PNUR 112 Integrated Nursing Practice II builds on the theory and practice from Levels 1 and 2. Through a variety of approaches (e.g., simulation), learners will continue to develop knowledge and practice of comprehensive nursing assessment, planning for, and interventions with clients experiencing multiple health challenges in a variety of settings.
Notes:
Course Concepts
Course outcomes will be met through examination and exploration of the following:
1.Comprehensive health assessment.
2.Clinical decision making.
3.Nursing interventions.
4.Risk management.
5.Surgical wound management (assessment, cleansing and irrigation).
6.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).
7.Blood and blood products (checking client identification, monitoring infusion, responding to blood reactions).
8.Catheterization.
9.Assessment and care of the mental health client.
10. Assessment and care of the postpartum client.
11. Assessment and care of the newborn.
12. Individualizing nursing care plans across the lifespan.
13. Medication administration:
o Mental health medications across the lifespan.
o Pediatric/maternal medications.
14. Pain management of:
o The mental health client.
o The maternity client.
o The pediatric client.
15. Immunizations across the lifespan.
16. Context-specific reporting and documentation.
17. Leadership competencies.
Prerequisites: PNUR 106 with a CRG and PNUR 106 with a CRG and PNUR 114, PNUR 100, PNUR 101, PNUR 102, PNUR 103, and PNUR 105 all with a minimum of 70%, and PNUR 104 with a minimum of 80%.
Corequisite: PNUR 107, PNUR 108, PNUR 109, PNUR 110, PNUR 111
Accessibility Services Notice
Students who would like an academic accommodation and who have a documented disability should contact Accessibility Services, if they have not already done so.Course Details| Total number of weeks | 12 |
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| Total Credits | |
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| Total Hours | 180 |
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Typical hours per week breakdown| Lab (lab, field, computer) | 15 |
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Learning Outcomes
Upon successful completion of this course, the learner will be able to:
- Demonstrate understanding of the Scope of Practice: Standards, Limits and Conditions (BCCNM, 2022), Entry-level Competencies for Licensed Practical Nurse (BCCNM, 2020), Professional Standards for LPNs (BCCNM, 2020) and Practice Standards (BCCNM, current editions) and how they 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)
- 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 health care 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 culturally competent, person‐centred 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 competency
- Compare and contrast leadership and management roles and responsibilities in a variety of settings
Teaching and Learning Approach
Instructors provide direction of learning in preparation, in course activities and reflection of the content. The
instructor acts as facilitator and subject matter expert to promote an environment conducive for learning through
activities such as guided discussion, debate, audio-visual presentation, group activities, online activities, skill
building exercises and simulation.
This is a hands-on direct patient care experience supervised by instructors. The Level 2 competencies are
practiced and mastered.Learning Resources
BCCNM: Current British Columbia College of Nurses & Midwives (BCCNM) documents
Stromberg, H.K. (2020). deWit's Medical-surgical nursing: Concepts & practice (4th ed.). St. Louis, MO: Elsevier
Saunders.
Potter, P. A. & Perry, A. (2019) Canadian fundamentals of nursing. (6th ed.). Toronto, ON: Mosby/Elsevier.
Vallerand, A. & Sanoski, C. (2019).
Davis’s Canadian drug guide for nurses. (17th ed.). Philadelphia: PA: F.A. Davis CompanyDetailed Course Content, Topics, and Sequence Covered
1. Risk Management Infection Control Specimen Collection
2. Fall Prevention Violence in the Workplace (VIWP)
3. Sterile Wound Care Pain Assessment PRN Pain Management
4. Skills Assessment #1 Post Skill RPN
5. Percutaenous and Parental Medication Administration PO Medication Review Quiz #1
6. Blood Glucose Testing Hypoglycemia Protocol and Sliding Scale Ostomies
7. Subcutaneous Butterly (SQBF) Insertion
8. Formative Skill Assessment #2 Post Skill RPN
9. Taking and Transcribing Doctors Orders Enteral Tube Feeds Quiz 2
10. Oral and Nasal Suctioning Oxygen Administration End of Life (EOL) Care
11. Final Exam Formative Skill Test #3 Post Skill RPNAssessment
| Title | Learning Outcomes | Value |
|---|
| Quiz #1 | 1-8 | 25% |
| Quiz #2 | 1-9 | 25% |
| Reflective Practice Narrative (RPN) | x 3 1 - 3-9 | 15% |
| Final cumulative exam | 1, 3, 7, 8 | 35% |
| Formative skill assessment x 3 | 1-9 | CRG/NCG |
| Total | 100% |
Grading Table
Standard Academic and Career Programs Grading Table
| Percentage |
Letter Grade |
GPA |
| 90-100 |
A+ |
4.33 |
| 85-89 |
A |
4.00 |
| 80-84 |
A- |
3.67 |
| 76-79 |
B+ |
3.33 |
| 72-75 |
B |
3.00 |
| 68-71 |
B- |
2.67 |
| 64-67 |
C+ |
2.33 |
| 60-63 |
C |
2.00 |
| 55-59 |
C- |
1.67 |
| 50-54 |
P |
1.00 |
| 0-49 |
F |
0.00 |
| |
DNW |
0.00 |
Competency-based Grades
This grading system is based on satisfactory acquisition of defined skills or successful completion of the course learning outcomes. It is used where standard numerical grades are not generally applied, for example in evaluating practicum performance or work placements, in pass/fail courses or for non-credit courses.
| Grade |
Description |
| AAV |
ABOVE AVERAGE -The student has mastered all or most course objectives/requirements in a minimum time frame and has exemplified good work and study habits. |
| COM |
COMPLETE – denotes that the student has mastered a satisfactory number of course objectives/requirements in a non-credit course |
| CRG |
CREDIT GRANTED - denotes that the student performance was satisfactory in a credit course. |
| NCG |
NO CREDIT GRANTED - denotes that the student performance was unsatisfactory. |
| PCG |
PARTIAL CREDIT GRANTED – denotes that the student has successfully completed a portion of the course objectives in a credit course. |
See the Academic Calendar for General Information including how to withdraw from course(s) and other regulations.
Disclaimer
Information contained in this course outline is correct at the time of publication. Content of the course is revised on an ongoing basis to ensure relevance to changing educational, employment and market needs. The instructor will endeavor to provide notice of changes to students as soon as possible. The instructor reserves the right to add or delete material from courses.