PNC220 - Practical Nursing and Clinical

Outline info
Last revision date 2018-09-24 00:49:51.507
Last review date 2018-11-07 15:00:40.418

Subject Title
Practical Nursing and 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 course focuses on the application of theory from all semester one courses and:

  • PNH 200/201: Healing Practices for the Practical Nurse 2
  • PNE 203: Health Assessment for the Practical Nurse
  • PNL 210: Skills Lab for the Practical Nurse II
  • PNA 200: Anatomy & Physiology for the Practical Nurse II

Clinical Practice Setting

Students will be placed in long-term-care or alternate level of care settings for a twelve-week period, 10 hours per week. Hours may vary. Students will provide holistic nursing care for individuals and their families. They will practice in accordance with agency policies and procedures, and within the framework of the College of Nurses? Standards of Practice. Under the direction of the Seneca College clinical supervisor, students will collaborate with agency staff, clients and families to promote health and provide safe and effective nursing care.

Credit Status
One credit towards the Practical Nurse Diploma Program.

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

Upon completion of this course, the student will:

  1. Demonstrate knowledge and skill in assessing, planning and providing safe and organized basic care, in a timely manner, for one stable client with multiple health/self care needs.
  2. Report and document client care in a clear, accurate, and timely manner, in a variety of formats.
  3. Demonstrate knowledge, and the ability to develop and evaluate a therapeutic nurse-client relationships, when providing care, while respecting confidentiality, privacy and client’s rights.
  4. Consult and collaborate with peers, clinical supervisor and members of the health care team to provide client care.
  5. Articulate and utilize nursing and health sciences knowledge and research when assessing, planning, implementing and evaluating client care.
  6. Develop an appropriate nursing care plan, respecting client independence in collaboration with the client, client’s family or designate.
  7. Reflect on their practice, and that of others, to uncover new meaning and insights.
  8. Make clinical decisions that are supported by research to ensure safe client care.
  9. Practice in a professional manner, which complies with the college expectations, standards of the nursing regulatory body and practice-setting’s policies and procedures.
College of Nurses of Ontario Competencies: 1, 2, 3, 4, 5, 6, 7a, 7b, 10, 12, 19, 20, 21, 23, 26, 28a, 28b, 28c, 28d, 28e, 29, 31b, 31e, 32, 37, 38, 42, 45a, 45b, 47, 53, 55, 60, 66, 70, 71, 73, 74, 82, 83, 89, 93, 103, 104, 106a, 106b, 106c, 107, 111, 113a, 113b, 113c, 113d, 115.

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.


Pre-requisite: All Module 100 and Module 200 level courses

Topic Outline

The focus of PNC 220 is developing nurse-client therapeutic communication skills and relationships, performing detailed physical assessments, planning for safe nursing care, providing basic nursing care, evaluating nursing interventions and documenting client care.

Mode of Instruction

Mode of Instruction
Modes of instruction will be varied and include but are not limited to the following:
Mentoring, role modeling, presentation, discussions, group work, independent study, demonstrations

Overview of Practicum Placements

Clinical days are Saturdays or Mondays each week. 10 hours per week x 12 weeks = 120 hours

Prescribed Texts

 Jarvis, C. (2014). Physical examination and health assessment. (2nd Cdn. ed.). Toronto, ON: Saunders.
Kozier, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yui, L., Leesberg Stamler, L. (2018). Fundamentals of Canadian nursing: concepts, process and practice. (4th ed.). New Jersey: Pearson Canada
Lewis, S. L., McLean Heitkemper, M., Ruff Dirksen, S., Barry, M. A., Goldsworthy, S., & Goodridge, D. (2014).
Medical-surgical nursing in Canada. (3rd Cdn. Ed.). Toronto, ON: Elsevier.
Skidmore-Roth, L. (2016).  Mosby’s 2016 nursing drug reference. (29th ed. ). St. Louis MO: Mosby.
Access to: College of Nurses of Ontario. (2015). Standards & guidelines. Retrieved from

Reference Material

Ackley, B. J.; Ladwig, G. B. & Flynn Makic, M.B. (2017). Nursing Diagnosis Handbook. (11th ed.).
Maryland Heights, MO: Mosby Elsevier.
Jarvis, C. (2014). Pocket companion for physical examination and health assessment. (2nd Cdn. ed.). Toronto, ON: Saunders

Required Supplies

Students are required to:
·         Access a computer and the Internet daily to check E-mail, Blackboard and search professional literature.
·         Have a Seneca college picture ID clip-on from the one card office. Some agencies also require agency-specific identification cards.
·         Provide complete uniform according to Seneca College dress code, watch with second hand, pens, pencils, notepaper, stethoscope, penlight and pupil gauge. Provide a lock for the lockers in the Health Care Agency setting, if necessary.
Students are responsible for all 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 clinical faculty is used throughout the course to review student progress.  To achieve a satisfactory grade, students must:
·         Achieve the PNC 220 Learning Outcomes
·         Achieve individualized learning outcomes
·         Comply with the overriding principles outlined for PNC320
·         achieve 80% on the clinical math test
Students will participate in self and peer evaluation. The clinical faculty will provide weekly written feedback, midterm and a final evaluations based on the clinical competencies. Formative verbal feedback is provided at regular intervals.
Overriding Principles – UPDATED SECTION
Students must demonstrate accountability and responsibility through:
Attendance and punctuality - 100% mandatory
Participation in pre and post conference
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, interventions and rationales
Knowledge of agency policies and procedures
Knowledge of the client’s experience/history
Appropriate physical set-up of the environment
Maintenance of confidentiality
Freedom from racism, sexism, discrimination, harassment, and other non-caring behaviours

Approved by: Lisa Harfield