PNUR 235 - Integrated Nursing Practice 3

This course builds on the theory and practice from Levels A (APN program) or Levels 1 and 2 (PN Program).  Through a variety of approaches (e.g., simulation), learners will continue to develop knowledge and practice of comprehensive nursing assessment, planning for, and interventions for clients experiencing multiple health challenges in a variety of settings.


Hours: 120 (Lecture Hours: 45, Laboratory: 75)


APNP 130, APNP 131, APNP 132, APNP 133, APNP 134, APNP 135, APNP 136   
- OR - PNUR 110, PNUR 111, PNUR 112, PNUR 113, PNUR 114, PNUR 115, PNUR 116, PNUR 120, PNUR 120, PNUR 121, PNUR 122, PNUR 123, PNUR 124, PNUR 125, PNUR 126


Non-Course Prerequisites:


Co-Requisites: PNUR, 230, PNUR 231, PNUR 232, PNUR 233


Detailed Course Content, Topics and Sequence Covered:
Course outcomes will be met through examination and exploration of the following:
 - Comprehensive health assessment
- Clinical decision making
- Nursing interventions
- Risk management
- Surgical wound management (assessment, cleansing, and irrigation)
- Infusion  therapy I (assessment of insertion sites including PIC and CVC lines, changing IV tubing and solutions, regulating rate of flow, setting up and priming infusion line, converting IV to an intermittent infusion device, flushing an intermittent infusion device, discontinuing a peripheral infusion device)
- Blood and blood products (checking client identification, monitoring infusion, responding to blood reactions)
- Catheterization  
- Assessment and care of the mental health client
- Assessment and care of the postpartum client
- Assessment and care of the newborn
- Individualizing nursing care plans across the lifespan
- Medication administration:
   - Mental health medications across the lifespan
   - Pediatric/maternal medications
- Pain management of:
   - the mental health client
   - the maternity client
   - the pediatric client
- Immunizations across the lifespans
- Context-specific reporting and documentation
- 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 BCCNM, Entry-to-Practice Competencies forLicensed Practical Nurse (CCPNR 2013), Professional Standards for LPNs (BCCNM), and Practice Standards  (BCCNM< Current editions) to guide practice.
2.  Safely and competently perform comprehensive nursing assessment and interventions including principles of medication
administration with clients experiencing mental illness
3.  Safely and competently perform comprehensive nursing assessment and interventions including principles of medication
administration with maternal/pediatric clients
4.  Safely and competently complete a point-of-care risk assessment related to infectious diseases
5.  Incorporate practice guidelines into decision making
6.  Demonstrate critical thinking, clinical judgment and knowledge of assessment to plan, implement and evaluate care of clients across the lifespan
7.  Practice in collaboration with clients, the interprofessional healthcare team, peers and faculty
8.  Provide a caring environment for clients by connecting, sharing and exploring with them in a collaborative relationship
9.  Provide culturally safe, person-centered care that recognizes and respects the uniqueness of each individual and is sensitive to culture and diversity
10.  Identify own values, biases, and assumptions as a self-reflective, responsible and accountable practitioner
11.  Identify own learning needs to enhance competence
12.  Demonstrate competency with mathematical drug calculations for the pediatric client
13.  Analyze leadership and followership roles and responsibilities in a variety of settings


Grading System: Percentage


Passing Grade: IIn order to pass this course, students require BOTH a grade of 75% on 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.


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