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Blinn College • Brenham • Health Sciences • Vocational Nursing - VNSG

Clinical II VNSG-1561

  • Spring 2013 Full Term 2013
  • Section SECTION_001 CRN-20245
  • 5 Credits
  • 01/14/2013 to 05/07/2013
  • Modified 04/16/2013

Meeting Times

Lecture / Lab

  • Monday, Tuesday, 3:00 PM to 4:00 PM, A & S Classroom 205 / Lab 203

Monday - Tuesday 3-4PM        CRN# 20245


  • Wednesday, Thursday, Friday, 6:30 AM to 3:00 PM, A& S 205 / Lab 203 / As Assigned

Thursday 6:30 AM- 3:00 PM     

Contact Information

Director VOCN Program/Professor: Michelle Marburger RN, MSN

Office Hours: M & T 1:30-3:00 PM

Professor: Donna Fricke RN, BSN

Office Hours: M & T  8:00- 10:00 AM

Instructor: Mary Lange RN


A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional. Clinical education is an unpaid learning experience. Twenty-six clinical hours per week.

Credit:  five semester hours.

Course prerequisites:  Successful completion of all first semester courses with a grade average of 75 percent or better.

Co-requisites:    VNSG 1231 Pharmacology, VNSG 1234 Pediatrics, VNSG 1406 Maternal and Newborn Nursing and VNSG 1429 Medical / Surgical I.

Core Course: This course is not a Core Curriculum Course. 


After completion of this course, the student will:

  • apply the theory, concepts, and skills involving specialized materials, tools, equipment, procedures, regulations, laws, and   interactions within and among political, economic, environmental, social, and legal systems associated with the particular occupation and the business/industry.
  •  demonstrate legal and ethical behavior, safety practices, interpersonal and teamwork skills, and appropriate written and verbal communication skills using the terminology of the occupation and the business/industry


Fundamental Concepts and Skills for Nursing

  • Author: deWit, Susan C
  • Publisher: Elsevier
  • Edition: Third Edition

Student Learning Guide for Fundamental Concepts and Skills for Nursing

  • Author: deWit, Susan C.
  • Publisher: Elsevier
  • Edition: Third Edition

Adult Health Nursing

  • Author: Christensen, Barbara L. & Kockrow, Elaine O.
  • Publisher: Elsevier
  • Edition: Sixth Edition

Introduction to Maternity and Pediatric Nursing

  • Author: Leifer, Gloria
  • Publisher: Elsevier, Upper Saddle River, NJ
  • Edition: 6th

Nurse's Med Deck

  • Author: Deglin, Judith H. and Vallerand, April H.
  • Publisher: F. A. Davis Company
  • Edition: 13th Edition

Taber’s Cyclopedic Medical Dictionary

  • Publisher: F.A. Davis Company, Philadelphia, PA
  • Edition: 21st

The Lippincott Manual of Nursing Practice

  • Author: Nettina, Sandra
  • Publisher: Lippincott Williams & Wilkins
  • Edition: Latest Edition
  • Optional

Supplies and Materials

  • Watch with second hand,
  • Pair bandage scissors
  • OSHA approved eye protection
  • Identification pin
  • Stethoscope
  • Designated Blinn Vocational Nursing patch(s)
  • Designated uniform

Course Requirements

A. Weekly submission of comprehensive nursing concept map, including client medications, assessment, graphic flow sheet, checklist for leaving unit,on each client assignment.

B. Submission of student record of clinical practice on the first class day following the month’s clinical completion.

C. Submission of completed rotation objectives including specified worksheets.

D. Successful completion of clinical performance evaluation.

E. Successful completion of the Medication Administration Exam with a score of 90% or better. The student will be allowed a maximum of three attempts with mandatory remediation between each unsuccessful attempt. Failure to pass the exam after three attempts will result in clinical failure and dismissal from the VOCN program.

Outline or description of course content:

Clinical performance is the implementation and/or execution of any semester-related task or skill in the clinical setting (as taught in the classroom). It is correlation of nursing theory (classroom) with nursing practice (clinical), and includes the following areas of evaluation:

 I.           Member of the Profession

II.           Provider of Patient-Centered Care

III.          Patient Safety Advocate

IV.          Member of the Health Care Team

Clinical experience includes laboratory simulations, clinical conferences, experiences in the hospital (acute care facility), clinics, private physician offices,facilities for the mentally impaired, long-term nursing care facilities, daycare facilities or any other facilities Blinn College nursing faculty deem necessary to meet course objectives.


Criteria for grading all assignments and determining final grade in the course:


  • S = Satisfactory
  • N I= Needs Improvement
  • U = Unsatisfactory


  • 111 Total Possible Points are Available from the Differential Essential Competencies.
  • A minimum of 83 “satisfactory” areas are required to receive a grade of 75%.


  • Mid - Semester Grade:
    • 29 or more (less than 75%) areas marked as “Need Improvement” or violation of critical element requirements will result in the student being placed on a clinical contract.


  •  Final Semester Grade:
    • Pass= Final calculated score of 75% or greater and fulfillment of critical element requirements.
    • Fail= Final calculated score of below 75% or violation of critical element requirements.


  • Critical Elements:
    • Are standards that are essential to the safety and welfare of the client receiving care. All critical elements are noted by a * next to the item.
      • One error:      Student will also receive verbal counseling with the director.
      • Two errors:   Student will also receive written counseling and a conference with the Director of the Program.
      • Three errors: Student may also be dismissed from clinical class and will result in failure of clinical course.

Blinn College Policies

Blinn College policies on civility, class attendance; scholastic integrity; students with disabilities; final grade appeals; and electronic devices as stated in the Blinn College Student Handbook, Faculty Handbook, Blinn College Catalog and specific technical program handbooks. All policies, guidelines and procedures in the Student and Faculty Handbook and the Board and Administrative Policy Manuals are applicable to this course.

Civility Statement

Civility Statement. Members of the Blinn College community, which includes faculty, staff and students, are expected to act honestly and responsibly in all aspects of campus life. Blinn College holds all members accountable for their actions and words. Therefore, all members should commit themselves to behave in a manner that recognizes personal respect and demonstrates concern for the personal dignity, rights, and freedoms of every member of the College community, including respect for College property and the physical and intellectual property of others.

      Civility Notification Statement. If a student is asked to leave the classroom because of uncivil behavior, the student may not return to that class until he or she arranges a conference with the instructor; it is the student’s responsibility to arrange for this conference. 

      This statement reflects step one in a possible four step process.  The Incivility Protocol is detailed in the Blinn College Student Handbook,

Attendance Policy

Attendance Policy.  The College District believes that class attendance is essential for student success; therefore, students are required to promptly and regularly attend all their classes. A record of attendance will be maintained from the first day of classes and/or the first day the student’s name appears on the roster through final examinations. If a student has one week’s worth of unexcused absences during the semester, he or she will be sent an e-mail by the College District requiring the student to contact his or her instructor and schedule a conference immediately to discuss his/her attendance issues. Should the student accumulate two weeks’ worth of unexcused absences, he or she will be administratively withdrawn from class.

There are four forms of excused absences recognized by the institution:

  1. observance of religious holy days—The student should notify his or her instructor(s) not later than the 15th day of the semester concerning the specific date(s) that the student will be absent for any religious holy day(s);
  2. representing the College District at an official institutional function;
  3. high school dual credit students representing the independent school district at an official institutional function; and
  4. military service.

Other absences may be considered excused at the discretion of the faculty

member with appropriate documentation.  A student enrolled in a developmental course is subject to College District-mandated attendance policies. Failure to attend developmental classes shall result in removal from the course as defined by the College District.

It is the student’s responsibility to officially drop a class he or she is no longer attending.  To officially drop a class the student must obtain the class withdrawal form from Enrollment Services, complete the class withdrawal form, secure the required signatures, and return the completed form to Enrollment Services. The last day to drop with a Q is according to the Academic Calendar.

Scholastic Integrity

Blinn College does not tolerate cheating, plagiarism, or any other act of dishonesty with regard to the course in which you are enrolled.  The following text defines the faculty member’s responsibility with regard to the scholastic integrity expectation for this and all courses at Blinn College.

It is the responsibility of faculty members to maintain scholastic integrity at the College District by refusing to tolerate any form of scholastic dishonesty.  Adequate control of test materials, strict supervision during testing, and other preventive measures should be utilized, as necessary, to prevent cheating or plagiarism.  If there is compelling evidence that a student is involved in cheating or plagiarism, the instructor should assume responsibility and address the infraction.  Likewise, any student accused of scholastic dishonesty is entitled to due process as outlined in Blinn College Board Policy FLB (Local).  The Scholastic Integrity Policy is located in the Blinn College Student Handbook, a case of scholastic dishonesty, it is critical that written documentation be maintained at each level throughout the process.

Students with Disabilities

Students with Disabilities.  Blinn College is dedicated to providing the least restrictive learning environment for all students. Support services for students with documented disabilities are provided on an individual basis, upon request. Requests for services should be made directly to the Office of Special Populations serving the campus of your choice.  For the Bryan campus, the Office of Special Populations (Administration Building) can be reached at (979)209-7251.  The Brenham, Sealy and Schulenburg campuses are served by the Office of Special Populations on the Brenham campus (Administration Building Room 104) and can be reached at (979)830-4157.  Additional information can be found at

Final Grade Appeal

Final Grade Appeals Policy.  If a student wishes to appeal a final grade in a course, Blinn College Board Policy FLDB (Local), Course Grade Complaints, outlines the timeline for the appeal and the four steps in the appeal.  This policy is located in the Blinn College Student Handbook,

Electronic Devices

Electronic Devices.  All the functions of all personal electronic devices designed for communication and/or entertainment (cell phones, pagers, beepers, iPods, and similar devices) must be turned off and kept out of sight in all College District classrooms and associated laboratories.  Any noncompliance with this policy shall be addressed in accordance with the College District civility policy (administrative policy).  This information is contained in Blinn College Board Policy FLB (Local).

Course Policies

Additional Instructor’s policies:


Expectations for clinical experiences: students may be assigned to deliver care to individuals who are HIV positive. The student shall in all cases be expected to treat all clients with the same concern and dignity inherent in professional standards of care. Maintain HIPAA at all times.


Attendance: refer to Vocational Nursing Handbook


Late assignments: work turned in after the due date shall result in lowering of clinical grade.


Student is expected to arrive to the clinical setting on time and prepared, and this will affect student’s clinical grade. Student is expected to document using correct spelling and correct medical terminology. Clinical records not turned in completed and/or by specified due date will affect student’s clinical grade.


Clinical absence assignment: students are expected to be in clinical each day. If a student has a clinical absence he/she shall be required to submit written assignment that shall include:



a concept map for the daily student assignment



a written assignment that may meet any/all of the following criteria:



*is commensurate of the work required to complete the objectives of the clinical assignment;



*is designed in a question-answer form that requires the student to gain knowledge of the clinical objectives;



*is a research type paper activity so designed that a student gains knowledge of the clinical objectives


It is the responsibility of the student to get the clinical absence assignment from the faculty clinical instructor on the first day of the student’s return.  Clinical absence assignments shall be completed and handed in within five (5) days of the student returning. Additional time shall be granted at the discretion of the faculty. Failure to complete the written clinical absence assignment, or failure to complete the assignment in an acceptable manner shall result in the lowering of the student’s clinical evaluation.


Student papers:  utilize instructor constructive criticism/feedback, verbal/written, as a communication tool for improvement of clinical performance.



Secretary’s Commission on Achieving Necessary Skills. SCANS is an attempt to help make courses more relevant to the needs of a modern work force. SCANS is divided into two types of skills: competencies and foundations. The competencies are the ability to manage resources, to work amicably and productively with others, to acquire and use information, to master complex systems, and to work with a variety of technologies. Foundation skills are organized into the basic literacy and computational skills, the thinking skills necessary to put knowledge to work, and the personal qualities that make workers dedicated and trustworthy. Both are required for successful performance in most jobs.





COURSE DESCRIPTION:  A health-related work-based learning experience that enables the student to apply specialized occupational theory, skills, and concepts. Direct supervision is provided by the clinical professional.  Direct supervision is provided by the clinical professional. Clinical education is an unpaid learning experience. Twenty-six clinical hours per week. Credit: five semester hours.








I.  Correlation of Theory and Practice

A.  Assist in the formulation of goals and a plan of care for the client in collaboration with the client and other members of the health care team.

B.  Assist in determining the health status and health needs of clients, based on identification and organization of health-related data, in collaboration with clients, their families,      and other members of the health care team.

C.  Make observations that assist the RN in formulating nursing diagnosis: actual and potential health problems.

D.  Assist in the evaluation of the individual client’s responses to nursing interventions.




C1, C5, C6, C7,C8, C9, C15, C17

F1, F2, F7, F8, F9, F10,F11, F12



1. Take client history using structured assessment tool and interview, i.e.  head to toe

2. Assess the ongoing status of the client (i.e.  lab, pain)

3. *Immediately reports findings and/or changes in client health status to appropriate personnel and/or instructor.

4. Defines medical diagnosis on all assigned clients and discusses disease process in written and/or verbal format (i.e., definition, etiology, signs, and symptoms.)

5. States nursing diagnosis based on problems/needs.

6. Identify short-term/immediate goals based on nursing diagnosis.

7. Select basic interventions based on nursing goals in conjunction with the client.

8. Adheres to client's ordered plan of treatment on a daily basis (activity, diet, schedule, tests, etc.).

9. Corrects deficiencies in client within the responsibilities and limitations of a student nurse.

10.  Discuss plan of care with members of health care team.

11.  Using standard references, compare expected and achieved outcomes of nursing care.

12.  Identify and communicate reasons for deviations from daily plan of care.

13.  Assist in modifying daily plan of care and/or expected outcomes.

14.   Corrects deficiencies in client within the responsibilities and limitations of a student nurse.

15. Assist in the basic discharge planning of selected clients.

II.  Organization/Initiative/Documentation.

E.  Collect pertinent information concerning the condition of the client in an organized way by utilizing the appropriate tools.

F.  Practice ability to prioritize tasks and utilize time efficiently.

G.  Indicate a desire to learn by actively interacting with colleagues, staff, clients, and instructors.

H.  Participate in the communication process with client, staff, and instructor.

I.  Implement the plan of care to assigned one to two clients in structured settings within the legal and ethical parameters in collaboration with the client and members of the health care team.

J.  Accurately record observation and information according to appropriate semester skills.

K.  Assist in implementing teaching plan for clients with common health problems and well defined learning needs.

L.  Recognize and utilize organizational principles involved with client care..



 C1, C2, C3, C4, C6, C7,  C8, C9, C12, C16, C17

F1, F2, F3, F4, F8, F11, F13, F16


1.  Identifies organizational principles and priorities in approaching care to meet basic client needs in order to make judgments and organize care of one to two patients.

2.  Varies the approach to nursing care appropriately according to changes in the client's condition, schedule and/or equipment available.

3.  Utilizes available resources appropriately for data collection and procedures.

4.   Follows instructions appropriately.

5.  Offers assistance to staff and classmates.

6.   Seeks out own learning experiences.

7.   Prepares and submits clinical assignments on time and date assigned.

8.  Reports pertinent information to clinical instructor and appropriate staff nurse in a professional manner.

9.  Consults with instructors/designated supervisor on wording and/or appropriateness of phrases before entering in chart (judgment, opinions).

10. Documents assessment data and other information for instructor legible, using appropriate terminology and spelling with assistance.

11. Charts pertinent observations about client, equipment, and nursing care including diet,  elimination, and client changes.

12. Charts date, time and identification in appropriate areas.

13.  Enters vital signs on chart accurately.

14.  Documents only after care is completed in appropriate time limit as designated by instructor.

15.  Gives summary to primary nurse before leaving the floor for breaks or end of day.

16.  Keeps clinical procedure checklist up to date.

17.  Assist in identifying basic health-related learning needs of clients.

18.  Contribute to the development of a teaching plan.

19.  Implement aspects of an established teaching plan.

20.  Assist in evaluation of learning outcomes using structured evaluation tools.

 III. Basic Nursing Skills

M.  Apply basic principles of microbiology and medical asepsis and participate in the prevention of nosocomial infections.


N.  Promote a safe, effective care environment conducive to the optimal health and dignity of the client.


O.  Relate clinical learning with classroom theory and client data.


P.  Utilize principles and factors that maintain or restore health.


Q.  Assist in the coordination of human and material resources for the provision of care of assigned clients.



 C3, C10, C11, C15, C16, C18, C19 C20, F3, F4, F8, F9, F12



1.  Aid in identifying others who can assist in client care.

2.  Carry out nursing measures to promote rehabilitation.

3.  Assist in fostering client growth during alterations in health status.

4.  Safely administer medications and treatments following established protocols.

5.   Practices appropriate handwashing techniques.

6.   Avoids contamination of self (wearing gloves, appropriate attire, etc.).

7.   Avoids contamination of staff, (collection of specimens, performing procedures, equipment, etc.).

8.   Avoids contamination of client (performing procedures, client hygiene, etc.).

9.   Keeps client's environment clean and safe.

10.   Provides adequate safety measures for client during activities of daily living (side rails, call light,  gait belt, bed position, etc.).

11.   Applies principles of body mechanics according to facility/school guidelines.

12.   Performs basic nursing skills utilizing principles presented in classroom/clinical setting safely and effectively to meet basic physiologic needs including:  oxygenation, nutrition, circulation, elimination, activity, comfort, rest, sleep.

13.  Provide basic initial intervention for emergencies such as CPR.

14.  Initiate basic nursing measures to foster psychosocial well being through appropriate sensory stimulation and promotion of integrity and autonomy.

15.  Assist members of the health care team with examinations and routinely performed procedures.

16.  Monitor, report, and document responses to treatments, medications, and procedures.

 IV. Professionalism


R.  Identify the responsibilities and limitations of student nurse including the legal and ethical aspects.


S.  Participate in activities which support the organizational framework of structured health care settings and that focus on improving the health care of clients.


T.  Demonstrate behaviors that promote the development and practice of vocational nursing.


U.  Demonstrate accountability for own nursing practice.


V.  Observe and communicate patient’s Bill of Rights to clients.


W.  Participate in the identification of client needs for referral to appropriate sources of assistance.



 C4, C9, C11, C12, C13, C14

F6, F13, F14, F15, F16, F17


 1.  Identify major community resources that can assist in meeting client needs.

2.  Report unsafe client care environment and equipment.

3.  Participate in activities with other health care team members to resolve identified problems.

4.  Implement established cost containment measures in direct client care.

5.  Contacts the instructor for proper supervision.

6.  Recognize and communicate ethical and legal concerns through established channels of communication.

7.  Assumes responsibility for actions.

8.  Adheres to the rules and guidelines of the vocational nursing program.

9.  Follows the guidelines and rules of the clinical agency.

10. Uses proper surnames in clinical setting for clients, staff and self.

11.  Protects the confidentiality of client and staff.

12.  Introduces self to appropriate personnel and client.

13.  Displays interest in self-improvement by accepting constructive criticism with a non-defensive attitude.

14.  Maintains open communication and appropriately interacts with client and client families.

15.  Maintains open communication and appropriately interacts with instructor, staff, and co-students.

16.  Consults clinical instructor regarding learning needs.

17.  Presents a professional appearance by utilizing appropriate hygiene/grooming measures according to guidelines stated in the student handbook. (Uniform, shoes, hair, makeup, jewelry, hygiene, etc.)

18.  Arrives at clinical setting on time, prepared for clinical day.

19.  Exhibits punctuality in leaving and returning from breaks and meals.

20.  Actively participates in clinical conferences.

21.  Departs from clinical setting at specified time.

22.  Reports to proper authority prior to being absent or late, or leaving nursing unit for any reason.

23.  Providing nursing care within limits of nursing knowledge, experience and ethical/legal standards of care.

24. Uses self-evaluation process to improve own nursing practice.

Note: Student must meet all baseline competencies to pass the course.