New Course OR Existing Course Author(s): Debra Hawkes Subject AreaCourse No.: VoNur - 005 Units: 6 Course Title: Fundamentals of Vocational Nursing Discipline(s): Licensed Vocational Nursing, Nursing Pre-Requisite(s): Admission to the Vocational Nursing Program Co-Requisite(s): Concurrent Enrollment in VoNur 04, VoNur 06, VoNur 07 Advisories: Catalog Description: This course provides fundamental instruction on the basic nursing skills that are necessary to create and maintain a hygienic, comfortable and safe patient environment. This course incorporates the concepts of homeostasis, the nursing process, maintaining an optimum level of wellness and care mapping as the foundations for providing safe and comprehensive nursing care. Schedule Description: This is the first course in the three semester program geared towards final completion and certification for the vocational nursing program. Completion of the program allows the student to take the licensure examination. This course emphasizes the basic nursing skills necessary to create and maintain a hygienic, comfortable and safe patient environment. In addition, it utilizes the concepts of homeostasis, the nursing process, care mapping and maintaining an optimum level of wellness as the foundation for providing safe and comprehensive nursing care. HrsMode of Instruction: Lecture: 108 Scheduled Lab: HBA Lab: Composition: Activity: Total Hours 108 Credit Credit Degree Applicable (DA) Grading PassNo Pass (PNP) Repeatability 0 Credit Non-Degree (NDA) Letter (LR) 1 Student Choice (SC) 2 3 Last date of Assessment: 2017 Cohort #: _1 Please apply for: LMC General Education Requirement(s): none Transfer to: CSU UC IGETC Area CSU GE Area C-ID Number Course is Baccalaureate Level: Yes No Form Revised 5-18-2016 Page 1 of 7
Signatures: Department Chair Librarian Dean (Technical Review) Curriculum Committee Chair PresidentDesignee CCCCD Approval (Board or Chancellor's Office) STAND ALONE COURSE: YES NO Course approved by Curriculum Committee as Baccalaureate Level: YES NO LMC GE Requirement Approved by the Curriculum Committee: FOR OFFICE OF INSTRUCTION ONLY. DO NOT WRITE IN THE SECTION BELOW. Begin in Semester Catalog year 20 20 Class Max: Dept. CodeName: T.O.P.s Code: Crossover course 1 2: ESL Class: Yes No DSPS Class: _Yes No Coop Work Exp: Yes No Class Code A Liberal Arts & Sciences SAM Code A Apprenticeship Remediation Level B Basic Skills B Developmental Preparatory B Advanced Occupational NBS Not Basic Skills C AdultSecondary Basic Education C Clearly Occupational D Personal DevelopmentSurvival D Possibly Occupational E For Substantially Handicapped E* Non-Occupational F ParentingFamily Support G CommunityCivic Development *Additional criteria needed H General and Cultural 1 One level below transfer I CareerTechnical Education 2 Two levels below transfer J Workforce Preparation Enhanced 3 Three levels below transfer K Other non-credit enhanced Not eligible for enhanced Form Revised 5-18-2016 Page 2 of 7
Institutional Student Learning Outcomes: General Education SLOs: At the completion of the LMC general education program, a student will: 1. read critically and communicate effectively as a writer and speaker. 2. understand connections among disciplines and apply interdisciplinary approaches to problem solving. 3. think critically and creatively 4. consider the ethical implications inherent in knowledge, decision-making and action. 5. possess a worldview informed by diverse social, multicultural and global perspectives. None Program-Level Student Learning Outcomes (PSLOs): 1. Be academically prepared to take and pass the NCLEX-PN examination for licensure as a licensed vocational nurse (LVN) 2. Be academically prepared to secure a entry-level position as a licensed vocational nurse (LVN) 3. Demonstrate theoretical knowledge and application of technical skills to obtain an entry-level position as a licensed vocational nurse (LVN) 4. Apply critical thinking skills in the care of medicalsurgical, maternity, pediatric, andor psychiatric clients in various clinical settings 5. Utilize therapeutic communication skills (oral and written) in a clinical setting that assist the client and family to cope with and resolve problems 6. Determine the effects of nursing interventions on the clients. Course-Level Student Learning Outcomes (CSLOs): After completion of this course, the student will be able to: 1. Describe the nursing process and explain how to apply It to diverse patient populations. 2. Describe how to perform a head to toe physical assessment and correlate the data to the nursing process. 3. Diagram the activities of daily living (ADL) needs based on the patient's assessment data. 4. Distinguish between social and therapeutic communication and identify the different blocks to therapeutic communication. 5. Describe how to perform safe medication administration using different medication administration techniques and for a variety of patient populations. 6. Describe safety guidelines when caring for diverse patient populations in a variety of clinical settings Assessment Instruments: Quizzes Midterm Final Case Study Paper Care Mapping Presentation CSLO 1 X X X X X CSLO 2 X X X X x CSLO 3 X X X X X CSLO 4 X X X X sometimes X sometimes CSLO 5 X X X X X CSLO 6 X X X X X Examinations Four quizzes along with a cumulative midterm and final examination will be given to assess the student knowledge on the various topics using computerized testing. An example of the questions used to assess the CSLO's are listed below. Form Revised 5-18-2016 Page 3 of 7
CLSO 1 (Quiz) Which is not true of the implementation phase: a. priorities for nursing care can be discovered during the shift report b. the nurse should have a rational for each intervention before it is done c. the intervention does not need to be charted since it's already on the care plan d. potential dangers or accidents need to be considered CLSO 2 (Midterm) When assessing the abdomen, which assessment technique is used last? a. inspection b. auscultation c. palpation d. stethoscoping CLSO 3 (Final) When changing the bed the nurse should wear gloves a. never b. only if the sheets are soiled c. all the time d. whenever soiled linens are suspected CLSO 4 (Midterm) When doing therapeutic communication the nurse needs to the message or key points. a. define b. restate c. direct d. give CLSO 5 (Quiz) When instilling ear drops in an adult, one needs to hold the earlobe a. Up and back b. down and back c. up and forward d. down and forward CLSO 6 Nosocomial infections (select all that apply) a. can be acquired in the home b. affect 2 million patients a year c. caused by elevating urinary catheters d. will not affect visitors CSLO # 1, 2, 3, 5, 6 sometimes 4 Case Study Paper The student writes an in-depth written case study of a patient that the student has cared for during the clinical rotation. This APA formatted paper includes information on the medications, physical assessment data, safety measures used, nursing interventions and rationale for each medication, safety measure or nursing intervention for the patient. (CSLO 1, 2, 3, 5, 6) The paper may also contain a personal account of the student nurses experience using therapeutic communication as he or she cared for the patient. (CSL04-optimal) This assignment requires that the student incorporate all of the CSLO's for this class in order to accomplish this assignment. Although in some circumstance, depending on the patient's diagnosis, CSLO 4 may not be utilized. Form Revised 5-18-2016 Page 4 of 7
CSLO # 1, 2, 3, 5, 6 sometimes 4 Care Mapping Assignment and Presentation The care map assignment requires that the student presents a care map based the patient's medical problems and utilization of the nursing process. (CSL01, 2, 3) The care map shows the patient's lab tests, - physical, cognitive and emotional assessment data, nursing interventions and medications, as well as how this data relates to the various body systems and the patient medical problems. (CLSO 1, 2, 3, 5, 6) The presentation is approximately 10 minutes in length. This assignment requires that the student incorporate all of the CSLO's for this class in order to accomplish this assignment. Although in some circumstance, depending on the patient's diagnosis, CSLO 4 may not be utilized. CSLO # 1, 2, 3, 5, 6 Method of EvaluationGrading: Four quizzes- 50 points each = 200 points Midterm and Final Examination- 150 points each = 300 points Case Study = 200 points Care Mapping Presentation = 100 points Professional Skills Rubric (midterm and final) = 80 points Homework Assignments = 100 points Total Points = 980 points A level student work - Achieves 90-100% of the total points. Accurately defines the nursing process for every patient every time; describes how to do a complete head to toe assessment correctly and accurately every time; correctly identifies the patients ADL needs through assessment data every time; completely and accurately describes how to give safe medication administration using all the different types of medication techniques every time; accurately explains how to adhere to safety guidelines every time. For the case study paper, includes in writing all of the information on the medications, physical assessment data, safety measures used, nursing interventions and all of the rationales for each medication, safety measure or nursing intervention for the patient; completely identifies how the nursing process was used during their patient care; includes a complete personal account of their therapeutic communication experiences as he or she cared for the patient; completely identifies all of the patient's medical problems and how they interrelate using lab tests, physical, cognitive and emotional assessment data. For the care mapping assignment all of the nursing interventions and medications are listed and correlate correctly to all of the various body systems and the patient's medical problems; accurately explains how to do therapeutic communication and list all the blocks to communication. C-level student work Achieves 75 79% of the total points. Accurately defines the nursing process for every patient every time; describes how to do a complete head to toe assessment correctly and accurately every time; is able to correctly identify the patients ADL needs through assessment data every time; describes how to give safe medication administration using all the different types of medication techniques every time; can accurately explain how to adhere to safety guidelines every time. For the case study paper includes in writing some of the information on the medications, physical assessment data, safety measures used, nursing interventions and some of the rationale for each medication, safety measure or nursing intervention for the patient; identifies how the nursing process was used during their patient care; includes a partial personal account of their therapeutic communication experiences as he or she cared for the patient. For the care mapping assignment, partially identifies the patient's medical problems and how they interrelate using lab tests, physical, cognitive and emotional assessment data. Some of the nursing interventions and medications are listed and some are correlated correctly to the various body systems and the patient's medical problems; partially explains how to do therapeutic communication and list some of the blocks to communication. Form Revised 5-18-2016 Page 5 of 7
Course Content: Module I Introduction and Orientation to Nursing Nursing and Health Overview of Growth and Development Adulthood and Family Stress and Coping Self Concept Module 2 Nursing Process Assessing Diagnosis Outcome Implementing Evaluating Charting and Documentation Concept Mapping Advocacy Establishing Priorities Patient Teaching Therapeutic Communication Module 3 Protection from Injury Medical Asepsis and Infection Control Safe and Comfortable Environment Cleanliness and Comfort Needs Emergency Preparedness Module 4 Movement in the Environment Body Mechanics Activity Sensory Stimulation Module 5 Medication Administration Rights of Medication Administration Medication Administration Modalities Module 6 Respiratory and Homeostasis Mechanism Oxygenation and Perfusion Module 7 Utilization of Substances and Metabolic Processes Nutrition Fluid and Electrolytes Form Revised 5-18-2016 Page 6 of 7
Promoting Bowel Elimination Promoting Urinary Eliminations Module 8 Adaptive Mechanisms Pain Control Culture and Spirituality Promoting Rest and Sleep Alternative Therapies Sexuality Module 9 Gerontology The Aging Process Caring for the Aging Population Loss, Grief and the Dying Patient Lab By Arrangement Activities (If Applicable): NA Instructional Methods: Lecture Lab Activity Problem-based LearningCase Studies Collaborative LearningPeer Review DemonstrationModeling Role-Playing Discussion Computer Assisted Instruction Other (explain) Textbooks: Fundamentals of Nursing, The Art and Science of Nursing Care. 8 th Edition Taylor, Lillis & Lynn. Publisher: Lippincott, Wolters Kluwer, 2014 Form Revised 5-18-2016 Page 7 of 7