HOUSTON COMMUNITY COLLEGE Coleman College for Health Sciences Vocational Nursing Program CNA-LVN TRANSITION VNSG 1122 Vocational Nursing Concepts CRN 51307 Spring 2015 South Campus-Willie Lee Gay Hall-Room 116 7:30-8:30 p.m./ Lecture/web-enhanced/ 16 lecture hours/1 semester hour per semester/16 weeks-rt Mary Luckett Rm. 313 Office: (713) 718-7333 Course Number & Title: VNSG 1122 Vocational Nursing Concepts Credit Hours: One (1) Class Hours: One (1) Placement of Course: Faculty/Instructor Information Level I Mary Luckett, B.S.N, M.S.N., R.N. 1900 Pressler, Ste. 312, Rm. 313 Houston, Texas 77030 Office: (713) 718-7333 Pager: (281) 267-1874 E-mail: mary.luckett@hccs.edu Office hours: M-F 3:00-4:00 p.m. Prerequisite/s Acceptance into the Program Co-requisite/s: VNSG 1161, 1227, 1400, 1423 Course Description: This is a beginning course that introduces the student to fundamental nursing concepts including those of the program philosophy and curriculum framework. These include, but are not limited to: introduction to the nursing profession and its responsibilities, the health care team, the nursing process, legal and ethical issues in nursing practice, and nursing regulation. Concepts related to the physical, emotional, and psychosocial selfcare of the learner/professional are included. The course also provides an introduction to nursing history and development of vocational/practical nursing.
Course Objectives: A. Member of the Profession 1. The student shall demonstrate responsibility and accountability for the quality of nursing care provided by becoming familiar with the Texas BON standards of practice, national standards of vocational nursing practice and the NFLPN code of ethics for the licensed vocational nurse, and the nurse s legal scope of nursing practice affecting the delivery of client care as referenced to Member of the Profession Competencies A & B and SCANS #5. 2. The student shall demonstrate behaviors that promote the development and practice of vocational nursing by examining the historical evolution of nursing practice as it relates to the current role of the licensed vocational/practical nurse as referenced to Member of the Profession Competency C and SCANS #5. 3. The student shall describe the DEC Competencies (2010) along with their role in the practice of the licensed vocational nurse as referenced to Member of the Profession Competency D and SCANS #5.. B. Provider of Patient-Centered Care 1. The student shall use critical thinking and established evidence-based policies to provide safe and therapeutic nursing interventions using a systematic problem- solving approach as referenced to Provider of Patient- Centered Care Competency A and SCANS #5. 2. The student shall assist in determining the physical and mental health status and health needs of culturally, ethnically, and socially diverse patients based on interpretation of health-related data using steps of a systematic process and focused nursing assessment as referenced to Provider of Patient-Centered Care Competency B and SCANS #5. C. Patient Safety Advocate 1. The student shall demonstrate knowledge of the Texas Nurse Practice Act, Texas BON rules, and all federal, state, and local government and accreditation organization requirements that emphasizes safety as referenced to Patient Safety Advocate Competency A and SCANS #5. 2. The student shall implement measures to promote a safe environment for patients and others as referenced to Patient Safety Advocate Competency B and SCANS #5 D. Member of the Health Care Team 1. The student shall cooperate and use therapeutic communication with patients, their families, and the inter-disciplinary health care team to provide direct patient-centered care to assigned patients as referenced to Member of the Health Care Team Competency A and SCANS #5. 2. The student shall participate as an advocate in activities that focus on improving the health care of patients and their families as referenced to Member of the Health Care Team Competency B and SCANS #5. 2
CONTENT OUTLINE: I. The history of nursing and nursing education II Development of practical/vocational nursing in the United States III. Health care delivery syst IV. Evolution of nursing practice V. Practical/Vocational Nursing DECs VI. The Nursing Process A. Assessment B. Diagnosis C. Planning D. Implementation E. Evaluation VII. Role of the licensed practical/vocational nurse VIII. Legal aspects of nursing IX. Ethical aspects of nursing Required Textbooks: Christensen, B.L.& Kockrow, E.O. (2011). Foundations of nursing, 6 th ed. St. Louis: Mosby-Elsevier. Methods of Instruction: Lecture, discussion, power point, turning point, Eagle online LMS, and case studies Methods and Standards of Evaluation: Grading Policy: The grade for this course is comprised of three components: 1) Unit exams 2) Quizzes 3) Final Exam. Unit Examinations (3) -20% each 60% Quizzes (2) 10% Final Exam (1) 30% 100% Grading Systems: See Vocational Nursing Handbook Evaluation Methods: Exams are administered online. 1. Three (3) multiple choice and alternate form question unit examinations -50 questions each per one (1) hour exam 2. A comprehensive final examination -100 multiple choice and alternate forms questions, two hours will be provided for the final. If you are late to any exam, you must complete the exam within the class time allocated for the exam. You will not have additional time in which to complete the exam. See Vocational Nursing Handbook, p. 25 for Additional grading information. 3
Examination Guides: On the day of the scheduled examination, leave all books, backpacks, cellphones, and roller carts in assigned locker or car. DO NOT BRING ITEMS TO THE COMPUTER LAB or TESTING ROOM. Make-up Policy: Any regularly scheduled course exam will not be made up. If the student must be absent on the day an exam is given then a grade of 50% will be given. EGLS 3 -- Evaluation for Greater Learning Student Survey System At Houston Community College, professors believe that thoughtful student feedback is necessary to improve teaching and learning. During a designated time, you will be asked to answer a short online survey of research-based questions related to instruction. The anonymous results of the survey will be made available to your professors and division chairs for continual improvement of instruction. Look for the survey as part of the Houston Community College Student System online near the end of the term. Attendance and Withdrawal Policy: You MUST visit with a faculty advisor, a counselor, or on-line student services at http://studentservicesonline.hccs.edu/ prior to withdrawing (dropping) the class and this must be done prior to March 30, 2015 at 4:30 p.m. to receive a W on your transcript. After that deadline, you will receive a failing grade of F. See HCC Vocational Nursing Student Handbook, p. 24 for attendance policies; p. 49 for withdrawal policies. SCAN Competency: The VNSG 1122 course covers one SCAN Workplace Competency. Use Information Skills #5 Acquire Information SCAN Objective: Upon successful completion of VNSG 1122 the student shall be able to examine information from various sources, evaluate the relevance of that information to solving problems and answering questions, and apply the knowledge acquired to his/her future job performance. The student shall accomplish the desired outcome by correctly answering examination questions that require application of that information and by solving problems related to everyday life situations and specific clinical situations using the nursing process and critical thinking principles. Students with Disabilities: See Vocational Nursing Handbook, p. 5.Statement of Academic Honesty: See HCC Vocational Nursing Handbook, p. 27 HCC Policy on use of Recording Devices: See HCC Vocational Nursing Handbook, p. 5 4
Course Calendar: (See pg. 6 ): EXAMINATION DATES: Exam #1 February 10, 2015 7:30 p.m.-8:30 p.m. (Review 8:30-9:00 p.m.) Exam #2 March 31, 2015 7:30p.m.-8:30 p.m. (Review 8:30-9:00 p.m.) Exam #3 April 28, 2015 7:30 p.m.-8:30 p.m. (Review 8:30-9:00 p.m.) FINAL EXAM May 05, 2015 7:00 p.m.-9:00 p.m.. NO REVIEW Other Student Information: Texas Board of Nursing web site at web address: www.bon.state.tx.us. Go to the web site and on the Home page go to the Practice tab. Click on Scope-Vocational Nurse Practice, print a copy of the LVN Scope of Practice. Under Educational Requirements click on the Differentiated Essential Competencies (DECs) link and review those for the Vocational Nurse. The Texas Occupations Code, Chapter 301 is the Nurse Practice Act (NPA) Review Subchapter B. Texas Board of Nursing about the Board (TBON) Under Scope of Practice Position Statements: Click on the link for Position Statement 15.27 The Licensed Vocational Nurse Scope of Practice Pgs. 58-70. This Position Statement covers the entire LVN Scope of Practice and FAQs. You will also find information about the two types of Safe Harbor which we will cover in Part III of this course. 5
Differentiated Essential Competencies (DECs) Of Graduates of Texas Nursing Programs- Vocational Nursing (VN) VNSG 1122 Vocational Nursing Concepts I. Member of the Profession A. Function within the nurse s legal scope of practice and in accordance with the policies and procedures of the employing health care institution or practice setting. 1. a. Texas Nursing Practice Act. b. Texas Board of Nursing Rules, Position Statements, and Guidelines. c. Federal, state, or local laws, rules, and regulations affecting nursing practice. 2. Nursing scope of practice in relation to delegated medical acts and facility policies 3. Standards and guidelines from professional organizations. 4. Facility policies and procedures. B. Assume responsibility and accountability for the quality of nursing care provided to patients and their families. 1. a. Texas Board of Nursing Standards of Practice. b. National standards of vocational nursing practice and care. c. National Federation of Licensed Practical Nurses Code of Ethics d. Advocacy process. 2. Legal parameters of vocational nursing practice and the Texas Nursing Practice Act, including Safe Harbor. 3. Issues affecting the vocational nurse role and the delivery of culturally-sensitive care to patients and their families. 7. a. Professional characteristics and values such as altruism, human dignity, truth, justice, freedom, equality, and esthetics. Aspects of professionalism including attention to appearance and demeanor. Communication techniques to maintain professional boundaries. C. Contribute to activities that promote the development and practice of vocational nursing. 1. Historical evolution of nursing practice. 2. Issues affecting the development and practice of vocational nursing. 3. The role of vocational nursing organizations, regulatory agencies, and health care organizations. 5. Distinctions between the evolving vocational and professional nursing roles. D. Demonstrate responsibility for continued competence in nursing practice, and develop insight through reflection, self-analysis, self-care, and lifelong learning. 1. Texas Board of Nursing rules for continuing competence. II. Provider of Patient-Centered Care II. Provider of Patient-Centered Care A. Use clinical reasoning and established evidence-based policies as the basis for decision making in nursing practice. 1. A systematic problem-solving process in the care of patients and their families. 2. a. Priority setting based on patient health status and individual characteristics. b. Clinical reasoning processes. B. Assist in determining the physical and mental health status, needs, and preferences of culturally, ethnically, and socially diverse patients and their families based on interpretation of health-related data. 1. Steps of a systematic process in clinical decision making that includes VN scope of practice in focused assessment, planning, implementation, and evaluation.
III. Patient Safety Advocate 4. Characteristics, concepts, and processes related to patients, including: gross anatomy; basic physiology and pathophysiology; psychosocial growth and development; basic psychopathology; ethical reasoning; and major cultural and spiritual belief and practices related to health, illness, birth, death, and dying. 12. Political, economic, and societal forces affecting health of individuals. C. Report data to assist in the identification of problems and formulation of goals/ outcomes and patientcentered plans of care in collaboration with patients, their families, and the interdisciplinary health care team. 8. Concepts from basic sciences and support courses D. Provide safe, compassionate, basic nursing care to assigned patients with predictable health care needs through a supervised, directed scope of practice 1. a. Components of compassionate, patient- centered care. b. Standards of Care; Standards of Practice; institutional policies and procedures for delivery of nursing care. c. Professional ethics. d. Professional characteristics and values such as altruism, human dignity, truth, justice, freedom. equality, and esthetics. E. Implement aspects of the plan of care within legal, ethical, and regulatory parameters and in consideration of patient factors. 3. Rights and responsibilities of patients related to health care and basic\advocacy 8. Code of vocational nursing ethics and patient s rights 9. Legal parameters of vocational nursing practice and health care. 11. Key federal and state statutes and institutional policies regarding patient confidentiality H. Assist in the coordination of human, information, and materiel resources in providing care for assigned patients and their families. 1. Organizational mission, vision, and values as a framework for care. 2. Lines of authority and accountability within structured health care settings. 5. Communication within organizational framework. 6. Roles and responsibilities of members of the interdisciplinary health care team. A. Demonstrate knowledge of the Texas Nursing Practice Act and the Texas Board of Nursing Rules that emphasize safety, as well as all federal, state, and local government and accreditation organization safety requirements and standards. 1. Texas Nursing Practice Act and Texas Board of Nursing rules. 2. National Standards of Nursing Practice B. Implement measures to promote quality and a safe environment for patients, self, and others. 5. Texas Board of Nursing rules related to mandatory reporting, Safe Harbor, and Whistleblower protection 7
III. Patient Safety Advocate IV. Member of the Health Care Team D. Obtain instruction, supervision, or training as needed when implementing nursing procedures or practices. 1. a. Standards of Practice. b. Texas Board of Nursing rules (including Scope of Practice), Texas Board of Nursing Position Statements and Guidelines. c.. Facility policies and procedures. A. Communicate and collaborate with patients, their families, and the interdisciplinary health care team to assist in the planning, delivery, and coordination of patient-centered care to assigned patients. 1. a. Structure and function of the health care delivery system. b. Roles of interdisciplinary health care team members. 3. a. Strategies to deal with situational change. b. Roles of all levels of nursing and other health care professionals. 4. a. Patient advocacy and consumer rights and responsibilities. b. Legal and ethical processes related to healthcare. 5. Contribution of evidence-based practice in development of health care and quality improvement. B. Participate as an advocate in activities that focus on improving the health care of patients and their families. 1. a. Rights and responsibilities of patients regarding health care, including selfdetermination and right of refusal. b. Current legal factors relating to safeguarding patient rights. 2. a. Individual responsibility for quality of nursing care. b. Role of the nurse as patient advocate for patients. 4. Responsibility for reporting to licensing and public protective agencies, which may involve mandatory reporting. C. Participate in the identification of patient needs for referral to resources that facilitate continuity of care, and ensure confidentiality. 1. Work setting and major community resources 2. Role of the case manager 4. a. Functions of members of the interdisciplinary health care team. b. Confidentiality regulations (e.g., HIPAA). D. Communicate and collaborate in a timely manner with members of the interdisciplinary health care team to promote and maintain optimal health status of patients and their families. 2. Principles of interpersonal conflict management, problem solving, data collection, and basic time management skills 3. Functions of interdisciplinary health care team members 8
Tentative Class Schedule Spring 2015 DATE WEEK CLASS History of Nursing Assignment see Module for VNSG 1122 1/13/15 7:30-8:30 p.m. 1 History of Nursing Education Chapter 1 Foundations of Nursing 2 History & Development of Practical Assignment see Module for 1/20/15 1122 3 Health Care Delivery System/ as given in class and 1/27/15 2/03/15 2/10/15 2/17/15 2/24/15& 3/03/15 3/10/15 3/17/15 3/24/15 Evolution of Nursing Practice see Module 4 CONCLUSION Evolution of Nursing Practice 5 EXAM #1 7:30 P.M-8:30 p.m 6. & Review Intro. to Nursing Process Chapter 6 7-8 Nursing Process Chapter 6 Foundations of Nursing Bring to class-nursing Process Classroom Activities located in Eagle Online 9 Nursing Process 10 HAPPY SPRING BREAK 11 CONCLUSION Nursing Process 3/31/15 12 EXAM #2 7:30-8:30 p.m. Legal Aspect Chapter 2 Foundations of Nursing 13 4/7/15 Role of the Licensed Practical/Vocational Nurse Legal Aspects/Ethical Aspects 4/14/15 14 Legal Aspects/Ethical Aspects 4/21/15 15 Ethical Aspects conclusion 4/28/15 16 EXAM #3 ATI QUIZ 7:30-8:30 p.m. includes Exam Review 5/05/15 17 FINAL EXAMINATION 7:00-9:00 p.m. NO REVIEW SCHEDULE SUBJECT TO CHANGE WITHOUT PRIOR NOTICE LAST DAY TO WITHDRAW-Friday, March 30, 2015 at 4:30 p.m.