Summer Sessions 2021 Course Syllabus
Course: VNSG-1463- Section: 11
Clinical-Licensed Practical-Vocational Nurse Training
LSCPA Logo Image
Instructor Information
Instructor Lois Holmes
Phone(409) 984-6359
Location:Allied Health - Room: 107-3
Hours:M-W clinical setting, Office by appointment Th- 0730-500; F- 0800-1200
COVID 19 Information The Lamar State College Port Arthur (LSCPA) Student Code of Conduct COVID 19 Policy requires students who have been exposed to COVID 19 or diagnosed with COVID 19 to report their condition on the COVID 19 Notification Form (available via a link on the Student Code of Conduct COVID19 webpage). This information will be provided to the Dean of Student Services. In addition, this policy requires all students to wear face coverings in compliance with the criteria included in the policy. For more information please refer to the COVID 19 link on the LSCPA website.
Course Information
Description A Health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional
Prerequisites VNSG 1409 Nursing in Health and Illness II
VNSG 1234 Pediatrics
VNSG 1462 Clinical LPN Nursing
To graduate from the VN program, it is required that you must complete either Microcomputers (BCIS1305) or Introduction to Computers (ITSC 1401) prior to graduation. Students must have a minimum grade of C or better in every course that
applies to the Vocational Nursing Certificate plan to graduate.
Learning Outcomes In accordance with the mission of LSC-PA, VNSG 1463 Clinical assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of the course, the student should be able to:
1.    Practice independent nursing actions with guidance from the Registered Nurse. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical rotation assignments and evaluation of delivery of patient care
2.    Demonstrate confidence in working as a member of the health care team. (PSLO 3; PSLO 4) Measured by: observed evaluations of student interaction with other healthcare team members
3.    Identify the legal aspects and accountability of a Graduate Vocational Nurse. (PSLO Alpha; PSLO 1) Measured by: reading and application of nurse practice act; observations and evaluations of the provision of safe, ethical nursing care in the clinical setting
4.    Demonstrate knowledge of the nurse’s role in quality improvement/assurance process. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: exams based on understanding of the role in providing safe and effective patient care; observed delivery of care and team planning in clinical setting
5.    Demonstrate a working knowledge of the code of ethics for the Licensed Vocational Nurse. (PSLO Alpha; PSLO 1) Measured by: discussion based on readings of the code of ethics and standards of care for the vocational nurse
6.    Comply with established standards of Vocational Nursing Practice. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: observed clinical interactions with patients, families and other team members in the provision of safe, effective nursing care; standardized exams to evaluate comprehension
7.    Identify barriers to communication and adapt to changing needs of the patient. (PSLO Alpha; PSLO 3) Measured by: classroom discussions and clinical evaluations of patient interactions based on development, cultural influences, personal preferences and current health condition
8.    Record information on the patient’s chart legibly and concisely using appropriate terminology and spelling. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: application of module exercises for medical terminology, documentation practice labs and clinical assignments with instructor feedback
9.    Use a systematic approach to provide individualized, safe, goal-directed nursing care. (PSLO 1; PSLO 2) Measured by: clinical observations and evaluation of nursing care; discussions of standards of nursing care
10.    Apply knowledge and skills to resolve patient problems in a goal-directed manner. (PSLO Alpha; PSLO 1; PSLO 2) Measured by: evaluation of application of assigned readings; case study scenarios; clinical simulation
11.    Evaluate care provided and assist in revising the plan as needed to meet established goals. (PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: applied feedback from instructor regarding patient plans of care; clinical observation and collaboration with patients, families and interdisciplinary team members
12.    Relate pertinent information to colleagues and other members of the health care team, and discuss appropriate nursing actions. (PSLO 1; PSLO 4) Measured by: SBAR reporting in clinical simulation and lab setting; SBAR reporting among student peers, instructors and nursing staff
13.    Accurately and completely report and document:
a.    Patient’s status including signs, symptoms, and responses
b.    Nursing care rendered
c.    Administration of medications and treatments
d.    Patient’s response to medications and treatments
e.    Contacts with other health care team members concerning significant events regarding patient’s status.
(PSLO 1; PSLO 2; PSLO 3; PSLO 4) Measured by: clinical assignments; safe, ethical patient and healthcare team interactions during clinical simulation, lab scenarios and in the clinical setting
14.    Respect the patient’s right to privacy by protecting confidential information unless obligated or allowed by law to disclose the information. (PSLO 1; PSLO 3) Measured by: clinical evaluation; case scenario discussions; exams
15.    Demonstrate effective communication skills. (PSLO 1; PSLO 4) Measured by: SBAR reporting in clinical simulation and lab setting; SBAR reporting among student peers, instructors and nursing staff
16.    Conform to the uniform policies outlined in the Vocational Nursing Program Handbook. (PSLO Alpha; PSLO 1) Measured by: professional appearance at clinical each day with required uniform, materials and attitudes as stated in student handbook policies
17.    Act as a member of the interdisciplinary health care team working under the supervision of a registered nurse or physician. (PSLO Alpha; PSLO 1; PSLO 3; PSLO 4) Measured by: adherence to the role of a vocational nursing student according to the Nurse Practice Act and healthcare facility policy; assisting other members of the healthcare team to provide safe and competent nursing care
18.    Demonstrate knowledge of the nurse’s role in risk management. (PSLO Alpha; PSLO 1; PSLO 4) Measured by: participation in implementation and evaluation of nursing care plan to provide optimum care to each individual patient
19.    Demonstrate the ability to teach self-care management and provide safe basic nursing care to multiple patients with a variety of predictable health outcomes. (PSLO Alpha; PSLO 1; PSLO 2; PSLO 3) Measured by: application of principles learned in theory; clinical evaluation; teaching project and day-to-day interactions with patients and their families
20.    Maintain cost effectiveness in the clinical setting. (PSLO 1) Measured by: precise usage of materials required for skill implementation and patient care
21.    Maintain professional boundaries of the nurse-patient relationship. (PSLO Alpha; PSLO 1; PSLO 3) Measured by: comprehension and application of standards of professional practice and Good Professional Conduct statement from Board of Nursing; clinical evaluation of professional interactions
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
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 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.

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.

deWitt, C. (2017). Medical-surgical Nursing Concepts and Practice (3rd ed.). St. Louis: Saunders Elsevier.
Morrison-Valfre (2017) Foundations of Mental Health Care (6th ed.). St. Louis:
deWit, C. (2018). Fundamental Concepts and Skills for Nursing (5th ed.). St Louis:
Saunders Elsevier.
Online HESI Case Studies: Complete PN Collection (2 Year Version)
Swift River Online Learning as scheduled
PASS POINT NCLEX PN REVIEW 5,000: Please note: No other NCLEX PN Review will be accepted. You must use the NCLEX PN Pass Point access code provided to you for this class.
Please Note! Any Computer program must accessed using your Lamar email.
Lecture Topics
Medication Competency (Average)
Computer Assignments
Medical-Surgical Case Study
OB Case Study
L&D Objectives    
Post Partum Objectives
Nursery Objectives         
Mental Health Objectives
Resume/Professional Attire
Clinical Portfolio        
Teaching Projects
Objectives Not Met in Previous Level
Community assignments
Virtual Clinical Assignments
Major Assignments
Medication Competency (Average)
Math Exam I 6-8-2021
Math Exam II 6-17-2021
Math Exam III 6-24-2021
Pass Point assignments are due on an ongoing basis as scheduled
Case Study, and Objectives assigned and due per clinical instructor:

Computer Assignments
Medical-Surgical Case Study
OB Case Study
L&D Objectives    
Post Partum Objectives
Nursery Objectives         
Mental Health Objectives
Resume/Professional Attire
Clinical Portfolio        
Teaching Projects
Objectives Not Met in Previous Level
Virtual Clinical Assignments

Final Exam Date August 4, 2021 - 8:0 AM   Through  August 4, 2021 - 12:0 PM
Grading Scale 90-100 = A 80-89 = B 75-79 = C 74-60 = D Below 60 = F
In addition to a letter grade student will also receive either an S or a U.
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 or in some cases an S or a U and (2) Clinical performance which is graded as S (satisfactory) or U (unsatisfactory).
A student must achieve a minimum average of 74.5% or greater on written work and an S on clinical performance, and required lab assignments to pass the course. The grade received on the written work will be the grade assigned for the course on the transcript provided the student has a satisfactory on clinical performance.
Students with an unsatisfactory for clinical performance will receive a grade of F for the course regardless of the numerical grade on the written work.

The student must pass a written medication administration competency evaluation with a minimum score of 90. The student will have three opportunities to achieve a minimum score of 90. Students who do not achieve a minimum score of 90 by the third medication administration exam will not be allowed to continue in either VNSG 1463 or VNSG 2410.
If more than one medication administration exam is required, the average will be used for determination of the medication administration exam grade for VNSG 1463.
Clinical evaluations are completed twice each semester (mid term and end of 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.

Note: A student's unsatisfactory mid semester clinical evaluation while in the program permits continuation in the program with continued emphasis on upgrading deficiencies. The student's unsatisfactory clinical evaluation at the end of the semester results in a clinical course grade of "U" and prohibits further continuation in the program.
Students who fail a nursing course may repeat it once. Students must receive a satisfactory (S) in clinical and achieve a 75 course grade in the mandatory co-requisite course to progress in the program.

Students who fail VNSG 2410 Nursing in Health and Illness III and/or VNSG 1230
Maternal-Neonatal Nursing and repeat the course(s) will be required to repeat the clinical co-requisite course.

All courses listed in a given semester of the program must be completed prior to progressing to the next semester. Each didactic and co-requisite clinical course, as listed for each semester, is a prerequisite for the nursing courses listed in the subsequent semester(s), and must be satisfactorily completed prior to graduating from the nursing program.

Students are required to complete written objectives prior to reporting to nursery, post-partum and labor & delivery. Failure to do so may result in the student being sent home and counted as clinically absent.

Objectives for specialty areas may be found in the clinical notebook. Written assignments are to be turned in when due. Assignments, when due, will be given to and graded by the instructor to whom the student is assigned during that time.

Requirements for level III clinical are: total of two case studies (1) Medical-Surgical and (1) Post-Partum Case Study, Labor & Delivery, Post-Partum, Nursery and Mental Health objectives. PassPoint/HESI/SwiftRiver Computer assignments. Other assignments include professional resume and attire day, clinical portfolio, and medication competency.
Course Policies
Instructor Policies Students attending classroom, lab or clinical sessions virtually should exhibit appropriate etiquette to include at a minimum: Adhere to the same standards of behavior online that you follow in real life; Respect faculty and peers time by being on time to scheduled exams, sessions and activities; and Present yourself in a professional manner.
Required assignments and specific dates for work to be turned in must be met by the student. Unless turned in by the deadline there will be a drop-in grade for lateness. Previous arrangements between the student and instructor for late work may allow for a reduced late point penalty. Grammar and sentence structure, spelling, legibility, neatness and following directions as to organization are related to acceptable quality in both written and oral assignments. Written work is expected to follow the most current American Psychological Association (APA) format.
•    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 should be visible while on a nursing unit or in a patient’s room.
Additional clinical policies include:
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 assure 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:
1.    I understand that promptness is expected. I will be on time for the beginning of all clinical sessions and will return from breaks promptly.
2.    I understand that I am expected to come to theory and lab experiences prepared and present myself as a sincere, adult learner.
3.    I will return phone calls and/or text messages only during scheduled breaks.
4.    I will keep cell phones on vibrate during clinical hours. In the event of an emergency, family may contact AH Secretary, VN Coordinator, or Department Chair.
5.    I agree that all information shared by other students and instructors will remain confidential.
6.    I will not repeat or discuss any patient information that was discussed during clinical.
7.    I agree that I will not engage in ‘side-bar’ discussions.
8.    I agree to participate in all discussions, activities, and exercises.
9.    I agree to be open to new ideas and experiences.
10.    I agree to step outside of my comfort zone.
11.    I agree to maintain a positive attitude.
12.    I agree to give supportive feedback and make corrections without belittling anyone.
13.    I agree to suspend judgment and be responsible for my actions.
14.    I agree to be responsible for learning as much as I can from this experience.
15.    I agree to ask for what I need from my instructors.
16.    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.
17.    I agree to follow the guidelines and policies in the LSC-PA Vocational Nursing Student Handbook.
18.    I agree to respect the instructor’s office hours of 0800-1500 (unless an emergency arises) and understand that cell phones are used to contact the instructor during clinical hours only for clinical purposes. All other means of communication will be through the Lamar email system.
Should I be unable to maintain these expectations or stated program requirements, dismissal from the program may occur.
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 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.
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 classes is expected.
2. A student who is absent from course activities for more than three (3) days
without notification to the faculty may be dropped from the program by the Program Director.
3. Late arrival to class is disruptive. Students who consistently arrive after the
beginning of the class (2 or more times) will be counseled and a plan of
corrective action determined. Class will begin promptly at the scheduled time.
Students who arrive fifteen (15) minutes after the beginning of class should
not enter the classroom and should wait until break to enter.
4. It is the students responsibility to notify the instructor of any absence. 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.
5. It is the students responsibility to submit a completed student excuse form
upon return to class following an absence, tardy, or leaving class early. Failure
to do so will result in a declaration of no call, no show and may result in the
student being dismissed from the program.
6. Lab jackets are to be worn at all times while in the skills lab.
7. Simulation/Computer Lab Assignments are mandatory. Failure to attend will
result in Additional assignments.
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.
MyLSCPA Be sure to check your campus E-mail and Course Homepage using MyLSCPA campus web portal ( When you've logged in, click the email icon in the upper right-hand corner to check email, or click on the "My Courses" tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who your academic advisor is by using MyLSCPA.
Other 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.

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.

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.
HB 2504 This syllabus is part of LSC-PA's efforts to comply with Texas House Bill 2504.
Allied Health
Chair:Shirley MacNeill
Phone:(409) 984-6365

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.