PNC420 - Practical Nursing Clinical

Subject Title
Practical Nursing Clinical

Subject Description
Students will apply theoretical concepts in a clinical practice setting. Working with health care professionals and clients they will make a positive contribution to the health and healing of individuals and families.
This course focuses on the analysis and application of theory from all courses in Semester one, semester two, semester three and:

• PNH 401: Healing Practices for the Practical Nurse 4 
• PNR 400: Development of Role of Practical Nurse  
• PNP 401: Pathophysiology for the Practical Nurse 2  

Credit Status
Successful completion of this course provides one credit towards the Practical Nursing Diploma.

Learning Outcomes
Upon successful completion of this subject the student will be able to:

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

1. Plan, implement, modify, and evaluate safe and organized nursing care in a timely manner, for 2 or more clients based on a thorough analysis of available data, research, evidence-informed practice guidelines and self-reflection. 
2. Report and document comprehensive, accurate and timely information in a variety of formats using appropriate medical and nursing terminology. 
3. Communicate effectively with clients using therapeutic communication skills to provide care while respecting diversity and cultural differences.  
4. Develop collaborative relationships with clients, families, peers & members of the health care team to provide holistic care. 
5. Use research, theoretical knowledge, evidence-informed practice & best practice guidelines to analyze nursing care. 
6. Recognize abnormal findings and modify and individualize nursing care based on research and evidence-informed practice. 
7. Question their practice, and that of others, to ensure client safety, recognizing one’s own limitations.  
8. Use research and critical thinking skills to make clinical decisions, solve problems and modify and improve care. 
9. Provides safe and competent client care and develop as a professional by practicing in a self-regulated, ethical, and professional manner that complies with the standards and guidelines of both the CNO and practice setting.

_{CNO Entry to Practice Competencies}

This course meets the following CNO Entry to Practice Competencies:
1.     Demonstrates accountability and accepts responsibility for own decisions and actions.
2.     Practices autonomously within legislated scope of practice.
3.     Displays self-awareness and recognizes when to seek assistance and guidance.
4.     Adheres to regulatory requirements of jurisdictional legislation.
5.  Practices within own level of competence.
6.  Initiates, maintains, and terminates the therapeutic nurse-client relationship.
7. Provides client care in a non-judgmental manner.
10. Engages in self-reflection and continuous learning to maintain and enhance competence.
11. Integrates relevant evidence into practice.
12.  Collaborates in the analysis, development, implementation and evaluation of practice and policy.
14.  Demonstrates a professional presence, honesty, integrity, and respect in all interactions.
18. Recognizes, responds and reports own and others near misses, errors and adverse events.
19. Distinguishes between the mandates of regulatory bodies, professional associations, and unions.
20. Establishes and maintains professional boundaries.
23. Applies ethical frameworks and reasoning to identify and respond to situations involving moral and ethical conflict, dilemma, or distress.
25. Preserves the dignity of clients in all personal and professional contexts.
30.  Practices according to relevant mandatory reporting legislation.
31.  Recognizes, responds, and reports questionable orders, actions or decisions made by others.
32.  Adheres to the duty to report.
33.  Protects clients’ rights by maintaining confidentiality and privacy in all personal and professional contexts.
35.  Documents according to established legislation, practice standards, ethics and organizational policies.
36.  Obtains informed consent to support the client's informed decision-making.
37.  Completes comprehensive health assessments of clients across the lifespan.
38.  Selects and uses information and communication technologies (ICTs) in the delivery of client care.
39.  Researches and responds to relevant clinical data.
40.  Engages in evidence-informed practice by considering a variety of relevant sources of information.
41. Comprehends, responds to and reports assessment findings.
51 Applies principles of client safety.
53. Evaluates the effectiveness of nursing interventions by comparing actual outcomes to expected outcomes.
54. Reviews and revises the plan of care and communicates accordingly.
55. Assesses implications of own decisions.
56 Uses critical thinking, critical inquiry and clinical judgment for decision-making.
57. Demonstrates professional judgment in using information and communication technologies (ICTs) and social media.
58. Recognizes high-risk practices and integrates mitigation strategies that promote safe care.
61. Demonstrates knowledge of nursing theory, pharmacology, health sciences, humanities, and ethics.
63. Engages clients in identifying their health needs, strengths, capacities, and goals.
64. Communicates collaboratively with the client and the health care team.
65. Provides essential client information to the client and the health care team.
66. Promotes effective interpersonal interaction.
67. Uses conflict resolution strategies to promote healthy relationships and optimal client outcomes.
68. Articulates own role based on legislated scope of practice, individual competence, and care context, including employer policies.
69. Determines their own professional and interprofessional role within the team by considering the roles, responsibilities, and the scope of practice of others.
73. Participates in creating and maintaining a quality practice environment that is healthy, respectful, and psychologically safe.
74. Fosters an environment that encourages questioning and exchange of information.
76. Applies the principles of team dynamics and group processes in interprofessional team collaboration.
77. Demonstrates formal and informal leadership in practice.
78. Organizes workload, assigns/coordinates nursing care, sets priorities and demonstrates effective time-management skills.

Essential Employability Skills

    •  Communicate clearly, concisely and correctly in the written, spoken and visual form that fulfils the purpose and meets the needs of the audience.

    •  Respond to written, spoken, or visual messages in a manner that ensures effective communication.

    •  Execute mathematical operations accurately.

    •  Apply a systematic approach to solve problems.

    •  Use a variety of thinking skills to anticipate and solve problems.

    •  Locate, select, organize, and document information using appropriate technology and information systems.

    •  Analyze, evaluate, and apply relevant information from a variety of sources.

    •  Show respect for diverse opinions, values, belief systems, and contributions of others.

    •  Interact with others in groups or teams in ways that contribute to effective working relationships and the achievement of goals.

    •  Manage the use of time and other resources to complete projects.

    •  Take responsibility for one's own actions, decisions, and consequences.

Academic Integrity
Seneca upholds a learning community that values academic integrity, honesty, fairness, trust, respect, responsibility and courage. These values enhance Seneca's commitment to deliver high-quality education and teaching excellence, while supporting a positive learning environment. Ensure that you are aware of Seneca's Academic Integrity Policy which can be found at: http://www.senecapolytechnic.ca/about/policies/academic-integrity-policy.html Review section 2 of the policy for details regarding approaches to supporting integrity. Section 2.3 and Appendix B of the policy describe various sanctions that can be applied, if there is suspected academic misconduct (e.g., contract cheating, cheating, falsification, impersonation or plagiarism).

Please visit the Academic Integrity website http://open2.senecac.on.ca/sites/academic-integrity/for-students to understand and learn more about how to prepare and submit work so that it supports academic integrity, and to avoid academic misconduct.

Discrimination/Harassment
All students and employees have the right to study and work in an environment that is free from discrimination and/or harassment. Language or activities that defeat this objective violate the College Policy on Discrimination/Harassment and shall not be tolerated. Information and assistance are available from the Student Conduct Office at student.conduct@senecapolytechnic.ca.

Accommodation for Students with Disabilities
The College will provide reasonable accommodation to students with disabilities in order to promote academic success. If you require accommodation, contact the Counselling and Accessibility Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

Camera Use and Recordings - Synchronous (Live) Classes
Synchronous (live) classes may be delivered in person, in a Flexible Learning space, or online through a Seneca web conferencing platform such as MS Teams or Zoom. Flexible Learning spaces are equipped with cameras, microphones, monitors and speakers that capture and stream instructor and student interactions, providing an in-person experience for students choosing to study online.

Students joining a live class online may be required to have a working camera in order to participate, or for certain activities (e.g. group work, assessments), and high-speed broadband access (e.g. Cable, DSL) is highly recommended. In the event students encounter circumstances that impact their ability to join the platform with their camera on, they should reach out to the professor to discuss. Live classes may be recorded and made available to students to support access to course content and promote student learning and success.

By attending live classes, students are consenting to the collection and use of their personal information for the purposes of administering the class and associated coursework. To learn more about Seneca's privacy practices, visit Privacy Notice.