Course Details
Course Code: PNUR 125
Credits: 0
Calendar Description:
This practical course builds on the foundation of level 1 and emphasizes the development of clinical decision making, nursing assessments and interventions to promote the health of older adults. Classroom, laboratory, simulation, and other practice experiences will help students to integrate theory from level 1 and 2 courses to provide safe, competent and ethical nursing care for older adults.
Date First Offered: 2012-09-01
Hours: Total Hours: 180
- Lecture Hours: 75
- Laboratory Hours: 105
Total Weeks: 12
This course is offered online: No
Pre-Requisites:
Successful completion of Level 1 courses and Consolidated Practice Experience 1
Non-Course Pre-Requisites: None
Co-Requisites:
PNUR 120: Professional Communication 2
PNUR 121: Professional Practice 2
PNUR 122: Health Promotion 2
PNUR 123: Variations in Health 2
PNUR 124: Pharmacology 2
Detailed Course Content, Topics and Sequence Covered:
Course outcomes will be met through examination and exploration of the following:
Comprehensive health assessment of older adults with chronic illness
Clinical decision making
Nursing interventions with older adults
- Safety specific to the care of older adults
- Infection control
- Sterile technique
- Chronic wound management
- Pain management
- End of life care
- Oral and nasal suctioning
- Oxygen therapy
- Care of established ostomies
- Specimen collection (sputum, urine and stool)
- Blood glucose monitoring
- Quality practice environments
- Individualizing nursing care plans
Medication administration
- Medication routes: oral, topical, subcutaneous, intramuscular and intradermal, inhalers
- Inserting a percutaneous infusion device
- Narcotic administration
- Enteral feedings and medications via nasogastric, jejunostomy and gastrostomy tubes
- Decision making regarding medication administration (e.g., medications ‘as needed’)
- Taking and transcribing physicians orders
- Documentation of response to medication
Reporting and documentation in residential care settings
Learning Outcomes:
Upon successful completion of this course, within the simulated learning environment, the learner will be able to:
- Demonstrate an understanding of the Scope of Practice for LPNs, Baseline Competencies for LPNs Professional Practice (2009), Professional Standards of Practice for LPNs (2010), Code of Ethics for LPNs (2004) and how these guide the practice of LPNs in residential care settings
- Safely and competently perform comprehensive nursing assessment and interventions with older adults
- Demonstrate safe disposal of sharps (e.g. needles, scalpels, intravenous starters, etc.)
- Demonstrate critical thinking, clinical judgment and knowledge of assessment to plan, implement and evaluate care of older adults
- Practice in collaboration with older adult clients, the interprofessional healthcare team, peers and faculty
- Provide a caring environment for older adult clients by connecting, sharing and exploring with them in a collaborative relationship
- Identify potential sources of violence in residential, and home and community care
- Provide person-centered care that recognizes and respects the uniqueness of each individual and is sensitive to culture and diversity
- Identify own values, biases, and assumptions as a self-reflective, responsible and accountable practitioner
- Identify own learning needs to enhance competence
Grading System: Percentage
Passing Grade: In order to pass this course, a grade of B (75%) is required for the lecture part of the course. In addition, students must pass their skills assessments, integrated lab assessments and field experience (marked pass/fail). One retest is granted for failure of the OSCE, as per Northern Lights College's Practical Nursing Handbook.
Grading Weight:
Final Exam: 40 %
Quizzes/Test: 60 %
Percentage of Individual Work: 100
Course Offered in Other Programs: No
Text Books:
Required - Adams et al., 2010, Pharmacology for Nurses: A Pathophysiological Approach Canadian Edition (Pearson). Chapters Covered: All
Required - Kozier et al., 2010, Fundamentals of Canadian Nursing (Pearson). Chapters Covered: All
Required - Hopfer-Geglin and Hazard-Vallerand, 2012, Davis' Drug Guide, (FA Davies Co.). Chapters Covered: N/A
Required - Day et al., 2009, Brunner and Suddarth's Textbook of Canadian Medical-Surgical Nursing, (LWW). Chapters Covered: All
Required - Corbett, 2013, Laboratory Tests and Diagnostic Procedures, (Pearson). Chapters Covered: All
Required - Hannon et. al., 2010, Porth Pathophysiology: Concepts of Altered Health States, (LWW). Chapters Covered: All