Linnard-Palmer, Luanne. Coats, Gloria, (2021). Safe Maternity and Pediatric Nursing Care (2nd ed.). Philadelphia: F. A. Davis ISBN # 9780803697348

Linnard-Palmer, Luanne. Coats, Gloria, (2021). Study Guide for Safe Maternity and Pediatric Nursing Care (2nd ed.). Philadelphia: F. A. Davis ISBN #9780803697362

Williams, Linda, Hopper, Paula, (2023) Understanding Medical-Surgical Nursing (7th ed.) Philadelphia: F.A. Davis ISBN # 978-1-7196-4458-7

Williams, Linda, Hopper, Paula, (2023). Study Guide for) Understanding Medical-Surgical Nursing (7th ed.) Philadelphia: F.A. Davis ISBN # 978-1-7196-4459-4

Burton, M., Smith, D. Ludwig, L. (2023). Study Guide for Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (4th ed.). Philadelphia: F.A. Davis ISBN #9781719644563

Burton, M., Smith, D. Ludwig, L. (2023). Fundamentals of Nursing Care, Concepts, Connections and Skills for Nursing (4th ed.). Philadelphia: F.A. Davis ISBN # 978-1-7196-4455-6

Zerwekh, Jo Ann (2022) Study Guide for the NCLEX-PNEXAM (9th ed.) Elsevier ISBN 978-0-323-76002

Doenges, Marilyn E., Moorhouse, Mary Frances, Murr, Alice C., (2022). Nurse's Pocket Guide-Diagnoses, Prioritized Interventions, and Rationales (16th ed.). Philadelphia:

F.A. Davis ISBN #978-1-7196-4307-8

Van Leeuwen, Anne M., Bladh, Mickey Lynn, (2021). Comprehensive Manual of Laboratory and Diagnostic Tests (9th.). Philadelphia: F.A. Davis ISBN#9781719640589

Vallerand, April Hazard, Sanoski, Cynthia A., (2023). Davis's Drug Guide for Nurses (18th ed.). Philadelphia: F.A. Davis ISBN# 9781719646406

Myers, Ehren (2020) LPN Notes: Nurse's Clinical Pocket Guide (5th ed). Philadelphia: F.A. Davis ISBN# 9780803699748

Taber's Cyclopedic Medical Dictionary 21st ed (2021) Philadelphia: F.A. Davis ISBN# 9781719642859

You can find your Seahawk Bundle Here: https://lamar-pa.bncollege.com/course-material/course-finder  

We will be utilizing the access codes from the new books, purchasing an older version may result in the student being unsuccessful in advantage assignments.
 

• Online HESI Case Studies: 22 Aug Admit: Complete PN Collection (1-year Version) 

o Course ID: 10373_jgott12_1002

• Swiftriver/ATI Online-Purchase: VNSG 1463 Clinical Fall 2023 class   

o Course Code: 51532-3FZC-FAA4

• NCLEX® PN Pass Point:  VNSG 1463 Clinical Fall 2023               

o Course Code:  D3516E7A

• Davis Advantage: 

o VNSG 1230 - OB - Fall 2023

Course ID: 580811012585835977X

o VNSG 2410 - MedSurg - Fall 2023

Course ID: TBD

Please Note! Any Computer program must be accessed using your Lamar email unless otherwise instructed.   It is the student’s responsibility to ensure they are enrolled in the proper courses for PassPoint, Davis Edge, Evolve HESI, Advantage and SwiftRiver. Instructors will not allow submissions to be turned in from a previous course. 

Pre-requisites:

Co-requisites:

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 

• 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

• VNSG- 2410 Nursing in Health and Illness III

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 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

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

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 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.

2 Medical-Surgical Case Study

OB Online Case Study

Specialty Objectives (LD, PP, NB)

Mental Health Assignment

Professionalism Assignment 

Emergency Room Discussion Board (If not previously completed)

PACU Discussion Board (If not previously completed)

Portfolio

Simulation/computer/virtual assignments

Clinical days are Thursday and Friday 0630-1430. SIM schedule will be sent to students before rotations.  See schedule/assignments for more details.  Schedules are subject to change

Most assignments will be due at 11:30 PM (at night) on the Sunday that the student rotated through each specific unit (Discussion Board posts/Floor units for Case Studies). Objectives are due before rotating through specialty units (LD, PP, NB). 

Virtual/Online Clinical assignments are pass/fail and scheduled but subject to change. 
Failure to complete assignments will result in a zero.  Please see schedule.

Clinical Evaluations by appointment 

Week 1- Central Line/Math Review/Practice/Check-Off

Week 2- Math Exam #1/OB Hesi CS/Passpoint (on campus) 

Week 3- Math Exam #2

Week 4- Math Exam #3 (paper)

Week 5- Clinical/Simulation Orientation/Make-up Skill/Facility Orientation

Week 6- Clinical Week 1

Week 7- Clinical Week 2

Week 8- Clinical Week 3

Week 9- Clinical Week 4

Week 10- Clinical Week 5

Week 11- Clinical Week 6

Week 12- Clinical Week 7

Week 13- Thanksgiving Holiday

Week 14- Final Skills/Evaluations/HURST

Week 15- Professionalism Day/Final Evaluations

Week 16- Pinning/Graduation

If the student is repeating level 3, they must do all level 3 objectives again without copying the work from previous level. Please attach the objectives graded from previous semester for instructor review.

The grade is determined as follows:

1. Portfolio                                                          grade

2. 2 Medical-Surgical Case Study                      grade

3. OB Online Hesi Case Study                           grade

4. Emergency Room Discussion Board              grade (if applicable)

5. PACU Discussion Board                                 grade (if applicable)

6. L&D Objectives                                               grade

7. Postpartum Objectives                                   grade

8. Newborn Objectives                                       grade

9. Mental Health Assignment                             grade

10. Resume/Professionalism                             grade

11. Simulation assignments                               grade (pass/fail)
12. SwiftRiver                                                     grade (pass/fail)
13. Passpoint                                                     grade (pass/fail)
14. Hesi Case Studies                                       grade (pass/fail)

15. Math Exam                                                  grade (average)

Students must have a 75 average, 90 on math exam, and a satisfactory rating on the clinical evaluation tool to pass the course.

All assignments must be turned in with the rubric attached

See Addendum for more information

• 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 M-F 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 the student be unable to maintain these expectations or stated program requirements, dismissal from the program may occur.

• Simulation: As part of the clinical rotation, all students will participate in Simulation. Students will be expected to properly demonstrate skills included in the simulation that have been successfully checked off by faculty in the VNSG courses across all levels. Each simulation experience will include a pre and post simulation assignment. Students must have completed the pre-simulation assignment prior to arriving for assigned simulation clinical. If students have not completed the pre-simulation assignment, they will be sent home and an absence will be recorded and makeup assignment required. The student is responsible for setting up a time to practice and repeat any failed skill(s) that occur during simulation.

Schedules may be changed at the discretion of the faculty and VN nursing coordinator.  All attendance policies are in effect regardless of the setting.   Students should check their emails and blackboard daily to ensure changes have not been made.  

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 classes/clinicals/simulations 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 course activities for more than three (3) days without notification to faculty 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.  

NOTE:  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, they must notify the faculty that they are unable to attend clinical. Each clinical instructor will provide contact information for the student to reach their clinical instructor; 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.

4. Any student who is “no call, no show” for clinical demonstrates a lack of accountability and unprofessional conduct.  Therefore, they 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.

5. 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.

6. The clinical instructor keeps an attendance record.  Any student who is not sure about his/her status should meet with the instructor by appointment.

7. Students are expected to attend clinical in FULL CLINICAL ATTIRE; including approved clinical dress (scrubs, scrub caps, appropriate shoes, lab jacket, name badge and photo, etc) as well as required accessories. This includes keeping the “Clinical Portfolio” on hand for all clinicals, simulations, evaluations, and check-offs.  Badge and photo must be worn on top right-hand side of uniform.  All students and faculty may be required to wear an approved surgical face mask/N95 and must follow each facility’s screening process when entering the clinical facilities.  Students and faculty may be required to wear a face shield while in patient care areas (including nursing stations etc.) and while providing direct patient care or according to facility/LSCPA’s current policy.  These policies are updated regularly and may change throughout clinical.  Students not adhering to dress codes; as described in Student Handbook, the syllabus, or the facility may be sent home by the instructor. This will count as a clinical absence.

8. 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.

9. Assignments for absence(s) are listed in blackboard course VNSG 1463 under the clinical assignments tab.  The student must follow instructions very carefully when submitting their assignments or it may result in a 0.  

10. 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.  ALL assignments must be completed satisfactorily and are required for all make up work to be counted 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.

11. 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 note and will not be allowed to remain.  If the student is sent home they will be counted absent from clinical and must complete the make-up assignment.

12. It is the student’s responsibility to submit a completed ‘student excuse’ form upon the first day of return to class/clinical following an absence, tardy, or leaving class early.  Failure to do so will result in a declaration of ‘no call, no show’ and may result in the student being dismissed from the program.

13. Students must be present the entire clinical day to receive credit for their attendance 

14. Lab jackets are to be worn at all times while in the skills lab.

15. Simulation/Computer Lab Assignments are mandatory.  Failure to attend/complete will result in a zero (0) for that assignment and the student being sent home with a clinical absence.       

The Program Director or Department Chair 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.