PNUR 112 - Practical Nursing III

9 Credits:

Course Description
This course prepares the nursing student to deliver holistic nursing care to adults with health alterations arising from a disruption in homeostasis. The focus is delivery of nursing care to the client with medical-surgical alterations and/or normal processes of aging. Clinical focus is for clients who need assistance coping with health problems or recovering from disease or injury. Clinical settings include clients in long term, home health and transitional care settings. 7.5:20:5

Prerequisite PN II, PN Pharm II, BIOL 132, and PSYC 203 Corequisite PN Pharm III, ENG 101

Cuellar, T. (Ed.). (2024). HESI Comprehensive Review for the NCLEX-PN Examination (7th ed.). St. Louis: Elsevier.

Donnelly-Moreno, L., & Moseley, B. (2022). Timby’s Fundamental Nursing Skills and Concepts (12th ed.). Philadelphia: Wolters Kluwer Health, Lippincott.

Donnelly-Moreno, L., & Moseley, B. (2022). Timby’s Introductory Medical-Surgical Nursing (13th ed.). Philadelphia: Wolters Kluwer Health, Lippincott.

Frandsen, G., & Pennington, S. (2021). Abram’s Clinical Drug Therapy: Rationales for Nursing Practice (12th ed.). Philadelphia: Wolters Kluwer Health, Lippincott.

Electronic Resources for PNURS 112:

• DocuCare by Lippincott
• CoursePoint enhanced and Course point+ by Lippincott
• V-Sim by Lippincott: Health Assessment
• HESI PN Case Studies with Practice Test by HESI

A. Apply the standards of practice and the legal, ethical, and regulatory guidelines for practical nurses in the long-term, transitional, and home health care settings. 

B. Provide culturally sensitive nursing interventions to clients in transitional care, long term care, and home health settings.   

C. Apply appropriate verbal and written communication techniques utilized in long-term, transitional care, and home health care settings. 

D. Utilize critical thinking skills in the clinical decision-making process to address medical-surgical and aging adult pathophysiological needs of the client.  

E. Demonstrate the use of appropriate health promotion activities as part of the nursing care of individuals with common medical-surgical disorders as seen in the t        transitional health care setting, long-term care, and community health care settings. 

F. Apply the skills and concepts as directed in the plan of care for clients in long-term, transitional care, and home health care settings. 

G.Demonstrate appropriate use of technology in communication and care of client. 

H.Understand the role of the practical nurse working within long-term, transitional, and home health care settings including the  nursing skills necessary to provide care for clients and their families.

Content
1. Occupational scope of practice, legal and ethical issues for the practical nurse in long-term, home health and transitional health care settings 

2. Culture, spiritual, sexual orientation client needs in relation to medical-surgical homeostasis and pathophysiology in both transitional and long-term care client needs.  

3. Utilizing various communication strategies with members of the interdisciplinary healthcare team to ensure continuity of care with the individual client’s transition between hospital transition and long-term/community care settings.  

4. Medical-surgical concepts that disrupt homeostasis, medications and other treatments that are applied in clinical decision-making using evidence-based practice.   

5. Application of patient safety and health promotion activities for patients in long-term, home health care and transitional health care settings.   

6. Generalized/individualized plans of care for medical-surgical clients as applied by practical nurses.   

7. Various charting/documentation methods for long-term/home health and transitional care settings as applicable in the lab and clinical settings.   

8. Exemplify respectful behaviors and knowledgeable skills to provide care to clients in the transitional, long-term and home health care settings.   

Student Evaluation
Evaluation for objectives A-H will be based on examinations, written assignments, customized HESI exam, comprehensive final examination, return skills demonstration in lab, and clinical evaluation.