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Fall 2019 Course Syllabus
Course: VNSG-1261- Section: 15 Clinical - Licensed Practical-Vocational Nurse Training |
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| Instructor Information | |||||||||||
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| Instructor | Eursula Davis | ||||||||||
| davise1@lamarpa.edu | |||||||||||
| Phone | (409) 984-6364 | ||||||||||
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| 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 |
BIO 2301/2101 & BIO 2302/2102 Human Anatomy and Physiology HECO 1322 Nutrition and Diet Therapy NURA 1301 Nurse Aide for Health Care Organizations I NURA 1160 Clinical (VN 1410) To graduate from the VN program it is required that you must complete either, Business Computer Information Systems (BCIS 1305), or Introduction to Computers (ITSC 1401) prior to graduation. Students must have a minimum grade of “C” or better in every course that applies to the VN Program Certificate plan to graduate. Mandatory Co-Requisite: VNSG 1400 |
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| Learning Outcomes |
In accordance with the mission of LSC-PA, VNSG 1261 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. Demonstrate the role of the beginning vocational nurse. (PSLO Alpha; PSLO 1) Measured by: reading and application of nurse practice act; clinical simulations and rotation evaluations 2. Perform nursing assessments regarding the health status of the patient. (PSLO 1: PSLO 2)Measured by: clinical simulation activities and clinical rotations 3. Participate in the communication process with clients, staff, and instructors. (PSLO 3: PSLO 4) Measured by: clinical simulation/lab activities, clinical rotations 4. Record information legibly, using appropriate terminology and spelling with assistance. (PSLO Alpha; PSLO 1) Measured by: application of module exercises for medical terminology,documentation practice labs and clinical assignments 5. Respect the client’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 6. Accept responsibility for personal/professional development.(PSLO Alpha; PSLO 1; PSLO 3) Measured by: discussion of reading assignments and research of current nursing literature on evidence-based practices 7. Implement nursing care according to the care plan.(PSLOAlpha; PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: classroom, lab and clinical exercises on implementation of care plans based on readings and discussions 8. Evaluate the client’s responses to nursing interventions.(PSLO 2; PSLO 3) Measured by: Measured by: lab, clinical activities involving plan of care 9. State the rationale and the effects of medications and treatments. (PSLO Alpha; PSLO 3) Measured by: clinical assignments based on readings and discussions 10. Accurately and completely report and document: a. Client’s status including signs, symptoms, and responses b. Nursing care rendered c. Administration of treatments d. Client’s response to medications and treatments e. Contacts with other health care team members concerning significant events regarding client’s status (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical assignments; safe and ethical patient and healthcare team interactions in clinical 11. Implement measures to promote a safe environment for clients and others.(PSLO 1; PSLO 2; PSLO 3) Measured by: use of standards of safe and effective care in interactions with patients, their families and healthcare team 12. Promote and participate in client education and counseling based on health needs. (PSLO Alpha; PSLO 1; PSLO 2) Measured by: exams based on readings; observations of the implementation of plan of care in clinical setting 13. Obtain instruction and supervision as necessary when implementing nursing procedures or practices.(PSLO 1; PSLO 3; PSLO 4) Measured by: evaluation tool criteria in clinical setting of nursing care and skill implementation 14. Notify the appropriate individual(s) when leaving a nursing assignment. (PSLO 1; PSLO 3; PSLO 4) Measured by: observations in clinical setting of safe and effective student interactions with healthcare team 15. Maintain professional boundaries of the nurse-client relationship. (PSLO 1; PSLO 3) Measured by:observations of implementation of nursing standard of care and professionalism with clients during clinical rotations 16. Provide without discrimination, nursing services regardless of age, disability, economic status, gender, national origin, race, religion, or health problems of the client served. (PSLO 1; PSLO 2) Measured by: clinical observations of provision of care to all clients served while adhering to nursing standard of care 17. Implement measures to prevent exposure to infectious pathogens and communicable conditions. (PSLO 1; PSLO 3) Measured by: clinical observations of the use of standard precautions during the provision of patient care 18. Conform to the uniform policies outlined in the Vocational Nursing Program Handbook. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: adherence to policies set forth in handbook regarding dress; behaviors and attitudes of VN students. |
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| Core Objectives |
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. |
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| 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. |
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| Textbooks |
NURSING DIAGNOSIS HANDBOOK By ACKLEY. EDITION: 11TH 17. PUBLISHER: ELSEVIER. ISBN: 9780323322249 VALLERAND DRUG GUIDE/TABERS INDEX, The Perfect Package - By DAVIS. EDITION: 17. PUBLISHER: DAVIS FA. ISBN: 9780803660816 HESI Case study testing packet must be purchased and paid for each semester. The product is good for 2 years. This package includes HESI case Studies as well as the HESI exams that must be taken each level of the VN program SwiftRiver Online Learning must be purchased and paid for each semester. |
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| Lecture Topics Outline |
COURSE OBJECTIVES 1. Topic: Orientation to the Vocational Nursing Program. Objective: Upon completion of this learning experience, the student should be able to: a. List sources of college and program policies. b. Discuss content of the course syllabus. c. Seek opportunities to ask questions concerning class content and/or assignments. d. Distinguish how the philosophy of Lamar State College - Port Arthur Vocational Nursing Program addresses beliefs regarding individuals, health, society, and nursing. e. Explain the purpose of the Academic Code of Honor. [Differentiated essential competencies (DEC): I A] 2. Topic: Strategies used by the vocational nurse in prevention, and caring for patients of various cultures and ethnicities who have various infectious diseases. Objective: Upon completion of this learning experience, the student should be able to a. Explain the concepts of medical and surgical asepsis. b. Discuss nosocomial infections, contributing factors, and common organisms. c. Identify signs of localized and systemic infections and the events in an inflammatory process. d. Discuss the chain of infection and the characteristics of each link in the chain of infection. e. Identify factors influencing a microorganism’s capability to produce an infectious process. f. Discuss the body defenses against infection including the anatomic and physiologic barriers which protect the body against microorganisms. g. Differentiate active from passive immunity. h. Discuss factors increasing susceptibility for acquiring an infection. i. Identify relevant nursing diagnoses and contributing factors for patients at risk for infection and who have an infection. j. Discuss the use of the nursing process to reduce risk for infections. k. Identify measures that break each link in the chain of infection. l. Compare and contrast isolation precaution systems. m. Discuss isolation practices and describe the steps to take in the event of a blood-borne pathogen exposure. n. Discuss sterile technique including the principles and practices of surgical asepsis. o. Correctly implement aseptic practices, including hand hygiene, donning and removing a face mask, gowning, donning and removing sterile gloves, bagging articles, managing equipment used for patients in isolation, and establishing and maintaining a sterile field. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 3. Topic: Strategies used by the vocational nurse in caring for patients of various cultures and ethnicities who have different sensory deficits. Objective: Upon completion of this learning experience, the student should be able to a. Differentiate among the processes of reception, perception, and reaction to sensory stimuli. b. Discuss common causes and effects of sensory alterations. c. Discuss common sensory changes which occur with aging. d. Describe behaviors indicating sensory alterations. e. Discuss the nursing process in providing safe care for patients who have sensory alterations. f. Discuss ways to maintain a safe environment for patients who have sensory alterations. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 4. Topic: Strategies used by the vocational nurse in keeping patients of various cultures and ethnicities safe in different aspects of home and hospital care. Objective: Upon completion of this learning experience, the student should be able to a. Describe how unmet basic physiological needs can threaten safety. b. Discuss factors which affect people’s ability to protect themselves from injury and safety measures across the lifespan. c. Identify common potential hazards in the home. d. Discuss strategies to maintain safety in the health care setting, home, and community. e. Describe categories of safety risks in a health care agency. f. Describe the use and legal implications of restraints. g. Discuss the use of the nursing process in providing safe care to patients in a variety of healthcare settings. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 5. Topic: Strategies used by the vocational nurse to assess patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Identify the purposes of the physical health examination. b. Discuss preparation of the patient, physically and psychologically, before and during the examination. c. Describe environmental preparations prior to the examination. d. Explain various methods used during a physical assessment. e. Discuss normal and abnormal findings for each body system and explain the significance of selected physical findings. f. Discuss appropriate documentation of normal and abnormal findings of physical assessment. g. Identify expected outcomes of health assessment. h. Explain the steps in assessment procedures. i. Describe the suggested sequence in conducting an orderly physical health assessment. j. Discuss assessment techniques appropriate for patients of different ages. k. Identify data to collect from the nursing history prior to an examination. l. Demonstrate correct technique of a head to toe physical assessment. m. Demonstrate interview techniques used to enhance communication during health assessment. n. Discuss self-screening exams commonly performed by patients. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 6. Topic: Strategies used by the vocational nurse in obtaining and identifying vital signs of patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Identify the variations in normal body temperature, pulse, respirations which occur from infancy to old age. b. Describe factors influencing the body’s heat production. c. Identify ways the body loses heat. d. Discuss methods of assessing body temperature, advantages and disadvantages of methods, and any appropriate safety precautions. e. Describe clinical signs of, and appropriate nursing care for alterations in body temperature. f. Describe nursing interventions which promote heat loss and heat conservation. g. Identify the most commonly used sites to assess the pulse and the reason for their use. h. Identify the characteristics which should be included when assessing pulses. i. Explain how to measure apical pulse and apical-radial pulse. j. Identify the characteristics which should be included in a respiratory assessment. k. Describe various methods and sites used to measure blood pressure. l. Identify initial Blood Pressure measurements for adults and follow-up recommendations. m. Discuss factors which may cause variations in vital signs. n. Explain variations in technique used to assess vital signs across the life span. o. Discuss appropriate documentation terms for variations in vital signs. p. Demonstrate proper assessment of vital signs. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 7. Topic: Strategies used by the vocational nurse to assist in admission, discharge and transfer of patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Describe various types of admissions. b. Discuss the Vocational Nurse’s role in discharge planning. c. Explain appropriate information to orient a patient upon admission to a health care facility. d. Describe the different types of transfers and give examples of each. e. Describe the various types of discharges and give examples of each. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 8. Topic: Strategies used by the vocational nurse to facilitate education for patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Discuss the purpose of patient teaching b. List and differentiate between conditions and factors that can affect learning. c. Identify adjustments to the teaching plan needed in teaching the very young patient or the elderly patient. d. Discuss types of resources available to assist in patient teaching. e. Describe ways in which teaching can be continued following hospital discharge 9. Topic: Strategies used by the vocational nurse to facilitate appropriate diet therapy for patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Explain essential aspects of energy balance. b. Discuss factors influencing nutrition. c. Identify developmental nutritional considerations. d. Discuss essential components and purposes of nutritional screening and nutritional assessment. e. Identify risk factors and clinical signs of malnutrition. f. Discuss the nursing process related to the promotion of optimal nutrition for patients who have nutritional problems. g. Discuss reasons that an ill patient needs good nutrition. h. Describe safe nursing care related to a patient who has or needs a nasogastric tube. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 10. Topic: Strategies used by the vocational nurse in caring for patients of various cultures and ethnicities who have gastrointestinal problems and various ostomies. Objective: Upon completion of this learning experience, the student should be able to a. Describe the functions of the lower intestinal tract. b. Identify factors which influence fecal elimination and patterns of defecation. c. Distinguish normal from abnormal characteristics of feces. d. Describe methods used to assess the gastrointestinal tract. e. Discuss common fecal elimination problems and the causes and effects of each. f. Identify measures which maintain normal fecal elimination patterns. g. Discuss bowel diversion ostomies and describe nursing responsibilities and essentials of stoma care. h. Discuss the nursing process related to providing safe care for patients who have bowel elimination problems. i. Explain techniques for stool collection and occult blood testing. j. Describe diagnostic measures to assess bowel function and abnormalities. k. Discuss common medications used for bowel elimination and appropriate patient instructions. l. Describe the different types of enemas, proper administration, and measures for bowel training. m. Discuss the nursing process related to providing safe care for patients who have ostomies. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 11. Topic: Strategies used by the vocational nurse in caring for patients of various cultures and ethnicities who have fluid and electrolyte deficiencies. Objective: Upon completion of this learning experience, the student should be able to a. Identify factors affecting normal body fluids. b. Discuss ways to measure and document patient’s intake and output. c. Discuss the regulation of acid-base balance in the body. d. Explain factors affecting normal fluid, electrolyte, and acid-base balance. e. Discuss the causes and effects of fluid, electrolyte, and acid-base imbalances. f. Identify assessment data related to a patient’s fluid, electrolyte, and acid-base imbalance. g. Relate the nursing process to providing safe care to patients who have fluid, electrolyte, and acid-base imbalances. h. Describe procedures for initiating and maintaining fluid balance. i. Discuss the procedure for initiating a blood transfusion and the complications of blood therapy. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 12. Topic: Strategies used by the Vocational Nurse in caring for patients of various cultures and ethnicities who have urinary elimination disorders. Objectives: Upon completion of this learning experience, the student should be able to: a. Outline the process of urination, from urine formation through micturition, including factors that influence urinary production and elimination. b. Describe nursing assessment of urinary function including subjective and objective data. c. Identify abnormal and normal characteristics of urine. d. Explain how to collect urine specimens and conduct selected tests. e. Identify diagnostic measures to assess kidney function and urinary tract abnormalities including nursing implications and nursing assessment, including subjective and objective data. f. Determine measures to promote normal urinary elimination and to prevent urinary infection, including measures related to age-related changes. g. Summarize the nursing assessment skills and nursing interventions to evaluate and promote excretion, sexual health, and regulatory well-being. [ DEC I-A,B II-A,B,C,D,E,G,H III-A,B,C,D,E,F IV-A,B,C,D,E,F,G] 13. Topic: Strategies used by the vocational nurse in documenting safe nursing care provided to patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Discuss reasons for keeping patient records. b. Explain how different forms in the patient record are used to document steps of the nursing process. c. Discuss the different methods used in documentation. d. Compare documentation needed for patients in a variety of health care settings. e. Identify guidelines for documentation which meet legal and ethical standards. f. Identify abbreviations and symbols used in documentation. g. Discuss approved measures used to maintain compliance with the Health Insurance Portability and Accountability Act (HIPPA). h. Demonstrate proper documentation for physical assessment, provider orders, nursing interventions, discharge information, and other forms of written communication. i. Relate the ISBAR-R (Introduction, Situation, Background, Assessment, Recommendation, and Read-back) technique in communication between members of the health care team about a patient’s condition. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 14. Topic: Strategies used by the Vocational Nurse in reporting safe nursing care provided to patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Explain the information a nurse should include when giving a report to another health care provider. b. Describe guidelines for reporting nursing care and patient status in a variety of health care settings. c. Describe methods for multi-disciplinary communication within the health care team. d. Identify data needed prior to reporting the change of condition of a patient to the primary health care provider. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 15. Topic: Strategies used by the Vocational Nurse related to the assignment and delegation process. Objective: Upon completion of this learning experience, the student should be able to a. Describe the assignment of tasks versus the delegation of duties according to the Texas Nursing Practice Act. b. Identify the five rights of the delegation process c. Relate the nursing process as a guide for assigning and delegation. d. Identify the conditions required by the Nursing Practice Act prior to a Vocational Nurse assuming the charge nurse role. e. Identify specific institutional policies, regulations and routines that the Vocational Nurse needs to understand before assuming a charge nurse position. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 16. Topic: Strategies used by the vocational nurse in caring for patients of various cultures and ethnicities who have skin diseases and/or need wound care. Objective: Upon completion of this learning experience, the student should be able to a. Describe factors affecting skin integrity. b. Discuss types of wounds. c. Identify patients at risk for developing pressure ulcers. d. Describe the stages of pressure ulcer development. e. Differentiate primary, secondary, and tertiary wound healing. f. Describe the phases of wound healing. g. Identify the major types of wound exudate. h. Discuss complications of wound healing. i. Describe factors which impair or promote wound healing. j. Identify assessment data pertinent to skin integrity, pressure sites, and wounds. k. Discuss measures to prevent pressure ulcer formation. l. Describe nursing strategies to treat pressure ulcers, promote wound healing, and prevent complications of wound healing. m. Identify purposes and precautions taken with commonly used dressing materials and binders. n. Demonstrate essential steps for obtaining wound specimens, cleaning and irrigating a wound, caring for various drains, applying packing and various types of dressings, securing dressings, removing sutures and staples, and various wrapping techniques. o. Explain the use of heat and cold therapies p. Demonstrate interventions to support and immobilize wounds. q. Discuss the nursing process related to safe care for patients who have impaired skin integrity. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 17. Topic: Strategies used by the vocational nurse in caring for patients of various cultures and ethnicities who have the need for oxygenation. Objective: Upon completion of this learning experience, the student should be able to a. Discuss common responses to alterations in respiratory and circulatory status. b. Describe safe nursing interventions to promote measures to support cardiopulmonary function and oxygenation. c. Explain the use of therapeutic measures such as artificial airways, oxygen therapy, inhalation therapy, and chest percussion and drainage to promote cardiopulmonary function. d. Describe different types of oxygen delivery systems and related nursing interventions. e. Discuss the steps of the nursing process in relation to a patient’s oxygenation status. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 18. Topic: Strategies used by the vocational nurse in preparation, education and assessment of patients of various cultures and ethnicities scheduled for diagnostic tests and procedures Objective: Upon completion of this learning experience, the student should be able to a. Describe nursing responsibilities when assisting with diverse types of patient examinations. b. Explain the nursing interventions for patients before and after diagnostic procedures. c. Discuss learning needs of patients undergoing various diagnostic tests or procedures. d. Identify the appropriate positions for examinations, tests, and procedures. e. List common types of instruments and supplies which are used during specific diagnostic testing. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 19. Topic: Strategies used by the vocational nurse in caring for and promoting sleep and rest for patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Explain the functions, physiology, and regulation of mechanisms of sleep. b. Discuss the normal stages and characteristics of sleep across the lifespan. c. Describe variations in sleep patterns throughout the life span. d. Discuss factors which promote and disrupt normal sleep. e. Discuss common sleep disorders. f. Identify the components of a sleep pattern assessment. g. Discuss safe nursing care related to patients who have sleep problems. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 20. Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups in the promotion of comfort. Objective: Upon completion of this learning experience, the student should be able to: a. Discuss common misconceptions about pain. b. Identify components of the pain experience. c. Discuss the three phases of behavioral responses to pain. d. Apply the nursing process to providing safe care to patients experiencing pain. e. Describe guidelines for selecting and individualizing pain therapies. f. Describe applications for use of no pharmacological pain therapies. g. Discuss nursing implications for administering analgesics. h. Describe interventions for the relief of acute pain versus chronic pain. i. Describe the sequence of treatments recommended in pain management. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 21. Topic: Strategies of the Vocational Nurse in medication administration to patients of various cultures and ethnicities. Objectives: Upon completion of this learning experience, the student should be able to: a. Demonstrate knowledge of approved abbreviations utilized in medication administration. b. Identify brand versus generic names of medications. c. Accurately interpret medication labels. d. Identify the types and the necessary components of medication orders. e. Accurately interpret appropriate military times. f. Explain the "7 rights" of medication administration g. Explain the 8th right of medication administration. h. Discuss accurate documentation of the administration of medications. i. Differentiate the implementation of paper versus electronic medication administration records (MAR). j. Identify routes of medication administration including oral, eye, ear, topical, inhaled, nasal, rectal & vaginal. k. Explain enteral medication administration. l. Discuss the nurse’s role and responsibilities in medication administration m. Discuss methods of educating a patient about prescribed medications n. Identify measures to safely administer medication. [DEC I-A-D, II-A-H, III-A-F, IV-A-F] 22. Topic: Strategies used by the vocational nurse in administering end of life care to patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Describe types and sources of loss and grief. b. Identify stages of grieving. c. Identify clinical signs of grief. d. Discuss factors affecting a grief response. e. Identify measures which facilitate the grieving process. f. Discuss the nurse’s role in assisting patient’s with problems related to loss, death, and grief. g. Discuss the purpose of hospice. h. Identify admission criteria for hospice care. i. Identify the resources available within hospice j. Discuss the role of the transplant organization and coordinator. k. Discuss the criteria for donating organs and tissues for transplant. l. Discuss the financial aspects of transplanting organs. m. Discuss the nursing role related to organ donation and transplants. n. Describe essential aspects of the Patient Self-Determination Act. o. Identify the nurse’s legal responsibilities regarding patient death and death issues. p. Describe guidelines for meeting the needs of the dying patient. q. Describe nursing measures for care of a body after death. r. Describe the role of the nurse in working with families or caregivers of dying patients. s. Discuss death-related religious and cultural practices. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 23. Topic: Strategies used by the Vocational Nurse in addressing self-concept and sexuality in caring for clients of various cultural and ethnic groups. Objective: Upon completion of this learning experience, the student should be able to: a. Discuss factors which influence identity, body image and role performance in relationship to self-concept. b. Identify stressors which affect self-concept, self-esteem, and sexuality. c. Describe the components of self-concepts as each relates to Erickson’s developmental stages. d. Discuss ways in which a nurse’s self-concept and nursing actions affect a client’s self-concept and self-esteem. e. Discuss a nurse’s role in maintaining or enhancing a patient’s sexual health. f. Apply the nursing process to promote a client’s self-concept and sexual health. g. Discuss sexually inappropriate behavior (SIB) and the nurses role in handling [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] 24. Topic: Strategies used by the Vocational Nurse in caring for patients of various cultural and ethnic groups in the perioperative period. Objectives: Upon completion of this learning experience, the student should be able to: a. Identify the various classifications of surgical procedures, including laboratory and diagnostic tests for the preoperative period. b. Describe nursing implications for medications prescribed for the surgical patient. c. Discuss appropriate safe nursing care for the patients in the preoperative, intraoperative, and postoperative phases of surgery. d. Relate variations in preoperative care for the adult. e. Recognize the principles of pain management specific to acute postoperative pain control. f. Compare the differences and similarities between outpatient and inpatient surgery. [DEC I-A-D, II-A-H, III-A-F, IV-A-G] 25. Topic: Strategies used by the vocational nurse in promoting mobility in patients of various cultures and ethnicities. Objective: Upon completion of this learning experience, the student should be able to a. Describe the basic elements of normal movement. b. Differentiate isotonic, isometric, isokinetic, aerobic, and anaerobic exercise. c. Discuss the benefits of exercise on body systems. d. Identify factors influencing a person’s body alignment, joint mobility, and activity. e. Discuss the nursing process related to providing safe care to patients who have activity and exercise problems. f. Discuss the benefits and hazards of bed rest. g. Describe physical changes associated with immobility. [DEC I A&B, II A, B, C, D, E, & F, III A, B, C, D, E, & F, IV A, B, C, D, & E] |
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| Major Assignments Schedule |
Week 1: Vital sign Lab Week 2: Asepsis Lab Week 3: Physical Assessment Lab Week 4: NG/Enema Lab Week 5: Foley lab Week 6: Wound Care lab Week 7: Clinical Orientation Week 8: Facility Orientation Week 9: Intake & Output, Client Care, Etiology Week 10: Intake & Output, Client Care, Etiology, Labs Week 11: Client Care, Lab values, Medication Week 12: Client Care, Lab Values, Meds, Plan Of Care Week 13: Client Care, Lab Values, Meds, Plan Of Care Week 14: Client Care, Lab Values, Meds, Plan Of Care Week 15: Clinical Evaluations Week 16: Final Exam for Co-Requisite Course |
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| Final Exam Date | December 6, 2019 - 8:00 AM Through December 6, 2019 - 11:00 AM | ||||||||||
| Grading Scale |
90 - 100 = A 80 - 89 = B 75 - 79 = C 60 - 74 = D Below 59 = F (S) Satisfactory (U) Unsatisfactory *** If clinical performance is “U” an F is given no matter the grade on assigned clinical paper work*** |
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| Determination of Final Grade |
1. 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. Rubrics will be utilized by the instructor for grading case studies and objectives. All clinical work is required to be turned in on the due date. Clinical work will be accepted late with a 5 point penalty for each day through day three. On day four and after, the assignment will receive a “0” zero. Any section of the Care Plan Case study rubric that the student receives a ‘0” zero in must be corrected within one week of receiving the case study from the instructor by completing an additional care plan using the #2 problem of the patient. If the student does not resubmit the second care plan, the student will receive a 0 (zero) for the care plan rubric grade. If a student scores less than a 75 on a case study, the student should meet with the faculty to determine strategies to improve on subsequent case studies. 2. Students who fail a nursing course may repeat it once. Students must receive a satisfactory (S) and score 74.5% on written work/assignments in clinical and achieve a 75 course grade in the mandatory co-requisite course to progress in the program. 3. The following method will be used to determine each student’s grade in the course: Med-Surg. Case Study I Grade Radiology Objectives Grade Physical Therapy Objectives Grade Teaching Project Grade HESI Case Study Assignment Grade HESI Case Study Assignment Grade Portfolio Grade Computer Assignments Grade Total/8=Grade Elderly Objectives / computer assignments, (or any other assignment deemed necessary by the VN staff and/or director for alternate-make-up if necessary) 4. Students who fail VNSG 1400 Nursing in Health and Illness I and repeat the course must also repeat the clinical co-requisite course. 5. 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 safe competent client 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, clients 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. 6. 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. 7. 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 enrolling in the next nursing courses. 8. Maintain a clinical portfolio. This portfolio will be kept current throughout the entire program. The portfolio will include: a. Course Schedule and Clinical Schedule b. All course syllabi for current semester c. Student Handbook d. Clinical Notebook e. Section for diagnosis, meds and lab sheets f. Section for daily physical assessment and nurses’ notes g. Section for specialty area objectives h. Section for completed case studies i. Section for computer assignments j. Section for teaching project k. Section for skills check-offs l. Section for counseling notes m. Section for clinical summary sheets |
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| Course Policies | |||||||||||
| Instructor Policies |
Lamar State College Port Arthur is determined to prepare students with the knowledge and skills needed to succeed in today’s dynamic work environment. Towards this end, the following workplace competencies are included in this course: 1. Prioritizes patient needs according to Maslow’s hierarchy of needs. 2. Acquires and evaluates information through use of the nursing process. 3. Communicates information to and receives input from the health care team to enhance the quality of care provided for the patients assigned to a nurse’s care. 4. Works well with patients and family caregivers with a variety of ethnic, social, and educational backgrounds. 5. Identifies need for patient data, obtains it from existing sources, and evaluates its relevance and accuracy. 6. Demonstrates knowledge of own skills and abilities through clinical competency • Tobacco products are prohibited on the campus. • 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, “smart” watches, MP3 players, and laptop computers) shall not be used during examinations or in the clinical setting, 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. • Students should turn their phones to vibrate before they enter the classroom. • No cell phones and/or smart watches allowed during class, exams and/or clinical settings. Additional classroom policies include: Students and faculty of the Lamar State College-Port Arthur Vocational Nursing Program are expected to assist in maintaining a classroom environment that is conducive to learning. To assure that faculty have the opportunity to teach and students have the opportunity to benefit from time spent in class, unless otherwise approved by the instructor, students are prohibited from engaging in distracting classroom behavior: 1. I understand that promptness is expected. I will be on time for the beginning of all classes and will return from breaks promptly. 2. I understand that I am expected to come to theory and lab experiences prepared and present myself as a sincere, adult learner. 3. I will return phone calls and/or text messages only during scheduled breaks. 4. I will keep cell phones on vibrate in classroom and off and out of reach during testing and test reviews. In the event of an emergency, your family should contact you through AH Secretary, VN Coordinator, or Department Chair. 5. I agree that on-campus computers will only be used for classroom work. 6. I agree that all information shared by other students and instructors will remain confidential. 7. I will not repeat or discuss what is shared with anyone. 8. I agree that I will not engage in ‘side-bar’ discussions. 9. I agree that I will direct my comments to the front of the room. 10. I agree to participate in all discussions, activities, and exercises. 11. I agree to be open to new ideas and experiences. 12. I agree to take risks and step outside of my comfort zone. 13. I agree to maintain a positive attitude. 14. I agree to give supportive feedback and make corrections without belittling anyone. 15. I agree to suspend judgment and be responsible for my actions. 16. I agree to be responsible for learning as much as I can from this experience. 17. I agree to ask for what I need from my instructors. 18. I agree to get better acquainted with my fellow students so we can all identify ways to support one another, work together as a team and develop professionally. 19. I agree to follow the guidelines and policies in the LSC-PA Vocational Nursing Student Handbook. 20. Appearance and Hygiene: Any makeup should be utilized becomingly and sparingly. False eyelashes should not be worn while in uniform. All visible tattoos must be completely covered. Perfume, cologne, or aftershave should NOT be worn, as patients may be allergic to, or offended by, the scent. In addition, other potentially offensive odors are to be avoided, such as but not limited to cigarette smoke or perspiration. Should I be unable to maintain these expectations or stated program requirements, dismissal from the program may occur. The following behaviors will result in the student being asked to cease the action and/or leave the classroom or clinical setting: • inappropriate and or disruptive uses of cell phones and/or other electronic devices in classroom or clinical setting • talking or sleeping while the instructor is giving instructions or during class or clinical conference discussions/presentations • displaying a rude or negative attitude/behavior to the instructor, employees or other students If any of these behaviors result in the student being asked to leave the clinical facility, the student will receive a counseling note and may result in a loss of 5 points on the next exam. |
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| 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 clinicals is expected. 2. A student who is absent from clinicals 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(s) the student should call Mrs. Donna Wolfe at 409-984-6356 or 1-800-477-5872 ext. 6356. The student should also email the faculty or call the faculty office and leave a voicemail. Assignments for absence are as follows a. 1st Care Plan b. 2nd SwiftRiver/HESI Evolve Case Study c. 3rd Nursing Journal A doctor’s excuse may be required along with the assignment to return. Note: Make-up work will NOT count towards the student’s Clinical average. 4. Students who arrive after assigned clinical time will be counseled. Students who arrive after assigned clinical time on two (2) occasions may 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 will be required if the student is absent from clinical. 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 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. 6. 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. 7. 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. 8. The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor by appointment. 9. 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. |
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| 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 |
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| 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 |
Criteria for Clinical Evaluation VNSG 1261 I. Role Model Behaviors 1. Identifies responsibilities and limitations of a student a. Follows the policies of the Vocational Nursing Program and the clinical agencies b. Completes written assignments within the allotted time frame c. Attends class and clinical promptly d. Exhibits a professional appearance and attitude e. Demonstrates knowledge of boundaries in responsibility f. Comes prepared to class, lab, and clinical g. Maintains skill check list 2. Seeks opportunities for learning a. Seeks out learning experiences within the limits of the Level I student b. Requests the opportunity to perform new skills c. Seeks proper instruction from faculty 1. Contacts instructor when guidance is needed 2. Uses appropriate resources for guidance d. Consistently accepts duties willingly and in a manner that demonstrates interest 3. Incorporates appropriate suggestions a. Accepts constructive criticism b. Applies suggestions offered by other health care providers to personal practice *4. Upholds legal and ethical standards of the nursing profession a. Maintains confidentiality of all material pertinent to each facility b. Refrains from gossiping about individuals receiving treatment at a facility 5. Reports to clinical on time a. Regular in attendance b. Reports to assigned areas at specific time *6. Reports on and off unit to appropriate personnel with appropriate information a. Meets with primary nurse on arrival to assigned unit to discuss assigned client b. Meets with primary nurse and discusses status of assigned client before leaving the floor for any reason *7. Maintains professional behavior and appearance a. Neat and clean in appearance b. Wears the standard school uniform c. Reports to assigned unit at specific time d. Regular in attendance e. Notifies faculty in case of clinical absence 8. Participates in pre and post conference a. Selects client appropriate for learning needs b. Verbalizes basic understanding of disease process under discussion c. Contributes to post-conference discussion *9. Protects client from physical and emotional harm a. Provides a safe environment b. Administers competent nursing care c. Provides emotional support during stressful situations 10. Demonstrates evidence of preparation for clinical experience a. Verbalizes an understanding of disease process of assigned client b. Verbalizes an understanding of medications the client is receiving c. Demonstrates competency when performing nursing procedures *11. Adheres to school and facility policies a. Maintains school policies relating to attendance, dress code, and academic standards, professional standards b. Maintains facility policies related to client care, performance of procedures, professional standards 12. Accepts professional guidance and criticism a. Corrects identified deficits within the allotted time frame b. Refrains from using argumentative communication c. Uses problem solving approach d. Seeks assistance from appropriate persons 1. Recognizes self-strengths and limitations 2. Requests assistance from appropriate source 13. Demonstrates self-confidence a. Recognizes and controls anxiety so that clinical performance is not impeded b. Performs basic skills without hesitation c. Interacts with client while performing nursing duties *14. Assumes responsibility for own actions a. Maintains honesty and integrity b. Reports accidents and mistakes to the instructor immediately c. Identifies strengths and weaknesses [Differential Essential Competencies DEC: I-A,B, C, II-A, B, C, D, E, F- III A, B, C, D, E, IV-A, B, C, D, E] II. Nursing Process *1. Demonstrates the ability to gather subjective and objective data a. Uses multiple resources for data gathering b. Locates information on chart related to physiological needs c. Observes client and environment d. Differentiates objective and subjective data e. Updates data at appropriate times f. Documents/reports changes in client data *2. Demonstrates the basic components of a nursing assessment of adult clients a. Uses the four primary techniques of inspection, palpation, percussion, and auscultation to perform nursing assessments b. Assesses each body system c. Assembles all required equipment prior to commencing with assessment d. Focuses on client rather than on the techniques of assessment 3. Records data accurately and descriptively according to assessment a. Utilizes suggested references to increase understanding of data to be recorded b. Records promptly and legibly using correct spelling and terminology 4. Identify basic health-related needs and actual or potential problems for clients a. Identifies appropriate hygiene of clients b. Identifies skin condition of clients c. Identifies nutritional needs of clients d. Identifies elimination needs of clients e. Identifies psychosocial needs of clients 5. Identifies NANDA nursing diagnosis for client problems a. Uses assessment data as a basis for determining client problems b. Correlates established problems with NANDA diagnoses 6. Develops a prioritized list of nursing diagnoses for client problems a. Determines priority of client problems based on assessment data b. Correlates problems with NANDA diagnoses 7. Uses principles of growth and development in providing care for adult clients a. Identifies the client's developmental stage, based on Erikson's theory of development b. Plan care based on the client's current developmental level c. Can list tasks expected at each developmental level d. Recognizes and accepts client's individual differences e. Considers development level before proceeding with nursing procedures and client teaching [DEC: I-A & B, II-A, B, C, D, E, F, III-A, B, C, D, E, IV-A, B, C, D, E] III. Teaching/Learning *1. Assesses the client's learning needs in relation to wellness and preventing illness a. Listens to client's verbalization of learning needs b. Observes areas where client needs assistance in attaining optimal health status c. Assesses client's readiness to learn d. Assesses the client’s level of education means of learning 2. Explains procedures, treatments and nursing care to assigned clients a. Presumes that the client has no previous information about the procedure, treatment, or care rendered b. Bases the explanation on the current developmental level of the client c. Allows time for questions from the client (or family) regarding the procedure 3. Emphasizes safety teaching when appropriate a. Explains rationale to client b. Promotes safety after discharge from facility [DEC: I A & B, II-A, B, C, D, E, F, III-A, B, C, D, E, IV-A, B, C, D, E] IV. Communication *1. Demonstrates basic communication techniques a. Responsive to client’s needs while giving care b. Speaks clearly and enunciates distinctly c. Positions self to facilitate communication and observation d. Able to appropriately communicate with client while performing nursing procedures e. Compensates for sensory deficits to promote communication f. Identifies communication barriers 2. Obtains a nursing history, using effective interviewing techniques a. Systematically obtains information through observation and listening to client b. Identifies client health needs c. Includes client input in need determination 3. Uses nursing behaviors that assist in developing a trusting relationship with adult clients of all developmental stages a. Acceptance of the client as an individual b. Demonstrate respect for the client c. Demonstrate truthfulness, reliability and responsiveness to client needs d. Demonstrate honesty and openness in providing client information e. Demonstrate sensitivity to client’s feelings and needs *4. Communicates appropriately with other health team members a. Provides frequent client updates in a timely, organized and concise manner to staff nurse and instructor b. Identifies pertinent client information and accurately documents information on client records c. Uses a logical, orderly method for recording nursing notes d. Uses correct spelling of terms and facility accepted standard abbreviations [DEC: I-A & B, II-A, B, C, D, E, F & H, III-A, B, C, D, E, IV-A, B, C, D, E] V. Technical Skills *1. Maintains client safely a. Maintains a hazard-free client environment b. Transports clients in a safe manner 2. Consistently uses correct techniques for medical and surgical asepsis during client care a. Determines the need for either medical or surgical asepsis b. Utilizes proper handwashing technique for medical or surgical asepsis c. Selects appropriate supplies necessary for medical or surgical asepsis d. Documents procedure on the client’s chart *3. Consistently uses correct CDC techniques for observing blood and body fluid precautions a. Hand washing before and after procedures b. Appropriate use of personal protective equipment (PPE) c. Explains procedures to the client [DEC: I-A & B, II-A, B, C, D, E, F, III-A, B, C, D, E, IV-A, B, C, D, E] |
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| HB 2504 | This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504. | ||||||||||