Fall 2019 Course Syllabus
Course: VNSG-1261- Section: 11
Clinical - Licensed Practical-Vocational Nurse Training 		LSCPA Logo Image
Instructor Information
Instructor Shirley MacNeill
E-mailmacneisb@lamarpa.edu
Phone(409) 984-6365
Office
Location:Allied Health - Room: 102
Hours:M-Th 8 am - 11 am; Other hours by appointment
Department
Allied Health
Chair:Shirley MacNeill
E-mail:macneisb@lamarpa.edu
Phone:(409) 984-6365

If you have a grievance, complaint, or concern about this course that has not been resolved through discussion with the Instructor, please consult the Department Chair.
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 2401 & BIO 2402 Human Anatomy and Physiology
NURA 1301 Nurse Aide for Health Care Organizations I             
NURA 1160 Clinical (VN 1410)                         
Admission to the Vocational Nursing Program
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.
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,
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.
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. 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.

Recommended:
MOSBY'S PDQ FOR LPN By MOSBY. EDITION: 4TH 17. PUBLISHER: ELSEVIER.
ISBN: 9780323400220
Lecture Topics
Outline		 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
Major Assignments
Schedule		 Multiple dates according to rotation schedule: Computer assignments
Date to be assigned according to rotation schedule: Med-Surg Case Study
Date to be assigned according to rotation schedule: Specialty Objectives
Date to be assigned according to rotation schedule: Teaching Project
Date to be assigned according to rotation schedule: Portfolio & Clinical Evaluation
Final Exam Date December 10, 2019 - 12:00 PM
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***
Determination of
Final Grade		 The grade for the clinical course consists of two components: (1) Written work/computer assignments which is given a numerical grade and (2) Clinical performance which is graded as S (satisfactory) or U (unsatisfactory). A student must achieve a minimum average of 74.5% or greater on written work and an “S” on clinical performance to pass the course. 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.

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 Avg 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)

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.

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.
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 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.
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
  1. No food or tobacco products are allowed in the classroom.

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

  3. 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
HB 2504 This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.