House Bill 2504

Spring 2014 Course Syllabus

VNSG-1462-03 - Clinical - Licensed Vocational Nurse Training (LVN)

Faculty Information
SemesterSpring 2014
InstructorLaGrone, Toni Bourque
Phone(409) 984-6334
E-maillagronetb@lamarpa.edu
Department
Allied Health
Chair:Margaret Gongre
Phone:(409) 984-6354
E-mail:sealsma@lamarpa.edu
Office
Hours:M, T- 8-3, W-F 6:30 am - 3:00 pm
Building:Allied Health (AH)
Room:123
MyLamarPA Be sure to check your campus E-mail and Course Homepage using MyLamarPA campus web portal (My.LamarPA.edu). When you’ve logged in, click the email icon in the upper right-hand corner to check email, or click on the “My Courses” tab to get to your Course Homepage. Click the link to your course and review the information presented. It is important that you check your email and Course Homepage regularly. You can also access your grades, transcripts, and determine who you academic advisor is by using MyLamarPA.
Course Information
Course Number10984
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 1227 Essentials of Med Administration,

VNSG 1304 Foundations of Nursing

VNSG 1331 Pharmacology

VNSG 1500 Nursing Health/Wellness I

VNSG 1261 Clinical



Required Textbooks Deglin, J.; Valleranda, A.; Sanoski, C. (2013) Davis’s Drug Guide for Nurses (13th ed). Philadelphia: F. A. Davis

deWit, C. (2013). Fundamental Concepts and Skills for Nursing (4th ed.). St Louis: Saunders Elsevier.

deWitt, C. (2013). Medical-surgical Nursing Concepts and Practice (2nd ed.). St. Louis: Saunders Elsevier.

Doenges, M. (2010). Nurse's Pocket Guide Diagnoses, Prioritized Interventions, and Rationales (12th ed.). Philadelphia: F.A. Davis.

Eby, L. B. (2009). Mental Health Nursing Care (3rd ed.). Upper Saddle River: Pearson Prentice Hall.

Langford, R. (2013). Mosby's PDQ for LPN (3rd ed.). St. Louis: Mosby.

Leifer, G. (2011). Introduction to Maternity & Pediatric Nursing (6th ed.). St. Louis: Saunders Elsevier.

Pagana, K., & Pagana, T. (2010). Mosby's Manual of Diagnostic and Laboratory Tests (4th ed.). St. Louis: Mosby.

Taber's Cyclopedic Medical Dictionary (22nd ed.). (2013). Philadelphia: F.A. Davis.

PrepU NCLEX® PN Review 5,000: Please note: No other NCLEX® PN Review will be accepted. You must use the NCLEX® PN Review 5,000 access code provided to you for this VNSG 1334: humphries19599

Note: the PrepU grades for pediatric topics will be calculated into VNSG 1462 (clinical) grades.

Attendance Policy Research has shown a cause and effect relationship between attendance and college success. Policies for this course are described below:

1.        Because poor attendance is a leading reason for termination from a job in all areas of employment, attendance at all scheduled clinical is expected.

2.        A student who is absent from clinical for more than three (3) days may be dropped from the program by the Program director. A student who is absent from clinical without notification to faculty, may be withdrawn from the program by the program director.

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

4.        Students who arrive greater than 15 minutes after assigned clinical time will be given a verbal warning and may not be allowed to remain. Students who arrive after assigned clinical time on two (2) occasions will receive a written counseling and will not be allowed to remain. If the student is sent home s/he will be counted absent from clinical.

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

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

a.        Have a 75 test average in the didactic course

b.        Have satisfactory written work in the clinical course

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

prior to the most recent absence may be allowed to continue in clinical.

Students will be required to do additional written work to continue in clinical. Students who do not meet the above criteria may be dismissed for the semester.

7.        Any student who is “no call, no show” for clinical demonstrates a lack of accountability and unprofessional conduct. Therefore, s/he may fail clinical that semester and must repeat both the clinical and didactic courses to progress in the program. The only possible exception is if a student is physically unable to call the faculty.

8.        Students may be required to attend seminars or workshops to meet clinical objectives. Students will be informed in advance of the requirements. They are expected to attend the entire workshop as scheduled even if it extends past the regularly scheduled clinical time.

9.        The clinical instructor keeps an attendance record. Any student who is not sure about his/her status should meet with the instructor by appointment.

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

Course Grading Scale 90-100 = A 80-89 = B 75-79 = C 60-74 = D Below 60 = F
Determination of Final Grade The grade for the clinical course consists of two components: (1) Written work/computer assignments which is given a numerical grade and (2) Clinical performance which is graded as S (satisfactory) or U (unsatisfactory). A student must achieve a minimum average of 74.5% or greater on written work and an “S” on clinical performance to pass the course. The grade received on the written work will be the grade assigned for the course on the transcript provided the student has a satisfactory on clinical performance. Students with an unsatisfactory for clinical performance will receive a grade of “F” for the course regardless of the numerical grade on the written work. Failure to have completed written objectives for specialty areas by date of rotation will result in a grade of “0” and denial of specialty rotation. THIS CAN RESULT IN FAILURE OF CLINICALS



The student must pass a written medication administration competency evaluation with a minimum score of 85. The student will have three opportunities to achieve a minimum score of 85. Students who do not achieve a minimum score of 85 on the third medication administration evaluation will not be allowed to continue in the course and will be unable to complete required clinical objectives. Therefore, the student will be unable to successfully pass the course.



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. A student's unsatisfactory mid semester clinical evaluation while in the program permits continuation in the program with continued emphasis on upgrading deficiencies. The student's unsatisfactory clinical evaluation at the end of the semester results in a clinical course grade of "U" and prohibits further continuation in the program.



Students who fail a nursing course may repeat it once. Students must receive a satisfactory (S) in clinical and achieve a 75 course grade in the mandatory co-requisite course to progress in the program. Students who fail VNSG 1509 Nursing in Health and Illness II and/or VNSG 1334 Pediatric Nursing and repeat the Course(s) may also be required to repeat the clinical co-requisite course. All courses listed in a given semester of the program must be completed prior to progressing to the next semester. Each didactic and co-requisite clinical course, as listed for each semester, is a prerequisite for the nursing courses listed in the subsequent semester(s), and must be satisfactorily completed prior to graduating from the nursing program.



Case Study packet and Objectives for specialty areas may be found in the clinical notebook. Case studies and written assignments are to be turned in as determined by instructor. Assignments will be given to and graded by the instructor to whom the student is assigned on due date.



Requirements for Level II clinical are: total of three case studies (2) Medical-Surgical and (1) Pediatric Patient or TLC, ED and PACU objectives, and a teaching project.



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 should meet with the faculty to determine strategies to improve performance on subsequent case studies.

The grade is determined as follows:

1.        Medication Competency         grade (average if more than one attempt)

2.        Medical-Surgical Case Study grade

3.        Medical-Surgical Case Study grade

4.        Pedi Case Study or TLC grade

5.        Emergency Room Objectives         grade

6.        PACU Objectives                 grade

7.        Teaching Project                  grade

8.        Clinical Portfolio                 grade

9.        Pedi Prep-U Average

Total/9 =Course grade

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

Final Exam Date April 24, 2014 - 8:00 AM
Major Assignments Medication Competency        

2 Medical-Surgical Case Study

Pedi Case Study or TLC                

Emergency Room Objectives        

PACU Objectives                

Pedi Computer Assignments        

Teaching Project                 

Clinical Portfolio         



Calendar of Lecture Topics and Major Assignment Due Dates Clinicals are Wednesday – Friday, 02/05/14-4/25/2014

Assignments due according to individual students schedule

Clinical Evaluations by appointment

        

General Education/Core Curriculum Student Learning Outcomes
Communication skills:Students will demonstrate effective written, oral and visual communication.

Critical Thinking Skills:Students will engage in creative and/or innovative thinking, and/or inquiry, analysis, evaluation, synthesis of information, organizing concepts and constructing solutions.

Empirical and Quantitative Skills:Students will demonstrate applications of scientific and mathematical concepts.

Teamwork:Students will demonstrate the ability to work effectively with others to support a shared purpose or goal and consider different points of view.

Social Responsibility:Students will demonstrate intercultural competency and civic knowledge by engaging effectively in local, regional, national and/or global communities.

Personal Responsibility:Students will demonstrate the ability to connect choices, actions and consequences to ethical decision-making.

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:

1. Function within the legal, ethical and regulatory standards of the nursing

profession.

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.

3. Adopt an approach to nursing practice that promotes safety for patients,

significant others, self, and members of the healthcare team.

4. Cooperate with members of the interdisciplinary health care team to provide

optimum, evidence-based, safe, care to patients.



Course Student Learning Outcomes In accordance with the mission of LSC-PA, VNSG 1462 Clinical assists the student to develop the particular skills, knowledge, and attitudes necessary for success as a vocational nurse. Upon successful completion of the course, the student should be able to:

1.        Practice independent nursing actions with guidance from the Registered Nurse.

2.        Demonstrate confidence in working as a member of the health care team.

3.        Identify the legal aspects and accountability of a Graduate Vocational Nurse.

4.        Demonstrate knowledge of the nurse’s role in quality improvement/assurance process. Demonstrate a working knowledge of the code of ethics for the Licensed Vocational Nurse.

5.        Comply with established standards of Vocational Nursing Practice.

6.        Identify barriers to communication and adapt to changing needs of the patient.

7.        Record information on the patient’s chart legibly and concisely using appropriate terminology and spelling.

8.        Use a systematic approach to provide individualized, safe, goal-directed nursing care.

9.        Apply knowledge and skills to resolve patient problems in a goal-directed manner.

10.        Evaluate care provided and assist in revising the plan as needed to meet established goals.

11.        Relate pertinent information to colleagues and other members of the health care team, and discuss appropriate nursing actions.

12.        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.

13.        Respect the patient’s right to privacy by protecting confidential information unless obligated or allowed by law to disclose the information.

14.        Demonstrate effective communication skills.

15.        Conform to the uniform policies outlined in the Vocational Nursing Program Handbook.

16.        Act as a member of the interdisciplinary health care team working under the supervision of a registered nurse or physician.

17.        Demonstrate knowledge of the nurse’s role in risk management.

18.        Demonstrate the ability to teach self-care management and provide safe basic nursing care to multiple patients with a variety of predictable health outcomes.

19.        Maintain cost effectiveness in the clinical setting.

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

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

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
  • 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.

  • Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

  • Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

  • Turn your cellphones to vibrate when you enter the classroom.

    •        Tobacco products are not allowed on campus.

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

    •        Electronic devices (including but not restricted to cell phones, MP3 players, and laptop computers) shall not be used during examinations unless specifically allowed by the instructor.

    •        Use of electronic devices during normal class hours distracts other students, disrupts the class, and wastes valuable time. Instructors have an obligation to reduce such disruptions.

    •        Students should turn their phones to vibrate before they enter the classroom.

    •        No cell phones should be visible during class.

    Additional classroom policies include:

    Students and faculty of the Lamar State College-Port Arthur Vocational Nursing Program are expected to assist in maintaining a classroom 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 class, unless otherwise approved by the instructor, students are prohibited from engaging in distracting classroom behavior:

    1.        I understand that promptness is expected. I will be on time for the beginning of all classes 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 in classroom and off and out of reach during testing and test reviews. In the event of an emergency, your family should contact you through AH Secretary, VN Coordinator, or Department Chair.

    5.        I agree that on-campus computers will only be used for classroom work.

    6.        I agree that all information shared by other students and instructors will remain confidential.

    7.        I will not repeat or discuss what is shared with anyone.

    8.        I agree that I will not engage in ‘side-bar’ discussions.

    9.        I agree that I will direct my comments to the front of the room.

    10.        I agree to participate in all discussions, activities, and exercises.

    11.        I agree to be open to new ideas and experiences.

    12.        I agree to take risks and step outside of my comfort zone.

    13.        I agree to maintain a positive attitude.

    14.        I agree to give supportive feedback and make corrections without belittling anyone.

    15.        I agree to suspend judgment and be responsible for my actions.

    16.        I agree to be responsible for learning as much as I can from this experience.

    17.        I agree to ask for what I need from my instructors.

    18.        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.

    19.        I agree 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 will result in the student being asked to cease the action and/or leave clinical:

    •        Unauthorized use of cell phones or other electronic equipment

    •        Talking while the instructor is giving instructions or during class discussions/presentations

    •        Displaying a rude or negative attitude/behavior to the instructor or other students. These behaviors will result in the loss of 5 points on the next exam

Additional Information
Important Information
ADA Considerations The Americans with Disabilities Act (ADA) is a federal anti-discrimination statue 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 210D, in the Madison Monroe Building. The phone number is (409) 984-6251.
Copyright Violations Some material in this course may be copyrighted. They may be used only for instructional purposes this semester, by students enrolled in this course. These materials are being used fairly and legally. No one may distribute or share these copyrighted materials in any medium or format with anyone outside this class, including publishing essays with copyrighted material, uploading copyrighted material to Facebook or YouTube, or painting or performing copyrighted material for public display.

Copyright violation is not the same thing as plagiarism. Plagiarism is intellectual dishonesty. Offenses of plagiarism result in lower grades or failing scores, and professors and the college strictly enforce plagiarism rules. There is never any acceptable use of plagiarism. Copyright violation is a legal offense, punishable by large fines and penalties.

Copyrighted material can be used if permission from the material’s creator is obtained, or if its use meets the standards of fair use in an educational setting. For example, a student can quote a line from Shakespeare’s Hamlet in a report without violating copyright but still be guilty of plagiarism if the quotation is not properly documented.

If you are in doubt about what material can be freely used, ask your professor or contact the Dean of Library Services, at (409) 984-6216.
Assessment Statement Assessment is a process by which LSCPA can help you learn better and gauge the level of progress you have made to attain knowledge, skills, beliefs, and values. It also helps your professors understand how to improve teaching and testing methods in your classes, and it helps each department understand and improve degree and certificate programs.

Periodically LSC-PA will collect assessment data for research and reporting purposes, including statistical data and sometimes copies of your work. Be assured that all material the college uses for assessment purposes will be kept confidential. To ensure anonymity, your name will be removed from any material we use for assessment purposes, including video-recorded performances, speeches, and projects.

If you object to allowing LSC-PA to use your material for assessment purposes, submit a letter stating so to your professor by the 12th class day. You will still be required to participate in whatever assessments are being done; we just won’t use your data.

What’s the difference between assessment and grades? The grades you get on papers, projects, speeches, and assignments are specific types of focused assessment. LSC-PA’s assessment efforts include class grades, surveys, standardized tests, and other tools.
Privacy Notice Federal privacy laws apply to college students. This means that college employees, including instructors, cannot divulge information to third parties, including parents and legal guardians of students. Even if the students are minors, information about their college work cannot be shared with anyone except in very limited circumstances.

Anyone requesting information about a student should be referred to the Registrar. Instructors will be notified in writing by that Office about what information may be released and to whom.

Please remember that releasing private information about a student, however innocuous it may seem, can be a violation of federal law, with very serious consequences.

Circumstances under which information may be released:

An adult student may submit, to the Registrar, a handwritten, signed note granting permission for release of information. The note must specify what information may be divulged, and it must specify the name of the person to whom the information may be given.

A parent or guardian may be given access to information about a student by providing a copy of a filed tax return that shows that the student was listed as a dependent of that parent or guardian. The tax return must be for last complete tax year. Again, this documentation must be submitted to the Registrar’s Office.

A parent or guardian may be given access to information about a student if the student logs on to My.LamarPA.edu and sends an email to the Registrar granting permission. The email must specify what information may be given and the name of the person to whom it may be given.

Co-enrollment students are protected by the same privacy laws as adult students.

The Registrar’s office is located in the Student Center room 303B, and can be reached at (409) 984-6165.

College-Level Perspectives This course helps add to the students’ overall collegiate experience in the following ways:

  • Establishing broad and multiple perspectives on the individual in relationship to the larger society and world in which s/he lives, and to understand the responsibilities of living in a culturally and ethnically diversified world.

  • Stimulating a capacity to discuss and reflect upon individual, political, economic, and social aspects of life in order to understand ways in which to be a responsible member of society.

  • Developing a capacity to use knowledge of how technology and science affect their lives.

  • Developing personal values for ethical behavior.

  • Developing the ability to make aesthetic judgments.

  • Using logical reasoning in problem solving.

  • Integrating knowledge and understand the interrelationships of the scholarly disciplines.

Degree Plan Evaluation A Degree Plan Evaluation will help you determine which classes you need to complete your program.

  1. Sign in to your my.lamarpa.edu account.

  2. Click on the “My Services” tab.

  3. Click on the “Student” tab.

  4. Click on Student Records.

  5. Click on Degree Evaluation.

  6. Select the term you are planning on registering for (i.e. Summer I, Summer II, Fall, or Spring)

  7. Verify that the Curriculum Information (your MAJOR) is correct

  8. Click on “Generate New Evaluation” at the bottom of the screen.

  9. Click the radio button next to Program

  10. Click on the Generate Request button.

All of the classes that you have taken that apply to your declared major will be listed on the right. If you have a class that still needs to be completed, a “NO” will be listed on the right next to the required class.

HB 2504 This syllabus is part of LSC-PA’s efforts to comply with Texas House Bill 2504.

Lamar State College - Port Arthur

Mission

Lamar State College - Port Arthur, a member of The Texas State University System, is an open-access, comprehensive public two-year college offering quality and affordable instruction leading to associate degrees and a variety of certificates. The College embraces the premise that education is an ongoing process that enhances career potential, broadens intellectual horizons, and enriches life.

Core Values

  • Shared commitment by faculty, staff and administration to a mission characterized by student learning, diversity, and community involvement

  • General education/core curriculum that develops the values and concepts that allow the student to make a meaningful contribution in the workplace or community

  • Academic and technical programs designed to fulfill our commitment to accommodate students with diverse goals and backgrounds, using a variety of delivery methods, on and off campus

  • Technical education programs that provide for the acquisition of the knowledge, skills and behavior necessary for initial and continued employment

  • Student achievement characterized by attainment of individual goals and measured by successful accomplishments and completion of curriculum

  • Co-curricular opportunities that develop social, financial and civic acuity

Principles

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; and,

  • provided an opportunity to equip themselves for a fulfilling life and responsible citizenship in a world characterized by change.

Copyright ©2011 Lamar State College - Port Arthur. All Rights Reserved.