PNC320 - Practical Nursing Clinical

Outline info
Last revision date 2017-05-29 00:26:45.191
Last review date 2017-07-17 00:15:03.159

Subject Title
Practical Nursing Clinical

Subject Description
Students continue to apply theoretical concepts in a nursing practice setting. Students are assigned to work in health care agencies on medical/surgical and/or specialty areas. They work with health care professionals while making a positive contribution to the health of individuals and families.

Credit Status
One credit in the Practical Nurse Program

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

1. Communicate effectively, verbally, in writing and on the computer.

2. Establish relationships using intentional, therapeutic communication techniques.

3. Investigate the lived experience of illness as expressed by individuals and their families and recognize the impact on their health and healing and on the plan of care.

4. Apply theoretical concepts, think critically, question, analyse and search literature for best practices when assessing, planning, implementing and evaluating care of individuals and their families.

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

6. Maintain and promote health by providing patient-centred care and competently implementing healing practices.

7. Provide in-depth care for an increasing number of assigned clients.

8. Contribute positively to the learning of peers and other members of the health care team.

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

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, Module 200 courses and 300 courses

Topic Outline

Independent Study: Students will prepare for their placement setting by accessing a variety of resources and interacting with the professor/instructor and others sharing the same clinical setting.   Students will investigate client related information and prepare to integrate  the 5 practice concepts studied independently, and in related nursing, and general education courses. Students who do not complete the necessary independent study or cannot prepare for the care required within a reasonable time frame will be considered unprepared for the clinical experience.  For safety reasons, the professor/instructor may prohibit this student from providing patient/resident care and may require the student to leave the clinical area.

Mode of Instruction
Modes of instruction will be varied and include but are not limited to the following:

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

Prescribed Texts
Kozier, B., Erb, G., Breman, A., Snyder, S., Buck, M., Yui, L., Leesberg Stamler, L. (2014).  Fundamentals of Canadian nursing: concepts, process and practice. (3rd ed.). New Jersey: Pearson Canada
Lewis, S. L., McLean Heitkemper, M., Ruff Dirksen, S., Barry, M. A., Goldsworthy, S., &
Goodridge, D. (2013). Medical-surgical nursing in Canada. (3rd Cdn. ed.). Toronto, ON: Elsevier.
Mosby’s Dictionary of Medicine, Nursing & Health Professions (10th ed.) (2017).  St. Louis: Mosby-Year Book
Skidmore-Roth, L. (2017). Mosby’s 2017 Nursing Drug Reference (30th ed.). St. Louis, MO: Mosby

College of Nurses of Ontario. (2009). Compendium of standards of practice for nurses in Ontario. Toronto: College of Nurses of Ontario.   

Reference Material
Carpenito-Moyet, L., J. (2012). Nursing diagnosis: Application to clinical practice. (14th ed.). Philadelphia: Lippincott, Wolters Kluwer.
Mosby’s Dictionary of Medicine, Nursing & Health Professions (10th ed.) (2017).  St. Louis: Mosby-Year Book
Panga, K. D., & Panga, T. J. (2013). Mosby’s Canadian Manuarl of diagnostic and Laboratory Tests. (1st Cdn. ed.) Toronto, ON: Elsevier.
Skidmore-Roth, L. (2017). Mosby’s 2017 Nursing Drug Reference (30th ed.). St. Louis, MO: Mosby

Required Supplies

Students are required to:
·         Provide their own books and supplies for assignments. 
·         Access to a computer and the Internet daily to check e-mail and Blackboard.
·         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

A grade of Satisfactory or Unsatisfactory is assigned for this subject.
For further information, see a copy of the Academic Policy, available online ( or at Seneca's Registrar's Offices.

The student must meet all course competencies in order to achieve a grade of ‘Satisfactory’ in PNC320 – Clinical for the Practical Nurse and they must successfully pass the clinical math test with a minimum grade of 85%.  Students with a grade of unsatisfactory will not proceed to PNC 420.

Modes of Evaluation

An interactive review process between student and instructor is used throughout the course to review student progress.
To achieve a satisfactory grade in PNC320, students must:
·         Meet the PNC320 learning outcomes
·         Comply with the overriding principles outlined for PNC320
·         Achieve an 85% on the math test
·         Complete satisfactory teaching and discharge plans which include community resources
Students will participate in self and peer evaluation. The clinical instructor will provide written feedback and a midterm and final written evaluation based on progress on the learning outcomes. Formative verbal feedback is provided at regular intervals.
Overriding Principles – UPDATED SECTION
Students must demonstrate accountability and responsibility through:
Attendance and punctuality
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 Somers