APNP 135 - Integrated Nursing Practice A

This course emphasizes the art and science of nursing, focusing on the development of nursing care and assessment. Learners will apply nursing knowledge through the practice of clinical decision making, nursing assessments, and nursing interventions aimed at the promotion of health, independence, and comfort. Classroom, laboratory, simulation, and other practice experiences will assist learners to integrate theory from other Access courses to provide sage, competent, and ethical nursing care with clients.


Hours:  180 (Lecture: 75 hours, Laboratory: 105)


PNUR 099


Non-Course Prerequisites:


APNP 130, APNP 131, APNP 132, APNP 133, APNP 134


Course Content:
- 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 on medication administration (e.g., medications “as needed”).
- Taking and transcribing physician orders.
- Documentation of response to medication.
- Reporting and documentation in residential care settings.
- Leadership competencies.


Learning Outcomes:
1. Demonstrate an understanding of the Scope of Practice for LPNs, Baseline Competencies for LPNs Professional Practice (BCCNM, current editions), Professional Standards of Practice for LPNs (BCCNM current editions), Code of Ethics for LPNs (BCCNM, current editions) and how these guide the practice of LPNs in continuing care settings.
2. Safely and competently perform comprehensive nursing assessment and interventions with older adults.
3. Demonstrate safe disposal of sharps (e.g. needles, scalpels, intravenous starters, etc.)
4. Demonstrate critical thinking, clinical judgment, and knowledge of assessment to plan, implement and evaluate care of clients in simulated situations and with older adults.
5. Practice in collaboration with older adult clients, the interprofessional healthcare team, peers, and faculty.
6. Provide a caring environment for older adult clients by connecting, sharing, and exploring with them in a collaborative relationship.
7. Identify potential sources of violence in residential, and home and community care
8. Provide person-centered care that recognizes and respects the uniqueness of each individual and is sensitive to culture and diversity.
 9. Identify own values, biases, and assumptions as a self-reflective, responsible, and accountable practitioner.
10. Identify own learning needs to enhance competence.
11. Compare and contrast leadership and management roles and responsibilities in a variety of settings
12. Practice safe medication administration


Grading System: Pass/Fail


Passing Grade:  In order to pass this course, students require BOTH a grade of 75% for the theory portion of the course AND mastery in skill development as indicated by an 80% grade on the final Objective Structured Clinical Examination (OSCE). One retest is granted for failure of the OSCE, as per Northern Lights College's Access to Practical Nursing Handbook.


Textbooks are subject to change.  Please contact the bookstore at your local campus for current book lists.