VNSG-1462-02 - Clinical LPN-LVN Training
Lamar State College - Port Arthur
House Bill 2504
Spring 2016 Course Syllabus
VNSG-1462-02 - Clinical LPN-LVN Training
|Instructor||LaGrone, Toni Bourque|
|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.|
|Course 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.|
VNSG 1227 Essentials of Med Administration,
VNSG 1304 Foundations of Nursing
VNSG 1331 Pharmacology
VNSG 1500 Nursing Health/Wellness I
VNSG 1261 Clinical
Bladh, M. & Leeuwen, A. (2015). Davis’s Comprehensive Handbook of Laboratory & Diagnostic Tests with Nursing Implications (6th ed.). Philadelphia: F.A. Davis
Deglin, J.; Valleranda, A.; Sanoski, C. (2013) Davis’s Drug Guide for Nurses (13th ed). Philadelphia: F. A. Davis
deWit, C. (2014). Fundamental Concepts and Skills for Nursing (4th ed.). St Louis: Saunders Elsevier.
deWitt, C.& Kumagai, C. (2014). Medical-surgical Nursing Concepts and Practice (2nd ed.). St. Louis: Saunders Elsevier.
Doenges, M. (2010). Nurse's Pocket Guide Diagnoses, Prioritized Interventions, and Rationales (12th ed.). Philadelphia: F.A. Davis.
Leifer, G. (2015). Introduction to Maternity & Pediatric Nursing (7th ed.). St. Louis: Saunders Elsevier.
Mosby.Langford, R. (2013). Mosby's PDQ for LPN (3rd ed.). St. Louis: Mosby.
Taber's Cyclopedic Medical Dictionary (22nd ed.). (2013). Philadelphia: F.A. Davis.
Note: Pedi PrepU and computer assignments will be counted in the average for clinical course. Access Code: SMITH36104
Recommended Textbooks deWitt, S., & Kumagai, C. (2013). Student Learning Guide Medical Surgical Nursing (2nd Ed.). St. Louis: Saunders Elsevier.
Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below:
1. Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled clinical is expected.
2. A student who is absent from 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.
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, the student should call 409-984-6356 or 1-800-477-5872, ext. 6356 and leave a message. Also, the student may email, and/or call the instructor’s office and leave a voice message.
4. 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.
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.
d. Students will be required to do additional written work to continue in clinical. Students who do not meet the above criteria may be dismissed for the semester.
7. Any student who is “no call, no show” for clinical demonstrates a lack of accountability and unprofessional conduct. Therefore, s/he may fail clinical that semester and must repeat both the clinical and didactic courses to progress in the program. The only possible exception is if a student is physically unable to call the faculty.
8. Students may be required to attend seminars or workshops to meet clinical objectives. Students will be informed in advance of the requirements. They are expected to attend the entire workshop as scheduled even if it extends past the regularly scheduled clinical time.
9. The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor by appointment.
10. 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.
|Course Grading Scale||
90-100 = A 80-89 = B 75-79 = C 60-74
D Below 60 = 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 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 85. The student will have three opportunities to achieve a minimum score of 85. Students who do not achieve a minimum score of 85 on the third medication administration evaluation will not be allowed to continue in the course and will be unable to complete required clinical objectives. Therefore, the student will be unable to successfully pass the course. The students’ grade 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 1509 Nursing in Health and Illness II and/or VNSG 1334 Pediatric 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.
Case Study packet and Objectives for specialty areas may be found in the 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 II clinical are: Two (2) Medical-Surgical case studies, ED and PACU objectives, Pedi PrepU assignments, Clinical portfolio grade, Community assignments and the medication competency test.
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 should meet with the faculty to determine strategies to improve performance on subsequent case studies.
The grade is determined as follows:
1. Medication Competency grade (average if more than one attempt)
2. Medical-Surgical Case Study grade
3. Medical-Surgical Case Study grade
4. Emergency Room Objectives grade
5. PACU Objectives grade
6. Clinical Portfolio grade
7. Pedi Prep-U average grade
8. Community Assignment grade
9. Community Assignment grade
10. Community Assignment grade
11. Makeup assignments (if applicable) grade
Students must have a 75 average and a satisfactory rating on the clinical evaluation tool to pass the course.
|Final Exam Date||May 4, 2016 - 8:00 AM|
Medical-Surgical Case Study
Medical-Surgical Case Study
Pedi Prep-U average
Emergency Room Objectives
|Calendar of Lecture Topics and Major Assignment Due Dates||
Clinicals are Wednesday – Friday (0630-1500) Times may vary for community rotations.
Assignments due according to individual students schedule
Clinical Evaluations by appointment
|General Education/Core Curriculum Student Learning Outcomes||
|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
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.
|Course Student 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
|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.|
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 – Student Handbook http://www.lamarpa.edu/dept/stac/docs/StudentHandbook.pdf
11. Lamar State College Faculty Handbook http://www.lamarpa.edu/faculty/handbooks/full-time.pdf
12. Lamar State College 2015-2016 Catalog at http://www.lamarpa.edu/catalog/
|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 Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.|
Some material in this course may be copyrighted. They may be used only for instructional purposes this semester,
by students enrolled in this course. These materials are being used fairly and legally.
No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class,
including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or
painting or performing copyrighted material for public display.
Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.
Copyrighted material can be used if permission from the material’s creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeare’s Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.
If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to
attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching
and testing methods in your classes, and it helps each department understand and improve degree and certificate
Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.
If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just won’t use your data.
What’s the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other tools.
Federal privacy laws apply to college students. This means that college employees, including instructors, cannot
divulge information to third parties, including parents and legal guardians of students. Even if the students are
minors, information about their college work cannot be shared with anyone except in very limited circumstances.
Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.
Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.
Circumstances under which information may be released:
An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of
information. The note must specify what information may be divulged, and it must specify the name of the person
to whom the information may be given.
The Registrar’s office is located in the Student Center room 303B, and can be reached at (409) 984-6165.
This course helps add to the students’ overall collegiate experience in the following ways:
|Degree Plan Evaluation||
A Degree Plan Evaluation will help you determine which classes you need to complete your program.
All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a “NO” will be listed on the right next to the required class.
|HB 2504||This syllabus is part of LSC-PA’s efforts to comply with Texas House Bill 2504.|