PNC520 - Practical Nursing Consolidation

Outline info
Last revision date 2018-06-20 15:17:25.347
Last review date 2018-06-20 15:17:25.349

Subject Title
Practical Nursing Consolidation

Subject Description
Having completed all professional and general education subject requirements, students will enter into their final consolidation practicum.  This is an intensive and demanding clinical practice course.  Clinical practice hours do not include course orientation on campus. Working with a preceptor that is a registered practical nurse, the student will collaborate to develop and refine their clinical practice skills and meet the learning outcomes of this course. The student shares the preceptor's clinical practice schedule.  Hours and days of the week will vary.  Under the preceptor's guidance and mentoring, the student will meet the learning outcomes of this experience. The student will work the preceptor?s schedule throughout the term. The student is required to log 400 supervised clinical hours.  During this time, he/she will strive to gradually assume the workload of an RPN at that clinical agency

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:

(CNO ETP competencies identified per learning outcome)
Upon Completion of this course the student will:

  1. Demonstrate the ability to communicate effectively with clients, peers and the interprofessional health care team members, both verbally and in writing, utilize computerized documentation programs, and recognize the difference between relevant and irrelevant information.
(CNO ETP: 12,37,39,80,89,93,97,98,100,103,110a,b, c, d, 117a,b, c, d, 121)
  1. Demonstrate the behaviours and actions that contribute to therapeutic nurse-client relationship and the use of therapeutic communication techniques that supports health teaching, empowers clients to determine resources for their health care needs, and ensure ethical and safe client-centred care.
(CNO ETP: 1, 12, 14, 16, 17,18, 28a, 35,40,41,47,49,60,62,63,66,67,69,71,73,76,77,78,82,103,113a,b,c)
  1. Establish and maintain a caring safe client-centred environment that supports a collaborative relationship with clients respecting of diversity in order to achieve optimal health outcomes, manage illness and chronic disease, or a peaceful death.
(CNO ETP: 14,16,17, 28b, 28c, 45a, 49,62,63,66,67,69,72,76,78,87,90,92,96,104)
  1. Evaluate and apply evidence-informed nursing knowledge as well as providing and receiving feedback from health care team member to develop and use clinical judgment, prioritize plans of care, establish health-teaching strategies and evaluate client outcomes.
(CNO ETP: 4,6,18,19,20,21,28b, 28c, 29,41,45a,49,62,84,88,91,97,98,99,100,107)
  1. Collaborate with the interprofessional and Intraprofessional health care team members during the assessment of clients, analyzing and interpreting data, setting priorities, implementing effective nursing interventions and treatments, and evaluating and modifying plans of care and outcomes for clients. (CNO ETP: 2,18,19, 20, 26, 27a, 27b, 28b, 29, 31a,b, c, d, e, 32, 35,36, 37, 40, 45a,b, 54,55,89,96,97,98,100)
  1. Demonstrate knowledge of the distinction between ethical responsibility and legal rights of clients, advocating for clients, the importance of obtaining consent, and providing privacy and confidentiality when providing care.
(CNO ETP: 7a, 7b, 16, 28b, 35, 38,63,66,67,68,69,70,72,78,79,81,82,104,113c,f, 115,118,121)
  1. Implements and evaluates the appropriate conflict resolution skills, which includes the use of supportive behaviors, active listening, as well as respectful, clear and concise professional language.  (CNO ETP: 11, 22,29,46,59,60,63,72,76,100)
  1. Demonstrate knowledge of critical thinking and problem solving skills in all aspects of nursing care through reflective practice, use of the nursing process and systematic inquiry.
(CNO ETP:  4,6, 18,19, 20, 24, 28c, 52,64,65,75)
  1. Maintain clear, concise, accurate and timely records of client care, both in writing and using computer technology, according to the facility policies.
(CNO ETP: 8, 21,42,45a,b, 109,110a,b, c, d, e, 113d, 115,117a,b, c, d)
  1. Demonstrate professional behaviour in all nurse-client interactions, enact the primary principle to protect the public, maintain nurse-client boundaries, and assist to identify of client abuse.
(CNO ETP: 1,16,44,45a, 71,72,82,83,94,101,104,113a,b, 116b, 118, 121)
  1. Autonomously perform a wide range of nursing interventions that promote health, prevent disease, restore health, and provide palliation, and the appropriateness of delegation and teaching unregulated care providers within the scope of practice.
(CNO ETP: 4, 6, 11, 9, 24, 31a,b, c, d, e, 40,43,44,58,96)
  1. Demonstrate an understanding of the impact and implications of informatics, technologies and physical resources in health care required to manage the care for clients.
(CNO ETP: 39,42,45b, 95,102,109,110a,b, c, d, 117a,b, c, d,118, 121)
  1. Demonstrate openness to new ideas and awareness of current nursing trends that the impact of the determinant of health, and will enhance and supports the changing health care environment and nursing care.
(CNO ETP: 29, 30,31a,b, 45a,b, 50,53,84,87,88,90,92, 99,111)
  1. In collaboration with client and family members responds and appropriately reports to health care team members rapidly changing situations that effect care, changes in priorities and client outcomes. (CNO ETP: 28a,b, c, d, e, f, 29, 32, 41,55,56,97,98,110a)
  1. Demonstrate appropriate medication administration, aseptic and sterile techniques in the management of therapeutic nursing interventions during the implementation of care.
(CNO ETP 31a,b,c,d, 33, 34, 45a,b, 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, 200, 300 400 level courses as well as the completion of all GNED courses.

Topic Outline
Consolidation is the final clinical experience of the Practical Nursing Diploma program.  It follows successful completion of all program course requirements.
The major focus of Consolidation is to develop clinical confidence and facilitate the transition from student level to a Practical Nurse level.

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               Independent Study                Demonstration                     

Prescribed Texts
Assessment Strategies.  (2017). The Canadian PN Exam Prep Guide.  (5th ed.). Ottawa, ON: Author.  on line order

Sillvestri, L.A. Saunder Comprehensive Review for NCLEX-PN Examination (5th) edition  ISBN: 9780323289313

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

Reference Material
Carpenito-Moyet, L., J. (2012). Nursing diagnosis: Application to clinical practice. (14th ed.). Philadelphia: Lippincott, Wolters Kluwer.
Panga, K. D., & Panga, T. J. (2013). Mosby’s Canadian Manuarl of diagnostic and Laboratory Tests. (1st 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.

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 PNC520 – Clinical for the Practical Nurse and complete two comprehensive exams and achieve a grade of a grade of 75% on at least one.  Students with a grade of unsatisfactory will not be able to graduate from the practical nursing program.
If a student is deemed to be unsafe at any time during the clinical, 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 student’s participation in clinical practice. Refer to PND Clinical Policies and forms.

Modes of Evaluation


Promotion Policy

Seneca faculty assigns the final grade of SAT or UNSAT on the completion and submission of course work and for the following evaluations:

• Comprehensive exam #1 (Multiple Choice Examination) with grade of 75% or higher

• Comprehensive exam #2 (Multiple Choice Examination) with grade of 75% or higher

• Clinical math test with grade of 90% or greater

• Satisfactory clinical evaluation


Modes of Evaluation

An interactive process between student, preceptor, Seneca College Faculty and clinical supervisor is used throughout the course to assess student progress.

To be successful in PNC520 students will need to complete and achieve ‘satisfactory’ grade for the following course work and evaluations:

• Complete writing two comprehensive exams and achieve a grade of 75% on at least one of the exams.

• Complete a comprehensive pre-testing exam prior to starting clinical.

• Complete a clinical math test with a grade of 90% or higher (orientation week 1).

• Submit a summary of the CNO Practice Standard and Guidelines before midterm clinical evaluation.

• Complete the CNO Abuse Prevention Program before final clinical evaluation.

• Complete 400 supervised clinical practice hours.

• Submit a ‘self-evaluation’ with their final clinical preceptor clinical evaluation.

• Obtain a successful final clinical evaluation.


Seneca faculty assigns the final grade of SAT or UNSAT on the satisfactory completion of clinical hours, and the submission of clinical evaluations and course work.

Approved by: Lisa Harfield