PNUR 105 - Nursing in Acute Care Settings

Course Details
Course Code:
PNUR 105


Calendar Description:
Nursing Care in Acute Care Settings examines the role of practical nurses in providing collaborative care in acute medical/surgical settings. Study of common disease process encountered in acute care settings is undertaken. Advanced nursing skills, which include surgical asepsis and safe administration of parenteral medications, are learned in laboratory settings. Clinical learning experiences will include care of pre and post surgical patients, care of those with a variety of medical conditions, and an opportunity to spend time in the obstetrical area of a hospital. Administration of oral and parenteral medications to stable clients are practiced under the supervision of a Registered Nurse.

Date First Offered:

Total Hours: 300
Seminars and Tutorials: 45
Laboratory Hours: 45
Other Contact Hours: 210

Total Weeks:

This course is offered online:

SCIE 059 Specific Science Topics
ANTH 101 Cultural and Social Anthropology I
BIOL 112 Anatomy & Physiology II
SOCI 204 The Family in Canada
PSYC 102 Introduction to Psychology II
ENGL 100 Academic Writing
PNUR 104 Nursing in Rural and Remote Settings

Non-Course Pre-Requisites:


Rearticulation Submission:

Course Content:
Theory Topics:
- Interprofessional, Collaborative Practice in Acute Care Settings
- Pathophysiology and Care of Acute Care Clients with Common Conditions of :
- Integumentary System
- Musculoskeletal System
- Respiratory System
- Cardiovascular System
- Gastrointestinal System
- Renal and Urinary Systems
- Reproductive System
- Central and Peripheral Nervous Systems
- Hematological System
- Immune System
- Care of Clients with Issues of Mental Health, Addictions, and Substance Use
- Principles of Risk Management and Change Theory

Lab topics will comprise (but are not limited to):
- Managing Fluid and Electrolyte Balance in Surgical and Medical Patients
- Measuring Oxygen Saturation and Assisting Clients Use of Peak Flow and Incentive Spirometers
- Care of the Perioperative patient
- Complex Sterile Dressings, Wound Irrigation, Removal of Sutures, Staples, and Drains, Insertion and Removal of Wound Packing
- Care and Removal of Nasogastric Tubes
- Administering Medications via Parenteral Routes; Intramuscular, Intradermal, subcutaneous
- Administer Enteral Feedings and Medications via Nasogastric, Jejunostomy, and Gastrostomy Tubes
- Assessing, discontinuing, and Maintaining Intravenous Infusions, Calculating, Maintaining and Monitoring Drop rates.
- Flushing Saline Locks
- Care, assessment and monitoring of a Client Undergoing Treatment with Blood and Blood Products and Total Parenteral Nutrition
- Assessment of Various Insertion Sites, (eg. central line, IV sites, chest tubes, epidural catheter)
- Mental Health Assessment

Clinical Learning Experiences will comprise (but are not limited to):
- Acute Care Medical/Surgical Care Units
- Physiotherapy
- Dietician
- Operating Room Observational Experience
- Ambulatory Care

Learning Outcomes:
Learning Outcomes are based on the four main categories of the CLPNBC Baseline Competencies. They are leveled for this course within these categories.*

1. Professional, Legal and Ethical Practice
2. Knowledge Foundations of Practice
3. Collaborative practice with Clients and Members of the Interprofessional Health Care Team
4. Focused Areas of Specific Knowledge, Judgement, and Attitudes

Definition of Levels of Independence Categories:

With assistance: The instructor tells the student what to do and provides a significant amount of the required information.
With minimal assistance: The instructor provides information and guidance for the student from time to time.
With supervision: The instructor provides clarification, prompting, and confirmation for the student a significant amount of the time.
With minimal supervision: The instructor provides clarification, prompting, and clarification for the student from time to time.
Independently: The student works independently most of the time, seeking instructor or preceptor assistance when appropriate.

Upon successful completion of PNUR 105, Nursing in Acute Care Settings, the practical nursing student will:

1. Function in a Problem Based Learning (PBL) group by:
1.1 Modelling effective use of group process
1.2 Adhering to group identified rules, modifying as necessary
1.3 Analyzing concisely, evidence relevant to each Scenario
1.4 Modeling leadership skills

2. Demonstrate professional, ethical, and legal behaviour by:
2.1 Showing accountability for own decisions and actions
2.2 Demonstrating the responsibility of Practical Nursing students and Licensed Practical Nurses related to the Standards of Practice and Practice Competencies
2.3 Interpreting effects of own values, biases, and assumptions on interaction with clients and others
2.4 Interpreting and adhering to ethical and legal codes
2.4.1 Respecting and maintaining client confidentiality
2.4.2 Obtaining clients’ informed consent prior to initiating nursing care
2.4.3 With minimal supervision, providing relevant information to the client/family, within own Scope of Practice
2.4.4 With minimal assistance, advocating for clients
2.4.5 With minimal supervision, documenting client information in a timely, accurate, clear, and concise manner
2.4.6 Analyzing own learning and practice, identifying gaps in own competence
2.4.7 Analyzing own identified learning needs and establishing strategies to meet these learning needs
3. Analyze and integrate knowledge from nursing and support courses when addressing PBL scenarios
4. Analyze and integrate knowledge from nursing and support courses when providing care to clients in a clinical learning setting
5. Modify and use the nursing process to provide evidenced based nursing care which addresses the unique needs of clients across the lifespan
6. Collaborate with clients, families and other members of the interprofessional health care team, in providing care within own range of competence
7. With supervision, demonstrate leadership within the interprofessional health care team within own range of competence
8. Demonstrate critical thinking and clinical judgement by:
8.1 Assessing effectiveness of strategies used to meet own learning needs
8.2 Assessing, modifying, and implementing patient care
9. Provide safe care to clients within own range of competence**

*Detailed and Leveled Learning Outcomes developed from the CLPNBC Baseline Competencies for Licensed Practical Nurses’ Professional Practice are available as part of the Practical Nurse Program Curriculum Document from the Department of Health and Human Services and are posted on D2L for student reference
**4.0 Focused Areas of Specific Knowledge/Judgement/Attitudes of Detailed and Leveled Learning Objectives document provides criteria for safe care to clients

Grading System:

Passing Grade:
C+(65%) There are also pass/fail components for skills testing (OSCE) and clinical performance.

Grading Weight:
Final Exam: 40 %
Midterm Exam: 25 %
Assignments: 35 %

Number of Assignments:

Writing Assignments:
Scholarly Paper(1), PBL assignments (typically one per scenario) Clinical Learning Reflective Journal (daily)

Percentage of Individual Work:

Course Offered in Other Programs:

Additional Comments:
A grade of C+ must be achieved in each of the theory and clinical learning components of this course. Pharmacology theory, pharmacology math and lab performance will be graded Pass/Fail with a mastery level of A (90%) required for a Pass and a Pass in these components required to pass the course.

A supplemental examination for the theory component of this course will be available, based upon NLC policies.

Computer with high speed internet capacity and a browser of Windows XP Professional or Mac OS 10.5 or later
A PDA or iPod Touch, with G3 capacity is recommended.

Text Books:

Required - Day, Paul, & Williams, 2009, Brunner & Suddarth's Textbook of Canadian Medical-Surgical Nursing (Lippincott, Williams, & Wilkins). Chapters Covered: All
Required - Stephen,, 2009, Canadian Bates' Guide to health Assessment for Nurses (Lippincott, Williams, & Wilkins). Chapters Covered: All
Required - Potter, Perry, Ross-Kerr & Wood, 2010, Canadian Fundamentals of Nursing - Revised reprint, 4th Edition (Mosby Canada). Chapters Covered: All
Required - Osis, M., 2002, Dosage Calculations in SI Units, 4th ed (Mosby Canada). Chapters Covered: All
Required - N/A, Drug Handbook, Student Choice
Required - Moini, J., 2008, Focus on Pharmacology: Essentials for Health Professionals (Prentice Hall). Chapters Covered: All
Required - London, Ladewig, Ball, Binder, 2007, Maternal & Child Nursing Care (Prentice Hall). Chapters Covered: All
Required - Chabner, D., 2011, The Language of Medicine, 9th ed. (Saunders). Chapters Covered: All