in advance of the requirements. They are expected to attend the entire workshop as scheduled even if it extends past the regularly scheduled clinical time.
9.    The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor by appointment.
10.    The program director has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for vocational nursing makes it inadvisable for that student to continue in the program.
Course Grading Scale 90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F
Determination of Final Grade The grade for the clinical course consists of two components:
(1) Written work/computer assignments which is given a numerical grade and (2) Clinical performance which is graded as S (satisfactory) or U (unsatisfactory).
A student must achieve a minimum average of 74.5% or greater on written work and an “S” on clinical performance to pass the course. The grade received on the written work will be the grade assigned for the course on the transcript provided the student has a satisfactory on clinical performance.
Students with an unsatisfactory for clinical performance will receive a grade of “F” for the course regardless of the numerical grade on the written work.

The student must pass a written medication administration competency evaluation with a minimum score of 90. The student will have three opportunities to achieve a minimum score of 90. Students who do not achieve a minimum score of 90 by the third medication administration exam will not be allowed to continue in either VNSG 1463 or VNSG 2410.
If more than one medication administration exam is required, the average will be used for determination of the medication administration exam grade for VNSG 1463.
Clinical evaluations are completed twice each semester (mid term and end of semester). Evaluations will include student's ability to apply theory in practice, demonstrate competent patient care, and maintain a professional demeanor at all times when in the clinical area. Evaluations are done by the clinical instructor with input from staff at affiliating agency, patients and others as appropriate. Students will sign the evaluation. Their signature attests to the fact that the evaluation conference occurred. It does not signify agreement with the evaluation. Students are given an opportunity to comment in writing on the evaluation.

Note: A student's unsatisfactory mid semester clinical evaluation while in the program permits continuation in the program with continued emphasis on upgrading deficiencies. The student's unsatisfactory clinical evaluation at the end of the semester results in a clinical course grade of "U" and prohibits further continuation in the program.

Students who fail a nursing course may repeat it once. Students must receive a satisfactory (S) in clinical and achieve a 75 course grade in the mandatory co-requisite course to progress in the program.

Students who fail VNSG 2410 Nursing in Health and Illness III and/or VNSG 1230
Maternal-Neonatal Nursing and repeat the course(s) may also be required to repeat the clinical co-requisite course.

All courses listed in a given semester of the program must be completed prior to progressing to the next semester. Each didactic and co-requisite clinical course, as listed for each semester, is a prerequisite for the nursing courses listed in the subsequent semester(s), and must be satisfactorily completed prior to graduating from the nursing program.

Students are required to complete written objectives prior to reporting to nursery, post-partum and labor & delivery. Failure to do so may result in the student being sent home and counted as clinically absent.

Objectives for specialty areas may be found in the clinical notebook. Written assignments are to be turned in when due. Assignments will be given to and graded by the instructor to whom the student is assigned on due date.

Requirements for level III clinical are: total of three case studies (2) Medical-Surgical and (1) Post-Partum Case Study. Labor & Delivery, Post-Partum, Nursery, ICU, Mental Health and Prep-U/Computer assignments. Other assignments include professional resume and attire day, clinical portfolio, medication competency and 3 TAVNE assignments.

Case study grading criteria-A rubric will be utilized by the instructor for grading the case studies. Any section of the rubric the student receives a ‘0’ (zero) in must be corrected for the student to receive the assigned grade. Corrections must be completed within one week of receiving the case study from the instructor. If the case study is not returned in one week with corrections, a ‘0’ (zero) will be given for the case study.

If a student scores less than 75 on a case study, the student should meet with the faculty to determine strategies to improve performance on subsequent case studies.

The course grade is an average of assignments:
Medication Competency (averaged)      grade
Pass Point/Computer grades (average) grade
OB Case Study grade
L&D Objectives             grade
Post- Partum Objectives         grade
Nursery Objectives             grade
Medical-Surgical Case Study          grade
Medical-Surgical Case Study grade
ICU Objectives grade
Mental Health Objectives grade
Resume/professional attire         grade
Clinical Portfolio             grade
TAVNE Assignments (total of 3)     grade
PACU Objectives (if not previously done) grade
Students must have a 75 average and a satisfactory rating on the clinical evaluation tool to pass the course.
Final Exam Date December 12, 2017 - 8:00 AM   Through  December 12, 2017 - 11:00 AM
Major Assignments 1.    Medication Competency (averaged)     
2.    Prep-U/Computer grades (averaged)
3.    OB Case Study
4.    L&D Objectives            
5.    Post- Partum Objectives        
6.    Nursery Objectives    
7.    Mental Health Objectives        
8.    Medical-Surgical Case Study         
9.    Medical- Surgical Case Study
10.    ICU Objectives
11.    Resume/professional attire        
12.    Clinical Portfolio
13.    TAVNE Assignments
14.    Makeup assignments     
Calendar of Lecture Topics and Major Assignment Due Dates Clinical Evaluations by appointment
Assignments due according to individual students schedule
General Education/Core Curriculum Student Learning Outcomes
Communication skills:Students will demonstrate effective written, oral and visual communication.
Critical Thinking Skills:Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.
Empirical and Quantitative Skills:Students will demonstrate applications of scientific and mathematical concepts.
Teamwork:Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.
Social Responsibility:Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.
Personal Responsibility:Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.
Program Student Learning Outcomes Upon completion of the Vocational Nursing Program graduates will, under the supervision of a professional licensed nurse and/or licensed physician, function in non-complex settings and should be able to:

PSLO Alpha: Reading Skills – Demonstrates comprehension of content-area reading materials.
PSLO 1. Function within the legal, ethical and regulatory standards of the nursing
profession.
PSLO 2. Use a systematic problem-solving process in the care of multiple patients who have predictable health care needs to provide safe, individualized, goal-
directed nursing care.
PSLO 3. Adopt an approach to nursing practice that promotes safety for patients,
significant others, self, and members of the healthcare team.
PSLO 4. Cooperate with members of the interdisciplinary health care team to provide optimum, evidence-based, safe, care to patients.
Course Student Learning Outcomes In accordance with the mission of LSC-PA, VNSG 1463 Clinical assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of the course, the student should be able to:
1.    Practice independent nursing actions with guidance from the Registered Nurse. (PSLO 1;PSLO 2;PSLO 3;PSLO 4) Measured by: clinical rotation assignments and evaluation of delivery of patient care
2.    Demonstrate confidence in working as a member of the health care team.(PSLO 3;PSLO 4) Measured by: observed evaluations of student interaction with other healthcare team members
3.    Identify the legal aspects and accountability of a Graduate Vocational Nurse.(PSLO Alpha; PSLO 1) Measured by: reading and application of nurse practice act; observations and evaluations of the provision of safe, ethical nursing care in the clinical setting
4.    Demonstrate knowledge of the nurse’s role in quality improvement/assurance process.(PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: exams based on understanding of role in providing safe and effective patient care; observed delivery of care and team planning in clinical setting
5.    Demonstrate a working knowledge of the code of ethics for the Licensed Vocational Nurse. (PSLO Alpha; PSLO 1) Measured by: discussion based on readings of the code of ethics and standards of care for the vocational nurse
6.    Comply with established standards of Vocational Nursing Practice.(PSLO Alpha; PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: observed clinical interactions with patients, families and other team members in the provision of safe, effective nursing care; standardized exams to evaluate comprehension
7.    Identify barriers to communication and adapt to changing needs of the patient. (PSLO Alpha; PSLO 3) Measured by: classroom discussions and clinical evaluations of patient interactions based on development, cultural influences, personal preferences and current health condition
8.    Record information on the patient’s chart legibly and concisely using appropriate terminology and spelling.(PSLO Alpha; PSLO 1; PSLO 3) Measured by: application of module exercises for medical terminology, documentation practice labs and clinical assignments with instructor feedback
9.    Use a systematic approach to provide individualized, safe, goal-directed nursing care.(PSLO 1; PSLO 2) Measured by: clinical observations and evaluation of nursing care; discussions of standards of nursing care
10.    Apply knowledge and skills to resolve patient problems in a goal-directed manner.(PSLO Alpha; PSLO 1; PSLO 2) Measured by: evaluation of application of assigned readings; case study scenarios; clinical simulation
11.    Evaluate care provided and assist in revising the plan as needed to meet
established goals. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: applied feedback from instructor regarding patient plans of care; clinical observation and collaboration with patients, families and interdisciplinary team members
12.    Relate pertinent information to colleagues and other members of the health care team, and discuss appropriate nursing actions. (PSLO 1; PSLO 4) Measured by: SBAR reporting in clinical simulation and lab setting; SBAR reporting among student peers, instructors and nursing staff
13.    Accurately and completely report and document:
a.    Patient’s status including signs, symptoms, and responses
b.    Nursing care rendered
c.    Administration of medications and treatments
d.    Patient’s response to medications and treatments
e.    Contacts with other health care team members concerning significant events regarding patient’s status.
PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical assignments; safe, ethical patient and healthcare team interactions during clinical simulation, lab scenarios and in the clinical setting
14.    Respect the patient’s right to privacy by protecting confidential information unless obligated or allowed by law to disclose the information.(PSLO 1; PSLO 3) Measured by: clinical evaluation; case scenario discussions; exams
15.    Demonstrate effective communication skills. (PSLO 1; PSLO 4) Measured by: SBAR reporting in clinical simulation and lab setting; SBAR reporting among student peers, instructors and nursing staff
16.    Conform to the uniform policies outlined in the Vocational Nursing Program Handbook.(PSLO Alpha; PSLO 1) Measured by: professional appearance at clinical each day with required uniform, materials and attitudes as stated in student handbook policies
17.    Act as a member of the interdisciplinary health care team working under the supervision of a registered nurse or physician. (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4) Measured by: adherence to role as a vocational nursing student according to nurse practice act and healthcare facility policy; assisting other members of the healthcare team to provide safe and competent nursing care
18.    Demonstrate knowledge of the nurse’s role in risk management. (PSLO Alpha; PSLO 1; PSLO 4) Measured by: participation in implementation and evaluation of nursing care plan to provide optimum care to each individual patient
19.    Demonstrate the ability to teach self-care management and provide safe basic nursing care to multiple patients with a variety of predictable health outcomes. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3) Measured by: application of principles learned in theory; clinical evaluation; teaching project and day-to-day interactions with patients and their families
20.    Maintain cost effectiveness in the clinical setting. (PSLO 1) Measured by: precise usage of materials required for skill implementation and patient care
21.    Maintain professional boundaries of the nurse-patient relationship. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: comprehension and application of standards of professional practice and Good Professional Conduct statement from Board of Nursing; clinical evaluation of professional interactions
22.    Provide without discrimination, nursing services regardless of age, disability, economic status, gender, national origin, race, religion, or health problems of the patient served. (PSLO 1; PSLO 3) Measured by: comprehension and application of standards of professional and ethical practice as determined by Board of nursing and Lamar State College- Port Arthur Vocational Nursing policies
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies
  • No food or tobacco products are allowed in the classroom.

  • Only students enrolled in the course are allowed in the classroom, except by special instructor permission.

  • Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

  • Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

  • Turn your cellphones to vibrate when you enter the classroom.

    •    No tobacco products are allowed in any clinical facility.

    •    Students should turn their phones to vibrate before they enter the clinical facility.

    •    No cell phones should be visible during clinical.



    The following behaviors will result in the student being asked to cease the action and/or leave the clinical facility:

    •    Unauthorized/disruptive use of cell phones or other electronic equipment

    •    Talking while the instructor is giving instructions, during pre- or post-conference discussions/presentations

    •    Displaying a rude or negative attitude/behavior to the instructor, facility employees, patients or other students.



    These behaviors will result in the loss of 5 points on the next exam.



    Students are also expected to follow LSCPA-VN policies at ALL times according to student handbook and course syllabi. Violation of policies could result in further disciplinary action and/or dismissal from program.
Additional Information
Important Information
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
Copyright Violations Some material in this course may be copyrighted. They may be used only for instructional purposes this semester, by students enrolled in this course. These materials are being used fairly and legally. No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class, including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or painting or performing copyrighted material for public display.

Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.

Copyrighted material can be used if permission from the materials creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeares Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.

If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment Statement Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching and testing methods in your classes, and it helps each department understand and improve degree and certificate programs.

Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.

If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just wont use your data.

Whats the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PAs assessment efforts include class grades, surveys, standardized tests, and other tools.
Privacy Notice Federal privacy laws apply to college students. This means that college employees, including instructors, cannot divulge information to third parties, including parents and legal guardians of students. Even if the students are minors, information about their college work cannot be shared with anyone except in very limited circumstances.

Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.

Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.

Circumstances under which information may be released:

An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of information. The note must specify what information may be divulged, and it must specify the name of the person to whom the information may be given.

A parent or guardian may be given access to information about a student by providing a copy of a filed tax return that shows that the student was listed as a dependent of that parent or guardian. The tax return must be for last complete tax year. Again, this documentation must be submitted to the Registrars Office.

A parent or guardian may be given access to information about a student if the student logs on to My.LamarPA.edu and sends an email to the Registrar granting permission. The email must specify what information may be given and the name of the person to whom it may be given.

Co-enrollment students are protected by the same privacy laws as adult students.

The Registrars office is located in the Student Center room 303B, and can be reached at (409) 984-6165.

College-Level Perspectives This course helps add to the students overall collegiate experience in the following ways:

  • Establishing broad and multiple perspectives on the individual in relationship to the larger society and world in which s/he lives, and to understand the responsibilities of living in a culturally and ethnically diversified world.

  • Stimulating a capacity to discuss and reflect upon individual, political, economic, and social aspects of life in order to understand ways in which to be a responsible member of society.

  • Developing a capacity to use knowledge of how technology and science affect their lives.

  • Developing personal values for ethical behavior.

  • Developing the ability to make aesthetic judgments.

  • Using logical reasoning in problem solving.

  • Integrating knowledge and understand the interrelationships of the scholarly disciplines.

Degree Plan Evaluation A Degree Plan Evaluation will help you determine which classes you need to complete your program.

  1. Sign in to your my.lamarpa.edu account.

  2. Click on the My Services tab.

  3. Click on the Student tab.

  4. Click on Student Records.

  5. Click on Degree Evaluation.

  6. Select the term you are planning on registering for (i.e. Summer I, Summer II, Fall, or Spring)

  7. Verify that the Curriculum Information (your MAJOR) is correct

  8. Click on Generate New Evaluation at the bottom of the screen.

  9. Click the radio button next to Program

  10. Click on the Generate Request button.

All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a NO will be listed on the right next to the required class.

HB 2504 This syllabus is part of LSC-PAs efforts to comply with Texas House Bill 2504.

Lamar State College - Port Arthur

Mission
Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access, comprehensive public two-year college offering quality and affordable instruction leading to associate degrees and a variety of certificates. The College embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life.

Core Values
  • Shared commitment by faculty, staff and administration to a mission characterized by student learning, diversity, and community involvement

  • General education/core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community

  • Academic and technical programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, using a variety of delivery methods, on and off campus

  • Technical education programs that provide for the acquisition of the knowledge, skills and behavior necessary for initial and continued employment

  • Student achievement characterized by attainment of individual goals and measured by successful accomplishments and completion of curriculum

  • Co-curricular opportunities that develop social, financial and civic acuity

Principles
Lamar State College - Port Arthur operates in the belief that all individuals should be:

  • treated with dignity and respect;

  • afforded equal opportunity to acquire a complete educational experience;

  • given an opportunity to discover and develop their special aptitudes and insights; and,

  • provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

 
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