House Bill 2504 Fall 2020 VNSG-1261-15 - Clinical - Licensed Practical-Vocational Nurse Training Syllabus


Fall 2020 Course Syllabus Course: VNSG-1261- Section: 15 Clinical - Licensed Practical-Vocational Nurse Training

Instructor Information

Instructor

Eursula Davis

E-mail

davise1@lamarpa.edu

Phone

(409) 984-6364

Office

Location:	Allied Health - Room: 117
Hours:	Monday, Tuesday, Thursday, Friday 9 a.m. to Noon

Department

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

COVID 19 Information

The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.

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
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.
Mandatory Co-requisite: VNSG 1400

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 clients 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 clients 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.    Clients status including signs, symptoms, and responses
b.    Nursing care rendered
c.    Administration of treatments
d.    Clients response to medications and treatments
e.    Contacts with other health care team members concerning significant events regarding clients 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

Textbook Purchasing Statement: A student attending Lamar State College Port Arthur is not under any obligation to purchase a textbook from the college-affiliated bookstore. The same textbook may also be available from an independent retailer, including an online retailer.

NURSES POCKET GUIDE: Diagnoses, Prioritized, Interventions and Rationales
EDITION: 14TH . PUBLISHER: FA Davis.
ISBN: 9780803644755
SUPER DUO TABERS 23rd and DAVIS DRUG GUIDE FOR NURSES 16th
EDITION: 23rd and 16th PUBLISHER: DAVIS FA.
ISBN: 9780803669345
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.
NCLEX PN Pass Point: Please note: No other NCLEX PN Review will be accepted. You must use the NCLEX PN Passpoint access code provided to you for this
Pass Point access code for this VNSG 1400 class: C66357E0
LPN NOTES: NURSES CLINICAL POCKET GUIDE By MOSBY.
EDITION: 4TH 16. PUBLISHER: ELSEVIER.
ISBN: 9780803657960

Lecture Topics
Outline

    Tobacco products are prohibited on the campus and clinical locations.
    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.

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: Intake & Output, Client Care, Etiology
Week 9: Intake & Output, Client Care, Etiology, Labs
Week 10: Client Care, Lab values, Medication
Week 11: Client Care, Lab Values, Meds, Plan Of Care
Week 12: Client Care, Lab Values, Meds, Plan Of Care
Week 13: Client Care, Lab Values, Meds, Plan Of Care
Week 14: Clinical Evaluations
Week 15:

Final Exam Date

December 4, 2020 - 8:00 AM Through December 4, 2020 - 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***

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. 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 students grade in the course:
Med-Surg. Case Study I            Grade
Radiology Objectives            Grade
Physical Therapy Objectives            Grade
Teaching Project            Grade
Computer Assignment             Grade
Swift River Assignment            Grade
Portfolio            Grade
Total/7=Grade
** Elderly Objectives / computer assignments, additional objectives (or any other assignment deemed necessary by the VN staff and/or director)
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

Course Policies

Instructor Policies

Attendance Policy

All classes will be conducted online beginning on March 23 until further notice, as this is subject to change.
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 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 a cell phone number to their clinical students; 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 50 Question Passpoint Quiz
c. 3rd SwiftRiver/HESI Evolve Case Study
A doctors excuse may be required along with the assignment to return.
Note: Make-up work will NOT count towards the students Clinical average.
4. Students who arrive after assigned clinical time will be counseled and 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 students 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

No food or tobacco products are allowed in the classroom.
Only students enrolled in the course are allowed in the classroom, except by special instructor permission.
Use of electronic devices is prohibited.

Important Information

ADA Considerations

The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.

MyLSCPA

Be sure to check your campus E-mail and Course Homepage using MyLSCPA 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 MyLSCPA.

Other

Lamar State College Port Arthur is determined to prepare students with the knowledge and skills needed to succeed in todays dynamic work environment. Towards this end, the following workplace competencies are included in this course:
1.    Prioritizes patient needs according to Maslows 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 nurses 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.
TEXAS BOARD OF NURSING CHAPTER 213 PRACTICE AND PROCEDURE
RULE 213.27 Good Professional Character:
(a) Good professional character is the integrated pattern of personal, academic and occupational behaviors which, in the judgment of the Board, indicates that an individual is able to consistently conform his or her conduct to the requirements of the Nursing Practice Act, the Board's rules and regulations, and generally accepted standards of nursing practice including, but not limited to, behaviors indicating honesty, accountability, trustworthiness, reliability, and integrity.
Available Support
Services:
1.    Gates Memorial Library located at 317 Stillwell
2.    Open computer Lab-Gates Memorial Library
3.    Student Success Center building
4.    Evolve Website (HESI) School Code : 195024, Web Site: https://evolve.elsevier.com/
5.    Board of Nursing (BON) School Code: US 27 1 009 00, Web Site: http://www.bon.state.tx.us
6.    Pearson Vue Web Site: http://www.vue.com/
7.    National Council of State Boards of Nursing Web Site: http://ncsbn.org/
8.    National Student Nurse Association (NSNA) http://www.nsna.org/
9.    National Council of State Boards of Nursing Learning Extension www.learningext.com
10.    Lamar State College Handbook https://www.lamarpa.edu/Lamar/media/Lamar/Files/LSCPA-Student-Handbook-2018-2019.pdf
11.    Lamar State College Faculty Handbook http://www.lamarpa.edu/Lamar/media/Lamar/Files/full-time.pdf?ext=.pdf
12.    Lamar State College 2019-2020 Catalog
http://www.lamarpa.edu/Current-Students/College-Catalog
13.    Lamar State College Port Arthur, textbook locator: http://www.lamarpa.edu/General/Maps/Bookstore

HB 2504

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