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Fall 2019 Course Syllabus
Course: VNSG-1463- Section: 11 Clinical-Licensed Practical-Vocational Nurse Training |
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| Instructor Information | |||||||||||
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| Instructor | Joanna Gott | ||||||||||
| gottja@lamarpa.edu | |||||||||||
| Phone | (409) 984-6357 | ||||||||||
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| Department |
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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 |
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 To graduate from the VN program, it is required that you must complete either BCIS (1305) or Introduction to Computers (ITSC 1401). Students must have a minimum grade of C or better in every courses that applies to the Vocational Nursing Certificate plan to graduate. Mandatory Co-requisite: VNSG 2410 |
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| 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 |
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| Core Objectives |
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. |
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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. 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 assigned topics with a mastery level of at least 7 as listed on the class schedule. Failure to reach level 7 by the due date will result in a zero (0) for the assignment. Any Computer program must accessed using your Lamar email. Note: the Average of Pass point Med-Surg grades along with other computer assignments and objectives will be calculated in with clinical grades. HESI staff. (2018). HESI Comprehensive Review PN Exam (5th Ed.). St. Louis: Elsevier. Silvestri, L. A. (2016). Saunders Comprehensive Review NCLEX-PN (6th Ed.). St. Louis: Elsevier |
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| Lecture Topics Outline |
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| 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 Studies 9. Resume/professional attire 10. Clinical Portfolio 11. Teaching project |
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| Final Exam Date | December 9, 2019 - 12:00 PM Through December 9, 2019 - 3:00 PM | ||||||||||
| Grading Scale |
90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F S- Satisfactory U-Unsatisfactory |
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| 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 or in some cases an S or a U 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, and required lab assignments 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) will 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, when due, will be given to and graded by the instructor to whom the student is assigned during that time. Requirements for level III clinical are: total of two case studies (1) Medical-Surgical and (1) Post-Partum Case Study, Labor & Delivery, Post-Partum, Nursery and Mental Health objectives. PassPoint/HESI/SwiftRiver Computer assignments. Other assignments include professional resume and attire day, clinical portfolio, and medication competency. 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 MUST 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/HESI/SwiftRiver (average) grade OB Case Study grade L&D Objectives grade Post- Partum Objectives grade Nursery Objectives grade Medical-Surgical Case Studies grade Mental Health Objectives grade Resume/professional attire grade Clinical Portfolio grade PACU, Physical Therapy and/or ER Objectives (if not previously done) grade Teaching Projects grade Students must have a 75 average and a satisfactory rating on the clinical evaluation tool to pass the course |
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| Course Policies | |||||||||||
| Instructor Policies | |||||||||||
| 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. * First absence assignment- care plan and Hesi case study, second absence nursing journal (rubric located in level 1 clinical notebook) third absence Keith RN case study and Pass point assignment. These assignments are due on next clinical day 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 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. ommittee 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 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. |
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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. | ||||||||||
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| HB 2504 | This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504. | ||||||||||