I. General Information

1. Course Title:
Clinical

2. Course Prefix & Number:
PNUR 1150

3. Course Credits and Contact Hours:

Credits: 5

Lab Hours: 15

4. Course Description:

In this clinical course, students will expand upon the knowledge, skills, and attitudes necessary to assist individuals experiencing common health care problems. Students will demonstrate skill in problem solving through the use of the nursing process as they provide care for a variety of clients throughout the life span and in different stages of the health/illness continuum appropriate to the role of the practical nurse. Observational experiences are provided in selected areas to enrich the clinical experience. Students will work full shifts that may include day and/or evening hours.

5. Placement Tests Required:

Accuplacer (specify test):

No placement tests required

Score:

6. Prerequisite Courses:

9. Co-requisite Courses:

There are no corequisites for this course.

II. Transfer and Articulation

1. Course Equivalency - similar course from other regional institutions:

St. Cloud Technical College, PRSG 2440 Clinical Application II, 5 credits
Ridgewater College, NURS 1350 Clinical Application, 6 credits

III. Course Purpose

1. Program-Applicable Courses – This course is required for the following program(s):

Practical Nursing, Diploma

IV. Learning Outcomes

1. College-Wide Outcomes

College-Wide Outcomes/Competencies	Students will be able to:
Demonstrate oral communication skills	Give report to the patient's primary nurse in a clear and concise manner.
Demonstrate written communication skills	Record/document client’s chart completely and concisely in a professional/legal format according to facility policies and procedures.
Demonstrate interpersonal communication skills	Effectively communicate with patient's health care team, including nurses and doctors while caring for patients in a health care setting.
Analyze and follow a sequence of operations	Prioritize care for multiple patients in one patient care day.
Utilize appropriate technology	Utillize electronic medical records to chart patients health care information in a timely and appropriate manner.

2. Course Specific Outcomes - Students will be able to achieve the following measurable goals upon completion of the course:

• Distinguish the roles and responsibilities of the practical nurse related to the health illness continuum and practice within the professional, ethical and legal framework of the practical nurse scope of practice;
• Demonstrate caring and safety principles in nursing practice while maintaining patient confidentiality, cultural diversity holism, and patient advocacy to patients across the lifespan;
• Practice the ability to utilize the nursing process in the collection of data, identification of client problems, development of nursing interventions and the evaluation of the effectiveness of the nursing interventions implemented in the care of their patients, while integrating the nursing process in terms of clinical judgment, and critical thinking;
• Demonstrate critical thinking skills utilizing the nursing process;
• Demonstrate communication patterns that serve to enhance interpersonal relationships with clients, peers, instructors and members of the health care team;
• Perform Practical nursing skills and procedures;
• Demonstrate accurate knowledge and psychomotor skills to administer medications utilizing the seven rights of medication administration
• Report patient change of status to primary nurse and instructor;
• Demonstrate the use of proper time management by completing patient/resident cares, documenting those cares, and completing assignments in allotted time frame;
• Demonstrate proper use of technology/equipment in caring for patients in the clinical setting.
• Describe different leadership styles and how they are utilized in the PN role
• Demonstrate the ability to complete multiple patient assignments within a given time frame;
• Document in the patient’s medical record and the student’s daily worksheets, using correct charting procedures, abbreviations, medical terminology, grammar and spelling;
• Demonstrate personal and professional nursing behaviors as demonstrated by maintaining dress code, adhering to policies regarding attendance, tardiness, and breaks;
• Demonstrate a positive attitude by accepting constructive criticism and seeking learning experiences;
• Explain simple and complex procedures to patients and family members before and during implementation;
• Prioritize care for multiple patients;
• Demonstrate progression towards entry level nurse versus student nurse, by applying basic nursing knowledge and critical thinking skills, while functioning autonomously; and
• Discuss the importance of evidence based practice in the care of patient.

V. Topical Outline

Listed below are major areas of content typically covered in this course.

2. Laboratory/Studio Sessions

1. KWIPES throughout clinical experience
• knocking on doors
• washing hands
• introducing self appropriately
• providing for privacy
• explaining what you are doing
• providing for patient safety at all times
2. Patient Interactions
• using verbal and nonverbal communication skills
• establishing a relationship based on the patient’s situation
• maintaining professional boundaries in nurse-patient relationships
3. Head-to-Toe Data Collection and Documentation
• Vital signs
• KWIPES (knock, wash hands, introduce self, provide privacy, explain, provide for safety)
• Lung sounds, heart sounds, bowel sounds, integument, circulation
• Collect subjective data (pain, anxiety, nausea, any questions or concerns)
• Complete review of systems
• Document findings on daily work sheet
4. Demonstration of Therapeutic Communication Techniques
• Open-ended statements
• Closed-ended statements
• General leads
• Providing information
• Clarification
• Verification
• Reflection
5. Nursing observation and assessment of patients
• collecting data pertaining to a patient’s physical and physiological structure and function
• collecting data pertaining to a patient’s intellectual, emotional and social function
• collecting data pertaining to a patient’s spiritual and cultural function
• interpreting collected data to identify a patient’s health needs
6. Physical nursing care
• providing for physical safety
• preventing spread of pathogens
• determining when necessary to use sterile technique
• maintaining sterility of equipment and supplies
• maintaining integrity of skin and mucous membranes
• promoting respiratory function
• promoting circulatory function
• promoting nutrition and fluid balance
• promoting elimination
• promoting restoration or maintenance of physical independence
• providing for physical comfort
• promoting rest and sleep
• providing for personal hygiene
• providing for an optimum level of pain relief
7. Psychosocial nursing care
• promoting a feeling of psychological safety and comfort
• provide for a patient’s need to know by giving, translating or transmitting information
8. Delegated medical treatment
• implementing treatment related to gastrointestinal function
• implementing treatment related to genitourinary function
• implementing treatment related to function of the integument
• implementing treatment related to function of the musculoskeletal system
• identifying sources of information necessary to administer prescribed medications, including compatibility and interactions among prescribed medications and complementary substances
• calculating dosage necessary to administer prescribed medication
• determining the safe range of the dosage prescribed
• determining the appropriateness of the route for administration of prescribed medication
• preparing prescribed medication for administration
• administering prescribed medication
• judging the effectiveness of the prescribed medication
• following procedure for working with controlled substances in the administration of prescribed medication
9. Nursing process in clinical practice
• identifying of the two most important client needs and selection of a pre-written nursing diagnosis
• identifying of four nursing interventions for each client need
• evaluating of effect of at least 1 nursing intervention per need identified
10. Patient physical and/or mental disorders
11. Reporting and recording
• Orally reporting the information necessary to facilitate the continued nursing care of a patient by any others involved
• recording the information necessary to maintain a record of nursing actions, patient’s reactions to the care, and resulting patient outcomes
• maintaining confidentiality of patient information
12. Demonstration of Professionalism Behavior
• patient/clients/residents
• family members
• nursing staff
• nursing instructors
• other health care professionals other nursing students