Summer Sessions 2019 Course Syllabus
Course: VNSG-1462- Section: 14
Clinical-Licensed Practical-Vocational Nurse Training
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Instructor Information
Instructor Lois Holmes
E-mailholmesll@lamarpa.edu
Phone(409) 984-6359
Office
Location:Allied Health - Room: 107-3
Hours:As posted and by appointment
Department
Allied Health
Chair:Shirley MacNeill
E-mail:macneisb@lamarpa.edu
Phone:(409) 984-6365
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 1227 Essentials of Med Administration,
VNSG 1204 Foundations of Nursing
VNSG 1231 Pharmacology
VNSG 1400 Nursing Health/Wellness I
VNSG 1261 Clinical
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 nurses 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 patients 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.    Patients status including signs, symptoms, and responses
b.    Nursing care rendered
c.    Administration of medications and treatments
d.    Patients response to medications and treatments
e.    Contacts with other health care team members concerning significant events regarding patients 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 patients 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 nurses 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
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.
Program Student Learning Outcomes Upon completion of the Vocational Nursing Program graduates will, under the supervision of a professional licensed nurse and/or licensed physician, function in non-complex settings and should be able to:
PSLO Alpha: Reading Skills Demonstrates comprehension of content-area reading materials.
PSLO 1. Function within the legal, ethical and regulatory standards of the nursing
profession.
PSLO 2. Use a systematic problem-solving process in the care of multiple patients who
have predictable health care needs to provide safe, individualized, goal-
directed nursing care.
PSLO 3. Adopt an approach to nursing practice that promotes safety for patients,
significant others, self, and members of the healthcare team.
PSLO 4. Cooperate with members of the interdisciplinary health care team to provide
optimum, evidence-based, safe, care to patients.

Textbooks Nursing Diagnosis Handbook by ACKLEY. 11th ed. 2017. Publisher: Elsevier
Vallerand Drug Guide/Tabers Index The Perfect package: A Comprehensive Collection for Nurses. 17th ed. Publisher: Davis FA.    
MOSBY'S PDQ FOR LPN By MOSBY. EDITION: 4th 2017. PUBLISHER: ELSEVIER.
ISBN: 9780323400220    
Pass point NCLEX PN Review 5,000: Please note: No other NCLEX PN Review will be accepted. You must use the NCLEX PN Passpoint access code provided to you for your VNSG 1409 class (see VNSG 1409 syllabus) and VNSG 1234 class (see VNSG 1234 syllabus)
HESI Case study testing packet must be purchased and it is good for 2 years, this package will include HESI case Studies as well as the HESI exams that must be taken each level of the VN program Swift River Online Learning
Please Note! Any Computer program must accessed using your Lamar email.
Lecture Topics
Outline
Major Assignments
Schedule

Medication Competency
Medical-Surgical Case Study
PACU Objectives
Clinical Portfolio
Pedi HESI Online case study
Emergency Room Objectives
Makeup assignments (if applicable)
Computer assignments may be assigned and will be due on an ongoing basis

Clinical days are Wednesday, Thursday, and Friday (0630-1600)
Assignments due according to individual students schedule
Clinical Evaluations by appointment     



Final Exam Date August 12, 2019 - 8:00 AM
Grading Scale 90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F
Determination of
Final Grade
The grade is determined as follows:
1.    Medication Competency grade (average if more than one attempt)
2.    Medical-Surgical Case Study grade
3.    Pedi HESI Online case study grade
4.    Emergency Room Objectives     grade
5.    PACU Objectives         grade
6.    Clinical Portfolio         grade
7.    Objectives Not Met in Previous Level grade
(ex: radiology, physical therapy)
8.    Swift River Assignments/Hesi Case grade
Studies/Computer Assignments

Students must have a 75 average and a satisfactory rating on the clinical evaluation tool to pass the course
Course Policies
Instructor Policies     Tobacco products are not allowed on campus or at clinical site.
    Only students enrolled in the course are allowed at the clinical site, except by special instructor permission.
    Students should turn their phones to vibrate before they enter the clinical facility.
    No cell phones or smart watches should be visible or on (decrease volume) while on a nursing unit or in a patients room.
Student agrees to the following:
1.    I agree that all information shared by other students and instructors will remain confidential.
2.    I will not repeat or discuss what is shared with anyone.
3.    I agree to be responsible for learning as much as I can from this experience.
4.    I agree to ask for what I need from my instructors.
5.    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.
6.    I agree to follow the guidelines and policies in the LSC-PA Vocational Nursing Student Handbook.
The following behaviors will result in the student being asked to cease the action and/or leave clinical:
    Unauthorized/disruptive use of cell phones or other electronic equipment
    Talking while the instructor is giving instructions or during class discussions/presentations
    Displaying a rude or negative attitude/behavior to the instructor or other students.
Attendance Policy Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below:
1.    Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled 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.    If a student is absent from clinical for more than three (3) days, that student 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 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 electronic contact information, cell phone or email. The student should 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.
5.    Students who arrive greater than 15 minutes after assigned clinical time will be given a verbal warning and may or 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. Clinical hours that the student misses must be made up, Instructor will give assignment. This assignment must be completed by next clinical day.
6.    Students must be present the entire clinical day, including post/pre-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. Additional written work will be required if the student is absent from clinical or simulation. All make-up assignments for missed clinical days will be required to meet the 100% clinical attendance. Make-up assignments will not count in the calculation of the overall clinical grade. 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.
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.
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.    The program director has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for vocational nursing makes it inadvisable for that student to continue in the program.
Academic Honesty Academic honesty is expected from all students, and dishonesty in any form will not be tolerated. Please consult the LSC-PA policies (Section IX, subsection A, in the Faculty Handbook) for consequences of academic dishonesty.
Facility Policies
  1. No food or tobacco products are allowed in the classroom.

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

  3. Use of electronic devices is prohibited.
Important Information
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the the Office for Disability Services Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.
MyLamarPA Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLamarPA.
Other
HB 2504 This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.