PNUR 125 - Integrated Nursing Practice 2

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.


Hours: 180 (Lecture Hours: 75; Laboratory Hours: 105)


Total Weeks: 12


Successful completion of all Level 1 courses and Consolidated Practice Experience 1


Non-Course Prerequisites:


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
    - Leadership competencies


Learning Outcomes:
Upon successful completion of this course, within the simulated learning environment, the learner will be able to:
1.  Demonstrate an understanding of the Scope of Practice: Standards, Limits and Conditions (CLPNBC, 2017), Entry-to-Practice
     Competencies for LPNs (CCCPNR, 2013), Professional Standards for LPNs (CLPNBC, 2014), and Practice Standards (CLNBC, current editions) and how they guide the practice of LPNs in residential 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 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 culturally competent, 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


Grading System: Percentage


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 Practical Nursing Handbook.


Percentage of Individual Work: 100


Percentage of Group Work: 0


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