House Bill 2504 Fall 2018 VNSG-1463-13 - Clinical-Licensed Practical-Vocational Nurse Training Syllabus


Fall 2018 Course Syllabus Course: VNSG-1463- Section: 13 Clinical-Licensed Practical-Vocational Nurse Training

Instructor Information

Instructor

Emma Kinsey

E-mail

humphriesek@lamarpa.edu

Phone

(409) 984-6375

Office

Location:	Allied Health - Room: 123
Hours:	W-F 6:30-3 at Clinical Site (Medical Center of Southeast Texas)

Department

Allied Health
Chair:	Shirley MacNeill
E-mail:	macneisb@lamarpa.edu
Phone:	(409) 984-6365

Course Information

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

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

Learning Outcomes

Reading: Demonstrates the ability to analyze and interpret a variety of printed materials.
Writing: Produces clear, correct, and coherent prose adapted to purpose, occasion, and audience.
Speaking: Communicates orally in clear, coherent, and persuasive language appropriate to purpose, occasion, and audience.
Listening: Demonstrates the ability to analyze and interpret various forms of spoken language.
Critical Thinking 1: Applies qualitative and/or quantitative skills analytically and creatively to subject matter.
Critical Thinking 2: Demonstrates the ability to evaluate arguments and construct alternative strategies.
Computer Literacy 1: Uses computer-based technology to communicate, solve problems, and acquire information.
Computer Literacy 2: Demonstrates an understanding of the limits, problems, and possibilities associated with the use of technology.
Intercultural Competence 1: Demonstrates awareness of similarities and differences between cultural groups.
Intercultural Competence 2: Demonstrates the ability to recognize global interconnectedness.
Intercultural Competence 3: Demonstrates a general knowledge of cultural evolution.

Core Objectives

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.

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. Mosbys 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 Passpoint access code provided to you for your VNSG 2410 class (see VNSG 2410 syllabus) and VNSG 1230 class (see VNSG 1230 syllabus)

*You will be required to complete ALL 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 Med-Surg and Maternity grades along with other computer assignments will be calculated in with clinical grades.

Lecture Topics
Outline

Clinical experience as scheduled

Major Assignments
Schedule

1.    Medication Competency (averaged)
2.    PassPoint/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.    Community Assignment #1
11.    Community Assignment #2
12.    Community Assignment #3
13.    ICU Objectives
14.    Resume/professional attire
15.    Clinical Portfolio
16.    Teaching project

Final Exam Date

December 6, 2018 - 12:00 PM Through December 6, 2018 - 3:00 PM

Grading Scale

90-100 = A 80-89 = B 75-79 = C 74-60 = D 59 or Below = F
Must have a Satisfactory on Clinical Evaluation, also.

Determination of
Final Grade

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
Community Assignment #1 grade
Community Assignment #2 grade
Community Assignment #3 grade
Resume/professional attire         grade
Clinical Portfolio             grade
PACU, Physical Therapy and/or ER
Objectives (if not previously done) grade
Teaching project grade
Students must have a 75 average and a satisfactory rating on the clinical evaluation tool to pass the course.

Course Policies

Instructor Policies

I will not discuss your grades over the phone or by email. If you want to discuss your grades, you must come to my office, in person.

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 course activities for more than three (3) days
without notification to the faculty may be dropped from the program by the Program Director.
3.    It is the students 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 will provide electronic contact information; 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 instructors office and leave a voice message.
4.    Students who arrive greater than 15 minutes after assigned clinical time will be given a verbal warning on the first occasion 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 students 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 a 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.    Students are expected to attend clinical in FULL CLINICAL ATTIRE; including approved clinical dress (scrubs, with appropriate shoes, lab jacket) as well as required accessories. Students not adhering to dress codes; as described in Student Handbook may be sent home by the Instructor. This will count as a clinical absence.
11.    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.

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.
Use of electronic devices is prohibited.

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 the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.

MyLamarPA

Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you've 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.

Other

COURSE OBJECTIVES

The student in the Vocational Nursing Program is expected to demonstrate safe professional behavior that includes promoting the actual or potential well- being of patients, health care workers, and self in biological, psychological, sociological, and cultural realms and demonstrating accountability in preparation for, provision and documentation of, care according to course objectives.
The purpose of setting safe performance clinical standards is to identify expectations of the Vocational Nursing Program and the Allied Health Department; to comply with agency agreements, and to identify and help students who need assistance and support to succeed in the Vocational Nursing Program. Indicators to be used as guidelines for determining safe performance are:

1.    Regulatory: Students practice within the boundaries of the Texas Nursing Practice Act, the ANA Code of Ethics, the guidelines, objectives and policies of the Vocational Nursing Program; and the rules and regulations of the health care agency where they are assigned for clinical learning experiences.
Examples of unsafe practice include but are not limited to the following:
a.    Fails to notify the agency and/or instructor of clinical absence.
b.    Fails to follow the Vocational Nursing Program and/or agency policies and procedures.
c.    Reports for clinical under the influence of drugs and/or alcohol.
d.    Fails to follow rules and regulations of the clinical facility.

2.    Ethical: The student performs according to the guidelines of the American Nurses Code of Ethics and Standards of Practice, and the Texas Nursing Practice Act.
Examples of unsafe practice include but are not limited to the following:
a.    Refuses assignments based on patients race, culture, religious preference, sex, national origin, age, handicapping condition or any other protected status category.
b.    Fails to consult instructor prior to refusing assignment based on medical diagnosis of the patient.
c.    Denies, covers-up or does not report own errors in clinical practice.
d.    Ignores and fails to report unethical behavior of other health care persons in the clinical setting which affects patient welfare.

3.    Biological, Psychological, Social, and Cultural Realms: The students performance meets the needs of the human system from a biological, psychological, sociological, and cultural standpoint at the level of the course objectives.
Examples of unsafe practice include but are not limited to the following:
a.    Violates or threatens the physical safety of the patient, e.g.: neglects use of side rails, restraints; comes unprepared to clinical; leaves a bed in high position.
b.    Violates or threatens the psychological safety of the patient, e.g.: uses cliches repeatedly.
c.    Does not encourage verbalization, is not aware of difference in ability to communicate
d.    Failure to document or act on changes in behavior.
e.    Violates or threatens the microbiological safety of the patient, self, or others e.g. unrecognized violation of aseptic technique and universal precautions; comes sick to clinical experience; unrecognized violation of isolation procedure.
f.    Violates or threatens the chemical safety of the patient, e.g. violates the 6 Rights of administering medications; fails to monitor IV infusions safely; fails to identify and follow through on significant nursing implications related to medications.
g.    Violates or threatens the safety of the patient, e.g.: fails to observe safety precautions during O2 therapy, heat/cold tx; leaves unreliable patient alone while he/she smokes.
h.    Fails to follow through on suggested referrals or interventions to correct deficit areas which may result in harm to others.
i.    Interacts inappropriately with agency staff, co-workers, peers, patients/patients, families, faculty resulting in miscommunications, disruption of patient care and/or unit functioning.
j.    Lacks physical coordination essential to carrying out procedures.
k.    Lacks information processing ability necessary for making appropriate clinical judgments or decisions.
l.    Inadequately and/or inaccurately uses the nursing process, e.g.: fails to observe and/or report critical assessments related to patients.
m.    Violates previously mastered principles/learning/objectives in carrying out nursing care.

4.    Accountability: The students performance demonstrates continuity in the responsible preparation, documentation, and promotion for the care of patients, according to course objectives.
Examples of unsafe practice include but are not limited to the following:
a.    Fails to provide inclusive written communication on appropriate documents or verbal communication to faculty and/or appropriate agency personnel.
b.    Fails to accurately record essential patient behaviors.
c.    Fails to report incompetent, unethical or illegal practice of any person.
d.    Attempts activities without adequate orientation, theoretical preparation or appropriate assistance.
e.    Fails to maintain honesty in clinical practice and/or written work.
f.    Is habitually tardy to clinical.
g.    Assumes inappropriate independence in actions or decisions, e.g.: fails to seek supervision when situation is questionable.

5.    Human Rights: The students performance demonstrates respect for the individual, patient, health team member, faculty, and self, including but not limited to the legal, ethical, and cultural realms.
Examples of unsafe practice include but are not limited to the following:
a.    Fails to maintain confidentiality of interactions.
b.    Fails to maintain confidentiality of records.
c.    Exhibits dishonesty in relationships with peers, faculty, patients/patients and/or agency personnel.
d.    Fails to recognize and promote every patients rights.

Unsafe behavior(s) related to the students performance problem must be clearly described and documented. Confirmation, or supporting observation of clinical staff, should be included in the documentation of the performance problems, if possible. The student has the right to provide input and/or data regarding his/her clinical performance and to consult with the clinical instructor, Vocational Nursing Program Coordinator, and the Allied Health Department Chair. The clinical instructor will document unsafe behaviors.

Depending on the facts and circumstances, potential disciplinary action for violation of professional behavior standards may include but is not limited to immediate dismissal from the clinical area and/or a failing grade in the course. Nursing faculty has the responsibility to protect the public. Clinical agencies reserve the right to terminate use of facilities by a particular student where necessary to maintain its operation free from disruption and to ensure quality of patient care.

Code of Ethics: The Vocational Nursing faculty subscribe to the American Nurses Association Code of Ethics*. Students are expected to learn and perform in accordance with this code.
1.    The nurse provides services with respect for human dignity and the uniqueness of the patient unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
2.    Illness is a universal phenomenon; therefore the need for nursing is also universal. Because nursing is required by the broad spectrum of people who make up society, the nurse should be free of value judgments about good people and bad people; it is necessary to accept each person as well as the persons attitudes, customs, and beliefs. In this way nurses can best provide support to people of varied backgrounds.
3.    The nurse safeguards the patients right to privacy by judiciously protecting information of a confidential nature. It is clearly the nurses responsibility to keep confidential any information received from the patient only conveying details about illness or physical, social, or personal situation of the patient to other persons who are also professionally concerned directly with the patients care. In some instances, the nurse may be required to provide testimony in court. In these instances, the court will advise the nurse as to what is admissible and to what the nurse must testify. Because people can be seriously harmed and embarrassed by a breach of confidence of the nurse, all nurses must use good professional judgment in what they say, being sure that it is stated to the correct person and that what is conveyed could be of value in promoting the health of the patient.
4.    The nurse acts to safeguard the patient and the public when health care and safety are affected by the incompetent, unethical, or illegal practice of any person.
5.    The nurse has a responsibility to report to the appropriate authority or the professional association any conduct of other nurses or physicians that endangers patients. The priority of the nurse is the patient, patient safety, and patient care.
6.    The nurse assumes responsibility and accountability for individual nursing judgments and actions.
7.    Nurses themselves are responsible for maintaining their own competence, updating their knowledge and skills as it are appropriate. Not to do so would imply that a nurse could not provide as high a standard of practice as the profession considers necessary.
8.    The nurse maintains competency in nursing. Maintaining competency in nursing practice is essential; nurses must keep abreast of new developments to ensure the best standards of patient care. An essential quality of the nurse is a zest for continued study, since knowledge and skills for nursing need to be continually updated. The nurse who pursues knowledge independently is undoubtedly more effective in practice than one who does not.
9.    The nurse exercises informed judgment and uses individual competence and qualifications as criteria in seeking consultation, accepting responsibilities, and delegating nursing activities to others. Nurses need to recognize their own areas of competence and incompetence; they have a right to refuse to carry out responsibilities that they consider unethical. Policies of agencies and the law assist the nurse as to what practices are considered to be within the nurses area of responsibility. In addition, if a nurse is not familiar with some nursing activity, it is the nurses right to explain this and to refuse to carry it out.
10.    The nurse participates in activities that contribute to the ongoing development of the professions body of knowledge. Increasingly, nurses are becoming involved in research activities as individual practitioners and as employees of hospitals and community health agencies. Nurses themselves are conducting research into nursing practice as well as are a variety of health personnel such as physicians and biochemists. The nurse who plans to participate should first make sure that the patient understands and agrees to be part of the research; second, the nurse should make sure that the research proposal has the approval of the agency research committee or the appropriate approving authority of the agency.
11.    The nurse participates in the professions efforts to implement and improve the standards of nursing. Peer review and established nursing standards assist in improving nursing. The nurse has the responsibility to participate in these activities as well as to participate in educational programs. Standards for practice must always change as the health care system changes. The professional nurse has a responsibility to assist in making these changes and implementing them.
12.    The nurse participates in the professions efforts to establish and maintain conditions of employment conducive to high quality nursing care. Each nurse, acting through the professional organization, needs to be concerned with the economic and general welfare of the members of the profession. These are important factors in both recruiting nursing students and in retaining nurses in the work force. Through the nursing association, nurses assist in the establishment of employment practices and in bargaining for economic and general benefits.
13.    The nurse participates in the professions effort to protect the public from misinformation and misrepresentation and to maintain the integrity of nursing. Nurses are generally held in respect by members of the public, who have confidence in their knowledge and their advice. Often when a nurse speaks, it is assumed that the opinion given is the opinion of all nurses. For example, to advertise or recommend a product might be harmful or misleading to the public. The nurse appears to have knowledge that the particular product is better than other on the market; this may not be true because that knowledge is usually beyond the nurses qualifications and authority.
14.    The nurse collaborates with members of the health professions and other citizens in promoting community and national efforts to meet the health needs of the public. A professional nurse, with specialized knowledge and skills, has a responsibility to contribute in such a manner as to assist people to meet the health needs of the community. Citizens are increasingly concerned and becoming involved in planning health care. A nurse can offer this group information that would be pertinent and helpful. Nurses also have a responsibility to act on committees with other health members and other professionals such as teachers and social workers in meeting the health problems of the people in the community.

*American Nurses’\ Association. 1985. Code for Nurses. Kansas City, Missouri: American Nurses Association.

Reviewed & Revised August 2018

HB 2504

This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.