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|Discipline and Nbr:
Intermediate Clinical for Vocational Nursing
|Units||Course Hours per Week|| ||Nbr of Weeks||Course Hours Total
|Maximum||4.00||Lecture Scheduled||0||17.5 max.||Lecture Scheduled||0
|Minimum||4.00||Lab Scheduled||0||17.5 min.||Lab Scheduled||0
| ||Contact DHR||12.00|| ||Contact DHR||210.00
| ||Contact Total||12.00|| ||Contact Total||210.00
| ||Non-contact DHR||0|| ||Non-contact DHR Total||0
Title 5 Category:
AA Degree Applicable
00 - Two Repeats if Grade was D, F, NC, or NP
Also Listed As:
| ||Total Out of Class Hours: 0.00||Total Student Learning Hours: 210.00||
This is one of two intermediate level clinical courses, which prepares students to practice vocational nursing. Principles learned in prerequisite and corequisite theory and skills courses are applied to the care of patients in acute medical-surgical settings. Compared with the first clinical course, students care for patients with more complicated medical conditions, who are less clinically stable. Students' focus is broadened to include more aspects of patient care. Perioperative care is a major focus of the course.
Course Completion of NRV 51L and Concurrent Enrollment in NRV 52.1 ( or NRV 52A) and Concurrent Enrollment in NRV 58B
Limits on Enrollment:
Schedule of Classes Information
Second level vocational nursing (VN) clinical course. Application of principles from the prerequisite and corequisite courses. Care of more complex patients. Focus on perioperative patients. Broader scope of care.
Prerequisites:Course Completion of NRV 51L and Concurrent Enrollment in NRV 52.1 ( or NRV 52A) and Concurrent Enrollment in NRV 58B
Limits on Enrollment:
Repeatability:00 - Two Repeats if Grade was D, F, NC, or NP
ARTICULATION, MAJOR, and CERTIFICATION INFORMATION
Certificate Applicable Course
Outcomes and Objectives:
At the conclusion of this course, the student should be able to:
|CSU GE:||Transfer Area|| ||Effective:||Inactive:
|IGETC:||Transfer Area|| ||Effective:||Inactive:
|CSU Transfer:||Transferable||Effective:||Fall 1981||Inactive:||Fall 2021
Under the following clinical learning conditions:
a. Students will be supervised less closely than in fundamentals course.
b. Support is provided by instructor and resource nurses and students are
guided to begin assuming responsibility for judgements; and, students
begin to be more accountable for their own need for guidance.
c. Principles learned in prerequisite and corequisite courses are applied
d. Students practice intermediate level skills, as well as, all prior
learned fundamental skills.
Upon completion of this course, students will:
1. Apply knowledge base including concepts from all prior prerequisite and
2. Analyze and utilize all components of the nursing process (assessment,
planning, implementation & evaluation) at a higher level of functioning
than previously demonstrated in the fundamentals course.
3. Prioritize care and organize according to timelines efficiently while
maintaining a safe environment.
4. Continue to provide culturally sensitive care and communicate clearly.
5. Communicate at a higher level for the interaction of patient and family
6. Continue to provide care in a professional and ethical manner with an
increased ability to perceive and discuss potential and actual ethical
dilemmas in administering patient care.
7. Document observations accurately with an increasing ability to evaluate
outcomes of care and alter plan of care accordingly.
8. Perform as a team member at an increasingly independent level of the
Topics and Scope
1. Orientation to clinical units.
2. Quick data base collection of chart and patient information.
3. Care of postoperative and intermediate acute patients.
4. Clinical pathways and teaching protocols.
5. Complex medication regimens.
6. Physical assessment tailoring with a broader scope of care.
7. Spiritual care related to loss of abilities from illness.
8. Complex family systems interactions.
9. Care of 2-3 patients per shift in acute setting.
10. Prioritizing and goal setting.
11. Interdisciplinary team approach and appropriate utilization of staff.
12. Preoperative, intraoperative and postoperative care of a variety of
clients and disease conditions in all body systems such as:
a. Musculoskeletal and neurological systems.
b. Circulatory and respiratory systems.
c. Integumentary and sensory systems.
d. Digestive and reproductive systems.
e. Urinary and endocrine systems.
1. Prep data base sheets on each individual patient assignment.
2. Assignment of 2-3 patients per clinical day, with additional "pick-up"
of patients after discharges.
3. Development of concise worksheets and careplans.
4. Assessment of patients with multisystem effects.
5. Administration of all medications within the vocational nurse (VN)
scope of practice.
6. Intravenous (IV) therapy within the VN scope of practice of a
7. Performance of all basic and intermediate skills taught in prior labs
with increasing dexterity.
8. Critical thinking of relating abnormal data findings to plan of care.
9. Monitoring of complex medication regimes and their relationship to labs
and diagnostic values.
10. Comprehensive chart reviews.
11. Fractional dosage examinations.
12. Final case study reports in written and verbal case presentation
13. Active participation in post ward conferences.
Methods of Evaluation/Basis of Grade.
Representative Textbooks and Materials:
|Writing: Assessment tools that demonstrate writing skill and/or require students to select, organize and explain ideas in writing.||Writing
0 - 0%
|This is a degree applicable course but assessment tools based on writing are not included because skill demonstrations are more appropriate for this course.
|Problem solving: Assessment tools, other than exams, that demonstrate competence in computational or non-computational problem solving skills.||Problem Solving
0 - 0%
|Skill Demonstrations: All skill-based and physical demonstrations used for assessment purposes including skill performance exams.||Skill Demonstrations
100 - 100%
|Performance exams, Clinical evaluation||
|Exams: All forms of formal testing, other than skill performance exams.||Exams
0 - 0%
|Other: Includes any assessment tools that do not logically fit into the above categories.||Other Category
0 - 0%
ESSENTIALS OF MEDICAL-SURGICAL NURSING, 4th ed., by S.C. deWit, W.B.
Saunders Co., Philadelphia (1998).
CLINICAL NURSING SKILLS, 5th ed., by S.F. Smith, D.J. Duell, Appleton &
Lange, Stanford, Connecticut (2000).
MOSBY'S DIAGNOSTIC & LAB REFERENCE, by K.D. Pagana & T.J. Pagana, Mosby's,
St. Louis, (1998).
NURSING DRUG GUIDE 2001, by B.A. Wilson, M.T. Shannon, & C.L. Stang,
Prentice Hall, New Jersey (2001).
NRV 52 Syllabus and Student Handbook of Policies.