| Instructor Information |
| Instructor |
Eursula Davis |
| Email |
davise1@lamarpa.edu |
| Phone |
(409) 984-6364 |
| Office |
Allied Health - Room: 123 |
| Office Hours |
Office by Appointment: M, T, Clinical Setting, W & TH 7:30 – 5:00 p.m. with scheduled lunch breaks |
| Additional Contact Information |
Donna Wolfe, Allied Health Secretary (409) 984-6356 or 1-800-477-5872 |
| 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
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| Required 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.
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DAVIS’S DRUG GUIDE FOR NURSES
EDITION: 18TH. PUBLISHER: FA Davis
ISBN: 9781719640589
Davis's Comprehensive Manual of Laboratory and Diagnostic Tests with Nursing Implications
EDITION: 10TH. PUBLISHER: FA Davis
ISBN: 9781719646123
NURSES POCKET GUIDE: Diagnoses, Prioritized, Interventions and Rationales
EDITION: 16TH. PUBLISHER: FA Davis
ISBN: 9781719643078
TABER’S CYCLOPEDIC MEDICAL DICTIONARY
EDITION: 24TH PUBLISHER: FA Davis
ISBN: 9781719642859
LPN NOTES: NURSE’S CLINICAL POCKET GUIDE By MOSBY.
EDITION: 5TH PUBLISHER: FA Davis
ISBN: 9780803699748
EBK LIPPINCOTT'S NCLEX-PN PASSPOINT
by Lippincott 8220129042077
Pass Point access code for this class: 9A000648
Davis's Nursing Skills Videos for LPN/LVN 1-year Online - Access
ACCESS CARD
by F.A. Davis Company (9781719647755) - 4TH 23
Advantage LPN/LVN... - Access
ACCESS CARD
by Davis (9781719647809) - 22
Please Note! Any Computer program must be accessed using your Lamarpa email unless otherwise instructed. Anyone repeating MUST join the new class.
Online HESI Case Studies: Complete PN Collection (1 Year Version)
HESI Case study testing packet must be purchased and paid for each semester.
22 Aug Admit, Q-16025 HESI Case Studies: Complete PN Collection (1 Year Version) - Next Generation Version, 1st Edition
Course ID: 10373_jgott12_1002
Swift River Online Learning must be purchased and paid for each semester. Purchase information to follow
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| Additional Materials/Resources |
Clinical supplies as per Clinical uniform policy
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| Corequisites/Prerequisites |
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VNSG-1204 Foundations of Nursing
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VNSG-1234 Pediatrics
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VNSG-1261 Clinical - Licensed Practical/Vocational Nurse Training
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VNSG-1400 Nursing in Health and Illness I
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VNSG-1409 Nursing in Health and Illness II
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VNSG-1462 Clinical-Licensed Practical/Vocational Nurse Training
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| Learning Outcomes |
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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 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 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 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 2; 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 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 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 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 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 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 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 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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| Program Student Learning Outcomes |
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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. Function 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 interdisciplinary health care team to provide evidence-based care.
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| Lecture Topics Outline |
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In Facility/Campus Clinical days are Monday/Tuesday with Virtual Clinical on Fridays.
Week 1 (June 5-9, 2023): Math Review & Exam, Central Line
Practice & Check-off, Friday Virtual Clinical assignments
Week 2 (June 12-16, 2023): Clinical Orientation, Facility Orientation,
Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 3: (June 20-23, 2023): Juneteenth Holiday (Monday), Clinical week 1, Clinical Objectives and Clinical Case Study as directed by Clinical Instructor, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 4: (June 26- June 30, 2023): Clinical Week 2, Professionalism Day/Resume Clinical Objectives and Clinical Case Study as directed by Clinical Instructor, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 5: (July 3-7, 2023): Clinical Week 3, July 4th Holiday (Tuesday), Mid-Clinical
Evaluations, Clinical Objectives and Clinical Case Study as directed by
Clinical Instructor, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 6: (July 10-14, 2023): Clinical Week 4, Clinical Objectives and Clinical Case
Study as directed by Clinical Instructor, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 7: (July 17-21, 2023): Clinical Week 5, Clinical Objectives and Clinical Case
Study as directed by Clinical Instructor, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 8: (July 24-28, 2023): Clinical Week 6, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments
Week 9: (July 31- August 4, 2023): 2-Day Mandatory Hurst Review, Final Skills Check-off, Clinical Evaluations by appointment, Swift River, FA Davis, Pass Point and HESI Case Study Assignments, Virtual Clinical Assignments (HURST Practice)
Week 10: (August 7-11, 2023): HESI Final Exam, Pinning/Graduation
Schedule subject to change at the discretion of the Program Coordinator
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| Major Assignments Schedule |
As Assigned per Course Calendar and Clinical rotation schedule provided by Instructor
Medication Competency Exam
Med-Surg. Case Study
L&D, Post-Partum, Newborn objectives
OB/Post-Partum HESI Case Study
Mental Health Movie Analysis
Portfolio
Resume/Professional Attire
Objectives not met in previous level
Davis Advantage, Pass Point, Swift River & Other Computer Assignments (Averaged)
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| Final Exam Date |
August 9, 2023 - 12:00 PM
Through August 9, 2023 - 2:00 PM
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| Grading Scale |
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90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F
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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 75% or greater on written work and an “S” on clinical performance and required lab assignments to pass the course. Rubrics will be utilized by the instructor for grading assignments, case studies, and objectives. All clinical work is required to be turned in on the due date.
Requirements for Level III clinical are:
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One (1) Medical-Surgical case study
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One (1) Post-Partum/OB HESI Case Study
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Labor & Delivery, Post-Partum, Newborn Objectives
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Mental Health Movie Analysis, and
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Pass Point/HESI/Swift River and/or Computer assignments.
Other assignments include but are not limited to: Professional/Resume/Attire Day, clinical portfolio, virtual clinical assignments, and medication competency.
Any computer program must be accessed using your LamarPa email unless otherwise instructed. It is the student’s responsibility to ensure they are enrolled in the proper courses for Pass Point, Davis Advantage, Evolve HESI, and Swift River. Note: Instructors will not give credit for submissions turned in from a previous course.
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 the instructor. Assignments will be given to and graded by the instructor to whom the student is assigned on the due date.
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:
Medication Competency Exam grade
Computer Assignments grade
Medical-Surgical Case Study grade
OB/Post-Partum Case Study (HESI) grade
L&D Objectives grade
Post-Partum Objectives grade
Newborn Objectives grade
Mental Health Movie Analysis grade
Resume/Professional Attire grade
Clinical Portfolio grade
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.
Students are required to complete written objectives prior to reporting to nursery, post-partum and labor & delivery OR prior to their clinical rotation in Simulation lab. Failure to do so may result in the student being sent home and counted as clinically absent.
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.
All clinical work is required to be turned in on the due date. Late assignment submissions will incur a late point penalty. The late penalty for clinical work will be a deduction of 5 points if turned in 1 day after the assignment due date. Another 5 points will be deducted if the assignment is turned in 2 days after the assignment due date. If the assignment is turned in 3 days late a 10-point penalty will be deducted. Any assignment submitted after 3 days will be assigned a “0” for the assignment. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty, but all late submissions will have a late penalty deducted.
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.
Note: This does not include pass/fail computer assignments such as Pass Point, HESI Case Study, Swift River, etc. Late submission of those assignments will result in an automatic zero unless previous arrangements between Student and Instructor has been made.
Students will haveone opportunity to take a written medication administration competency exam.The student must pass a written medication administration competency evaluation with a minimum score of 90. Students who do not achieve a minimum score of 90 on the medication administration must complete a remediation packet provided by Instructors and attend a Mandatory medication administration review. The remediation packet must be submitted by the student and will be graded by the instructor. If the student does not successfully complete the remediation packet by the deadline, with the required Mastery level required by faculty, the student must drop the course, VNSG 1463 along with the co-requisite course VNSG 2410.
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 with an unsatisfactory clinical performance will receive a grade of “F” for the course regardless of the numerical grade on the written work.
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. |
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| Course Policies |
| Instructor Policies |
Students and faculty of the Lamar State College-Port Arthur Vocational Nursing Program are expected to assist in maintaining a clinical environment that is conducive to learning. To ensure that faculty have the opportunity to teach, and students have the opportunity to benefit from time spent in clinical, unless otherwise approved by the instructor, students are prohibited from engaging in distracting clinical behavior.
The following expectations apply to all courses:
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Promptness is expected. Students should be on time for the beginning of all clinical sessions and will return promptly from breaks
Students are expected to come to didactic, lab, and clinical experiences prepared and present as sincere, adult learners. Pre-course assignments may be required for admissions into class and clinical
Cell phones must be on vibrate off and out of reach during clinical hours. In the event of an emergency, family can contact students through the AH Secretary, Vocational Nursing Program Coordinator, or Department Chair.
Phone calls and/or text messages should be returned only during scheduled breaks.
All information shared by other students and instructor will remain confidential.
Patient information discussed during clinical should not be repeated or discussed outside of the clinical environment or in public areas.
Students should not engage in ‘sidebar’ discussions during classroom, clinical, and lab sessions.
Comments should be directed to the faculty in charge of the classroom, clinical, or lab time.
All students are expected to actively participate in all discussions, activities, and exercises.
Students are expected to be open to new ideas and experiences and to step outside of their comfort zone.
A positive attitude is expected, and comments should give supportive feedback without belittling anyone.
The classroom, clinical, and lab environment is a judgment-free zone.
Students are responsible for their actions and are responsible for learning as much as possible from the experiences provided.
Students are encouraged to seek assistance from peers and faculty when needed to be successful.
Student support of each other in the learning environment is encouraged and expected. Supportive relationships with each other will allow a more positive learning environment to enable all to work together as a team and develop professionally.
Students are also expected to follow the guidelines and policies in the LSC-PA Vocational Nursing Student Handbook.
Should I be unable to maintain these expectations or stated program requirements, dismissal from the program may occur.
The following behaviors may 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.
Not using proper chain of command with concerns and cares that occur in the facility.
The first line of command is your facility instructor. No exceptions.
Displaying an unprofessional, rude, or negative attitude/behavior to the instructor, staff, or other students.
These behaviors will result in the loss of 5 points on the next clinical assignment.
Students are also expected to follow LSCPA-VN policies at ALL times according to student handbook and course syllabi. Violation of policies could result in further disciplinary action and/or dismissal from program. |
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| Attendance Policy |
Clinical Licensed Vocational Nurse Training VNSG 1463 consists of face-to-face clinical along with online and skills labs, simulations and assignments. Schedules may be changed at the discretion of the faculty and vocational nursing coordinator. All attendance policies are in effect whether conducted online or in the classroom setting. 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 activities for more than three (3) days may be dropped from the program by the Program director. Students who do not attend scheduled virtual activities will be counted absent.
4. A student who is absent from clinical without notification to faculty, may be withdrawn from the program by the program director.
5. It is the student’s responsibility to notify all Level 3 Instructors of any absence or delay from scheduled activities for class or clinical. If the student is unable to contact the instructor(s), the student should call 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.
6. In addition to notifying instructors, students must submit a Student Excuse Form, upon the first day of return, each time the student is absent, delayed from attending or must depart early from class, clinical or lab. Failure to complete the Student Excuse Form will result in a declaration of a ‘No Call, No Show’ for the number of days absent and may result in the student being dismissed from the program.
7. 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.
8. Students must be present the entire clinical day, including pre and post conference to get credit for their attendance.
9. 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.
Assignments for absence(s) are as follows and will be due 48 hours following the clinical absence at 0630:
a. 1st Care Plan, HESI Case Studies, 265-item Pass Point quiz, SwiftRiver online assignments
b. 2nd Care Plan, Nursing Journal and Elderly Objectives (rubrics in
level 1 clinical notebook), three 50-item Pass Point quizzes (assigned nursing topics)
c. 3rd Meet with Level 3 Instructors and VN Coordinator to determine course of action
10. 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 who do not meet the above criteria may be dismissed for the semester.
11. 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.
12. 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.
13. Simulation/Computer Lab Assignments are mandatory. Failure to attend will
result in a Zero for that assignment.
14. The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor by appointment.
15. 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.
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. |
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| Additional Information |
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.
Lamar State College Port Arthur is determined to prepare you with the knowledge and skills you need to succeed in today’s dynamic work environment. The entry-level graduate of a Vocational Nursing program provides nursing care within a directed scope of practice under appropriate supervision. Therefore, upon completion of the program, the VN graduate will be able to:
1. Prioritize patient needs according to Maslow's hierarchy of needs.
2. Acquire and evaluate information through use of the nursing process.
3. Communicate information to and receive input from the health care team
to enhance the quality of care provided for patients.
4. Work well with patients and family caregivers from a variety of ethnic,
social, and educational backgrounds.
5. Identify the need for patient data, obtain it from existing sources, and evaluate
its relevance and accuracy.
6. Demonstrate knowledge of own skills and abilities through clinical competency.
Core Competencies of Graduates of Vocational Nursing Education (Source: Differentiated Essential Competencies of Graduates of Texas Nursing Programs2021)
As a:
I. Member of the Profession
A. Function within the nurse’s legal scope of practice and in accordance with regulation and the policies and procedures of the employing health care institution or practice setting.
B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families.
C. Contribute to activities that promote the development and practice of vocational
nursing.
D. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning.
II. Provider of Patient-Centered Care
A. Use clinical reasoning and knowledge based on the vocational nursing program of
study and established evidence-based practice as the basis for decision-making in
nursing practice.
B. Assist in determining the physical and mental health status, needs, and preferences influenced by culture, spirituality, ethnicity, identity, and social diversity of patients and their families, and in interpreting health-related data based on knowledge derived from the vocational nursing program of study.
C. Report data to assist in the identification of problems and formulation of
goals/outcomes and patient-centered plans of care in collaboration with patients, their families, and the interdisciplinary health care team.
D. Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised, directed scope of practice.
E. Implement aspects of the plan of care within legal, ethical, and regulatory parameters and in consideration of patient factors.
F. Identify and report alterations in patient responses to therapeutic interventions in
comparison to expected outcomes.
G. Implement teaching plans for patients and their families with common health
problems and well-defined health learning needs.
H. Assist in the coordination of human, information, and physical resources in providing care for assigned patients and their families.
III. Patient Safety Advocate
A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of
Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards.
B. Implement measures to promote quality and a safe environment for patients, self, and others.
C. Assist in the formulation of goals and outcomes to reduce patient risks.
D. Obtain instruction, supervision, or training as needed when implementing nursing
procedures or practices.
E. Comply with mandatory reporting requirements of the Texas Nursing Practice Act.
F. Accept and make assignments that take into consideration patient safety and
organizational policy.
IV. Member of the Health Care Team
A. Communicate and collaborate in a timely manner with patients, their families, and the interdisciplinary health care team to assist in the planning, delivery, and coordination of patient-centered care to assigned patients.
B. Participate as an advocate in activities that focus on improving the health care of
patients and their families.
C. Participate in the identification of patient needs for referral to resources that facilitate continuity of care, and ensure confidentiality.
D. Communicate patient data using technology to support decision-making to improve patient care.
E. Assign nursing activities to LVNs or unlicensed personnel based upon an analysis of patient or work place need.
F. Supervise nursing care by others for whom the nurse is responsible.
G. Assist health care teams during local or global health emergencies or pandemics to promote health and safety, and prevent disease.
Lamar State College-Port Arthur
Vocational Nursing 1463 Clinical Course Objectives
The student in the Vocational Nursing Program is expected to demonstrate safe professional behavior that includes promoting the actual or potential wellbeing of patients, health care workers, and self in biological, psychological, sociological, and cultural realms and demonstrating accountability in preparation for, provision and documentation of, care according to course objectives.
The purpose of setting safe performance clinical standards is to identify expectations of the Vocational Nursing Program and the Allied Health Department; to comply with agency agreements, and to identify and help students who need assistance and support to succeed in the Vocational Nursing Program. Indicators to be used as guidelines for determining safe performance are:
1. Regulatory: Students practice within the boundaries of the Texas Nursing Practice Act, the ANA Code of Ethics, the guidelines, objectives and policies of the Vocational Nursing Program; and the rules and regulations of the health care agency where they are assigned for clinical learning experiences.
Examples of unsafe practice include but are not limited to the following:
a. Fails to notify the agency and/or instructor of clinical absence.
b. Fails to follow the Vocational Nursing Program and/or agency policies and procedures.
c. Reports for clinical under the influence of drugs and/or alcohol.
d. Fails to follow rules and regulations of the clinical facility.
(Differentiated Essential Competencies=DEC) I A, B, D II A, D, E III A-C, E, F
2. Ethical: The student performs according to the guidelines of the American Nurses’ Code of Ethics and Standards of Practice, and the Texas Nursing Practice Act.
Examples of unsafe practice include but are not limited to the following:
a. Refuses assignments based on patient’s race, culture, religious preference, sex, national origin, age, handicapping condition or any other protected status category.
b. Fails to consult instructor prior to refusing assignment based on medical diagnosis of the patient.
c. Denies, covers-up or does not report own errors in clinical practice.
d. Ignores and fails to report unethical behavior of other health care persons in the clinical setting which affects patient welfare
(DEC) I A, B, D II D, E III A, B, E, F
3. Biological, Psychological, Social, and Cultural Realms: The student’s performance meets the needs of the human system from a biological, psychological, sociological, and cultural standpoint at the level of the course objectives.
Examples of unsafe practice include but are not limited to the following:
a. Violates or threatens the physical safety of the patient, e.g.: neglects use of side rails, restraints; comes unprepared to clinical; leaves a bed in high position.
b. Violates or threatens the psychological safety of the patient, e.g.: uses clichés repeatedly.
c. Does not encourage verbalization, is not aware of difference in ability to communicate
d. Failure to document or act on changes in behavior.
e. Violates or threatens the microbiological safety of the patient, self, or others e.g.: unrecognized violation of aseptic technique and universal precautions; comes sick to clinical experience; unrecognized violation of isolation procedure.
f. Violates or threatens the chemical safety of the patient, e.g.’ violates the “6” Rights of administering medications; fails to monitor IV infusions safely; fails to identify and follow through on significant nursing implications related to medications.
g. Violates or threatens the safety of the patient, e.g.: fails to observe safety precautions during O2 therapy, heat/cold treatment; leaves unreliable patient alone while he/she smokes.
h. Fails to follow through on suggested referrals or interventions to correct deficit areas which may result in harm to others.
i. Interacts inappropriately with agency staff, co-workers, peers, patients/patients, families, faculty resulting in miscommunications, disruption of patient care and/or unit functioning.
j. Lacks physical coordination essential to carrying out procedures.
k. Lacks information processing ability necessary for making appropriate clinical judgments or decisions.
l. Inadequately and/or inaccurately uses the nursing process, e.g.: fails to observe and/or report critical assessments related to patients.
m. Violates previously mastered principles/learning/objectives in carrying out nursing care.
(DEC) I B II A-H III B, C, D, F IV A-E
4. Accountability: The student’s performance demonstrates continuity in the responsible preparation, documentation, and promotion for the care of patients, according to course objectives.
Examples of unsafe practice include but are not limited to the following:
a. Fails to provide inclusive written communication on appropriate documents or verbal communication to faculty and/or appropriate agency personnel.
b. Fails to accurately record essential patient behaviors.
c. Fails to report incompetent, unethical or illegal practice of any person.
d. Attempts activities without adequate orientation, theoretical preparation or appropriate assistance.
e. Fails to maintain honesty in clinical practice and/or written work.
f. Is habitually tardy to clinical.
g. Assumes inappropriate independence in actions or decisions, e.g.: fails to seek supervision when situation is questionable.
(DEC) I A-D II A-H III A-F IV A-E
5. Human Rights: The student’s performance demonstrates respect for the individual, patient, health team member, faculty, and self-including but not limited to the legal, ethical, and cultural realms.
Examples of unsafe practice include but are not limited to the following:
a. Fails to maintain confidentiality of interactions.
b. Fails to maintain confidentiality of records.
c. Exhibits dishonesty in relationships with peers, faculty, patients/patients and/or agency personnel.
d. Fails to recognize and promote every patient’s rights.
(DEC) I A, B, D II B, D, E, H III A-F
Unsafe behavior(s) related to the student’s performance problem must be clearly described and documented. Confirmation, or supporting observation of clinical staff, should be included in the documentation of the performance problems, if possible. The student has the right to provide input and/or data regarding his/her clinical performance and to consult with the clinical instructor, Vocational Nursing Program Coordinator, and the Allied Health Department Chair. The clinical instructor will document unsafe behaviors.
Depending on the facts and circumstances, potential disciplinary action for violation of professional behavior standards may include but is not limited to immediate dismissal from the clinical area and/or a failing grade in the course. Nursing faculty has the responsibility to protect the public. Clinical agencies reserve the right to terminate use of facilities by a particular student where necessary to maintain its operation free from disruption and to ensure quality of patient care.
Code of Ethics:
The Vocational Nursing faculty subscribe to the American Nurses’ Association Code of Ethics*. Students are expected to learn and perform in accordance with this code.
1. The nurse provides services with respect for human dignity and the uniqueness of the patient unrestricted by considerations of social or economic status, personal attributes, or the nature of health problems.
2. Illness is a universal phenomenon; therefore the need for nursing is also universal.
Because nursing is required by the broad spectrum of people who make up society, the nurse should be free of value judgments about “good people and bad people”; it is necessary to accept each person as well as the person’s attitudes, customs, and beliefs. In this way nurses can best provide support to people of varied backgrounds.
3. The nurse safeguards the patient’s right to privacy by judiciously protecting information of a confidential nature.
It is clearly the nurse’s responsibility to keep confidential any information received from the patient only conveying details about illness or physical, social, or personal situation of the patient to other persons who are also professionally concerned directly with the patient’s care. In some instances, the nurse may be required to provide testimony in court. In these instances, the court will advise the nurse as to what is admissible and to what the nurse must testify. Because people can be seriously harmed and embarrassed by a breach of confidence of the nurse, all nurses must use good professional judgment in what they say, being sure that it is stated to the correct person and that what is conveyed could be of value in promoting the health of the patient.
4. The nurse acts to safeguard the patient and the public when health care and safety are affected by the incompetent, unethical, or illegal practice of any person.
5. The nurse has a responsibility to report to the appropriate authority or the professional association any conduct of other nurses or physicians that endangers patients.
The priority of the nurse is the patient, patient safety, and patient care.
6. The nurse assumes responsibility and accountability for individual nursing judgments and actions.
7. Nurses themselves are responsible for maintaining their own competence, updating their knowledge and skills as it are appropriate.
Not to do so would imply that a nurse could not provide as high a standard of practice as the profession considers necessary.
8. The nurse maintains competency in nursing.
Maintaining competency in nursing practice is essential; nurses must keep abreast of new developments to ensure the best standards of patient care. An essential quality of the nurse is a zest for continued study, since knowledge and skills for nursing need to be continually updated. The nurse who pursues knowledge independently is undoubtedly more effective in practice than one who does not.
9. The nurse exercises informed judgment and uses individual competence and qualifications as criteria in seeking consultation, accepting responsibilities, and delegating nursing activities to others.
Nurses need to recognize their own areas of competence and incompetence; they have a right to refuse to carry out responsibilities that they consider unethical. Policies of agencies and the law assist the nurse as to what practices are considered to be within the nurse’s area of responsibility. In addition, if a nurse is not familiar with some nursing activity, it is the nurse’s right to explain this and to refuse to carry it out.
10. The nurse participates in activities that contribute to the ongoing development of the profession’s body of knowledge.
Increasingly, nurses are becoming involved in research activities as individual practitioners and as employees of hospitals and community health agencies. Nurses themselves are conducting research into nursing practice as well as are a variety of health personnel such as physicians and biochemists. The nurse who plans to participate should first make sure that the patient understands and agrees to be part of the research; second, the nurse should make sure that the research proposal has the approval of the agency research committee or the appropriate approving authority of the agency.
11. The nurse participates in the profession’s efforts to implement and improve the standards of nursing.
Peer review and established nursing standards assist in improving nursing. The nurse has the responsibility to participate in these activities as well as to participate in educational programs. Standards for practice must always change as the health care system changes. The professional nurse has a responsibility to assist in making these changes and implementing them.
12. The nurse participates in the profession’s efforts to establish and maintain conditions of employment conducive to high quality nursing care.
Each nurse, acting through the professional organization, needs to be concerned with the economic and general welfare of the members of the profession. These are important factors in both recruiting nursing students and in retaining nurses in the work force. Through the nursing association, nurses assist in the establishment of employment practices and in bargaining for economic and general benefits.
13. The nurse participates in the profession’s effort to protect the public from misinformation and misrepresentation and to maintain the integrity of nursing.
Nurses are generally held in respect by members of the public, who have confidence in their knowledge and their advice. Often when a nurse speaks, it is assumed that the opinion given is the opinion of all nurses. For example, to advertise or recommend a product might be harmful or misleading to the public. The nurse appears to have knowledge that the particular product is better than other on the market; this may not be true because that knowledge is usually beyond the nurse’s qualifications and authority.
14. The nurse collaborates with members of the health professions and other citizens in promoting community and national efforts to meet the health needs of the public.
A professional nurse, with specialized knowledge and skills, has a responsibility to contribute in such a manner as to assist people to meet the health needs of the community. Citizens are increasingly concerned and becoming involved in planning health care. A nurse can offer this group information that would be pertinent and helpful. Nurses also have a responsibility to act on committees with other health members and other professionals such as teachers and social workers in meeting the health problems of the people in the community.
*American Nurses’ Association. 2015. Code for Nurses. Kansas City, Missouri: American Nurses’ Association.
Reviewed & Revised 5/2023 |
Available Support Services:
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| Institutional Policies |
| MyLSCPA |
Be sure to check your campus email and Course Homepage using MyLSCPA campus web portal. You can also access your grades, transcripts, academic advisors, degree progress, and other services through
MyLSCPA.
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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 LSCPA policies (Academic Dishonesty section in the Student Handbook) for consequences of academic dishonesty.
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| 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.
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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 diagnosed with COVID 19 to report their condition directly to their local health department. Students should also contact their course faculty to report their quarantine status. In addition, this policy requires all students to wear face coverings when directly exposed to COVID 19 in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.
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| 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.
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| HB 2504 |
This syllabus is part of LSCPA's efforts to comply with Texas House Bill 2504.
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| Mandatory Reporting of Child Abuse and Neglect |
As per Texas law and LSCPA policy, all LSCPA employees, including faculty, are required to report allegations or disclosures of child abuse or neglect to the designated authorities, which may include a local or state law enforcement agency or the Texas Department of Family Protective Services. For more information about mandatory reporting requirements, see
LSCPA's Policy and Procedure Manual.
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| Title IX and Sexual Misconduct |
LSCPA is committed to establishing and maintaining an environment that is free from all forms of sex discrimination, including sexual harassment, sexual violence, and other forms of sexual misconduct. All LSCPA employees, including faculty, have the responsibility to report disclosures of sexual misconduct, including sexual harassment, sexual assault (including rape and acquaintance rape), domestic violence, dating violence, relationship violence, or stalking, to LSCPA's Title IX Coordinator, whose role is to coordinate the college's response to sexual misconduct. For more information about Title IX protections, faculty reporting responsibilities, options for confidential reporting, and the resources available for support visit LSCPA's Title IX website.
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| Clery Act Crime Reporting |
For more information about the Clery Act and crime reporting, see the Annual Security & Fire Safety Report and the Campus Security website.
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| Grievance / Complaint / Concern |
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.
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| Department Information |
| Allied Health |
| Chair: | Shirley MacNeill |
| Email: | macneisb@lamarpa.edu |
| Phone: | (409) 984-6365 |
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