Practical Nursing Access Program (PNAP) Program Outline PROGRAM IMPLEMENTATION DATE: January 2014 OUTLINE EFFECTIVE DATE: September 2016 PROGRAM OUTLINE REVIEW DATE: April 2021 GENERAL PROGRAM DESCRIPTION: The Practical Nursing Access Program is designed for Health Care Assistants (formerly Resident Care/Home Support Attendants) who would like to upgrade their skills to gain a Licensed Practical Nursing diploma. The underlying assumption of this program is that learners enter the program with an educational background and experience that will allow them to bridge into the Provincial Practical Nursing Program (PPNP). In the 2 Access Semesters, students complete 38 weeks of online coursework followed by 7 weeks of Integrated Nursing Practice and Consolidated Practice Experience at facilities in the Cranbrook area. Upon successful completion of the Access Semesters, students are eligible to enter Semesters 3 and 4 in Year 2 of the Provincial Practical Nursing Program at College of the Rockies. This program allows students the option to continue working on a part-time basis for the 38 weeks while studying online before committing to the final 7 weeks of practice education and 10 months of full-time study in face-to-face classroom, lab and practicum settings. Upon successful completion of the Access Semester and Year 2 Semester 3 and 4 of the Provincial Practical Nursing Program, students will receive a Practical Nursing diploma and will be eligible to write the Canadian Practical Nursing Registration Exams (CPNRE) and to apply for licensure as a Licensed Practical Nurse in Canada. CREDENTIALS GRANTED: Diploma This diploma is awarded to students who successfully complete the prescribed curriculum in the Year 1, semester 1 and 2 of PN Access program as well as Semester 3 and 4 of the Provincial Practical Nursing Program. Program Information: The Practical Nursing Access Program is adapted from the 2011 Practical Nursing Program Provincial Curriculum by Vancouver Community College (March 2012). Updated April 2013. The curriculum framework of the Provincial Practical Nursing Program is guided by the Health Professions Act, Nurses (Licensed Practical) Regulation, Entry to Practice Competencies for Licensed Practical Nurses Professional Practice (CLPNBC, 2013), Professional Standards of Practice for Licensed Practical Nurses (CLPNBC, 2014), as well as the Canadian Practical Nurse Registration Exam Blueprint (CPNRE, 2011). The Provincial Practical Nursing curriculum (2011) was produced through a collaboration of participating institutions within the public post-secondary education system. Any total or partial reproduction of this product by any means is prohibited without written permission from all of the participating colleges. Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 1
Delivery: The first semester and the first five months of semester 2 are delivered on-line, the practical portion of second semester and year two of the program is delivered faceto-face. COTR Credits: 63 Hours for this program: 1622 hours Year 1 Typical Structure of Instructional Hours: Instructional Activity Duration Lecture Hours (online) 312 Seminars / Tutorials Laboratory / Studio Hours Practicum / Field Experience Hours 300 Other Contact Hours Total 612 Practicum Hours (if applicable): Type of Practicum Duration On-the-job Experience 300 Formal Work Experience Other Total 300 Year 2 Typical Structure of Instructional Hours: Instructional Activity Duration Lecture Hours 235 Seminars / Tutorials 30 Laboratory / Studio Hours Practicum / Field Experience Hours 745 Other Contact Hours Total 1010 Practicum Hours (if applicable): Type of Practicum Duration On-the-job Experience 745 Formal Work Experience Other Total 745 Program Outline Author or Contact: Jeff Quinn, RN, BSN Signature APPROVAL SIGNATURES: Department Head Sandi Hill E-mail: shill@cotr.bc.ca Dean of Health & Human Services Heather Hepworth E-mail: hepworth@cotr.bc.ca Department Head Signature Dean Signature EDCO Valid from: September 2016 April 2021 Education Council Approval Date Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 2
PROGRAM PREREQUISITES AND TRANSFER CREDIT: Admission Requirements: 600 hours of work experience, within the last two years, in a care facility where care is provided to a group of gerontology clients. Work experience must be verified by an official employer letter. Individualized home care experience is not acceptable. A recognized certificate in one of the following programs: Health Care Assistant (HCA) or Resident Care Attendant (RCA) or a combined Resident Care/Home Support Attendant (RC/HSA). Academic: Grade 12 graduation, in BC Dogwood diploma or Adult Graduation Diploma or equivalent (ABE, GED) English 12 or equivalent with a grade of 65% OR Technical and Professional Communications 12 with a grade of 80% Math 11 Principles with a grade of 60% OR Math 11 Foundations with a grade of 60% (commencing 2012) Biology 12 (Human Biology) with a grade of 60% Note: Students must pass PPNP 101 Human Anatomy and Physiology for Practical Nurses or equivalent with a minimum grade of 65% to continue in the Practical Nursing Access Program. Non-Academic: CPR Level C (must be valid during the entire program). Solicitor s General Criminal Record Check. Note: A criminal record may reduce an applicant s access into the program or to employment opportunities and licensing following graduation. Negative TB skin test or chest x-ray. Must be physically and psychologically able to complete program activities with appropriate accommodation for disability as evidenced by a signed COTR medical self-disclosure form. Immunization as required by sites of practice education and recommended by BC Centre for Disease Control (2009): diphtheria and tetanus, polio, hepatitis B, measles, mumps and rubella (MMR), varicella, and influenza. Note: Students who fail to comply with immunization requirements may be prohibited from attending practice education experience by Health authority and clinical partner site policy. English as an Additional Language: Applicants with English as an additional language must meet the language requirements set by CLPNBC (2011). Note: Please view CLPNBC current English requirements at the following site: https://www.clpnbc.org/ Flexible Assessment (FA): Credit can be awarded for this course through FA Yes No Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 3
Transfer Credit: For transfer information within British Columbia, Alberta and other institutions, please visit http://www.cotr.bc.ca/transfer. Students should also contact an academic advisor at the institution where they want transfer credit. Practical Nursing Access Program Year 1 Semester 1: Hours Credits Lecture / Lab PPNP 101 Anatomy & Physiology for PN 3 72 PNAP 111 Professional Practice A 3 45 PNAP 112 Professional Communication A 3 45 In Year 1, Semester 2: PNAP 113 Variations in Health A 4 60 PNAP 114 Health Promotion A 2 30 PNAP 115 Pharmacology A 4 60 PNAP 116 Integrated Nursing Practice A 5 180 PNAP 117 Consolidated Practice Experience A 3 120 Total 27 612 Year 2 Semester 1: Hours Credits Lecture / lab PPNP 201 Professional Practice 3 1 20 PPNP 202 Professional Communication 3 1 20 PPNP 203 Variations in Health 3 3 45 PPNP 204 Health Promotion 3 3 36 PPNP 205 Integrated Nursing Practice 3 4 120 PPNP 206 Consolidated Practice Experience 3 2 65 Total 14 306 Winter Semester: Hours Credits Lecture / lab PPNP 211 Professional Practice 4 1 20 PPNP 212 Professional Communication 4 1 20 PPNP 213 Variations in Health 4 3 50 PPNP 214 Health Promotion 4 2 24 PPNP 215 Integrated Nursing Practice 4 5 180 PPNP 216 Consolidated Practice Experience 4 4 200 Total 16 494 Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 4
Spring Semester Hours Credits Lecture / lab PPNP 217 Transition to Preceptorship 2 30 PPNP 218 Preceptorship 4 180 Total 6 210 Program total 63 1622 COURSE GRADE: Course grades are assigned as follows for all theory courses except Pharmacology: Grade A+ A A- B+ B B- C+ F Mark (Percent) 95 94-90 89-85 84-80 79-75 74-70 69-65 <65 The Pharmacology (PNAP 115) course requires an 80% average on theory evaluations and 100% pass on Math calculations (students have 3 attempts to meet the 100% standard). Competency-based courses are included in the program. In Integrated Nursing Practice courses that include nursing skills or practice, students must demonstrate both satisfactory achievement of practice criteria and a passing average of 70% on the assignments in the course before a COM (Complete) grade can be granted. In Consolidated Practice Experience courses, students who demonstrate satisfactory achievement of practice criteria receive a COM (Complete) grade; a COM grade is required for progression in the program. See Policy 2.1.8 for admission and progression policy. COM NCG Completed to defined standard No Credit Granted COURSE DESCRIPTIONS: PPNP 101 ANATOMY& PHYSIOLOGY FOR PRACTICAL NURSING This course is designed to provide the student with an overview of the structure (anatomy) and function (physiology) of 12 body systems. Students also learn various health promotion strategies that assist in maintaining optimal function of these body systems. Healthcare terminology is introduced in this course. PNAP 111 PROFESSIONAL PRACTICE A This theory course provides an introduction to the profession of practical nursing. Legislation that informs PN practice within British Columbia will be introduced. The history of nursing and specifically, the evolution of Practical Nursing within the Canadian health care system will be discussed. The philosophy and foundational concepts of the Provincial Practical Nursing Program are explored. The legislation influencing PN practice with clients experiencing chronic illness and those in residential care settings is examined. Specific professional issues such as responsibility, accountability, ethical practice, and leadership relevant to the PN role in residential care will be explored. Critical thinking and decision making specific to the care of the chronically ill and inter-professional practice will also be addressed. Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 5
PNAP 112 PROFESSIONAL COMMUNICATION A This course provides learners with the foundational knowledge for caring, professional communication in nursing. It uses an experiential and self-reflective approach to develop selfawareness and interpersonal communication skills in the context of safe, competent and collaborative nursing practice. Communication theory, the nurse-client relationships, therapeutic communication, cross-cultural communication, effective teamwork and learning and teaching concepts will be covered. The learner is provided with an opportunity to develop professional communication skills with clients requiring end of life care. PNAP 113 VARIATIONS IN HEALTH A This course provides the learner with the foundations of disease and illness across the lifespan. Learners will gain an understanding of pathophysiological alterations of body systems. Nursing management of disease and illness across the lifespan with an emphasis on interventions and treatment is also discussed. The learner s understanding of pathophysiology as it relates to the ageing process and selected chronic illness will increase. A major focus of this course is on the care of the older adult experiencing a health challenge. Cultural diversity in healing practices will be explored as well as evidence-informed research and practice. PNAP114 HEALTH PROMOTION A This introductory course will increase the learners understanding of health promotion within the Canadian context. This includes health enhancement, health protection, disease prevention, health restoration/recovery, care and support. Knowledge of growth and development, health inequities and determinants of health will support the Practical Nurse to provide culturally appropriate and holistic care. PNAP 115 PHARMACOLOGY A This course examines the principles of pharmacology required to administer medications in a safe and professional manner. Medication administration requires the application of the nursing process for clinical decision-making. Various routes of medication administration are introduced and complementary, Indigenous, alternative remedies, and polypharmacy across the lifespan are also explored. The learners will gain an understanding of pharmacotherapeutics prescribed for illness across the lifespan. PNAP 116 INTEGRATED NURSING PRACTICE A 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 the promotion of health, independence, and comfort. Classroom, laboratory, simulation, and other practice experiences will assist learners to integrate theory from other Access courses to provide sage, competent, and ethical nursing care with clients. PNAP 117 CONSOLIDATED PRACTICE EXPERIENCE A This clinical experience provides learners with the opportunity to integrate theory from the Access level into practice. Learners will practice with ageing clients and/or those with chronic illness in residential care settings. Medication administration, nursing care, organization, comprehensive health assessment, wound care and introduction to leadership are emphasized in this course. PPNP 201 PROFESSIONAL PRACTICE 3 This course integrates the concepts from previous professional practice courses and introduces learners to practice in the community. The role of the Practical Nurse as leader is emphasized in interactions with clients and their families as well as other health care providers. Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 6
PPNP 202 PROFESSIONAL COMMUNICATION 3 This course focuses on specific professional communication skills used with clients and care providers across the lifespan requiring care in the community. PPNP 203 VARIATIONS IN HEALTH 3 This course focuses on the continuum of care and the development of knowledge related to health challenges managed in the community setting. Pathophysiology and nursing care of clients requiring home health care, rehabilitation, and supportive services ion the community will be explored. Cultural diversity in healing approaches will be explored as well as the incorporation of evidence informed research and practice. PPNP 204 HEALTH PROMOTION 3 This course is focused on health promotion as it relates to the continuum of care across the lifespan. Health promotion in the context of mental illness, physical and developmental disabilities and maternal /child health is highlighted. Normal growth and development from conception to middle adulthood is addressed. PPNP 205 INTEGRATED NURSING PRACTICE 3 This course builds on the theory and practice from Level I and II. Through a variety of approaches (e.g., simulation), learners will continue to develop knowledge and practice comprehensive nursing assessment, planning for and interventions with for clients experiencing multiple health challenges. PPNP 206 CONSOLIDATED PRACTICE EXPERIENCE 3 This practice experience will introduce learners to community care settings and an opportunity to apply and adapt knowledge gained in Levels I, II, and III within a continuum of care for clients across the lifespan. Learners may gain experience through simulation and in a variety of community and residential care agencies and settings. PPNP 211 PROFESSIONAL PRACTICE 4 This course prepares learners for the role of the Practical Nurse in caring for clients with acute presentation of illness. Legislation influencing PN practice, specific professional practice issues and ethical practice pertinent to PN practice in acute care environments will be explored. Practice issues that occur across the lifespan will be considered. Collaborative practice with other health care team members and specifically the working partnership with RNs in the acute care setting will be examined. PPNP 212 PROFESSIONAL COMMUNICATION 4 The focus of this course is on the advancement of professional communication within the acute care setting caring for clients across the lifespan. The practice of collaboration with health care team members and clients will be further developed. PPNP 213 VARIATIONS IN HEALTH 4 This course focuses on pathophysiology as it relates to acute disease and illness of clients across the lifespan, specifically the care of the client experiencing acute illness including nursing interventions and treatment options. Implications of the acute exacerbation of chronic illness are addressed. Cultural diversity in healing practices will be explored as well as evidenced informed research and practice. PPNP 214 HEALTH PROMOTION 4 This course focuses on health promotion in the context of caring for clients experiencing an acute exacerbation of chronic illness or an acute episode of illness. Examine health promoting strategies during hospitalization to improve or help maintain clients health status after discharge Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 7
occurs. Topics also include how to preparing clients for discharge from care through teaching and learning of health promoting strategies. PPNP 215 INTEGRATED NURSING PRACTICE 4 This course emphasizes the development of nursing skills aimed at promoting health and healing with individuals experiencing acute health challenges across the lifespan. A variety of approaches (e.g., simulation) will help learners build on theory and practice from Levels I, II, and III to integrate new knowledge and skills relevant to the acute care setting. PPNP 216 CONSOLIDATED PRACTICE EXPERIENCE 4 This practice experience provides learners with the opportunity to integrate theory from all courses into the role of the Practical Nurse in the acute care setting and other practice areas as appropriate. Learners will focus on clients with exacerbations of chronic illness and/or acute illness across the lifespan and will consolidate knowledge and skills such as: post-operative care, surgical wound management, intravenous therapy, focused assessment, and clinical decision-making in acute care settings. PPNP 217 TRANSITION TO PRECEPTORSHIP Transition to Preceptorship will prepare the learner for the final practice experience. simulation experiences and self-directed learning will provide the learner with increased competence and confidence in their final practice experience. PPNP 218 PRECEPTORSHIP This final practice experience provides an opportunity for learners to demonstrate integration and consolidation of knowledge, skills, and abilities within the realities of the workplace, and become practice ready. Note: This experience may occur through a variety of practice experience models, including the preceptorship model, under the immediate supervision of a single, fully qualified and experienced LPN or RN or RPN and/or within the context of a collaborative learning environment as a participating team member. Apr. 6, 2016 do H:\OUTLINE\ProgramOutline\2016 Fall\PNAP.docx 8