NURS 2106: Integrated Nursing Practice A
Effective date
September 2019
Department
Access to Practical Nursing
Description
This course emphasizes the art and science of nursing, focusing on the development of nursing care and assessment. Learners will apply nursing knowledge through the practice of clinical decision making, nursing assessments, and nursing interventions aimed at promoting health, independence, and comfort. Classroom, laboratory, simulation, and other practice experiences will assist learners to integrate theory from other Access courses to provide safe, competent, and ethical nursing care with clients.
Year of study
1st Year Post-secondary
Prerequisites
Admission to the Access to Practical Nursing Program.
Corequisites
NURS 2101, NURS 2102, NURS 2103, NURS 2104, NURS 2105.
Course Learning Outcomes
Upon successful completion of this course, students will be able to:
- Demonstrate understanding of the British Columbia College of Nursing Professionals (BCCNP) Standards of Practice Framework for LPNs: Scope of Practice Standards; Professional Standards; Practice Standards (Current Editions), and Entry to Practice Competencies for LPNs (CCPNR, 2013) and how these guide the practice of LPNs in complex care settings.
- Safely and competently perform comprehensive nursing assessment and interventions with older adults.
- Demonstrate safe disposal of sharps (e.g. needles, scalpels, intravenous starters).
- Demonstrate critical thinking, clinical judgment and knowledge of assessment to plan, implement and evaluate care of clients in simulated situations and with older adults.
- Practice in collaboration with older adult clients, the interprofessional healthcare team, peers and faculty.
- Provide a caring environment for older adult clients by connecting, sharing and exploring with them in a collaborative relationship.
- Identify potential sources of violence in complex, and home and community care.
- Provide culturally competent, person-centred care that recognizes and respects the uniqueness of each individual and is sensitive to culture and diversity.
- Identify own values, biases, and assumptions as a self-reflective, responsible and accountable practitioner.
- Identify own learning needs to enhance competence.
- Compare and contract leadership and management roles and responsibilities in a variety of settings.
- Practice safe medication administration.
Prior Learning Assessment & Recognition (PLAR)
None
Hours
Lecture, Online, Seminar, Tutorial: 40
Clinical, Lab, Rehearsal, Shop, Kitchen, Simulation, Studio: 140
Total Hours: 180
Instructional Strategies
Course guides provide direction of learning in preparation, in course activities and reflection of the content. The instructor acts as facilitator and expert to promote an environment conducive for learning through activities such as guided discussion, debate, audio-visual presentation, group activities, skill building exercises and simulation.
Grading System
Satisfactory/Unsatisfactory
Passing grade
Satisfactory - must achieve 75% overall in theory portion and S in all lab/clinical evaluative components
Evaluation Plan
Type
|
Percentage
|
Assessment activity
|
Quizzes/Tests
|
65
|
Quiz #1and #2
|
Lab Work
|
s/u
|
Formative Skill Assessments
|
Lab Work
|
s/u
|
Integrated Lab Assessment and Evaluation
|
Exam
|
35
|
Comprehensive Final Exam (75% overall theory grade required for pass)
|
Field Experience
|
s/u
|
Instructor/Learner evaluation.
|
Course topics
- Comprehensive Health Assessment of healthy adult and older adult with chronic illness
- Clinical Decision Making
- Basic Nursing Interventions ( Safety; Principles of asepsis; Universal precautions; Musculosketal Injury Prevention (MSIP); Chronic wound management (clean technique); Introduction to pain management).
- Safety specific to the care of the older adult; Infection control; Sterile technique; Chronic wound management; Pain management(non- pharmaceutical); End of life care; Oral and nasal suctioning; Oxygen therapy; Care of established ostomies; Specimen collection (sputum, urine and stool); Blood glucose monitoring; Quality practice environments; Individualizing nursing care plans
- Medication Administration; Medication routes: Oral, percutaneous, subcutaneous, intramuscular and intradermal;
- End-of-life care; Oral and nasal suctioning; oxygen therapy.
- Inserting a subcutaneous infusion device
- Narcotic administration; Decision making on medication administration (e.g. "as needed"); documentation of response to medication.
- Enteral feedings and medications via nasogastric, jejunostomy and gastrostomy tubes
- Care of Established ostomies; specimen collection (sputum, urine and stool); Blood glucose monitoring
- Quality practice environments; Individualizing nursing care plans
- Taking and transcribing physicians orders; Reporting and documentation in complex care settings.
- Leadership competencies
Notes:
- Course contents and descriptions, offerings and schedules are subject to change without notice.
- Students are required to follow all College policies including ones that govern their educational experience at VCC. Policies are available on the VCC website at:
https://www.vcc.ca/about/governance--policies/policies/.
- To find out if there are existing transfer agreements for this course, visit the BC Transfer Guide at https://www.bctransferguide.ca.