PNC420 - Practical Nursing Clinical

Outline info
Last revision date 2018-06-18 12:27:44.34
Last review date 2018-06-18 12:27:44.341

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 and semester three:

  • 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

Clinical Practice Setting:

Students will be placed in a variety of healthcare settings for a twelve-week period, 12 hours per week.  Hours will 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
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 completion of this course, the student will:

  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. Suggest: 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. 

College of Nurses of Ontario Competencies: 1, 2, 3, 4, 5, 6, 7a, 7b, 10, 11, 12, 13, 18, 19, 20, 21, 22, 23, 25, 26, 27a, 27b, 28a, 28b, 28c, 28d, 28e, 29, 31b, 31c, 31d, 31e, 32, 33, 34, 36, 37, 38, 39, 41, 42, 45a, 45b, 46, 47, 48, 52, 53, 54, 55, 56, 59, 60, 61, 63, 66, 70, 71, 72, 73, 74, 76, 79, 81, 82, 83, 85, 86a, 89, 93, 97, 98, 100, 103, 104, 106a, 106b, 106c, 107, 110a, 110b, 110d, 111, 113a, 113b, 113c, 113d, 113e, 113f, 115, 117a, 117b, 117d, 118

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, 200, 300 and 400 level 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 Presentation
Discussion Group Work Demonstration
Independent Study  Supervised Practice  

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.


Lilly, L. L., Collin, S. R., & Snyder, JS. (2016). Pharmacology for Canadaian healthcare practice. (3rd Cdn. ed.). St.

Lousi, MO: Mosby.


Skidmore-Roth, L. (2016).  Mosby’s 2016 nursing drug reference. (29th ed. ). St. Louis MO: Mosby.


VanMeter, K. C., & Huber, R.J. (2014). Gould’s pathophysiology for the health professions. (5th ed.). St. Louis Elsevier.


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.


Mosby's Dictionary of Medicine, Nursing & Health Professions (9th ed.). (2013). St. Louis, MO: Mosby Elsevier.


Venes, D (Editor) (2013) Taber’s Cyclopedic Medical Dictionary (22nd ed.). Philadelphia, PA: Davis.


Hopkins, T. (2011). Lab notes: Guide to lab and diagnostic tests (3rd. ed.). Philadelphia, PA: Davis


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

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 PNC420 – Clinical for the Practical Nurse and they must successfully pass the clinical math test with a minimum grade of 90%.  Students with a grade of unsatisfactory will not proceed to PNC 520.

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:
·         Comply with the Overriding Principles
·         Achieve the PNC 420 Learning Outcomes
·         Achieve an 90% on clinical math test
·         Achieve individualized learning outcomes

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.
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 Harfield