House Bill 2504

Spring 2011 Course Syllabus

VNSG-1462-03 (Clinical LVN Training)

Faculty Information
SemesterSpring 2011
InstructorPrice, Donna Lynn
Phone(409) 984-6358
Allied Health
Chair:Janet Hamilton
Telephone:(409) 984-6354
Hours:M, T 12:00 - 4:50
Building:Allied Health (AH)
Room #:126
Course Information
Course ID #10352
Course Subject-Number-SectionVNSG-1462-03
Course TitleClinical LVN Training
Course Description A Health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.
Course Prerequisites VNSG 1500 Nursing in Health and Illness I                        

VNSG 1227 Essentials of Medication Administration                

VNSG 1331 Pharmacology                                                

VNSG 1304 Foundations of Nursing                                

VNSG 1261 Clinical LPN Nursing                

Required Textbooks Textbooks and Required Materials:

(* Bold Text Selections required for this course.)

Eby, L., & Brown, N. J. (2009). Mental health nursing care (2nd ed.). Upper Saddle River, NJ.: Prentice Hall:

*Hodgson, B.B & Kizor, R.J (2010). “Saunders nursing drug handbook 2010” St. Louis: Saunders.

Hill, S. S. & Howlett, H. S., Success in practical/ vocational nursing, (6th ed.). St.

        Louis: Mosby.

*Langford, R&E Thompson, JD (2005). Mosby’s handbook of diseases (3rded.).St. Louis: Mosby.

*Langford, R.W (2008). Mosby’s PDQ for LPN: nursing facts at hand (2nd ed.). St. Louis: Mosby

*Pagna, K.d. & Pagana, T.S. (2009). Mosby’s manual of diagnostic and laboratory test (4th ed.). St. Louis: Mosby

deWit, S. C. (2009). Fundamental concepts and skills for nursing (3rd ed.). St. Louis: Sanders.

*Swearingen P.L (2009). All-in-one care planning resource (2nd ed.). St. Louis: Mosby.

*Taber’s cyclopedic medical dictionary (21st ed.).(2009) Philadelphia: F. A. Davis

*Clinical Notebook (that will be provided by the faculty)


Evolve Reach comprehensive review for the NCLEX-PN Examination (2nd ed.). (2009).

St. Louis: Mosby.

Silvestri, L. (2009). Comprehensive review for NCLEX-PN (4th ed.). St Louis: Saunders.

Learning Objectives 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 Licensed Vocational Nurse. Upon successful completion of the course, the student should be able to:

1.        Implement the role of the vocational nurse with support from instructor and members of the health care team.

2.        Perform nursing assessments regarding the health status of the patient.

3.        Communicate with patients, instructors, and other members of the health care team.

4.        Record information legibly, using appropriate terminology and spelling.

5.        Respect the patient’s right to privacy by protecting confidential information unless

obligated or allowed by law to disclose the information.

6.        Identify common health needs through use of the nursing process.

7.        Provide nursing care according to the established plan.

8.        Explain the rationale and expected effects of medications and treatments.

9.        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.

10.        Implement measures to promote a safe environment for patients and others.

11.        Identify short-term goals/outcomes, select basic interventions, and establish priorities for care with supervision.

12.        Obtain instruction and supervision as necessary when providing nursing care.

13.        Communicate with appropriate individual(s) when leaving nursing assignment.

14.        Maintain professional boundaries of the nurse-patient relationship.

15.        Provide without discrimination, nursing services regardless of age, disability, economic status, gender, national origin, race religion, or health problems of the patient served.

16.        Accept responsibility for personal/professional development.

17.        Conform to the policies outlined in the Vocational Nursing Program Student Handbook.

18.        Contribute to the development of a teaching plan.

Major Assignments Clinical Experience:

Clinical experience is planned to provide the student with the opportunity to develop nursing skills, to become involved in assessing, making a nursing diagnosis, planning, implementing and evaluating patient care. For the clinical experience to be both profitable for the student and safe for the patient involved, it is essential that the student complete any assigned objectives, or other clinical assignments prior to the experience. For Lamar State College Port Arthur to receive permission to use the clinical facilities, agreements have been made that both students and faculty will abide by the policies and procedures of the institution.

The clinical experiences are designed to assist students in the application of theory and practice with supervision by skilled faculty and/or clinical preceptors. Preparation for clinical is absolutely essential. Students are assigned clinical objectives for clinical preparation.

Students are expected to be engaged actively in learning and collaborative study with peers and faculty. During clinical, students are NOT to wait passively for a staff nurse or instructor to show or tell them what to do. Students are expected to come prepared to apply knowledge and skills learned in the classroom or lab and to learn from expert nurses through an active intellectual process.

The knowledge students will have from preparing for clinical will provide a basis from which more active learning can take place. This background is needed to give safe care in the clinical setting. As the program progresses, students are expected to demonstrate more advanced problem solving and application of additional content. Students who cannot communicate clinical objectives in the clinical setting, or who come unprepared, are evaluated as “unsatisfactory” in performance and sent home with a clinical failure for that day.

An important part of being a vocational nurse is participating in self-evaluation. Each clinical course has objectives which the student must fulfill to pass the course. The student is evaluated according to the course objectives at mid-term and at the end of the semester. The student is expected to participate in this evaluation process. This is done through clinical logs, student-faculty conferences, on the spot discussions, and/or a written self-evaluation. Clinical faculty keeps anecdotal records about each clinical experience, and these and all clinical experiences are shared for the purpose of the student’s growth.

The student will have the opportunity to evaluate the clinical facility prior to the end of the semester.

The Vocational Nursing Faculty at Lamar State College-Port Arthur believes that the core expression of professional nursing stems from the ability to self-evaluate, to become a lifelong learner. Students are expected to evaluate themselves on a regular basis.

Discussion Topics Safe Performance in Clinical Laboratory Settings:

The student in the Vocational Nursing Program is expected to demonstrate safe professional behavior that includes promoting the actual or potential well being 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:

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:

1.        Fails to notify the agency and/or instructor of clinical absence.

2.        Fails to follow the Vocational Nursing Program and/or agency policies and procedures.

3.        Reports for clinical under the influence of drugs and/or alcohol.

4.        Fails to follow rules and regulations of the clinical facility.

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:

1.        Refuses assignments based on patient’s race, culture, religious preference, sex, national origin, age, handicapping condition or any other protected status category.

2.        Fails to consult instructor prior to refusing assignment based on medical diagnosis of the patient.

3.        Denies, covers-up or does not report own errors in clinical practice.

4.        Ignores and fails to report unethical behavior of other health care persons in the clinical setting which affects patient welfare.

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:

1.        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.

2.        Violates or threatens the psychological safety of the patient, e.g.: uses clichés repeatedly. Does not encourage verbalization, is not aware of difference in ability to communicate failure to document or act on changes in behavior.

3.        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.

4.        Violates or threatens the chemical safety of the patient, e.g.’ violates the “5 Rights of Administering Medications; fails to monitor IV infusions safely; fails to identify and follow through on significant nursing implications related to medications.

5.        Violates or threatens the safety of the patient, e.g.: fails to observe safety precautions during O2 therapy, heat/cold tx; leaves unreliable patient alone while he/she smokes.

6.        Fails to follow through on suggested referrals or interventions to correct deficit areas which may result in harm to others.

7.        Interacts inappropriately with agency staff, co-workers, peers, patients/patients, families, faculty resulting in miscommunications, disruption of patient care and/or unit functioning.

8.        Lacks physical coordination essential to carrying out procedures.

9.        Lacks information processing ability necessary for making appropriate clinical judgments or decisions.

10.        Inadequately and/or inaccurately uses the nursing process, e.g.: fails to observe and/or report critical assessments related to patients.

11.        Violates previously mastered principles/learning/objectives in carrying out nursing care.

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:

1.        Fails to provide inclusive written communication on appropriate documents or verbal communication to faculty and/or appropriate agency personnel.

2.        Fails to accurately record essential patient behaviors.

3.        Fails to report incompetent, unethical or illegal practice of any person.

4.        Attempts activities without adequate orientation, theoretical preparation or appropriate assistance.

5.        Fails to maintain honesty in clinical practice and/or written work.

6.        Is habitually tardy to clinical Practicum.

7.        Assumes inappropriate independence in actions or decisions, e.g.: fails to seek supervision when situation is questionable.

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:

1.        Fails to maintain confidentiality of interactions.

2.        Fails to maintain confidentiality of records.

3.        Exhibits dishonesty in relationships with peers, faculty, patients/patients and/or agency personnel.

4.        Fails to recognize and promote every patient’s rights.

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 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.

        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.

2.        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.

3.        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.

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.

4.        The nurse assumes responsibility and accountability for individual nursing judgments and actions.

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.

5.        The nurse maintains competence in nursing.

        Maintaining competence 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.

6.        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 his and to refuse to carry it out.

7.        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.

8.        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.

9.        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.

10.        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.

11.        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.

Attendance Policy Attendance at all scheduled classes and clinical experiences is expected. Research has shown that consistent class and clinical attendance contributes to successful completion of not only the Vocational Nursing Program, but also passing the NCLEX-PN/VN. Regular attendance is an essential function of any job in nursing. Students who regularly miss class or clinical clearly demonstrate their refusal to be accountable to report to work regularly.

1.        It is the student’s responsibility to notify the instructor prior to any absence. If the student is missing a clinical day, s/he must notify the faculty that s/he is unable to attend clinical. Each clinical instructor is supplied by the college with a cell phone; the student can call and leave a message if the instructor does not answer. If the student is unable to contact the instructor, the student should call 409-984-6356 or 1-800-477-5872, ext. 6356 and leave a message. Also, the student should email and/or call the instructor’s office and leave a voice message.

2.        Students who arrive after assigned clinical time will be counseled. Students who arrive after the assigned clinical time on two (2) occasions may not be allowed to remain. If the student is sent home the student will be counted absent from clinical.

3.        A student who is absent from clinical without notification to faculty, may be withdrawn from the program by the program director.

4.        Students must be present the entire clinical day, including post-conference to get credit for their attendance.

5.        Since clinical is such an important component of the VN Program, students are required to attend 100 per cent of the scheduled clinical days in any given semester. Any student who misses any clinical days in a semester may receive an unsatisfactory (U) in the clinical course and be required to repeat both the didactic and clinical courses. Absence of the required clinical days necessitates the Standards Committee to review the student’s performance in the VN Program. Students who:

a.        Have a 75 test average in the didactic course;

b.        Have satisfactory written work in the clinical course;

c.        Are up-to-date on skills check-offs in clinical;

prior to the most recent absence may continue in clinical. Students will be required to do additional written work to continue in clinical (ie. Case study, nursing journal or TLC). Students who do not meet the above criteria may be dismissed for the semester.

6.        Any student who is “no call, no show” for clinical demonstrates a lack of accountability and unprofessional conduct. Therefore, s/he fails 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.

7.        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.

8.        The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor to discuss it.

9.        Students who fail to submit complete written objectives prior to assigned rotation to designated areas will be sent home. This is a clinical absence.

10.        The program director has the right to initiate the administrative withdrawal of any student whose attendance, conduct, scholastic abilities, attitude or lack of aptitude for vocational nursing makes it inadvisable for that student to continue in the program.

Determination of Final Grade The grade is determined as follows:

Medication Competency (average)         grade

Medical-Surgical Case Study                 grade

ER Objectives                                grade

PACU Objectives                                grade

Pedi Case Study                                grade

Teaching Project                                grade

Clinical Portfolio                                grade

Total/7=Course grade

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

Final Exam Date May 13, 2011 - 10:30 AM
Campus Policies
Lamar State College - Port Arthur

Mission Statement

Lamar State College-Port Arthur is an open-access, comprehensive public two-year college offering quality instruction leading to associate degrees and a variety of certificates. The college, a member of The Texas State University System, has provided affordable, quality educational opportunities to residents of the Southeast Texas area since 1909.Lamar State College-Port Arthur embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life. The faculty, staff, and administration share a commitment to a mission characterized by student learning, diversity, and community service. The foundations for student success include compensatory education programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, technical education programs that provide for the acquisition of the skills and demeanor necessary for initial and continued employment, and a core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community. Student achievement is measured by the completion of courses and programs of study, successful performance following transfer to a baccalaureate program, and the attainment of individual goals.

Lamar State College-Port Arthur operates in the belief that all individuals should be:

* Treated with dignity and respect;

* Afforded equal opportunity to acquire a complete educational experience;

* Given an opportunity to discover and develop their special aptitudes and insights;

* Provided and opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

 College Grading Scale

Below 59F

(Some specialized programs may have different grading scales)


 Academic Dishonesty

Academic dishonesty in any form will not be tolerated.  Please consult the student handbook for consequences of academic dishonesty.  These policies will be strictly enforced.


 Facility  Policies

        No food, drinks, or tobacco products are allowed in the classroom.

        Only students enrolled in the course are allowed in the classroom.

        Cell phones and/or pagers are allowed ONLY on vibrate mode. Leaving the classroom to answer a page or phone call may constitute an absence or a tardy.


 Special Considerations

         The American with Disabilities Act (ADA) is a federal anti-discrimination statute that provides comprehensive civil rights for persons with disabilities. Among other things, this legislation requires that all students with disabilities be guaranteed a learning environment that provides for reasonable accommodation of their disabilities. If you believe you have a disability requiring an accommodation, please contact the Special Populations Coordinator, Room 231, in the Madison Monroe Building. The phone number is (409) 984-6241.

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