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Fall 2020 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 | ||||||||||
| Office |
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| Department |
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| 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 |
VNSG 1204 Foundations of Nursing VNSG 1234 Pediatrics VNSG 1261 Clinical LVN Nursing VNSG 1400 Nursing in Health in Health and Illness I VNSG 1409 Nursing in Health and Illness II VNSG 1462 Clinical LPN Nursing To graduate from the VN Program, it is required that you must complete either Microcomputers (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 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 1462 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 the 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 the role of a vocational nursing student according to the 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. Functions within the Scope of Practice for a Vocational Nurse. PSLO 2. Demonstrates safe, direct patient care with individuals who have predictable health care needs. PSLO 3.Exhibits professional nursing behaviors. PSLO 4.Cooperates with members of the interdisciplinary health care team to provide evidence-based care. |
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| 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.
Williams, Linda, Hopper, Paula, (2019) Understanding Medical-Surgical Nursing (6th ed.). Philadelphia: F.A. Davis ISBN # 9780803668980 Hopper, Paula, Williams, Linda, (2019) Study Guide for Understanding Medical-Surgical Nursing (6th ed.). Philadelphia: F.A. Davis ISBN #978080366900 Burton, M., Smith, D. Ludwig, L. (2019). Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (3rd ed.). Philadelphia: F.A. Davis ISBN # 9780803669062 Burton, M., Smith, D. Ludwig, L. (2019). Study Guide for Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (3rd ed.). Philadelphia: F.A. Davis ISBN #9780803669079 Linnard-Palmer, Luanne. Coats, Gloria, (2017). Safe Maternity and Pediatric Nursing Care (1st ed.). Philadelphia: F. A. Davis ISBN #9780803624948 Linnard-Palmer, Luanne. Coats, Gloria, (2017). Study Guide for Safe Maternity and Pediatric Nursing Care (1st ed.). Philadelphia: F. A. Davis ISBN #9780803624955 Doenges, Marilyn E., Moorhouse, Mary Frances, Murr, Alice C., (2019).Nurse’s Pocket Guide-Diagnoses, Prioritized Interventions, and Rationales (15th ed.). Philadelphia: F.A. Davis ISBN #9780803676442 Van Leeuwen, Anne M., Bladh, Mickey Lynn, (2019). Comprehensive Manual of Laboratory and Diagnostic Tests (8thed.). Philadelphia: F.A. Davis Vallerand, April Hazard, Sanoski, Cynthia A., (2019). Davis’s Drug Guide for Nurses (16th ed.). Philadelphia: F.A. Davis Cuellar, Tina, (2018) HESI Comprehensive review for the NCLEX-PN Exam (5th ed.). St. Louis, Mo.: Elsevier Online HESI Case Studies: Complete PN Collection (2 Year Version) Swiftriver Online-Purchase information to follow NCLEX® PN Pass Point: Please note: No other NCLEX® PN Review will be accepted. You must use the NCLEX® PN Pass Point access code provided to you for this class. Pass Point access code for this: VNSG 1230 class: B1E72FD6 VNSG 2410 class:72FA20ED Davis Edge: log in with school email and use access code: 5F34533729 Please Note! Any Computer program must be accessed using your Lamar email unless otherwise instructed |
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| Lecture Topics Outline |
Medication Competency (Average) Computer Assignments Medical-Surgical Case Study Medical-Surgical Case Study OB Case Study L&D Objectives Post Partum Objectives Nursery Objectives Mental Health Objectives Resume/Professional Attire Clinical Portfolio Teaching Projects Objectives Not Met in Previous Level OB Case Study Community assignments Study Guides |
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| Major Assignments Schedule |
Medication Competency (Average) Computer Assignments Medical-Surgical Case Study Medical-Surgical Case Study OB Case Study L&D Objectives Post Partum Objectives Nursery Objectives Mental Health Objectives Resume/Professional Attire Clinical Portfolio Teaching Projects Objectives Not Met in Previous Level OB Case Study Community assignments Study Guides |
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| Final Exam Date | December 9, 2020 - 8:00 AM Through December 9, 2020 - 10:00 AM | ||||||||||
| Grading Scale | 90 - 100=A 80 - 89=B 70 - 79=C 60 - 69=D Below 59 = F | ||||||||||
| 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 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. Failure to have completed written objectives for specialty areas by date of rotation will result in a grade of “0” and denial of specialty rotation. THIS CAN RESULT IN FAILURE OF CLINICALS. 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 on the third medication administration evaluation will not be allowed to continue in courses: VNSG 1463 and will be unable to complete required clinical objectives. Therefore, the student will be unable to successfully pass the course. The students’ Medication Administration Exam grade for VNSG 1463 will be averaged by the number of attempts taken to pass the test. i.e.: 1, 2 or 3 Clinical evaluations are completed twice each 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. 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) may also 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. Case Study packet and Objectives for specialty areas may be found in the Level III clinical notebook. Case studies and written assignments are to be turned in as determined by instructor. Assignments will be given to and graded by the instructor to whom the student is assigned on due date. Requirements for Level III clinical are: Two (2) Medical-Surgical case studies, One (1) Post-Partum Case Study, Labor & Delivery, Post-Partum, Nursery and Mental Health objectives, and PassPoint/HESI/SwiftRiver Computer assignments. Other assignments include professional resume and attire day, clinical portfolio, community assignments and medication competency. Case Study/Objectives Grading criteria: Rubrics will be utilized by the instructor for grading the case studies and objectives. Any section of the case study rubric that 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 determined as follows: 1. Medication Competency (Average) grade 2. Computer Assignments grade 3. Medical-Surgical Case Study grade 4. Medical-Surgical Case Study grade 5. OB Case Study grade 6. L&D Objectives grade 7. Post Partum Objectives grade 8. Nursery Objectives grade 9. Mental Health Objectives grade 10. Resume/Professional Attire grade 11. Clinical Portfolio grade 12. Teaching Projects grade 13. Objectives Not Met in Previous Level grade (ex: radiology, physical therapy) 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 |
• Students attending classroom, lab or clinical sessions virtually should exhibit appropriate etiquette to include at a minimum: Adhere to the same standards of behavior online that you follow in real life; Respect faculty and peers time by being on time to scheduled exams, sessions and activities; and Present yourself in a professional manner. • Required assignments and specific dates for work to be turned in must be met by the student. Unless turned in by the deadline there will be a drop in grade for lateness. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty. Grammar and sentence structure, spelling, legibility, neatness and following directions as to organization are related to acceptable quality in both written and oral assignments. Written work is expected to follow the most current American Psychological Association (APA) format. • Student should respect the instructor’s office hours of 0800-1500 (unless an emergency arises) and understand that cell phones are used to contact the instructor during clinical hours only for clinical purposes. All other means of communication will be through the Lamar email system. • Should I be unable to maintain these expectations or stated program requirements, dismissal from the program may occur. |
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| Attendance Policy |
This class will be a hybrid class and will consist of online & in facility skills, labs, and assignments. Virtual Clinical Fridays will include virtual assignments and appointment times for those students in need of a Test Review for courses 2410 and 1230. 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. Clinical Orientation is MANDATORY for all students. Students who do not attend clinical orientation may not be allowed to attend clinical and may be dismissed from the program. 3. A student who is absent from clinical 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. 4. It is the student’s responsibility to notify the instructor prior to any absence or delay from scheduled activities for 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, the student should call 409-984-6356 or 1-800-477-5872, ext. 6356 and leave a message. Also, the student may email their clinical instructor. Assignments for absence(s) are as follows and will be due on next clinical day: a. 1st Care Plan & HESI Case Study b. 2nd Nursing Journal ( rubric in level 1 clinical notebook) c. 3rd Keith RN assignment & Pass Point assignment 5. Students who arrive greater than 15 minutes after assigned clinical time will be given a verbal warning 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 and must complete the assigned makeup work. 6. Students must be present the entire clinical day, including pre and post conference to get credit for their attendance. 7. 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. An assignment will be required if the student is absent from clinical. These assignments will receive a satisfactory or unsatisfactory rating only. A satisfactory rating is required for all make up work for missed clinical time. The additional assignments for missed clinical days will not be counted towards the clinical grade average. 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 may be allowed to continue in clinical IF they: 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. 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. 8. 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. 9. 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. 10. The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor by appointment. 11. 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. 12. 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. | ||||||||||
| 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. | ||||||||||
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| HB 2504 | This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504. | ||||||||||