PRACTICAL NURSING MASTER PLAN OF INSTRUCTION
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- Erica Eaton
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1 PRACTICAL NURSING MASTER PLAN OF INSTRUCTION Instructors Terry Churaman, RN; Joyce Hubbs, RN; Cindy Marshall, RN; Denise Patak, RN; Nancy Redenius, RN; Anita Tokie, RN; Suzy Trimble, RN MISSION: The mission of Fort Myers Institute of Technology is to provide high quality career and technical training, in order to prepare students for current and emerging industries, delivered by a professional and caring staff in a positive learning environment Michigan Avenue, Fort Myers, Florida (239)
2 Practical Nursing INTRODUCTION We want to extend to you a warm welcome to the Practical Nursing program. Our caring staff, faculty, and administration are dedicated to fulfilling our mission, which is to prepare students for employment. Learning takes place in a climate of excellence which fosters inquiry, responsibility, and accountability, on your way to becoming a Licensed Practical Nurse. This master plan has been prepared to help you in your orientation to the school and to the healthcare industry. Whether you are a young person continuing in your education or a mature adult coming back for a new career, you will find a team of caring professionals made up of certified instructors and experienced support staff ready to serve you in our fully accredited facility. This master plan is closely aligned with healthcare facility regulations, so that a student can become familiar with workplace expectations while you are a student. The policies and procedures of our program are all designed to assist you toward success and to ensure your employability in the healthcare field upon graduation and licensure. The objective of the Practical Nursing master plan is to provide written policies concerning admission of students, student health and welfare, attendance, and student progress. Each student must be aware of these policies and refer to this plan to clarify information. Faculty members are available for conference and/or to answer questions. We believe that faculty and students have reciprocal rights and duties toward each other in the educational process. We will strive to instruct, demonstrate, motivate, guide/coach, facilitate, and encourage learning. However, we believe students must possess the desire to seek knowledge, demonstrate professional behavior, demonstrate initiative by participating in their own learning and demonstrate understanding by providing a high level of quality care. You are starting a program of study that will result in you being an important professional in the healthcare delivery field. Every member of the practical nursing faculty, the administrative team and the school support staff are interested in assisting you in meeting your educational goals. You will be working with the latest equipment and learning the most up to date procedures as you work toward your LPN license. Our hope is that you succeed and find the work rewarding, pleasurable and profitable. All of the instructors are registered nurses and certified teachers. PROGRAM MISSION The mission of the Practical Nursing program is to provide quality career education that will develop caring, compassionate, safe, skilled, and dynamic healthcare practitioners prepared to meet the workforce demand. The faculty of the Practical Nursing program assesses each student s abilities and talents then guides the student toward achievement of his/her potential. Partnerships with members of the southwest Florida healthcare community assure the success of the mission of the program. By establishing learning situations in which the student can experience success, students achieve marketable skills, personal satisfaction, and career enhancement in healthcare. PROGRAM PHILOSOPHY Education is a continuous learning process dependent upon motivation, ability, and commitment of the learner. Optimal learning occurs within an environment that places responsibilities of learning on the individual, provides freedom for inquiry, considers individual differences, and provides correlation between research, theory and practice under the guidance and direction of the instructor. The nursing faculty believes that learning is a continuous and lifelong process progressing from basic to complex. The instructor s role is to provide the necessary environment, objectives, guidance, and educational resources to facilitate Page 1 of 35
3 learning for the individual who desires to become a member of the nursing profession. The instructor sets the stage by planning a logical sequence of meaningful educational experiences centered on clearly defined objectives designed to develop the student's potential. Within this educational process the student acquires knowledge, develops self-discipline, critical thinking skills, and the competencies necessary for the practice of nursing within a multidisciplinary healthcare environment. Learning results in a change in the behavior of the learner. In an era of discovery and change, scientific principles in the physical, biological, and social sciences are utilized as a basis for these learning experiences. The instructor serves as a facilitator, mentor, and role model to the student as the student actively participates in the learning process. Provision of healthcare is an art based upon science, which involves the whole patient--mind, body, and spirit. Our graduates help to meet the health requirements of society by giving direct assistance to individuals according to their health needs. Care such as this requires that the practitioner offers an attitude of caring, compassion, and helpfulness while exhibiting traits of honesty, dependability, and accuracy. A planned guidance and counseling program is essential in assisting students in his/her personal, educational, and career development. Continuous evaluation is necessary to measure student progress and teacher effectiveness and is a tool for guiding students toward maximum self-growth. Career/technical education prepares an individual for employment in a specific occupation and provides a foundation for future education in nursing and lifelong learning. ADMISSION REQUIREMENTS To register you must meet with a counselor in the Student Services Department, located in C Building. Admission Requirements for Practical Nursing: Students must be 18 years old upon entrance into the program unless a special waiver is granted by the program director. The student must have an official high school or official GED transcript. Foreign transcripts, whether high school or post-secondary, must be evaluated and certified by an agency recognized by Lee County School District. Agencies recognized by LCSD can be found on the following website: NACES.org. Click on the how to find a member tab for a complete list of recognized evaluation agencies. Only agencies listed on the above website are acceptable. Students must meet the licensed practical nurse application requirements. Admission to the Practical Nursing program is competitive. An admissions committee composed of school faculty will review all applications and determine admittance. After the application deadline, each application will be evaluated utilizing the selection criteria. The admissions committee will determine which applicants will be accepted based on the applicant s score on the Selection Criteria Matrix. If there is a tie, an interview will be done. A letter will be mailed out approximately two weeks after the application deadline to notify applicants of their admission status. Applicants should pay special attention to the quality and completeness of their applications. Incomplete or late applications will not be considered. If an applicant is not selected for the upcoming class, he/she will be notified by mail and will be asked to respond notifying us of intentions to resubmit or seek enrollment in another course. School counselors provide career counseling for students. If an applicant is unable to attend when accepted, the application will be evaluated using the selection criteria with the next pool of applicants for the next starting date. In the meantime, it is possible to increase points on the matrix by submitting newly acquired qualifying criteria such as attending the Nursing Assistant program, etc. If still not selected for admission, the applicant will need to submit a new application and re-apply. Due to Occupational Safety and Health Administration (OSHA) regulations, all students doing direct patient care must either have immunization against hepatitis B or sign a declination statement that he/she chooses not to protect himself/herself from this disease. Page 2 of 35
4 All Health Science Education programs require applicants to obtain a drug screen and Level 2 background screen prior to admission. TEST OF ADULT BASIC EDUCATION All applicants for this program take a state-mandated TABE assessment prior to enrollment (documented A.A., A.S., A.A.S., B.A., and B.S. degreed persons are exempt from this requirement). *Florida Statue exempts the following prospective students from completing the entry-level assessment of basic academic skills: Applicants, who possess a college degree, associate in applied science or higher. Students who demonstrate readiness for public postsecondary education as stipulated by Florida Statute Students who pass a state or national industry certification or licensure exam that is aligned with the educational program of enrollment An adult student who is enrolled in a state-approved apprenticeship program Students requesting exemption from the basic skills assessment must provide documentation such as official transcripts and certificates. According to Florida Department of Education rules, students who fail all or parts of the TABE may only retest using a different TABE version after 60 documented hours of remediation in the Applied Academics for Adult Education (AAAE) lab or three months if not attending AAAE. Students may not retake the same test version for six months. We, therefore, strongly recommend that students test early, especially for licensure programs, in order to allow time for remediation and retesting should the need arise. Students who do not meet the minimum TABE scores set by the Florida Department of Education for their program must begin attending remediation classes in the AAAE lab prior to or at the time of enrollment in the program for at least one block a day and make acceptable progress as determined by the AAAE instructor. Students should meet state-mandated TABE requirements by the time they have completed the 1 st semester of the program. Students who do not meet statemandated TABE scores may not receive a certificate of completion as per Florida Department of Education rules. Applicants transferring TABE, PERT, or CPT scores from other testing centers must do so by having an official score report sent directly to the Admissions Office prior to enrollment. Scores brought in by hand will not be accepted. TABE scores are good for two years and must be valid at the time of enrollment. TABE scores that expire during continuous enrollment remain valid until the end of such enrollment. Under continuous enrollment, students must be enrolled at least 50% of one semester per school year and may miss no more than one consecutive semester. Continuous enrollment applies to attendance in a single program. PROGRAM CONTENT The program is designed to prepare students to take the licensing examination and gain employment as licensed practical nurses. This program is approved by the Florida State Board of Nursing. The program includes classroom, laboratory and clinical experience in local healthcare agencies. This program includes: basic healthcare worker, nurse aide and orderly, nursing fundamentals, body structure, function & nutrition, medical surgical nursing, pharmacology/ administration of medication, maternity nursing, pediatric nursing, transitional nursing, bio-psycho-social nursing, clinical practice and employability skills. Page 3 of 35
5 PROGRAM COURSES Semester Course # OCP Course Name Hours I HSC0003 A Basic Healthcare Worker 90 I HCP0121 B Nurse Aide and Orderly 75 (Articulated) I PRN0091 C Practical Nurse (1 of 3) 285 Nursing Fundamentals Body Structure, Function & Nutrition Clinical Practicum I II PRN0092 C Practical Nurse (2 of 3) 450 Medical Surgical Nursing Pharmacology/Administration of Medicine Clinical Practicum II III PRN0096 C Practical Nurse (3 of 3) 450 Clinical Practicum IIc Maternity Nursing Pediatric Nursing Transitional Nursing Bio-Psycho-Social Nursing Clinical Practicum III Total Hours 1350 ESSENTIAL TRAINING TASKS Administer prescribed medications. Observe patients, charting and reporting changes in patients' conditions, such as adverse reactions to medication or treatment, and taking any necessary action. Answer patients' calls and determine how to assist them. Measure and record patients' vital signs, such as height, weight, temperature, blood pressure, pulse, and respiration. Provide basic patient care or treatments, such as taking temperatures or blood pressures, dressing wounds, treating bedsores, giving enemas or douches, rubbing with alcohol, massaging, or performing catheterizations. Work as part of a healthcare team to assess patient needs, plan and modify care, and implement interventions. Supervise nurses' aides or assistants. Evaluate nursing intervention outcomes, conferring with other healthcare team members as necessary. Assemble and use equipment, such as catheters, tracheotomy tubes, or oxygen suppliers. Record food and fluid intake and output. Physical Requirements Visual: visual ability sufficient for observation and data collection necessary to provide safe client care such as: prepare and administer medications, read fine print/writing, and the ability to distinguish colors. Auditory: ability sufficient to monitor and meet client needs such as: receive verbal communication from patients and members of the healthcare team and to collect data through the use of monitoring devices such as B/P monitor, stethoscope, IV infusion pumps, emergency alarms, and patient call lights. Gross and fine motor coordination: to practice safe and efficient patient care such as: respond promptly and implement skills including the manipulation of patient s equipment, draw up and give injections to patients, perform CPR, measure vital signs, collect data such as peripheral pulses, patient skin differences and palpitation. Able to utilize computer technology. Page 4 of 35
6 Communication: communication abilities sufficient for interaction with patients, family, and other healthcare members from a variety of social, emotional, cultural, and intellectual backgrounds in a coherent and concise oral and written format. Must be able to follow spontaneous verbal and/or written instructions accurately. Critical thinking: plan and implement care in the decision-making process, and exhibit adequate emotional stability to react appropriately in an emergency and in situations of high stress. Able to make decisions under pressure, have the ability to handle multiple priorities, be flexible, and cope with others in a professional manner. Mobility: physical abilities to ambulate from room to room and department to department independently, maneuver in small spaces, navigate stairwells, re-position/lift patients in bed, and perform CPR. Reach above the head and push/pull/lift without restrictions, flexibility to squat and to bend at the knees. If any of these Essential Functions are impossible for the program applicant to perform, it will be necessary to consider enrolling in another program. In the event that the use of special equipment compensates for non-compliance with the Essential Functions, it is the responsibility of the program applicant to purchase this equipment (e.g. electronically enhanced stethoscopes, hearing aids or other adaptive devices) in order to meet the Essential Functions criteria. Cognitive Requirements Assisting and Caring for Others Providing personal assistance, medical attention, emotional support, or other personal care to others such as coworkers, customers, or patients. Documenting/Recording Information Entering, transcribing, recording, storing, or maintaining information in written or electronic/magnetic form. Communicating with Supervisors, Peers, or Subordinates Providing information to supervisors, coworkers, and subordinates by telephone, in written form, , or in person. Establishing and Maintaining Interpersonal Relationships Developing constructive and cooperative working relationships with others, and maintaining them over time. Getting Information Observing, receiving, and otherwise obtaining information from all relevant sources. Making Decisions and Solving Problems Analyzing information and evaluating results to choose the best solution and solve problems. Organizing, Planning, and Prioritizing Work Developing specific goals and plans to prioritize, organize, and accomplish your work. Evaluating Information to Determine Compliance with Standards Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations, or standards. Updating and Using Relevant Knowledge Keeping up-to-date technically and applying new knowledge to your job. Monitor Processes, Materials, or Surroundings Monitoring and reviewing information from materials, events, or the environment, to detect or assess problems. ACCOMMODATIONS Federal and state legislation requires the provision of accommodations for students with disabilities as identified on the secondary student s IEP or 504 plan or post-secondary student s accommodations plan to meet individual needs to ensure equal access. Post-secondary students with disabilities must self-identify, present documentation, required accommodations if needed, and develop a plan with their post-secondary service provider. Accommodations received in post-secondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology, and special communication systems. Documentation of the accommodations requested and services provided are maintained in a confidential file. TUITION Tuition is charged for adult students at a reasonable rate that may vary slightly from year to year and is due prior to the first day of each semester. Current fee information is available from the Admissions Office. Tuition is waived for eligible high school dual-enrolled students. Failure to pay all fees due at the time class begins will result in the student not being able to attend class and/or clinical. Page 5 of 35
7 CLASS SCHEDULE Lecture days on campus meet Monday through Friday from 8:00 A.M. until 2:30 P.M. Lunch breaks are 30 minutes in length. Clinical times will vary. ATTENDANCE POLICY AND PROCEDURES Purpose Healthcare workers must be reliable and dependable employees. Reporting to work as scheduled and arriving on time are critically important employability characteristics to maintain. The administration, faculty, and staff at FMIT believe that it is essential within the practical nursing curriculum to teach employability skills as an integral part of the educational program, and to practice skills throughout the program. The patient s welfare is dependent on the worker being in the right place at the right time. Additionally, regular attendance is necessary for the student to take full advantage of the available educational opportunities. Students must comply with all school regulations to be allowed the privilege of attending. According to the policies of FMIT, a student may be dismissed for unsatisfactory conduct, excessive absences, violation of safety regulations, and unsatisfactory progress. The Practical Nursing faculty members use a systematic process to review student progress and to make recommendation for continuation in the program. Student Attendance Responsibility All students shall be in attendance every day and on time for every class, unless excused. Any student who will be late or absent from the clinical/class assignment must notify the instructor at least 30 minutes prior to the scheduled start time for each day. Failure to notify the instructor will be reflected in the student evaluation and employability points will be deducted. All students shall be responsible for obtaining and completing all assignments missed during an absence. All students shall bring appropriate materials to all classes and clinical experiences and be prepared to work. Failure to do so may result in the student being asked to leave the clinical area. All students are responsible to log in and log out of the computerized attendance computer in order to receive credit for class time. Appointments must be made prior to or after class or clinical so that attendance time will not be lost. For purposes of this program, the following DEFINITIONS are used: 1. Tardy Any time missed from class or clinical during the required time of attendance, such as arriving late or leaving early. 2. Excused Absence Accepted performance of not being in attendance in the classroom or the clinical area on time and remaining for the full day. Reasons for an absence to be excused include: Illness of self (medical evidence required) Death in the immediate family (evidence is required) Emergency in the immediate family (description of the situation is required) Religious holiday(s) of the specific faith of the student Subpoena by any law enforcement agency or governmental agency. Approval for the excused absence must be obtained in advance of the time Other justifiable reasons approved by the Program Director or an Administrator upon PRIOR request. 3. Unexcused Absence Any absence not included in the above. Absenteeism or tardiness because of repeated transportation problems is not excused. Students are informed prior to admission of the need for reliable transportation. Page 6 of 35
8 After the third Absence/Tardy, (excused or unexcused) the teacher will notify the student, in writing, (Attendance Documentation Form) that one (1) more Absence/Tardy, excused or unexcused, will result in an Administrative Review and possible withdrawal from the program until the start of the next semester. The student may be in jeopardy of losing financial aid. The student should consult with the Financial Aid Department immediately. On the day of the fourth Absence/Tardy of the current semester, the teacher will complete all sections of the Attendance Documentation Form and forward it to the Student Affairs Specialist. Tardies and absences will be calculated at the end of each semester. However, total hours and minutes will be cumulative throughout the year. At the end of the semester the student will be given notification of the number of absence hours and tardies accumulated. If the student does not agree he/she may ask for a review of the absence time. Changes must be made before advancement to the next semester if an error has occurred. Once the student has advanced, past hours will not be changed or re-evaluated. Clinical hours must be performed for each course at the time that course is credited. If a student has questions regarding attendance this must be discussed with the current semester instructor and by appointment only. Class/Clinical Hours Classroom hours are routinely scheduled between 8:00 A.M. and 2:30 P.M. Clinical hours will vary with the facility and the assignment. Each instructor will provide a monthly clinical rotation schedule of assigned location and expected hours of attendance. Clinical hours may include evenings, nights and weekends and may begin as early as 6:00 A.M. The length of a clinical day may be 6, 7, 8, 9, 10, or 12 hours. Clinical Attendance Policy If a student will be late or absent to a clinical assignment, the instructor must be notified at least 30 minutes prior to the scheduled time of arrival. Students must meet with the instructor at a previously assigned location prior to going to the assigned patient unit. If a student arrives late to the clinical site he/she must phone the instructor upon arrival and before going to the assigned patient unit. If a student arrives at a clinical site more than 30 minutes late with or without prior notification, he/she may be sent home and charged a full day s absence. Students must not leave the clinical site for any reason without instructor permission to do so. Students must not leave a clinical site until dismissed by the instructor. Students must not return to the clinical site or assigned unit after being excused by the instructor unless instructor approval is given in advance. For personal medical emergency requiring immediate medical attention, an excused absence may be granted on a case by case basis, only after faculty review. Only students demonstrating SAP (Satisfactory Academic Progress) will be given this consideration. ANY STUDENT WILL BE WITHDRAWN AFTER ACCUMULATING 18 HOURS OF CLINICAL ABSENCE PER SEMESTER. Classroom Attendance Policy - Student Responsibility: All students shall be in attendance every day and on time for every class unless excused. All students are responsible to log in and log out of the attendance computer in order to receive credit for class time. All students shall bring appropriate materials to all classes and clinical experiences and be prepared to work. Failure to do so may result in the student being asked to leave the clinical site. Any student who will be late or absent from the clinical/class assignment must notify the instructor at least 30 minutes prior to the scheduled start time for each day. Failure to notify the instructor will be reflected in the student s evaluation and employability points will be deducted All students shall be responsible for obtaining and completing all assignments missed during an absence. Page 7 of 35
9 Make-up work: It is the responsibility of the student to make up classroom work that was missed. Upon returning to class following an absence, the student must make an appointment with the instructor regarding any/all work that was missed. Make-up work is at the discretion of the individual instructor. All make-up work is required to be completed within one week of return to school. Failure to complete make-up work within one week will result in receiving a zero for the assignment. VACATIONS, HOLIDAYS, TEACHER DUTY DAYS AND HURRICANE DAYS Since the Practical Nursing Program is on a 12 month calendar, at times the PN student may be in class/clinical when the K-12 students in the Lee County School system are not in attendance. At the beginning of every semester a calendar will be provided to each student. Vacations: Vacation days are planned during each program. The total number of vacation days will vary with each class. Holidays: A tentative schedule will be announced at the beginning of each semester. Teacher Duty Days: Students will not attend class on planning or in-service days. These too will differ from the Lee County Schools 10 month student schedule. A schedule of these days will be announced as it is available. Hurricane Day(s): In the event of school closing(s) due to a hurricane, the day will be made up during the semester. If the Lee County School Board announces SCHOOLS AND ALL SCHOOL OFFICES ARE CLOSED, the student should NOT report to school or to the clinical agency. PLAN OF INSTRUCTIONAL PRACTICES Teaching Methods Pre- and post-testing, lecture, demonstration and return, discussion, group interaction, audio-visual materials, required reading and written assignments, oral reports, role playing, question and answer, unit examinations, skill practice, anatomical models and charts, individualized instruction, self-directed learning activity packages, clinical experience and field trips are among the teaching methods utilized. Teaching and instructional Aids include textbooks, workbooks, projects, reports, simulations, hands-on computer experience, collaborative learning, videotaped instructions, films, guest speakers, board examples, program job shadowing, cooperative on-the-job training, and other methods are used for instruction as appropriate. Safety Basic safety standards, which will include fire drills, weather drills, equipment usage, and traffic regulations, will be covered in the program orientation. These basic safety standards will be reinforced throughout the program enrollment Evaluation Students must comply with all school regulations to be allowed the privilege of attending the practical nursing program. A student may be dismissed for unsatisfactory conduct, excessive absences, violation of safety regulations, and unsatisfactory progress. The practical nursing faculty members use a systematic process to review student progress and to make recommendations for continuation in the program. In that review, factual information from academic, clinical, and employability evaluations are considered. If faculty determines that the student has deficiencies that limit the possibility of success in the program, the instructor must notify the student of the deficiencies and the expectations for remediation. This notification may take the form of a Learning Contract and include Probationary Status. Probation related to unsatisfactory academic progress, clinical performance, or employability skills may be imposed singularly or in combination. Continuation in the program is dependent upon satisfactory resolution of deficiencies. Failure to do so will result in withdrawal of the student from the program. GRADING PROCEDURE Each student is responsible for being aware of his/her academic status for classroom theory courses and for clinical practicum. A student should seek advice/help from the instructor at any time. Page 8 of 35
10 The grading system is as follows: A = 100% - 90% B = 89% - 80% Below 80% average = Course failure. All courses both theory and clinical practicum must be passed at 80% average before the student can progress. All grades and attendance hours are final as of completion of a semester or program. Fort Myers Institute of Technology is a postsecondary institute designed to provide trained individuals to industry. The approved postsecondary program grading requirements must be met if the student is to receive a certificate. PROGRAM PROGRESS Exams will constitute the major portion of the theory grade. Exams may be objective (multiple choice), alternate test format, select all that apply or essay. The course syllabus provides information regarding exam grade weights that will calculate toward the course final grade. The types of exams administered include unit tests, final exams, content quizzes, and ATI (Assessment Technologies, Inc.). A late exam may be given only with permission of the instructor with consideration on an individual basis and as needed. There are NO scheduled make-up exams for failing grades. Each course grade must average a minimum of 80%. All laboratory practice must be satisfactory. Fort Myers Institute of Technology is a postsecondary institute designed to provide trained individuals to industry. The approved postsecondary program grading requirements must be met if the student is to receive a certificate. Work Habits Effective work habits are the cornerstone to successful employment. Students are expected to demonstrate productive work habits during all phases of enrollment. Instructors will work with students who need assistance in this area to improve the overall possibility for successful employment. Attendance: Attends class, arrives/leaves on time; be prepared for class by reading assignments and completing homework, contribute to class discussion and involvement in lab activities (in other words, no sleeping or daydreaming), begin and end work as expected, use work time appropriately. Character: Displays loyalty, honesty, trustworthiness, dependability, reliability, initiative, self-discipline, and selfresponsibility; displays a high level of effort and commitment to performing and completing work. Teamwork: Respects the right of others; respects confidentiality; is a team worker; is cooperative; is assertive; displays a customer service attitude; seeks opportunities for continuous learning; demonstrates mannerly behavior; encourages and facilitates cooperation, pride, trust, and group identity; fosters commitment and team spirit. Appearance: Displays appropriate dress, grooming, hygiene, and etiquette; wears clothing suitable to the job, task and environment; wears full regulation uniform, if required by program. Attitude: Displays a willingness to cooperate and accept constructive criticism; sets realistic expectations; approaches assignments with interest. Productivity: Follows safety practices; conserves and maintains equipment and supplies; keeps work area neat and clean; follows directions and procedures; makes up assignments and tests punctually; notifies proper authorities of situations presenting potential safety hazards; does not use or knowingly permits others to use tools and equipment improperly; stays on task and utilizes time constructively. Organization: Manifests skill in prioritizing and management of time and stress; demonstrates flexibility in adapting to changes. Communication: Communicates accurate information to others in a professional and courteous manner; displays appropriate nonverbal (eye contact, body language) and oral (listening, telephone etiquette, grammar) skills; asks pertinent questions; listens attentively to others, notifies instructor in advance of absences or tardies. Page 9 of 35
11 SATISFACTORY ACADEMIC PROGRESS In order to receive and continue to receive financial assistance of any type, a student must maintain satisfactory academic progress. The Financial Aid Advisor will require a progress report to be completed by the student s instructor and submitted to the Financial Aid Office prior to each disbursement. Students are considered to be making Satisfactory Academic Progress (SAP) if they successfully complete their scheduled clock hours, achieve a specific cumulative grade evaluation or grade point average (GPA), and do not exceed the maximum time limits to complete their course of study. Each Student Academic Progress will be checked at 450 clock hours and prior to subsequent disbursements for students enrolled in programs one academic year or greater. Progress will be checked at the half-way point for programs less than one academic year. No SAP is required prior to the first disbursement. REQUIREMENTS FOR A CERTIFICATE All competencies specified in the State of Florida Curriculum Framework for the program must be successfully completed. Successful completion is at least an 80 percent average in the areas of skills, knowledge, and work habits. Proficiency in the competency standards listed in the Master Plan of Instruction must be demonstrated. In addition to the requirements above, the recommendation of the instructor for certification includes: consideration of personal appearance, willingness to learn and to work, punctuality, cooperative attitude, and appropriate work habits. STUDENT DRESS CODE Students who attend FMIT shall dress in a manner appropriate for the job in which they are receiving training, including any special protective gear and professional uniforms. All clothing must be neither distracting nor offensive and be clean, neat, modest, in good repair, and appropriately sized. The director or designee has the final authority for determining whether or not a student s apparel conforms to the dress code. When it is determined that it does not, students will be required to change into clothing which will conform to this code or leave campus. Students may return to campus when they have changed into appropriate clothing. Three sets of uniforms All white leather shoes-closed toe, closed heel Optional one lab jacket Nursing is a highly regarded profession. As such, patients look to nurses as role models of health. The faculty takes great pride in the profession and will make every effort to instill this pride in the students as they prepare for a healthcare career. By maintaining the following standards, the student will continue to make their first impression to the community a positive and lasting one. Any deviation from this standard will result in loss of employability points and/or to be sent home. Students enrolled in practical nursing when on campus and when at a clinical assignment, must be appropriately dressed. The instructor will require that the student correct inappropriate uniform/appearance prior to allowing entry into class, clinical, or make-up. If a student is in doubt as to whether clothing item is permissible, ask the instructor before buying or wearing the item of clothing! Page 10 of 35
12 Clothing Student uniforms have been specifically chosen to identify the student as a practical nursing student from Fort Myers Institute of Technology. It is always required attire when at a clinical assignment and when on campus as assigned by the instructor. The uniform must be fitted to allow for reaching and bending. Uniforms should be in good condition and not show signs of wear. They must be freshly laundered and pressed. Uniforms are for clinical sites and classroom only. They should not be worn in public places (restaurants, stores, etc.) Pant length should not be a length in which the pant legs drag on the floor. Dragging pant legs are considered a health and safety issue. Shoes must be all white leather with closed toes and heels, clean and polished. Shoe soles must be skid resistant. Lab Jacket - A lab jacket may be purchased for wearing over the official student uniform if additional coverage is needed. The lab jacket should be cleaned and pressed daily. During cooler weather a white or black T-shirt or turtle neck may be worn under the uniform. Sweaters and other forms of cover ups are not allowed in the clinical sites. Black Socks - When in uniform, black socks should be long enough to cover the legs completely when sitting. Identification School issued identification badges must be visible on the upper part of the chest for easy viewing and must be worn at all times while on campus or at a clinical site. If a student comes to class without the proper identification, a temporary ID must be obtained and worn. A student may be denied admission to the clinical site without the appropriate ID. Hair Must be contained off the face and out of the eyes at all times when in clinical student uniform. Hair styles and color must be conservative. All hair apparel should be a color that blends with the uniform or hair color. Hair apparel should be plain without embellishments of any kind. Hats are not allowed on campus or in a clinical site. Nails Nails must be clean, short, and not extending beyond the fingertips. Clear colored polish is allowed. Artificial nails, gels or overlays of any kind are not allowed. Tattoos Tattoos must be covered and not visible. Body Piercing The Lee County School District Policy for piercing is as follows: Adornments which are attached (pierced) to exposed body parts other than the ears are prohibited. This includes tongue piercing. Jewelry No visible chains or necklaces. No bracelets. One small post earring in each ear is allowed. Large and/or dangling earrings are unsafe and therefore not allowed. Medic alert bracelets, wedding or engagement rings are allowed. The OB area may require that a student be ring-free while there. Perfume Perfume, cologne or fragrant lotions must not be worn in clinical areas. Page 11 of 35
13 Gum Gum is not permitted in the clinical areas and is at the discretion of the classroom instructor. GENERAL SCHOOL INFORMATION Hours of Operation The Student Services offices (Building C ) are open from 7:30 A.M until 3:30 P.M. Monday through Friday. Campus Safety Basic safety standards, which will include fire drills, weather drills, equipment usage, and traffic regulations, will be covered in the program orientation and within the program as applicable. These basic safety standards will be reinforced throughout the program enrollment. Students should immediately report any safety concerns to an instructor or administrator. Please refer to the school catalog for more campus safety information. Emergency Evacuation An emergency evacuation diagram is posted in each classroom. In the event of fire or other types of emergencies, students will follow the posted instructions for clearing both classrooms and buildings. Fire drills, tornado drills, and other types of drills are held throughout the year for disaster preparedness. Cell phones are not allowed to be used during these emergency drills as they may pose a hazard to the students safety. School Security The Fort Myers Police Department ( ) and/or the Lee County Sheriff s Department ( ) provides public safety services 24 hours a day, seven days a week. The security officers are authorized to question students any time during school hours. Furthermore, the security officers are directed to report any school rule violation to school administration immediately. Each student will receive a name tag and parking permit which must be displayed at all times while on campus. Requests for additional name tags or parking permits or replacement of lost or stolen ones will be charged a nominal fee. Instructor will collect name tags and parking permits from graduating students; withdrawn students will turn in IDs and parking permits. Any additional information on campus security and campus crime statistics can be found at our web page: Vehicle Parking Policy Parking facilities are available to students who provide their own transportation to the school. For safety and convenience, each student providing their own transportation will receive a parking hanger during registration. This parking hanger must be displayed in the front window of any vehicle using our facility. Requests for additional parking permits or replacements for lost or stolen parking permits will be charged a nominal fee. Speed limit on campus is 5 mph. Visitors Official visitors are persons who are school district employees or school approved contractors and any person who has been escorted to the main office and issued a visitor badge. Competency-based Instruction Any student who enters a FMIT program with previous experience or educational background that would enable the student to successfully complete a test of competence in any area may, with the permission of the instructor, complete a test to measure that competence. Page 12 of 35
14 Lunch Food services are provided on the main campus by the Culinary Institute and are available during breaks and lunch. Adult students may leave FMIT campus during the schedule 30-minute lunch break as long as they return to the program on time. Cafeteria Cafeteria-style meals are available in the FMIT Café and Grill (Building E) during the lunch period. Based on a 30-minute lunch time, students are discouraged from leaving campus for meals. A snack bar is available before school, during lunch, and after school and is located in the courtyard. Most food that is served on campus is prepared by the culinary arts class and may contain food products or may have been cooked in some products (such as peanut oil) that are proscribed by certain religions or that cause serious allergic reactions. If you have concerns about this, always ask first before you purchase a food item. Students are responsible for being as informed as possible about the food they eat. Smoking Smoking Prohibited Near School Properties: Florida Statute : Smoking or the use of any type of tobacco products and/or electronic cigarettes or any other non-prescription tobacco substitute is not allowed on the FMIT campus, including in or around parked vehicles. JOB DESCRIPTIONS OCP A Basic Healthcare Worker (90 hours) Students completing OCP A will be able to obtain advanced standing in other medical courses. OCP B Nurse Aide and Orderly (Articulated) (75 hours) Practical Nurse 1 (285 hours) Practical Nurse 2 (450 hours) After completing the Certification exam and obtaining their CNA the student will be able to obtain employment as a CNA in long-term care and/or acute care settings. OCP C Practical Nurse 3 (450 HOURS) A completer of practical nursing is eligible to take the NCLEX exam and obtain work in long term care facilities, hospitals, convenient care, doctors offices, and home healthcare agencies. The Licensed Practical Nurse (LPN) is a person with sufficient educational background who, under the supervision of a professional nurse or physician, administers routine services in caring for selected subacute, convalescent, and chronic patients and assists in the care of the acutely ill. REQUIRED MATERIALS Tools: Stethoscope, bandage scissors, safety glasses and ear buds. PROGRAM OBJECTIVES See the attached Florida State Department of Education curriculum framework for program objectives and competencies. Page 13 of 35
15 Florida Department of Education Curriculum Framework Program Title: Program Type: Career Cluster: Practical Nursing ( Postsecondary) Career Preparatory Health Science Program Number H CIP Number Grade Level 30, 31 Standard Length Teacher Certification CTSO Statewide Articulation Basic Skills Level Purpose SOC Codes (all applicable) Facility Code 1350 hours PSAV REG NURSE 7 G PRAC %7%G *(Must be a Registered Nurse) HOSA: Future Health Professionals Licensed Practical and Licensed Vocational Nurses Nursing Assistants Healthcare Support Workers, All Other (State Requirements for Educational Facilities) Targeted Occupation List Perkins Technical Skill Attainment Inventory Industry Certifications Mathematics: 11 Language: 11 Reading: 11 This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. This program is designed to prepare students for employment as licensed practical nurses (SOC ). The program must be approved by the Florida State Board of Nursing so the graduate may apply to take the examination to practice as a Licensed Practical Nurse. The program must also be approved by the BON as a nursing assistant program in order for students to apply to take the C.N.A. exam at the end of OCP B as a program completer. Page 14 of 35
16 The content includes, but is not limited to, theoretical instruction and clinical experience in medical, surgical, obstetric, pediatric, and geriatric nursing; theoretical instruction and clinical experience in acute, care, long term care and community settings; theoretical instruction and clinical application of vocational role and function; personal, family and community health concepts; nutrition; human growth and development over the life span; body structure and function; interpersonal relationship skills, mental health concepts; pharmacology and administration of medications; legal aspects of practice; and current issues in nursing. Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document. Program Structure This program is a planned sequence of instruction consisting of 3 occupational completion points. This program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section (1), F.S. Career and Technical credit shall be awarded to the student on a transcript in accordance with Section (3)(b), F.S. The following table illustrates the post-secondary program structure: OCP Course Number Course Title Length SOC Code A HSC0003 Basic Healthcare Worker 90 hours B HCP0121 Nurse Aide and Orderly (Articulated) 75 hours PRN0091 Practical Nurse hours PRN0092 Practical Nurse hours C PRN0096 Practical Nurse hours Regulated Programs Please refer to Florida Statute (1) (b) for faculty credential requirements to teach this program. Students are eligible to apply to take the national licensing examination after satisfactory completion of an approved program. Licensure Examination for Practical Nurses, CAT NCLEX-PN is a computer-administered examination that the nursing graduate must take and pass in order to practice as a Licensed Practical Nurse. Program must comply with the State Board of Nursing rules, including faculty qualifications. For questions regarding this process, please contact: Board of Nursing, 4052 Bald Cypress Way, Tallahassee, FL An approved licensed practical nurse supervisory education course can only be taken following completion of this program, and after licensure. The Graduate must have 6 months clinical experience before supervising as well as meeting all other criteria listed in 64B A Licensed Practical Nurse working in a nursing home shall qualify to supervise by meeting all of the requirements in 64B (FS). The Supervisory course applicant must have no less than six months clinical nursing experience as an LPN. The supervisory course must be approved by the board of nursing, and must be a minimum of 30 hours in length. Common Career Technical Core Career Ready Practices Page 15 of 35
17 Career Ready Practices describe the career-ready skills that educators should seek to develop in their students. These practices are not exclusive to a Career Pathway, program of study, discipline or level of education. Career Ready Practices should be taught and reinforced in all career exploration and preparation programs with increasingly higher levels of complexity and expectation as a student advances through a program of study. 1. Act as a responsible and contributing citizen and employee. 2. Apply appropriate academic and technical skills. 3. Attend to personal health and financial well-being. 4. Communicate clearly, effectively and with reason. 5. Consider the environmental, social and economic impacts of decisions. 6. Demonstrate creativity and innovation. 7. Employ valid and reliable research strategies. 8. Utilize critical thinking to make sense of problems and persevere in solving them. 9. Model integrity, ethical leadership and effective management. 10. Plan education and career path aligned to personal goals. 11. Use technology to enhance productivity. 12. Work productively in teams while using cultural/global competence. Standards After successfully completing this program, the student will be able to perform the following: 01.0 Demonstrate knowledge of the healthcare delivery system and health occupations Demonstrate the ability to communicate and use interpersonal skills effectively Demonstrate legal and ethical responsibilities Demonstrate an understanding of and apply wellness and disease concepts Recognize and practice safety and security procedures Recognize and respond to emergency situations Recognize and practice infection control procedures Demonstrate an understanding of information technology applications in healthcare Demonstrate employability skills Demonstrate knowledge of blood borne diseases, including HIV/AIDS Apply basic math and science skills Use verbal and written communications specific to the nursing assistant Demonstrate legal and ethical responsibilities specific to the nursing assistant Perform physical comfort and safety functions specific to the nursing assistant Provide personal patient care Perform patient care procedures Apply principles of nutrition Provide care for geriatric patients Apply the principles of infection control specific to the nursing assistant. Page 16 of 35
18 20.0 Provide biological, psychological, and social support Develop supervised organizational skills, following the patient plan of care Assist with restorative (rehabilitative) activities Demonstrate computer literacy as related to nursing functions Use appropriate verbal and written communications in the performance of nursing functions Demonstrate legal and ethical responsibilities specific to the nursing profession Describe human growth and development Apply the principles of infection control, utilizing nursing principles Perform aseptic techniques Describe the anatomy and physiology of the human body Apply principles of nutrition Perform nursing procedures Administer medication Provide care for medical/surgical/oncology patients, utilizing nursing principles Provide care for pre-operative and post-operative patients, utilizing nursing principles Provide care for maternal/newborn patients, utilizing nursing principles Provide care for pediatric patients, utilizing nursing principles Provide bio-psycho-social support Develop transitional skills Demonstrate employability skills specific to practical nursing. Please Note: The following outcomes can only be taken by Practical nurses who have graduated from their practical nursing program. The LPN/IV education must be sponsored by a provider of continuing education courses approved by the Board pursuant to Rule 64B9. To be qualified to teach this module, the instructor must be a currently Florida licensed Registered nurse with teaching experience and nursing experience which includes IV therapy. The provider will be responsible for issuing a certificate verifying the requisite number of hours and course content. In accordance with Rule 64B , the module cannot be less than 30 hours post-graduate level. These outcomes must be followed by supervised clinical practice as needed to demonstrate clinical competence. Verification of competence shall be the responsibility of each employing institution. Such verification shall be given through a signed statement of a Florida licensed registered nurse. LPN/IV 01.0 Explain the legal aspects of IV administration by practical nurses to include the policies and procedures of the institution and appropriate documentation Demonstrate knowledge of the peripheral veins used for venipuncture Perform a venipuncture Discuss the effect of IV therapy on the body Recognize and respond to adverse reactions to IV therapy Recognize and use various types of IV equipment Administer drugs intravenously Care for patients receiving IV drug therapy, blood and blood components, and/or parenteral nutrition Describe and utilize the principles of infection control in IV therapy Manage special IV therapy procedures Recognize terminology pertinent to IV therapy Manage IV therapy via central lines. Page 17 of 35
19 Florida Department of Education Student Performance Standards Program Title: PSAV Number: Practical Nursing H PSAV Course Number: HSC0003 Occupational Completion Point: A Basic Healthcare Worker 90 Hours SOC Code Demonstrate knowledge of the healthcare delivery system and health occupations The student will be able to: Identify the basic components of the healthcare delivery system including public, private, government and non-profit Identify common methods of payment for healthcare services Describe the various types of healthcare providers and the range of services available including resources to victims of domestic violence Describe the composition and functions of a healthcare team Identify the general roles and responsibilities of the individual members of the healthcare team Identify the roles and responsibilities of the consumer within the healthcare delivery system Identify characteristics of effective teams Recognize methods for building positive team relationships Analyze attributes and attitudes of an effective leader Recognize factors and situations that may lead to conflict Demonstrate effective techniques for managing team conflict Describe factors that influence the current delivery system of healthcare Explain the impact of emerging issues including technology, epidemiology, bioethics and socioeconomics on healthcare delivery systems Demonstrate the ability to communicate and use interpersonal skills effectively The student will be able to: Develop basic speaking and active listening skills Develop basic observational skills and related documentation strategies in written and oral form Identify characteristics of successful and unsuccessful communication including communication styles and barriers Respond to verbal and non-verbal cues Compose written communication using correct spelling, grammar, a formatting and confidentiality and specific formats of letter writing Use appropriate medical terminology and abbreviations. Page 18 of 35
20 02.07 Recognize the importance of courtesy and respect for patients and other healthcare workers and maintain good interpersonal relationships Recognize the importance of patient/client educations regarding healthcare Adapt communication skills to varied levels of understanding and cultural orientation including diverse age, cultural, economic, ethnic and religious groups Analyze elements of communication using a sender-receiver model Distinguish between and report subjective and objective information Report relevant information in order of occurrence Demonstrate legal and ethical responsibilities The student will be able to: Discuss the legal framework of the healthcare occupations including scope of practice legislation Explain practices that could result in malpractice, liability, negligence, abandonment, false imprisonment and fraud Demonstrate procedures for accurate documentation and record keeping Interpret healthcare facility policy and procedures Explain the Patient s Bill of Rights Identify standards of the Health Insurance Portability and Accountability Act (HIPAA) Describe advance directives Describe informed consent Explain the laws governing harassment, labor and employment Differentiate between legal and ethical issues in healthcare Describe a code of ethics consistent with the healthcare occupation Identify and compare personal, professional, and organizational ethics Recognize the limits of authority and responsibility of healthcare workers including legislated scope of practice Recognize and report illegal and/or unethical practices of healthcare workers Recognize and report abuse including domestic violence and neglect Distinguish among the five schedules of controlled substances Demonstrate an understanding of and apply wellness and disease concepts The student will be able to: Describe strategies for prevention of diseases including health screenings and examinations Identify personal health practices and environmental factors which affect optimal function of each of the major body systems Identify psychological reactions to illness including defense mechanisms Identify complementary and alternative health practices Discuss the adverse effects of the use of alcohol, tobacco, and both legal and illegal drugs on the human body and apply safety practices related to these and other high risk behaviors. Page 19 of 35
21 04.06 Explain the basic concepts of positive self-image, wellness and stress Develop a wellness and stress control plan that can be used in personal and professional life Explore and utilize the U.S. Department of Agriculture s MyPlate food guide ( Recognize the steps in the grief process Recognize and practice safety and security procedures The student will be able to: Recognize safe and unsafe working conditions and report safety hazards Demonstrate the safe use of medical equipment Explain and apply the theory of root- cause analysis Identify and describe methods in medical error reduction and prevention in the various healthcare settings Identify and practice security procedures for medical supplies and equipment Demonstrate personal safety procedures based on Occupations Safety and Health Administration (OSHA) and Centers for Disease Control (CDC) regulations (including standard precautions) Recognize Materials Data Safety Sheets (MSDS) and comply with safety signs, symbols and labels Demonstrate proper body mechanics and ergonomics Demonstrate the procedure for properly identifying patients Demonstrate procedures for the safe transport and transfer of patients Describe fire, safety, disaster and evacuations procedures Discuss The Joint Commission patient safety goals ( Recognize and respond to emergency situations The student will be able to: Monitor and record vital signs Describe legal parameters relating to the administration of emergency care Obtain and maintain training or certification on cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid Recognize adverse drug related emergencies and take appropriate first aid action Recognize and practice infection control procedures The student will be able to: Define principles of infection control including standard and transmission based precautions Demonstrate knowledge of medical asepsis and practice procedures such as hand-washing and isolation Demonstrate knowledge of surgical asepsis Describe how to dispose correctly of biohazardous materials according to appropriate government guidelines such as OSHA Demonstrate an understanding of information technology applications in healthcare The student will be able to: Page 20 of 35
22 08.01 Describe technology applications in healthcare Define terms and demonstrate basic computer skills Recognize technology applications in healthcare Interpret information from electronic medical documents Identify methods of communication to access and distribute data such as fax, and internet Demonstrate employability skills The student will be able to: Identify personal traits or attitudes desirable in a member of the healthcare team Exemplify basic professional standards of healthcare workers as they apply to hygiene, dress, language, confidentiality and behavior (i.e. telephone etiquette, courtesy and self-introductions) Identify documents that may be required when applying for a job Write an appropriate resume Conduct a job search Complete a job application form correctly Examine levels of education, credentialing requirements including licensure and certification, employment opportunities, workplace environments and career growth potential Recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential Identify acceptable work habits Recognize appropriate affective/professional behavior Compare careers within the health science career pathways (diagnostic services, therapeutic services, health informatics, support services or biotechnology research and development) Demonstrate knowledge of blood borne diseases, including HIV/AIDS The student will be able to: Recognize emerging diseases and disorders Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens including Hepatitis B Identify community resources and services available to the individuals with diseases caused by blood borne pathogens Identify "at risk" behaviors which promote the spread of diseases caused by blood borne pathogens and the public education necessary to combat the spread of these diseases Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following Centers for Disease Control (CDC) guidelines Demonstrate knowledge of the legal aspects of HIV/AIDS, including testing Apply basic math and science skills The student will be able to: Draw, read, and report on graphs, charts and tables Measure time, temperature, distance, capacity, and mass/weight. Page 21 of 35
23 11.03 Make, use and convert using both traditional and metric units Make estimations and approximations and judge the reasonableness of the result Convert from regular to 24 hour time Demonstrate ability to evaluate and draw conclusions Organize and communicate the results obtained by observation and experimentation Ask appropriate scientific questions and recognize what is involved in experimental approaches to the solution of such questions Calculate ratios. Course Number: HCP0121 Occupational Completion Point: B Nurse Aide and Orderly (Articulated) SOC Code The following intended outcomes should be taught together as a module to achieve the occupational completion point of Articulated Nursing Assistant. The average achieving student should be able to complete the module in 75 clock hours. The entire Articulated Nursing Assistant program including the core is 165 hours for the average achieving student but cannot be less than 120 hours. Successful completion of the occupational completion point of Articulated Nursing Assistant qualifies the student to take the state certification examination for Nursing Assistant if the program has been approved. To be approved the program must be taught by a registered nurse and must have 40 hours of clinical, twenty of which are in a licensed nursing home, and be at least 120 hours in length. Such certification is required for employment in a nursing home, in accordance with Chapter , Florida Statutes Use verbal and written communications specific to nurse assisting The student will be able to: Utilize verbal and written information to assist with the patient's plan of care Demonstrate use of the intercom Demonstrate legal and ethical responsibilities specific to nurse assisting The student will be able to: Demonstrate legal and ethical behavior within the role and scope of nursing assistant responsibilities Describe the purpose of the chain of command (i.e., to resolve patient or employee problems Follow policies and procedures affecting the health, safety, and well-being of patients Recognize and report signs of substance abuse Follow legal guidelines in charting Exhibit behavior supporting and promoting residents' rights Recognize potential for and prevention of medical errors Discuss proper procedures to follow regarding medical errors Perform physical comfort and safety functions specific to nurse assisting The student will be able to: Page 22 of 35
24 14.01 Maintain patient units and equipment Maintain service areas on the units including supplies and equipment Observe, report, and note changes in the patient's behavior daily, including mental awareness Adjust bed and side-rails Lift, hold, and transfer patients including the use of the mechanical lift, utilizing good body mechanics Turn and position patient Transfer patient to stretcher Apply protective devices as directed (e.g., vest and belt) Apply comfort devices as directed (e.g., foot-board, overbed cradle, alternating pressure mattress) Assist patient to dangle Assist patient in ambulation, including the use of crutch, cane, or walker Assist patient in using wheelchair Assist patient with care and use of prosthetic/orthotic devices Administer back rub Describe emergency procedures utilized in the clinical area(s) Implement appropriate The Joint Commission patient safety goals Provide personal patient care--the student will be able to: Give bed bath Assist with shower or tub bath, including the use of specialty tubs Assist patient with sink, tub, shower, or bed shampoo Shave patient Groom patient, including hair, skin, foot, and nail care Assist with and/or administer oral hygiene including denture care Assist patient with toileting using a bedpan and urinal Assist patient to dress Assist patient with meals Provide bowel and bladder training Give perineal care Empty urinary drainage Perform patient care procedures The student will be able to: Page 23 of 35
25 16.01 Demonstrate ability to accurately measure and record vital signs Admit patient Transfer patient Discharge patient Make unoccupied/occupied bed Measure and record patient's height and weight Assist patient in passive range-of-motion exercises Apply anti-embolic hose and sequential compression devices Collect, strain, and/or test routine urine specimen Collect timed urine specimen Monitor catheter drainage system Collect clean-catch (midstream-voided) urine specimen Monitor fluid intake and output (I&O), including encouraging and restricting fluids Observe, record, and report patient's emesis Monitor and assist with care of catheters Assist with ostomy care Collect stool specimen Perform postmortem care Maintain patient-belongings list Care for patients with nasal, gastrostomy, and/or intravenous tubes Collect sputum specimen Apply principles of nutrition The student will be able to: Identify nutrients and food groups Explain regional, cultural, and religious food references Describe special diets Prepare a basic food plan Check patient's diet tray for accuracy Identify methods of maintaining fluid balance Feed a patient 18.0 Provide care for geriatric patients The student will be able to: Page 24 of 35
26 18.01 Identify safety principles as related to the elderly Describe general characteristics, particular needs, and problems of the elderly Identify attitudes and living habits that promote positive mental and physical health for the elderly Distinguish between fact and fallacy about the aging process Identify community resources and services available to the elderly Apply Reality Orientation Techniques and Validation Therapy Provide and involve patients in diversional activities Identify common alterations in elderly patient behavior Recognize and respond appropriately to symptoms of common diseases, including dementia, depression/suicide and Alzheimer s Identify common problems in drug use and abuse in the elderly List community resources for individual and family health Identify components of the grief process Apply the principles of infection control specific to nursing assisting The student will be able to: Provide care for patients with infectious diseases applying the principles of "Universal (Standard) Precautions" utilized with all patients as well as special procedures required Set up isolation unit Follow isolation procedure with food tray, garments, and other materials Collect specimen from patient in isolation Provide biological, psychological, and social support The student will be able to: Discuss family roles and their significance to health Respond to patient and family emotional needs Perform supervised organizational functions, following the patient plan of care The student will be able to: Organize patient-care assignments Complete assignments accurately and in a timely manner Assist with restorative (rehabilitative) activities The student will be able to: List the purposes of restorative (rehabilitation) program Assist patient with specified restorative (rehabilitation) needs Assist patients/residents to reach the optimum level of independence. Page 25 of 35
27 Course Number: PRN0091 Occupational Completion Point: C Practical Nurse Hours SOC Code Licensed Practical Nurse: Intended outcomes complete the occupational completion point(c) of Licensed Practical Nurse SOC Code (Licensed Practical and Licensed Vocational Nurse). The outcomes may be taught as one or more modules at the postsecondary level Demonstrate computer literacy as related to nursing functions The student will be able to: Demonstrate computational, keyboarding and retrieval skills relevant to job requirements for a Licensed Practical Nurse Identify computer skills utilized for each clinical rotation and apply, as appropriate Use appropriate verbal and written communications in the performance of nursing functions The student will be able to: Receive and give oral report of patient's status Report and record objective, pertinent observations Maintain current documentation Document changes in patient behavior and mental awareness Obtain specified data from patient and family Define and explain the steps in the nursing process and the role of the licensed practical nurse in that process Utilize nursing principles to assist with the patient's plan of care Demonstrate legal and ethical responsibilities specific to the nursing profession The student will be able to: Identify the components of the Nurse Practice Act Practice within the role and scope of the job description Follow policies and procedures affecting the health, safety, and well-being of patients Follow legal guidelines in charting Describe human growth and development The student will be able to: Describe characteristics of growth and development from conception to birth Describe characteristics of growth and development from birth through preschool Describe characteristics of growth and development from school age through adolescence Describe characteristics of growth and development of the adult through the life span Discuss family roles and their significance to health Apply the principles of infection control, utilizing nursing principles The student will be able to: Put on and remove personal protective equipment Collect specimen from isolated patient Demonstrate procedures for initiating isolation, including care and disposal of equipment and Page 26 of 35
28 supplies Perform aseptic techniques The student will be able to: Apply principles of medical and surgical asepsis Apply and remove sterile gloves and gown Apply sterile dressing Open sterile equipment and supplies Maintain sterile field Clean and disinfect equipment Describe the anatomy and physiology of the human body The student will be able to: Describe the relationships of body systems in providing patient care Describe the structure and function of the respiratory system Describe the structure and function of the cardio-vascular system Describe the structure and function of the muscular-skeletal system Describe the structure and function of the nervous, skin, and sensory systems Describe the structure and function of the reproductive system Describe the structure and function of the urinary system Describe the structure and function of the digestive system Describe the structure and function of the endocrine system Apply principles of nutrition The student will be able to: Assist patient with and maintain therapeutic diets List factors which must be considered when purchasing food List factors which must be considered when storing food safely Identify methods of safe food preparation. Course Number: PRN0092 Occupational Completion Point: C Practical Nurse Hours SOC Code Perform nursing procedures The student will be able to: Assist the RN with patient assessments Apply hot and cold applications Assist patient with sitz bath Apply pelvic belt for traction. Page 27 of 35
29 31.05 Apply cervical collar Monitor chest drainage system Monitor patient's following special procedures (e.g. I.V.P., myelogram, MRI, CAT scan) Apply bandage Apply binders Apply brace Apply splints Care for patient in skin and skeletal traction Clean tong/pin site Change clean dressing Insert urinary catheter Obtain specimen from patient with indwelling catheter Measure urine specific gravity Remove retention catheter Change ostomy appliance Connect nasogastric tube to suction machine Remove nasogastric tube Administer gavage feeding Perform neurological checks Give enema Logroll patient Test stool for occult blood Perform naso-oral-pharyngeal suction Perform tracheostomy care Irrigate urinary catheter Maintain continuous urinary bladder irrigation Irrigate ear Irrigate eye Irrigate nasogastric tube Irrigate vaginal canal. Page 28 of 35
30 31.35 Irrigate wound Irrigate oral cavity Irrigate colostomy Maintain enteral feeding tubes Instruct patient in breathing exercises Obtain and test a drop of blood for glucose monitoring Assist with physical examination Assist patient with diagnostic procedures Set up vaporizer/humidifier Administer and maintain oxygen Perform calculation and adjust IV flow rate Observe intravenous infusion and report signs of adverse reactions Inspect insertion site, change dressing, and remove IV needle or catheter from peripheral veins Hang bags or bottles of hydrating fluid Provide postmortem care Administer medication The student will be able to: Demonstrate accurate dosage calculation Demonstrate the six rights of administering medication Observe and respond to patient's need for medication Administer topical medication Administer inhalants Administer oral medication Administer sublingual medication Administer rectal medication Administer vaginal medication Administer eye medications Administer ear drops Administer nose drops Administer intramuscular injection (including Z-tract) Administer intradermal injection. Page 29 of 35
31 32.15 Administer subcutaneous injection Properly obtain, monitor and document use of controlled substances Instill bladder medication Care for equipment and supplies used to administer medications Assist the patient with self-administration of medications, reinforce teaching by the RN on the patient's medication, their expected effects and potential side effects Observe and communicate effects of medications Document administration of medication and patient's response on medical record Store medications properly Demonstrate use of medication resources Provide care for medical/surgical/oncology patients, utilizing nursing principles The student will be able to: Identify signs and symptoms of disease/disorders of the body systems Identify diagnostic tests used in the treatment of diseases/disorders of the body systems Identify medications used in the treatment of diseases/disorders of the body systems Identify nutritional needs of patients with diseases/disorders of the body systems Identify common alterations in patients with psychological disorders Care for the patient with respiratory disease/disorder Care for the patient with cardio-vascular disease/disorder Care for the patient with muscular-skeletal disease/disorder Care for the patient with nervous, skin, and sensory disease/disorder Care for the patient with reproductive disease/disorder Care for the patient with urinary disease/disorder Care for the patient with digestive disease/disorder Care for the patient with endocrine disease/disorder Care for the patient with an oncologic disease/disorder Provide care for pre-operative and post-operative patients, utilizing nursing principles The student will be able to: Assist with pre-operative and post-operative teaching Perform a surgical prep Prepare patient for operating room Prepare patient's medical records for operating room. Page 30 of 35
32 34.05 Provide post-operative care Assist with post-operative discharge teaching. Course Number: PRN0096 Occupational Completion Point: C Practical Nurse Hours SOC Code Provide care for maternal/newborn patients, utilizing nursing principles The student will be able to: Describe prenatal care Assist with admitting patient to labor and delivery Monitor contractions Monitor fetal heart rate Recognize signs of fetal distress Assist with preparing patient for Caesarean Describe care during delivery process Describe Apgar score Suction infant's respiratory passage with bulb syringe Identify infant using mother's bracelet Weigh and measure infant Bathe infant Carry infant Feed infant Collect urine specimen from infant Provide post- partum care Demonstrate and perform perineal care Assist in breast care Assist mother with infant care Assist with infant circumcision Apply dressing to circumcision site Clean infant genitalia and diaper Discharge obstetric patient Provide care for pediatric patients, utilizing nursing principles The student will be able to: Page 31 of 35
33 36.01 Adapt nursing care for the pediatric patient Apply safety principles for the pediatric patient Describe general characteristics, particular needs, and problems of pediatric patients Prepare patient and family for the hospital experience Identify signs and symptoms of common disorders/diseases Implement prescribed nutritional requirement Provide diversion and recreational activities Provide bio-psycho-social support--the student will be able to: Respond to emotional needs of patient and family Discuss Coping Mechanisms as seen in the performance of healthcare Differentiate between mental health and mental illness Recognize signs and symptoms of the various mental health disorders Discuss treatment modalities for the various mental health disorders Recognize the potential for suicide attempts in the depressed person and initiate appropriate intervention Describe treatments and resources for the addicted client Describe drug seeking behaviors Identify an individual in crisis and describe appropriate interventions Describe the enabling personality in mental health and addictive treatment Correlate Maslow s Hierarchy with both physical and mental components of health 38.0 Develop transitional skills--the student will be able to: Organize complex patient care assignments with multiple clients Discuss F.S. 464 and the corresponding Rules Discuss the scope of practice of a Licensed Practical Nurse in a leadership/supervisory role Describe the role of the LPN in delegation to unlicensed personnel Describe the Florida Board of Nursing requirements for licensure renewal Demonstrate an understanding of licensure by examination and by endorsement Complete application for licensure by examination Discuss current legislation pertinent to the Florida Board of Nursing and its effect on your nursing practice Determine how to apply for membership in a professional organization Discuss benefits and responsibilities of the LPN in membership in a professional organization. Page 32 of 35
34 39.0 Demonstrate employability skills specific to practical nursing--the student will be able to: Recognize the potential for stress in the practice of nursing and develop methods of managing stress Recognize the potential for violence in the workplace and describe methods of reducing that potential Identify employment opportunities for licensed practical nurses Participate in interview skill development activities Complete letters of job application and resignation Complete a professional portfolio, including a resume IV Therapy: The following intended outcomes can ONLY be taken by graduate Practical Nurses who have completed their practical nursing program Explain the legal aspects of IV administration by practical nurses The student will be able to: Explain the Nurse Practice Act and the Florida Administrative Code as it relates to IV therapy by LPNs Describe the policies and procedures of employing agencies as they relate to IV therapy by LPNs Chart IV therapy including all principles of charting necessary for legal documentation List the aspects of intravenous therapy that can only be given under the direct supervision of the registered professional nurse Demonstrate knowledge of the peripheral veins used for venipuncture The student will be able to: Locate and identify the peripheral veins used for venipuncture List preference of peripheral vein location used for venipuncture Perform a venipuncture The student will be able to: Prepare and support the patient psychologically Prepare and support the patient's family and/or visitors psychologically Prepare and support the patient physically Choose equipment appropriately Choose and properly prepare appropriate site(s) Palpate the vein(s) adequately Insert equipment into the vein maintaining the safety of both the patient and the nurse Discuss the effect of IV therapy on the body The student will be able to: Describe the relationship between intravenous therapy and the body's homeostatic and regulatory functions. Page 33 of 35
35 04.02 Discuss clinical manifestations of fluid and electrolyte imbalance Recognize and respond to adverse reactions to IV therapy The student will be able to: Recognize the signs and symptoms of local complications to IV therapy Recognize the signs and symptoms of systemic complications to IV therapy Discuss preventive measures for both local and systemic complications Describe appropriate treatment measures for both local and systemic complications Recognize and use various types of IV equipment The student will be able to: Identify various types of equipment used in administering IV therapy Discuss the criteria for the use of each type of equipment Describe how to troubleshoot for malfunction of various types of equipment Administer drugs intravenously The student will be able to: List formulas and calculate fluid and drug administration rate List methods of administering drugs intravenously, including the advantages and disadvantages of each Utilize the principles of compatibility and incompatibility of drugs and solutions in preparing for administration Administer IV drugs incorporating the "six rights" of medication administration Care for patients receiving IV drug therapy, blood and blood components, and/or parenteral nutrition The student will be able to: Utilize the principles of chemotherapy, including protocols, actions, and side effects when caring for patients receiving drug therapy Manage the care of the patient receiving parenteral nutrition, including the principles of metabolism, potential complications, physical and psychological measures to ensure the desired therapeutic effect Manage the care of the patient receiving blood and blood components, following institutional protocols, including indications and contraindications for use and identification of adverse reactions Describe and utilize the principles of infection control in IV therapy The student will be able to: Use aseptic technique as related to IV therapy Describe ways to prevent iatrogenic infection Describe treatment for iatrogenic infections Manage special iv therapy procedures The student will be able to: Describe and utilize the nursing management necessary for heparin locks Describe and utilize the nursing management necessary for central lines Describe and utilize the nursing management necessary for arterial lines. Page 34 of 35
36 11.0 Recognize terminology pertinent to IV therapy The student will be able to: Define terms common to IV therapy Interpret written IV terms and abbreviations correctly Use correct IV terminology in all written and oral communications Manage IV therapy via central lines The student will be able to: Describe the location of central lines and the purpose of this IV therapy Administer fluids and medications via central lines Demonstrate blood drawing via central lines List central line complications and interventions appropriate to correct them Describe and perform central line dressings, cap changes, and flushing, noting the adverse effects and remediation. Page 35 of 35
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