PNC220 - Practical Nursing Clinical

Outline info
Last revision date May 26, 2014 7:33:51 PM
Last review date Jul 14, 2014 8:19:55 AM

Subject Title
Practical Nursing Clinical

Subject Description
Students apply theoretical concepts in a nursing 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 subject focuses on the application of theory from:
- All level 100 subjects
- PNH200: Healing Practices
- PNE203: Health Assessment for the Practical Nurse
- PNL210: Practical Nursing Lab
- PNA200: Anatomy & Physiology for the Practical Nurse

Students will be working with individuals and their families in the Alternate Level of Care or Long Term Care setting while considering resources in the community and Health Care Agency

Credit Status
One credit towards the Practical Nurse Diploma Program.

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

1. Communicate effectively, verbally and in writing.

2. Establish relationships using intentional therapeutic communication skills.

3. Identify lived experience as expressed by individuals and recognize the impact on health and health care needs.

4. Collaborate with the professor, health care team, and client to plan individualized, holistic nursing care.

5. Maintain and promote health by competently implementing selected healing practices.

6. Apply theoretical concepts and think critically when caring for individuals.

7. Identify the need for further knowledge and demonstrate skill in searching for reliable, current and relevant professional resources.

8. Develop and implement strategies for personal and professional growth based on needs identified through self-evaluation and feedback from the professor and others.

9. Independently assume responsibility for time management, completion of work and other professional behaviours.

10. Maintain an up-to-date Professional Profile binder as evidence by records of achievement and plans for continual growth.

Cheating and Plagiarism
Each student should be aware of the College's policy regarding Cheating and Plagiarism. Seneca's Academic Policy will be strictly enforced.

To support academic honesty at Seneca College, all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third party services. Please visit the Academic Honesty site on for further information regarding cheating and plagiarism policies and procedures.

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

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 Disabilities Services Office at ext. 22900 to initiate the process for documenting, assessing and implementing your individual accommodation needs.

All Module 100 level courses and Module 200 courses.

Pre or Corequisites
PNA 200, PNH 200, PNL 210 and PNE 203.

Topic Outline
Independent Study: Students will prepare for practice in the clinical setting by accessing a variety of
resources and interacting with the professor and others sharing the same clinical setting.   Students will
investigate client related information and prepare to integrate concepts studied independently and in
related nursing and general education courses.
Nursing Practice Settings: A student will work in Long-term-care or Alternate Level of Care setting
for 12 hours per week. Students will provide holistic nursing care for individuals. Under the direction
of the Seneca College Professor, students will collaborate with agency staff, the patients and their families
to promote health, and provide safe and effective nursing care.
Requirements for Entry to the Clinical Area

All students are required to have completed the following prior to entry to the clinical area:

    Current CPR Level "C" (HCP) - within 2 years
    Current Standard First Aid - within 3 years
    Completed respiratory fit testing/Mask fit Testing - Validity 2 years or as indicated on the card or any physical facial changes
    Infection control review
    Health form - current and updated
    Flu vaccine - annual requirement
    Clear Police Check record (Vulnerable Sector Screening) - Bi-Annual Requirement (valid for only 6 months). 
    Forms can be obtained in the FCET Office.

Updated information must be shown to the nursing coordinator.

Students must carry evidence of Mask Fit Testing, Flu Vaccine and Police Check with them each clinical
day. These reports are to be carried to the agency daily and be presented to agency administrative
personnel on request.  The agency has the right at any time to refuse/remove students who cannot
provide evidence of current Police Check or Mask-Fit testing. Students who have not had the flu
vaccine will be removed from the clinical experience, should a flu outbreak occur.

Mode of Instruction

Mentoring Role Modeling Presentation Discussion
Group Work Independent Study Demonstration  
Supervised Practice  

Prescribed Texts

PNC Learning package supplied by the PND faculty
Compendium of Standards            
College of Nurses of Ontario. (2009). (3rd Ed.).
This is to be purchased from the College of Nurses of Ontario or retrieved electronically at publications

Fundamentals of Canadian Nursing: Concepts, Process and Practice
Kozier, B.J. et al,        PEARSON    978-0-1335-0913-7     3rd Can. E

Medical-Surgical Nursing in Canada          Lewis et al,
Elsevier             978 1 926648 70 5    3rd Edn
Physical Examination And Health Assessment. Jarvis, C.  Elsevier Canada. 
13:978-1-897422-18-2 or 10:1-897422-18-0  2nd  Canadian edition.
Mosby's  Canadian Manual Of Diagnostic And Labratory Tests
Pagana, K.D.  Toronto, Elsevier 1st Cdn Ed.
Pharmacology For Canadian Health Care Practice (2011, 2nd Ed.) Lilley , Harrington et al
St. Louis,  Mosby

Mosby's Nursing Drug Reference,
Skidmore-Roth,   (26th Ed.)  Mosby

Reference Material
Students are required to bring the PNC220 Learning Package to every clinical session.

Students are expected to utilize the prescribed texts as well as texts prescribed for other nursing
courses, e.g., pharmacology, anatomy & physiology, to meet their learning needs in PNC220.

Students are also expected to access a current Medical Dictionary and English Language
dictionary as needed.

Required Supplies

Students are required to:

  •     Provide their own books and supplies for assignments
  •     Have daily access to a computer and the Internet
  •     Wear a Seneca college picture ID clip-on from the one card office
  •     Provide complete uniform, pens, pencils, note paper and stethoscope
  •     Provide a lock for the Health Care Agency setting, if necessary
  •     Extra uniform may be needed


Students are responsible for costs related to transportation and parking at the assigned clinical agency. 

Promotion Policy

Grading Policy
A+ 90%  to  100%
A 80%  to  89%
B+ 75%  to  79%
B 70%  to  74%
C+ 65%  to  69%
C 60%  to  64%
D+ 55%  to  59%
D 50%  to  54%
F 0%    to  49% (Not a Pass)
EXC Excellent
SAT Satisfactory
UNSAT Unsatisfactory

For further information, see a copy of the Academic Policy, available online ( or at Seneca's Registrar's Offices.

Modes of Evaluation
An interactive review process between student and professor is used throughout the course to review
student progress.  To achieve a satisfactory grade in PNC220, students must:

  •     Comply with the Overriding Principles
  •     Achieve the PNC220 Learning Outcomes
  •     Achieve Individualized Learning Outcomes
  •     Maintain a satisfactory Professional Portfolio
  •     Successfully complete all tests, exams, including comprehensive and assignments
  •     with a grade of 60% or greater in each.
  •     Achieve a minimum of "C" grade on all written assignments
  •     Maintain a Satisfactory Clinical Portfolio
  •     Attain 85% on the Math Quiz in order to be successful

Clinical Portfolio
The clinical portfolio is a record of your achievement.
It includes evidence of:
  •     Professional development
  •     Learning strategies for further development
  •     Ability to think critically, question and analyze
  •     Ability to interact intellectually, emotionally, and socially with clients, peers, professors and other members of the health care team.

The student will collaborate with the professor to plan entries into the Clinical Portfolio and assess student development based on the:
  •     PNC220 Overriding Principles
  •     PNC220 Learning Outcomes
  •     Evaluation by the professor
  •     Student self-evaluation

Collections of each student wil vary, depending on individual experiences and ongoing evaluation.
However, each collection should include many of the following elements. 
    Individually-written narratives with professor feedback, that offer evidence of your ability to respond positively and intentionally and plan for further development.
    Feedback from other sources, e.g., client thank you notes, staff feedback, peer review, etc.
    Records of skills demonstrated relevant to employment in the nursing field, including organizational skills, orientation
    skills, technical skills, skills related to relationship development, team skills, problem solving and decision making skills, skills related to self-directed study, writing skills, etc.
    References to literature read, and it's application to your clinical experience.
    Narrative stories of client care (what you did, how the client responded, how you felt) time plans, client related study (client names removed)
    Progress reports & evaluations.
A satisfactory clinical portfolio is one of the requirements for success in PNC220.

Overriding Principles
Students must demonstrate accountability and responsibility through:

    Participation in classes and seminars
    Contributions to a positive group dynamic
    Timely completion of quality assignments
    Open and timely communications with the professor

Students must provide a safe physical and psychosocial environment for the client including:

    Competent practice of nursing assessments and interventions
    Knowledge of policies and procedures
    Knowledge of the client's experience
    Appropriate physical set-up of the environment
    Maintenance of confidentiality
    Freedom from racism, sexism, discrimination, harassment, and other non-caring behaviours.

Students must achieve a grade of Satisfactory in PNC220 - Practical Nursing Clinical.
Students who are unsuccessful in PNC220 will not proceed to PNC320. In order to successfully
complete PNC220 students must complete all the criteria in the modes of evaluation with a minimum
of "C on all written assignments and a Satisfactory on all clinical work.

Note: If a student is deemed to be unsafe at any time during the clinical they will be asked to leave.
A meeting with the faculty, student and coordinators will be set up to establish the course of
action to be taken, including the potential termination of students participation in clinical practice.
Refer to PND Clinical Policies and forms.

A FINAL GRADE of "Satisfactory" or "Unsatisfactory" is assigned for this subject.


100% attendance to clinical practice is mandatory.

Approved by: Lisa Somers