PNUR 204 Integrated Nursing Practice III

School of Health and Human Services

PNUR 204 Integrated Nursing Practice III 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:

  • 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 lifespan.
  • Context-specific reporting and documentation.
  • Leadership competencies.

Prerequisites: PNUR 113 with a CRG and PNUR 107, PNUR 108, PNUR 109, PNUR 110, and PNUR 112 all with a minimum of 70% and PNUR 111 with a minimum of 80%.

Corequisite: PNUR 200, PNUR 201, PNUR 202, PNUR 203

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.

Transfer Agreements

Course to Course transfer – NoBlock Transfer – Nobctransferguide.ca
Course Details
Total number of weeks11
Total Credits
Total Hours120
Typical hours per week breakdown
Lab (lab, field, computer)~11

Learning Outcomes

Upon successful completion of this course, the learner will be able to:

  1. 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) 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 health care 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‐centred 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 in the pediatric client
  13. Analyze leadership and followership roles and responsibilities in a variety of settings

Teaching and Learning Approach

Instructors provide direction of learning through structured preparation, guided course activities, and reflective engagement with course content. The instructor functions as both facilitator and subject matter expert, fostering a learning environment that supports competency development through guided discussion, debate, audio-visual presentations, group and online activities, skill-building exercises, and simulation. For a skill to be assessed as satisfactory, learners must demonstrate safe, complete, and competent performance in a single, continuous, and unedited video submission. All submitted skill videos will be reviewed in their entirety by designated skill instructors to ensure alignment with professional, regulatory, and program competency standards.

Learning Resources

BCCNM: Current British Columbia College of Nurses and Midwives (BCCNM) documents. Keenan-Lindsay, L. (2020). Introduction to maternity & pediatric nursing in Canada (1st ed.). Toronto, ON: Elsevier Saunders. Potter, P. A. & Perry, A. (2019). Canadian fundamentals of nursing (6th ed.). Toronto, ON: Elsevier Canada. Halter, M. J. (2019). Varcarolis’s Canadian psychiatric mental health nursing: A clinical approach (2nd Canadian ed.). Toronto, ON: Elsevier Saunders. Vallerand, A. & Sanoski, C. (2019). Davis’s Canadian drug guide for nurses. (16th ed.). Philadelphia, PA: F.A. Davis Company.

Detailed Course Content, Topics, and Sequence Covered

1. Introduction to Medication Administration Review Sterile Wound Care with Sterile Gloves CPE Prep INP Open Lab 2. Skills Test - Sterile Wound Care INP Acute Care Practice 3. Catheter Insertion INP Acute Care Practice INP Open Lab 4. Formative Skill - Catheter Insertion INP Acute Care Practice 5. Mental Health Assessment INP Acute Care Practice 6. Asychrouns Maternity and Peds INP Acute Care Practice 7. IV Fluids INP Acute Care Practice 8. Blood Products INP Acute Care Practice Open Lab 9. INP Acute Care Practice INP Open Lab 10. Skills Test IV fluid Initiation INP Acute Care Practice INP Open Lab/Review 11. Reading week 12. INP Final Exam INP Skills Make up

Assessment

TitleLearning OutcomesValue
Unit Pre Quizzes / Simulations1-1335%
Formative Skills Assessment x 31-9CRG/NCG
Reflective Practice Narrative (RPN)x 3 1, 3-915%
Peer Assessment/Feedback x 31, 3-915%
Final Exam1, 3, 7, 835%
Total100%

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

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.