Health Careers Division
VNSG 1361 Clinical Nursing
I. COURSE DESCRIPTION: (as stated in the bulletin, including necessary pre-requisite courses, credit hours)
VNSG 1361 Clinical Nursing (Clinical Practice I). Three credit hours. 288 clinical hours.
Prerequisites: CPR Card (American Heart Association) and updated Immunizations/Titers.
Co-requisite: VNSG 1226, VNSG 1304, VNSG 1405, and VNSG 1423.
A method of instruction providing detailed education, training, and work-based experience and direct patient/client
care generally at a clinical site. Specific detailed learning objectives are developed for this course by the faculty.
On-site clinical instructions, supervision, evaluation, and placement are the responsibility of the college faculty.
Clinical experiences are unpaid external learning experiences. Courses may be repeated if topics and learning
Freshmen working toward educational requirements for a Vocational Nursing Certificate.
Name: Honore Bailey R.N. Jasper, Texas (409) 489-9000
Charlet Blades M.S.N., R.N. Crockett, Texas (936) 545-4323
Debbie Williams, RN Lufkin, Texas (936) 633-5444
Jacqueline McClain, R. N. Lufkin, Texas (936) 633-5265
J’Brain Opella, M. S. N., R. N Lufkin, Texas (936) 633-3221
Office Location: See above
Office Hours: See office posting
Phone: See above
E-mail Address: All above faculty e-mail addresses are available on Angelina College WebCT and on
II. INTENDED STUDENT OUTCOMES:
A. Core Competencies – (Basic Intellectual Competencies)
1. Reading: Reading at the college level means the ability to analyze and interpret a variety of printed
materials – books, articles, and documents. A core curriculum should offer students the opportunity to
master both general methods of analyzing printed materials and specific methods for analyzing the subject
matter of individual disciplines.
2. Writing: Competency in writing is the ability to produce clear, correct, and coherent prose adapted to
purpose, occasion, and audience. Although correct grammar, spelling, and punctuation are each a sine
qua non in any composition, they do not automatically ensure that the composition itself makes sense or
that the writer has much of anything to say. Students need to be familiar with the writing process including
how to discover a topic and how to develop and organize it, how to phrase it effectively for their audience.
These abilities can be acquired only through practice and reflection.
3. Speaking: Competence in speaking is the ability to communicate orally in clear, coherent, and
persuasive language appropriate to purpose, occasion, and audience. Developing this competency
includes acquiring poise and developing control of the language through experience in making
presentations to small groups, to large groups, and through the media.
4. Listening: Listening at the college level means the ability to analyze and interpret various forms of
5. Critical Thinking: Critical thinking embraces methods for applying both qualitative and quantitative
skills analytically and creatively to subject matter in order to evaluate arguments and to construct
alternative strategies. Problem solving is one of the applications of critical thinking, used to address an
6. Computer Literacy: Computer literacy at the college level means the ability to use computer-based
technology in communicating, solving problems, and acquiring information. Core-educated students should
have an understanding of the limits, problems, and possibilities associated with the use of technology, and
should have the tools necessary to evaluate and learn new technologies as they become available. (The
Texas Higher Education Coordinating Board. (“Report of Subcommittee on Core Curriculum”, March 1,
B. Exemplary Objectives – (Found in the Texas Higher Education Coordinating Board Document. Titled:
CORE CURRICULUM: ASSUMPTIONS AND DEFINING CHARACTERISTICS Dated: April 1998)
Not applicable for Nursing Program
C. Course Objectives – (common to all sections)
During this course, the beginning student will learn Basic Skills in the nursing skills lab. The student will,
with the help of a licensed nurse acting as a clinical instructor, be able to perform basic skills such as:
Assess the environmental variables and make suggestions for change to identify and improve the care of
the resident/ patient.
Assist in promoting a safe, effective care environment conducive to the optimal health and dignity f the
Carry out appropriate related activities to assist the resident/ patient to meet basic physiological needs.
Carry out simple measures to support the psychological well-being of the resident/ patient through
appropriate sensory stimulation and promotion of integrity and autonomy.
Observe and communicate the resident’s/ patient’s bill of rights.
Perform basic nursing procedures and skills safely and effectively in the laboratory setting within 3
attempts. (Use clinical check off list). The standard for all skills check offs is the following textbook:
deWitt, S.C., (2008) Fundamental Concepts and Skills for Nursing (3 ed.). St. Louis MO: Elsevier-Mosby
Apply learned laboratory skills in the clinical settings under the supervision of the instructor.
Carry out measures to promote rehabilitation.
D. Course Objectives - Unit Objectives for Dosage Calculations:
Chapter 1: Fractions and Decimals
1. Compare the values of fractions and decimals.
2. Convert between mixed numbers and improper fractions, and between reduced and
equivalent forms of fractions.
3. Add, subtract, multiply, and divide fractions and decimals.
4. Round a decimal to a given place value.
5. Read and write out the value of decimal numbers.
Chapter 2: Ratios, Percents, Simple Equations, and Ratio-Proportion
1. Interpret values expressed in ratios.
2. Convert among fractions, decimals, ratios, and percents.
3. Compare the size of fractions, decimals, ratios, and percents.
4. Determine the value of X in simple equations.
5. Set up proportions for solving problems.
6. Cross-multiply to find the value of X in a proportion.
7. Calculate the percentage of a quantity.
Chapter 3: Systems of Measurement
1. Interpret and properly express metric, apothecary, and household notation.
2. Recall metric, apothecary, and household equivalents.
3. Explain the use of milliequivalent (mEq), international unit, unit, and milliunit in dosage
Chapter 4: Conversions: Metric, Apothecary, and Household Systems
1. Recall from memory the metric, apothecary, and household approximate equivalents.
2. Convert among units of measurement within the same system.
3. Convert units of measurement from one system to another.
Chapter 5: Conversions for Other Clinical Applications: Time and Temperature
1. Convert between traditional and international time.
2. Convert between Celsius and Fahrenheit temperature.
Chapter 6: Equipment Used in Dosage Measurement
1. Recognize and select the appropriate equipment for the medication, dosage, and method of
Chapter 7: Interpreting Drug Orders
1. Read and write correct medical notation.
2. Write the standard medical abbreviation from a list of common terminology.
3. Classify the notation that specifies the dosage, route, and frequency of the medication to be
4. Interpret physician and other prescribing practitioner orders and medication administration
Chapter 8: Understanding Drug Labels
1. Find and differentiate the brand and generic names of drugs.
2. Determine the dosage strength.
3. Determine the form in which the drug is supplied.
4. Determine the supply dosage or concentration.
5. Identify the total volume of the drug container.
6. Differentiate the total volume of the container from the supply dosage.
7. Find the directions for mixing or preparing the supply dosage of drugs, as needed.
8. Recognize and follow drug alerts.
9. Identify the administration route.
10. Check the expiration date.
11. Identify the lot or control number, National Drug Code, bar code symbols, and controlled
12. Recognize the manufacturer's name.
13. Differentiate labels for multidose and unit dose containers.
14. Identify combination drugs.
15. Describe supply dosage expressed as a ratio or percent.
Chapter 9: Preventing Medication Errors
1. Describe the consequences and costs of medication errors.
2. Cite incidence of hospital injuries and eeaths attributable to medication errors.
3. Explore evidence and rationale for underreporting of medication errors.
4. Name the steps involved in medication adminsitration.
5. Identify six common causes of medication errors.
6. Identify the role of the nurse in preventing medication errors.
7. Describe the role of technology and health care administration in medication error
8. Recognize examples of prescription, transcription, and recording notation errors.
9. Correct medical notation errors.
10. Describe the requirements of The Joint Commission to prevent medication errors.
11. Provide a sound rationale for the critical nature of medication administration and the
importance of accurate and safe dosage calculations and medication administration.
Chapter 10: Oral Dosage of Drugs
1. Convert all units of measurement to the same system and same size units.
2. Estimate the reasonable amount of the drug to be administered.
3. Use the formula D/H X Q = X to calculate drug dosage.
4. Calculate the number of tablets or capsules that are contained in prescribed dosages.
5. Calculate the volume of liquid per dose when the prescribed dosage is in solution form.
Chapter 11: Parenteral Dosage of Drugs
1. Apply the three steps for dosage calculations: convert, think, and calculate.
2. Use the formula D/H X Q = X to calculate the amount to give.
3. Measure insulin in a matching insulin syringe.
4. Compare the calibration of U-100 insulin syringe units to milliliters (100 units/mL).
Chapter 12: Reconstitution of Solutions
1. Define and apply the terms solvent (diluent), solute, and solution.
2. Reconstitute and label medications supplied in powder or dry form.
3. Differentiate between varying directions for reconstitution and select the correct set to
prepare the dosage ordered.
4. Calculate the amount of solute and solvent needed to prepare a desired strength and
quantity of an irrigating solution or enteral feeding.
III. ASSESSMENT MEASURES OF STUDENT LEARNING OUTCOMES:
A. Assessments for the Core Intellectual Competencies –
1. Reading – Competency in reading will be assessed through student's reading and understanding of
course material and reference books.
2. Writing – Competency in writing is assessed through written assignments, care maps, windows, and
3. Speaking – Competency in speaking is assessed through oral contribution to class discussion and
through interpersonal communication with the instructors, patients, and peers.
4. Listening – Competency in listening is assessed through the student's response to questions,
demonstration of ability to follow instructions, and ability to complete assignments as instructed.
5. Critical Thinking – Competency in critical thinking is assessed through student's ability to discuss the
content of required reading assignments, the ability to identify and distinquish between
diseases affecting clients, and the ability to proficiently apply the learned material through testing,
and application in the clinical setting. Angelina College defines critical thinking as the dynamic process
of questioning preconceptions and biases through the gathering and evaluation of data to reach new
conclusions that consider realistic implications and consequences.
6. Computer Literacy – Competency in computer literacy will be assessed by the student's ability to
complete assigned computer assisted instruction, on-line testing, and WEB CT course materials.
B. Assessments for the Exemplary Objectives Specific to the Course –
Non-applicable for the Nursing Program.
C. Assessments for Objectives Specific to the Course –
SCANS Skills Assessments
Critical Thinking Assignments
Workplace Competencies: Administer medications
Prepare written care maps, care plans, & windows
Interpret physician orders
Communicate with clients
Communicate with interdisciplinary health team.
Teach clients about medications administered
Use the computer in the work setting
D. Assessments for the Objectives of the Course as determined by the Instructor –
Clinical objectives are outlined in the Angelina College Vocational Nursing Handbook.
IV. INSTRUCTIONAL PROCEDURES:
Methodologies utilized in this course include classroom teaching,discussions, skills lab demonstrations and
performance examinations, audio/ visual presentations.
Written assignments as assigned by instructor, computer assignments, and guest speakers if applicable.
V. COURSE REQUIREMENTS AND POLICIES:
A. Required Textbooks, Materials and Equipment –
Ackley, B.J. & Ladwig, G.B.,(2011) Nursing Diagnosis Handbook; A Guide to Planning Care (8 ed). St. Louis Mo:
Albanese, J.A.,MS. PhD & Nutz, P.A. RN,MSN, Med (2009).Mosby’s 2009 Nursing Drug Cards (19 ed.) St. Louis
deWitt S.C., (2008) Student Learning Guide to Accompany Fundamental Concepts and Skills in Nursing (3 ed.).
St. Louis Mo: Elsevier- Mosby
deWitt, S.C., (2008) Fundamental Concepts in Nursing (3 ed.). St Louis Mo: Elsevier-Mosby
Eyles, M.O. (2011). Mosby’s NCLEX PN examination. Elsevier-Mosby
Herilhy, B. (2011). The Human Body and Illness (4 ed).St. Louis Mo: Elsevier-Mosby
Leonard, P.C.,(2011) Quick and Easy Medical Terminology (6 ed.). St. Louis Mo: Elsevier-Mosby
Mosby’s Medical Nursing and Allied Health Dictionary (8 ed). (2009). St. Louis Mo: Elsevier Pickar, G.D., &
Albernathy, Amy Pickar, (2008). Dosage Calculations (8 ed.). Clifton Park, NY: Delmar
Langford, R.W.(2008). Nursing PDQ for LPN(2 ed). St. Louis MO: Elsevier- Mosby
Wold, G.H.,(2011) Basic Geriatric Nursing (5 ed).Elsevier-Mosby
B. Assignments – (Appropriate due dates, schedules, deadlines)
Suggested activities assigned per instructor including getting acquainted with the textbooks, reading the
chapters assigned per the Black board calendar/ course calendar, reviewing the vocabulary for each chapter,
practicing the skills and then performing the skills as per policy. The instructor will determine when the student has
successfully completed the check offs.
C. Course Policies – (This course conforms to the policies of Angelina College as
stated in the Angelina College Handbook.)
Academic Assistance – If you have a disability (as cited in Section 504 of the Rehabilitation Act of 1973
or Title II of the Americans with Disabilities Act of 1990) that may affect your participation in this class, you
should see Karen Bowser, Room 208 of the Student Center. At a post-secondary institution, you must self-
identify as a person with a disability; Ms. Bowser will assist you with the necessary information to do so.
Attendance – See the Angelina College Vocational Nursing Handbook for attendance policy.
Additional Specific Requirements for this Course - (Withdrawal and Dismissal) Students considering
withdrawal from the program should talk to the Nursing Program Coordinator for withdrawal and re-entry
information. When a student does not officially withdraw in the office of admissions, an F will appear on the
transcript for the courses in progress at the time.
All exams, written assignments, and clinical folders become the property of the Nursing Program. No late
assignments will be accepted.
VI. COURSE CONTENT:
A. Content/ Topics - (as required by the individual Instructor)
Application of the theory, concepts and skills associated with the general principles of Basic Nursing as
outlined in VNSG 1361 Clinical Nursing
B. Additional Content
Understanding and interpretation of the textbook and any additional material assigned by the instructor.
VII. EVALUATION AND GRADING:
A. Grading Criteria
Pass is defined as achievement of all the following:
1. Completion of 100% of all the course requirements.
2. Adherence to all policies.
3. Timely submittal of all assignments and paperwork
4. Completion of patient-care assignments in a safe and timely manner.
5. 85% or greater the final dosage calculations exam within 2 attempts.
6. Pass at least one care plan this semester with a 75 or above.
7. Pass the weekly clinical assignment with an A,B, or C for an average at the end of the semester (refer to
the Angelina Weekly clinical evaluation)
Fail is defined as failure to achieve any or all of the following:
1. Less than 100% completion of course requirements.
2. Non-adherence to all policies.
3. Untimely submittal of all paperwork.
4. Inability to complete patient assignments in a safe manner.
5. Inability to resolve probationary status.
6. Progression in the VN program requires successful completion of the co-requisite courses with a minimum
grade of C.
7. Achieve less than 85 on the final dosage calculation exam within 2nd attempt.
8. Achieve less than a 75 on at least one care plan this semester.
9. Achieve F as an average on the weekly clinical evaluations.
In order to successfully complete this course, the student will:
1. Attend all assigned laboratory and clinical days, no more than 2 absences per semester for this course.
2. Pass all skills in the laboratory setting.3 attempts are allowed for each skill, if the student fails to
successfully demonstrate the skill within 3 attempts the student will receive a Fail for VNSG 1361.The
student must then withdraw from all co-requisite courses.
3. Adhere to all the above described policy on skills performed in the skills laboratory and clinical setting.
4. Pas the dosage calculations final exam with a minimum grade of 85 each semester within 2 attempts.
5. Pass at least one care plan this semester with a 75 or better.
6. Have an average of C or better on the weekly clinical evaluations by the end of the semester.
B. Determination of Grade
Please refer to the Angelina College Vocational Nursing Program Handbook for policies that govern
this clinical course.
Pass or Fail as described in "Grading Criteria" above.
C. Dosage Calculations:
Exam 1 - Chapters 1-4
Exam 2 - Chapters 5-12
Comprehensive Final Exam - Chapters 1-12
VIII. SYLLABUS MODIFICATION:
The instructor may modify the provisions of the syllabus to meet individual class needs by informing the class
in advance as to the changes being made.