I. General Information

1. Course Title:
Clinical II

2. Course Prefix & Number:
PNUR 1152

3. Course Credits and Contact Hours:

Credits: 5

Lecture Hours: 0

Lab Hours: 15

4. Course Description:

In this clinical course the student will be expanding upon the knowledge, skills and attitudes necessary to assist individuals experiencing common health care problems that were started in PNUR 1151. The student 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. Student will work full shifts that may include day and/or evening hours.

5. Placement Tests Required:

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 patients health care team, including nurses and doctors while caring or patients in a health canre 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 7 rights;
• 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;
• Maintain positive attitude as demonstrated 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;
• Discuss the importance of evidence based practice in the care of patients.

V. Topical Outline

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

2. Laboratory/Studio Sessions

1. Consistent use of KWIPES throughout clinical experience
• knock on door
• wash hands
• introduce self appropriately
• provide for privacy
• explain what you are doing, by this clinical explanations will continue to include greater depth (such as correlation to lab results or explanation of medication side effects for example)
• provide for patient safety at all times
2. Interaction with patient:  each student must be evaluated for the ability to
• use verbal and nonverbal communication skills
• establish a relationship based on the patient’s situation
• maintain professional boundaries in nurse-patient relationships
3. Nursing observation and assessment of patients; each student must be evaluated for the ability to:
• collect data pertaining to a patient’s physical and physiological structure and function
• collect data pertaining to a patient’s intellectual, emotional and social function
• collect data pertaining to a patient’s spiritual and cultural function
• interpret collected data to identify a patient’s health needs
4. Physical nursing care; each student must be evaluated for the ability to:
• provide for physical safety
• prevent spread of pathogens
• determine when necessary to use sterile technique
• maintain sterility of equipment and supplies
• maintain integrity of skin and mucous membranes
• promote respiratory function
• promote circulatory function
• promote nutrition and fluid balance
• promote elimination
• promote restoration or maintenance of physical independence
• provide for physical comfort
• promote rest and sleep
• provide for personal hygiene
• provide for an optimum level of pain relief
5. Psychosocial nursing care; each student must be evaluated for the ability to promote a feeling of psychological safety and comfort
• provide for a patient’s need to know by giving, translating or transmitting information
6. Delegated medical treatment; each student must be evaluated for the ability to:
• implement treatment related to gastrointestinal function
• implement treatment related to genitourinary function
• implement treatment related to function of the integument
• implement treatment related to function of the musculoskeletal system
• identify sources of information necessary to administer prescribed medications, including compatibility and interactions among prescribed medications and complementary substances
• calculate dosage necessary to administer prescribed medication
• determine the safe range of the dosage prescribed
• determine the appropriateness of the route for administration of prescribed medication
• prepare prescribed medication for administration
• administer prescribed medication
• judge the effectiveness of the prescribed medication
• follow procedure for working with controlled substances in the administration of prescribed medication
7. Application of nursing process in clinical practice
• identification of the 2 most important client needs and selection of a pre-written nursing diagnosis
• identification of 4 nursing interventions for each client need
• evaluation of effect of at least 1 nursing intervention per need identified
8. complete six selected care studies on systems
9. Reporting and recording; each student must be evaluated for the ability to:
• report orally the information necessary to facilitate the continued nursing care of a patient by any others involved
• record the information necessary to maintain a record of nursing actions, patient’s reactions to the care, and resulting patient outcomes
• maintain confidentiality of patient information