!Outline-Pratice Lab II

School of Health & Community Services
Practice Lab II
2018-19 Academic Year

Program Year Semester
HCS-Practical Nursing Diploma 1 2
Course Code: NURS 2523 Course Equiv. Code(s): N/A

Course Hours: 42 Course GPA Weighting: Pass/Fail
Prerequisite: ANAT 1500, BIOL 2582, NURS 1523, NURS 1526
Corequisite: HASS 2500 AND MATH 1503 AND NURS 2517
Laptop Course: Yes X No
Delivery Mode(s): In class Online Hybrid X Correspondence
Authorized by (Dean or Director): Judeline Innocent Date: January 2019
Prepared by
First Name Last Name Email
Angela Davis angela.davis@durhamcollege.ca
Durham College Course Outline - NURS 2523 - 2018-2019 Page 1 of 41

Course Description:
Practice Lab II provides the student with the opportunity to acquire the knowledge and skill necessary to competently
perform advanced psychomotor skills. The student learns and practices these skills within the simulated practicum
environment of the Health Care Learning Center. With each skill-set the student integrates relevant nursing and health
related theory including the knowledge of professional standards. Learning activities are designed to facilitate the
development of critical thinking, problem-solving and decision-making skills. Cooperative learning approaches utilized
in the lab provide the student with the opportunity to enhance communication skills while developing effective
partnerships within a group. Practice Lab II builds on the foundation established in Practice Lab I. Practice Lab II
incorporates a variety of learning methodologies including comprehensive online modules.
Subject Eligibility for Prior Learning Assessment & Recognition

(PLAR):
Prior Learning Assessment and Recognition (PLAR) is a process a student can use to gain college credit(s) for
learning and skills acquired through previous life and work experiences. Candidates who successfully meet the
course learning outcomes of a specific course may be granted credit based on the successful assessment of their
prior learning. The type of assessment method (s) used will be determined by subject matter experts. Grades
received for the PLAR challenge will be included in the calculation of a student’s grade point average.
The PLAR application process is outlined in http://www.durhamcollege.ca/plar. Full-time and part-time students must
adhere to all deadline dates. Please email: PLAR@durhamcollege.ca for details.
PLAR Eligibility
Yes X No
PLAR Assessment (if eligible):
Assignment
X Exam
X Portfolio
X Other
The applicant is required to develop a portfolio which includes but is not limited to: reasons for the request, a
summary of relevant learning experiences and a letter of reference from two people verifying the documentation
provided. If the portfolio reflects sufficient knowledge and experience the applicant will be eligible to challenge
Practice Lab II. In order to successfully challenge Practice Lab II, the applicant must demonstrate the ability to
competently perform any three skills identified in the subject outline. Competency is demonstrated by meeting the
established criteria outlined in the subject outline. The applicant will have no prior knowledge of the specific skills
selected for review. The applicant will also write a comprehensive exam and must earn a minimum grade of 60% in
order to earn PLAR status.
A candidate will not be able to initiate the PLAR process if he/she has:
a. Been registered in the said subject within the last 10 months; or
b. Audited the subject within the last ten (10) months; or
c. Previously failed the subject (within the last 2 academic years); or
d. Misrepresented his/her performance in a College subject for the purpose of obtaining marks or recognition.
Applications for PLAR should be completed prior to subject commencement. Students already enrolled in the
subject must apply and make payment for PLAR within the first two weeks of subject commencement.

Course Learning Outcomes
Course Learning Outcomes contribute to the achievement of Program Learning Outcomes for courses that lead to a
credential (e.g. diploma). A complete list of Vocational/Program Learning Outcomes and Essential Employability
Skill Outcomes are located in each Program Guide.
Course Specific Learning Outcomes (CLO) Essential Employability Skill Outcomes (ESSO)
Student receiving a credit for this course will have This course will contribute to the achievement of
reliably demonstrated their ability to: the following Essential Employability Skills:
CLO1 Follow routine lab policies and procedures to X EES 1. Communicate clearly, concisely and
ensure the safety of fellow learners, the correctly in the written, spoken, and visual form
environment and equipment to ensure that fulfills the purpose and meets the needs of
consistent professionalism within a the audience.
simulated practice environment.
X EES 2. Respond to written, spoken, or visual
CLO2 Use the Nursing Process to assess, messages in a manner that ensures effective
diagnose, plan, implement and evaluate communication.
nursing care in all aspects of client care
based on standards of practice, theory, and EES 3. Execute mathematical operations
research. accurately.
CLO3 Apply nursing theory and principles of proper X EES 4. Apply a systematic approach to solve
body mechanics, infection control and problems.
asepsis while performing client care
X EES 5. Use a variety of thinking skills to
activities.
anticipate and solve problems.
CLO4 Provide IV assessment and regulation,
EES 6. Locate, select, organize, and document
including the monitoring for potential
information using appropriate technology and
complications of IV therapy, in a safe and
information systems.
holistic manner.
X EES 7. Analyze, evaluate, and apply relevant
CLO5 Perform accurate calculation, administration,
information from a variety of sources.
and documentation of oral, topical, inhaled or
sublingual medications in a safe and EES 8. Show respect for the diverse opinions,
thorough manner. values, belief systems, and contribution of
others.
CLO6 CNO Entry to Practice Competencies (2014)
#4, 5, 7, 19, 20, 31, 34, 35, 36, 37, 39, 42, X EES 9. Interact with others in groups or teams
45, 56, 68, 71, 83, 104, 115. in ways that contribute to effective working
relationships and the achievement of goals.
X EES 10. Manage the use of time and other
resources to complete projects.
X EES 11. Take responsibility for one's own
actions, decisions, and consequences.

Evaluation Criteria:
The Course Learning Outcomes and Essential Employability Skills Outcomes are evaluated by the following evaluation
criterion.
Evaluation Description Course Learning Outcomes EESOs Weighting
Written test #1 CLO2, CLO3 EES1, EES2, EES4, PASS/FAIL

Includes multiple choice and EES5, EES7
short answer questions
WEEK 6
Midterm Critique CLO1, CLO2, CLO3 EES1, EES2, EES4, PASS/FAIL
EES5, EES7, EES10,
EES11
WEEK 7
Written test #2 CLO3, CLO4, CLO5 EES1, EES2, EES4, PASS/FAIL
Includes multiple choice and EES5, EES7
short answer questions
WEEK 12
Final Critique CLO1, CLO2, CLO3, CLO5, CLO6 EES1, EES2, EES4, PASS/FAIL
EES5, EES7, EES9,
EES11
WEEK 13
Total 100%
Notes:
1. Practice Lab II is graded as pass/fail. In order to attain a passing grade the student must:
1. Demonstrate competence when performing all skills in a safe and accurate manner.
2. Demonstrate accountability by consistently meeting all policies and
expectations for the learning environment.
3. Complete all assigned homework, quizzes, cue cards and peer/self critiques
as assigned.
4. Achieve a cumulative minimum of 60% on written tests.
5. Pass midterm and final critique.
Competency is achieved when the student demonstrates the ability to:
1. Perform skills safely and accurately following established principles.

2. Apply theoretical and professional knowledge from Practice Lab I and II.
3. Problem solve and critically think.
4. Perform skills with confidence and dexterity.
5. Communicate effectively (verbal and non-verbal).
6. Independently maintain professional comportment.
2. Critique Process:
The student will perform the assigned skill(s) while being observed by the facilitator or professor within a
controlled environment. The critiquer will assess if the student has achieved competence based on the above
criteria. The critiquer will not be permitted to coach the student. The student will not be permitted to utilize
references during the critique unless specified by the professor. If the student meets the criteria he/she will
receive a passing grade. If unsuccessful, the student will be assigned a failing grade and receive verbal
feedback at the end of the critique outlining the areas of difficulty and identifying strategies for success. The
student is expected to review relevant theory and practice the skill(s) during scheduled independent practice
review (IPR) hours prior to being re-tested. It is expected that the student seek assistance from a peer and
request him/her to critique his/her performance prior to being re-tested by the lab facilitator/professor. The
student will have a second opportunity to demonstrate competence - If the student is unsuccessful during the
midterm re-critique, he/she will have to submit a detailed learning plan to professor stating how they will continue
to work toward achieving the knowledge of theory and/or skill(s) in order to achieve a passing grade. - The
second attempt, if applicable, will be videotaped to support student success and allow for a visual review of
results.
A second unsuccessful critique will result in a failing grade for Practice Lab II. There are no further supplemental
or re-critique opportunities.

If the student is unable to attend a formal critique he/she must notify the professor by phone or email prior to the
beginning of the lab and make alternate arrangements directly with the professor. Failure to inform the professor
in advance will result in losing that critique opportunity. The lost opportunity will be documented as a failing
grade.
3. Informal/Practice Critique:
The student will be observed by the facilitator, professor and/or his/her peers within the lab setting while
practicing the skill. Constructive verbal feedback will be provided by all participants during the practice time. The
student is expected to utilize this feedback as well as insights gained through self-reflection to improve his/her
performance.
4. Written Tests/Quizzes:
There will be two written tests that will take place during regular class times and various online quizzes. Tests
will include both multiple choice and short answer questions. The student is required to achieve a cumulative
minimum of 60% on the tests in order to pass Practice Lab II. Please refer to missed test policy in Practical
Nursing Program Guide.
5. Timed Components Please note: Written tests and critiques for this course involve timed elements. For safety
considerations and to be consistent with practice requirements, the timed element of the evaluation component
or criteria cannot be waived or extended.
Required Text(s) and Supplies:

1. Potter, P.A., Perry, A.G., Stockert, P.A., Hall, A.M., Astle, B.J., Duggleby, W. (Eds). (2017). Canadian
fundamentals of nursing (6th ed.). Toronto, Canada: Elsevier
2. Ross-Kerr, J.C., & Wood, M.J., (Eds.). (2014). Nursing Skills Online 3.0 for Canadian fundamentals of nursing
(5th ed.). Toronto: Mosby
3. Required Supplies:
Semester 2 Lab Kit - will be distributed in Week I

One box of non-sterile gloves
Solid dark green scrubs (Durham College green)
Durham College issued name tag
1 package 3'' X 5'' lined recipes cards
Analogue watch with second hand
Stethoscope (optional)
4. Learning Resource for skills:
All Elsevier's Nursing Skill videos are available for your viewing on DC Connect.
5. Much of the content in this program is delivered through online modules and resources. As a result, access to
a personal laptop or tablet in the classroom will be necessary for students to be able to participate in classroom
based learning and corresponding activities. Please see Program Guide for specific information regarding
operating system/technological requirements.
Recommended Resources (purchase is optional):

N/A

Policies and Expectations for the Learning Environment:
General Policies and Expectations:
General College policies related to General policies related to
+ Acceptable Use of Information Technology + attendance
+ Academic Policies + absence related to tests or assignment due

dates
+ Academic Honesty + excused absences
+ Student Code of Conduct + writing tests and assignments
+ Students’ Rights and Responsibilities + classroom management can be found in the

can be found on-line at Program Guide (full time programs only) in
http://www.durhamcollege.ca/academicpolicies MyCampus
http://www.durhamcollege.ca/mycampus/

Course Specific Policies and Expectations:
As a hybrid course, it is an expectation that students come to class and to lab prepared to ensure full participation in
learning activities. The theory component of this course will be covered in online presentations and learner preparation
activities that are designed to foster an understanding of the course learning outcomes. Practice activities will be
provided in class and in lab to further the students' knowledge, comprehension and develop psychomotor skills that are
required for successful completion of Practice Lab II.
Hand Hygiene
The student is expected to wash his/her hands prior to the beginning of all lab experiences and perform hand hygiene
as appropriate during lab activities.
Lab Supplies
Lab Kits will be distributed in Week I of lab. The student is responsible for bringing all required supplies (see What to
Bring to Lab resource) to lab each week. The lab kit will include all of the supplies required for semester II labs unless
otherwise stated. If the student forgets to bring his/her lab kit he/she will be unable to complete the lab for that week
and will be encouraged to make up the lab during IPR hours.
Food and Beverage

Food is not allowed in any part of the Health Care Learning Center. Gum chewing is not permitted.
Dress Code
Students are expected to observe the following program requirements AT ALL TIMES whether they are in a simulated
practice environment (i.e. the Lab) OR in a practicum setting:
- Student identification badge (or agency identification if applicable) is to be worn on the upper body and be visible at
all times;
- Wear solid, dark green scrubs;
- Maintain hair which is clean, neat and under control. Long hair must be tied back and up. Hair accessories (such as
barrettes and combs) must be professional in appearance. Facial hair should be clean and tidy. Hats, caps, kerchiefs
etc are not permitted;
- All practice settings are to be considered scent-free and students should use scent-free personal products.
- Keep fingernails short, clean and free of polish. Artificial nails and/or tips are not permitted (infection control
requirement);
- Jewellery should be worn in moderation with consideration to not compromise safety or asepsis ie. no hoop/dangling
earrings or necklaces.
- Carry stethoscopes in the pocket and NOT worn around the neck for student safety and medical asepsis;
- Wear proper footwear that includes a closed toe and heel completely enclosing the foot with a non-slip sole (WSIB
requirement). Shoes should be clean, in good condition and either solid black, brown or white in colour. *NO boots or
sandals*
- Long sleeved t-shirts may be worn for warmth as needed but sleeves must be rolled above the elbows at all time
while providing care.
The student must meet dress expectations prior to the beginning of each lab class.
It is recommended that all valuables be left at home or in the student's locker on lab day.
NO CELL PHONES PERMITTED IN THE HEALTH CARE LEARNING ENVIRONMENT
Independent Practice Review

The Health Care Learning Center will be open at regularly scheduled times throughout the week with peer tutors
available to assist. It is highly recommended that the student utilize this resource on an ongoing basis. This service is
provided by the College without charge. The peer tutor may assist with learning but it is the student's responsibility to
come prepared. The student must complete and bring to the Health Care Learning Center all learner preparation in
order to receive assistance from the peer tutor. The student is to document the use of this resource in the attendance
binder. All dress code and conduct code expectations are to be followed while utilizing IPR services or this privilege
may be revoked.
Injury while in Lab

Any injury sustained during lab must be reported IMMEDIATELY to the lead Professor and student must complete
Durham College online Accident/Injury Form with 24 hours. http://www.durhamcollege.ca/forms/accidentinjury/
Please refer to the Practical Nursing Program guide for specific policies and expectations related to the following:
- Attendance and punctuality
- Missed tests and missed labs
- Learner preparation and participation

- DC Connect and electronic communication
- Feedback
- Accessibility
General Course Outline Notes:

1. Students should use the course outline as a learning tool to guide their achievement of the learning
outcomes for this course. Specific questions should be directed to their individual professor.
2. The college considers the electronic communication methods (i.e. DC Mail or DC Connect) as the primary
channel of communication. Students should check the sources regularly for current course information.
3. Professors are responsible for following this outline and facilitating the learning as detailed in this outline.
4. Course outlines should be retained for future needs (i.e. university credits, transfer of credits etc.)
5. A full description of the Academic Appeals Process can be found at http://durhamcollege.ca/gradeappeal.
6. Faculty are committed to ensuring accessible learning for all students. Students who would like
assistance with academic access and accommodations in accordance with the Ontario Human Rights
Code should register with the Access and Support Centre (ASC). ASC is located in room SW116,
Oshawa Campus and in room 180 at the Whitby Campus. Contact ASC at 905-721-3123 for more
information.
7. Durham College is committed to the fundamental values of preserving academic integrity. Durham College
and faculty members reserve the right to use electronic means to detect and help prevent plagiarism.
Students agree that by taking this course all assignments could be subject to submission either by
themselves or by the faculty member for a review of textual similarity to Turnitin.com. Further information
about Turnitin can be found on the Turnitin.com Web site.

Learning Plan
The Learning Plan is a planning guideline. Actual delivery of content may vary with circumstances.
Students will be notified in writing of changes that involve the addition or deletion of learning outcomes or
evaluations, prior to changes being implemented, as specified in the Course Outline Policy and Procedure at
Durham College.
Wk. Hours: 1 Delivery: Online

1
CLO1
Essential Employability Skills

EES1, EES2, EES7
Intended Learning Objectives

Introduction to Lab 2
Review Practice Lab 1 skills: PPE, transfer, ADLs
Intended Learning Activities

Scavenger Hunt
Discussion Board Questions
Resources and References

Course scavenger hunt
Course Outline posted on DC Connect
Practice Lab 2 notes/critiques
NSOL 3.0
Evaluation

Wk. Hours: 2 Delivery: Lab

1
CLO1

NOTE: Due to scheduling there may NOT be a lab theory hour or practice lab time this week. In the
event that one of these options is available we will use the time to review/discuss the following:
Introduction to Practice Lab II
Review routines and expectations for the learning environment
Explain the evaluation process for Practice Lab II
Explanation/signing of Health Care Learning Center Policy.
Introduction to NSOL 3.0
Review week to week schedule
Consolidation of skills

Examine Course Outline including expectations: attendance, dress code, professionalism and lab rules
*no cell phones *no pens
Examine online resources
Perform a basic head to toe assessment.
Review and practice the safe Donning and doffing of Personal Protective Equipment (PPE) as required
and transfer client to wheelchair.
Distribute Lab Kits including sizing and distribution of sterile gloves (x2)

DC Connect
NSOL 3.0
Evaluation
Peer critique - PPE & Transfer


2
CLO1, CLO3

EES1, EES4

Surgical Asepsis
Describe the difference between medical and surgical asepsis.
Identify the principles of surgical asepsis.
Describe when surgical asepsis is utilized.
Identify wound healing and classification of wounds.
List the potential complications of wound healing.
Describe how to assess wounds using proper terminology.
Describe how to prepare the patient, the environment and the tray for a procedure requiring surgical
asepsis.
Describe the principles and procedure for applying and removing sterile gloves.
Describe how to change a simple dressing using sterile gloves following the principles of surgical
asepsis.
Explain how to obtain a wound culture.

Week 2 Learner Preparation
Review online Powerpoint presentation and posted content
Online quiz
Discussion Board

Text Chapters 32 Principles of Surgical Asepsis (pp.647-661), and 46 (pp.1266-1276; 1280-1299).
NSOL Module 18: Lesson 3 (Dressings)
Evaluation

Wk. Hours: 1 Delivery: In Class

2
CLO1, CLO2, CLO3

EES2, EES4, EES5, EES9

Surgical Asepsis
Describe the difference between medical and surgical asepsis.
Identify the principles of surgical asepsis.
Describe when surgical asepsis is utilized.
Identify wound healing and classification of wounds.
List the potential complications of wound healing.
Describe how to assess wounds using proper terminology.
Describe how to prepare the patient, the environment and the tray for a procedure requiring surgical
asepsis.
Describe the principles and procedure for applying and removing sterile gloves.
Describe how to change a simple dressing using sterile gloves following the principles of surgical
asepsis.
Explain how to obtain a wound culture.
ETPC
4,5,7,20,31,34,36,39,
42,45,68,71,83,104,115

Critical thinking & problem solving exercise: dressing change
Cue Card: Principles of Surgical Asepsis

Text Chapter 32, 46
Potter, Perry, Stockert & Hall (2014), Chapter 46 (pp. 1266-1276; 1280-1299).
Potter, Perry, Stockert & Hall (2014), Chapter 32 Principles of Surgical Asepsis (pp.647-661).
NSOL Module 2, Lesson 3

NSOL Module 3, Lesson 1 and 5
Mediasite video - Opening a Sterile Tray
Watch Videos: http://mediasite.uoit.ca/mediasite/Catalog/pages/catalog.aspx?catalogId=6fd02641-183f-

47e7-b2a6-84f30975f2e3
Donning sterile gloves (p.2)
Opening/setting up sterile field (p.1)
Simple dressing with sterile gloves(p.1)
Optional: See how sutures are sewn: https://www.youtube.com/watch?v=WenMrgDUrhU&list=PL06uiqS-

kcAWF9Te498AGO3rdO4wlZFS8&index=2
Week 2 DC Connect Learner Preparation

Mosby's Intermediate Nursing Skills: Wound Care: Sterile Gloving & Wound Assessment
Evaluation


2
CLO1, CLO2, CLO3, CLO6

EES1, EES4, EES5, EES9, EES11

Upon completion of this lab the learner will:
Apply and remove sterile gloves following all principles.
Prepare the client, the environment, and a sterile field and change a simple dressing following all
principles.

Demonstration and/or video
Practice
Peer Critique
Professor Feedback
Prepare a client and the environment for an aseptic procedure.
Don and remove sterile gloves
Open, set-up and add items to a sterile field following the principles of surgical asepsis.
Change a simple dressing following the principles of surgical asepsis.

See Week 2 above
***BRING DRESSING TRAY FOR THIS LAB***
Evaluation
Peer critique - simple dressing change


3
CLO3, CLO6

EES2, EES5, EES7

Advanced Wound Care
Sutures, Staples and Drains
Explain the purpose of sutures, staples and drains.
Identify the principles of suture, staple and drain assessment and care.
Describe the procedure for removal of sutures and staples and shortening a drain.
Assess a client's risk for developing a pressure ulcer using the Braden Scale.
Assess and stage a presssure ulcer.
Identify various wound care options, common wound care products and their indications.

DC Connect Week 3 Learner Preparation
Review online Powerpoint presentation and posted content
Cue Card: Wound and Drain Assessment
Online quiz
Discussion Board

Text Chapter 32, 46

NSOL Module 18, Lesson 2, 3 & 4
Mediastie video: Shortening a Drain parts 1 & 2
Mosby's Intermediate Nursing Skills: Wound Care
Recommended:
RNAO Best Practice Guideline: Assessment & Management of Stage I-IV Pressure Ulcers
Investigate the RNAO (2002) BPG Risk Assessment and Prevention of Pressure Ulcers (Summary of
Recommendations) at the following link and be prepared to discuss in lab: http://rnao.ca/sites/rnao-
ca/files/storage/related/639_BPG_Pressure_Ulcers_v2_summary.pdf
Evaluation


3
CLO2, CLO3, CLO6

EES1, EES7, EES9

Advanced Wound Care - Sutures, Staples and Drains, Irrigation and Wound Packing
Explain the purpose of sutures, staples and drains.
Identify the principles of suture, staple and drain assessment and care.
Describe the procedure for removal of sutures and staples and shortening a drain.
Identify various wound care options and products and their indications.

Advanced wound care worksheet
Pressure ulcer risk case study
In class discussion

Text Chapter 32, 46

NSOL Module 18, Lesson 2, 3 & 4
Mediastie video: Shortening a Drain parts 1 & 2, Wound Irrigation and Packing
DC Connect Learner Preparation

Watch video: Drain Shortening: https://www.youtube.com/watch?v=i7uUOwhi1cQ&list=PL06uiqS-
kcAWF9Te498AGO3rdO4wlZFS8&index=1
RNAO Best Practice Guideline: Assessment & Management of Stage I-IV Pressure Ulcers
Investigate the RNAO (2002) BPG Risk Assessment and Prevention of Pressure Ulcers (Summary of
Recommendations) at the following link and be prepared to discuss in lab: http://rnao.ca/sites/rnao-
ca/files/storage/related/639_BPG_Pressure_Ulcers_v2_summary.pdf
Removing Sutures @
http://cal.vet.upenn.edu/surgery/5000.htm
Evaluation


3
CLO1, CLO3, CLO6


Remove sutures and staples following all principles.
Shorten a drain and re-apply dressing following all principles.
Describe and document wound drainage using appropriate terminology.

Remove sutures and staples on practice sample from kit following all principles.
Shorten a drain and re-apply dressing following all principles.

See Week 3 above
***BRING SUTURE KIT AND SUTURE REMOVAL EQUIPMENT FOR THIS LAB***
Evaluation
Peer critique - Drain shortening


4
CLO2, CLO3, CLO6

EES2, EES4, EES7

Advanced Wound Care (continued)
Explain the purpose and principles of wound irrigation and packing.
Identify various wound care options, products, and their indications.

Review online PowerPoint presentation and posted content
Online quiz
Discussion Board
Cue Card: Principles for Irrigating and Packing a Wound

Text chapter 46
Evaluation


4
CLO2, CLO3, CLO6


Advanced Wound Care (cont'd) - Irrigation and Wound Packing
Explain the purpose and principles of wound irrigation and packing.
Identify various wound care options, products, and their indications.

Professor presentation
Discussion

Text chapter 46
Week 4 Learner Preparation on DC Connect
Evaluation

4
CLO1, CLO3, CLO6

EES7, EES9, EES11

Irrigate and pack a wound following all principles.
Describe and document wound and wound drainage using appropriate terminology.

Assess, irrigate and pack a wound following all principles.

See Week 4 above
Evaluation
Peer critique - Wound Irrigation & Packing


5
CLO2, CLO3, CLO6

EES2, EES4, EES7

Urethral Catheterization: Insertion and Removal
Continuous Bladder Irrigation (CBI)
Explain the difference between intermittent and indwelling catheterization.
Identify the indications for urethral catheterization.
Describe various types of catheters and their indications.
Describe the process involved in insertion and removal of indwelling catheters
Describe the assessment and care of a continuous bladder irrigation.
ETPC
4,5,7,19,20,31,34,36,37,39,42,
45,68,71,83,104,115

Cue card: Steps for Insertion of an Indwelling Catheter
Online quiz
Homework

Text Chapter 43 (pp. 1136-1157).
Watch video:
https://www.youtube.com/watch?v=TtQyMf9_JbE&index=6&list=PL06uiqS-
kcAWF9Te498AGO3rdO4wlZFS8
Mediasite video: Catheterization
NSOL: Module 16 Urinary Catheterization:

Lesson 1 Overview
Lesson 2 Inserting a catheter
Lesson 5 Care & removal of indwelling catheter
Mosby's Intermediate Nursing Skills: Urinary Catheter Management
Evaluation


5
CLO2, CLO6

EES2, EES4, EES5

Urethral Catheterization: Insertion and Removal
Continuous Bladder Irrigation (CBI)
Explain the difference between intermittent and indwelling catheterization.
Identify the indications for urethral catheterization.
Describe various types of catheters and their indications.
Describe the process involved in insertion and removal of indwelling catheters
Describe the assessment and care of a continuous bladder irrigation.
ETPC
4,5,7,19,20,31,34,36,37,39,42,
45,68,71,83,104,115

Professor Presentation
Discussion
Cue Card: Steps for Insertion of an Indwelling Catheter

Text Chapter 43 (pp. 1136-1157).
Watch video:
https://www.youtube.com/watch?v=TtQyMf9_JbE&index=6&list=PL06uiqS-
kcAWF9Te498AGO3rdO4wlZFS8
Mediasite video: Catheterization
NSOL: Module 16 Urinary Catheterization:

Lesson 1 Overview
Lesson 2 Inserting a catheter
Lesson 5 Care & removal of indwelling catheter
Mosby's Intermediate Nursing Skills: Urinary Catheter Management
Evaluation


5


Insert a urinary catheter into a simulated male and female patient following all principles.
ETPC
4,5,7,19,20,31,34,36,37,39,42,
45,68,71,83,104,115

Practice
Professor Feedback
Insert a female and male urethral catheter (indwelling) following the principles of surgical asepsis.
Obtain a sterile urine specimen from a foley catheter.
Remove an indwelling urethral catheter following the principles of surgical asepsis.

See Week 5 above
***BRING CATHETRIZATION TRAY, CATHETER, AND STERILE GLOVES TO THIS LAB***
Evaluation
Peer critique - Foley catheterization to straight drainage (male/female)


6
CLO2, CLO3, CLO6


Review of learning objectives from weeks 1-5 in preparation for test/critique

Review all content from weeks 1-5 in preparation for test/critique

All class notes and referenced resources from weeks 2-5.
Evaluation

6


Evaluation of learning objectives from weeks 1-5

Written Test #1 (50 multiple choice questions) from weeks 1-5

Refer to weeks 2-5
Evaluation Weighting
Written Test #1 see evaluation notes


6

EES1, EES2, EES4, EES7, EES9, EES11

Skills Consolidation - Surgical Asepsis
Refer to Weeks 1-5
ETPC
4,5,7,19,20,31,34,36,37,39,42,45,68,71,83,104,115

Skills Consolidation - Surgical Asepsis
Professor Feedback
Practice

Refer to weeks 2-5
Refer to 'what to bring to lab' on DC Connect
Evaluation
Peer critique - Surgical Asepsis Critique (Sterile dressing change/M/F
catheterization)

7
CLO2, CLO3, CLO6


Review of lab learning objectives from weeks 2-5 in preparation for critique

Practice aseptic technique for simple dressing change and female/male catheterization
Review all topics in preparation for Sterile Asepsis Critique

Review all topics in preparation for Sterile Asepsis Critique.
Evaluation


7
CLO1

Test #1 Review (by appointment)

n/a

n/a
Evaluation

7


Formal Critique - Demonstrate the essential skills of sterile asepsis.
20 minutes per student as scheduled
ETPC
4,5,7,19,20,31,34,36,
37,39,42,45,68,71,83,104,115

Complete a sterile procedure following all principles. Students will be given a scenario involving a sterile
procedure and will be required to perform a basic sterile dressing change or urinary catheterization.

Testing schedule and evaluation criteria for Sterile Asepsis Critique to be posted on DC Connect.
Midterm Critique Pass/Fail


8
CLO2, CLO3, CLO6


Explain the role of positioning in airway maintenance.
Describe the use of and differentiate between oral/nasal airways, endotracheal tubes, and tracheostomy
tubes.
Explain the concepts and process of suctioning and trach care.
Explain the assessment and care needs of a client with a tracheostomy.
List the potential complications related to trach care.
List the potential complications related to trach care and suctioning.

Cue Card: Principles of Suctioning
Online Quiz
Homework

Text Chapter 38 (p.902-920, starts at suctioning techniques).
NSOL Module 8 Lesson 1,2,3 and 5

Lesson 2 Oropharyngeal Suctioning
Lesson 3 Tracheal Suctioning
Lesson 5 Tracheostomy Tube Care
Mediasite video: Suctioning, Trach Care

Watch Video (Intermediate) Respiratory care & suctioning: trach care & suctioning at the following link:
http://innovation.dc-uoit.ca/objects/nursing/skills/intermediate/
Mosby's Intermediate Nursing Skills: Suctioning
Pass/Fail


8
CLO2, CLO3, CLO6


Maintaining a Patent Airway
Suctioning and Tracheostomy Care
Explain the role of positioning in airway maintenance.
Describe the use of and differentiate between oral/nasal airways, endotracheal tubes, and tracheostomy
tubes.
Explain the concepts and process of suctioning and trach care.
Explain the assessment and care needs of a client with a tracheostomy.
List the potential complications related to trach care.
List the potential complications related to trach care and suctioning.

Discussion
Cue Card: Principles of Suctioning
Discussion: Principles and policies related to tracheotomy care, suctioning and artificial airways,
equipment, client assessment, client preparation and health teaching. Discuss potential complications
and risk factors.

Text Chapter 38 (p.902-920, starts at suctioning techniques).
NSOL Module 8 Lesson 1,2,3 and 5

Lesson 2 Oropharyngeal Suctioning
Lesson 3 Tracheal Suctioning
Lesson 5 Tracheostomy Tube Care
Mediasite video: Suctioning, Trach Care

Watch Video (Intermediate) Respiratory care & suctioning: trach care & suctioning at the following link:
http://innovation.dc-uoit.ca/objects/nursing/skills/intermediate/
Mosby's Intermediate Nursing Skills: Suctioning
Evaluation


8


Insert an oral/nasal airway and suction the patient following all principles.
Change/cleanse an inner cannula and change a trach dressing following all principles.
Respond to emergency needs of a patient being suctioned.
ETPC
4,5,7,19,20,31,34,36,
37,39,45,56,68,71,83,104,
115

Practice
Peer critique
Professor Feedback
Simulation Exercise - Task training Suctioning and Critical Thinking Case
Insert an oral and nasal airway in Simulator following all principles.
Perform oral, nasal and tracheal suctioning following all principles.
Respond appropriately to changes in client condition.
Perform tracheostomy care (stoma, outer cannula, inner cannula, ties) following all principles.

See Week 8 above
***BRING TRACH TRAY TO THIS LAB***
Evaluation
Peer critique - Tracheostomy Care


9
CLO2, CLO3, CLO6


NG insertion & removal, care and maintenance
Identify the indications for nasogastric tube.
Describe the different types of ng tubes and their indications.
Describe the process involved in insertion and removal of ng tubes
Discuss assessment and care of nasogastric tube related to enteral feeds and decompression
Discuss complications associated with nasogastric tube

Cue Card: Insertion of NG tube (Steps)
Online Quiz
Homework

Text Chapter 42 (p. 1088-1106)
Watch Video (intermediate) Post-op care, managing an NG tube at the following link: http://innovation.dc-
uoit.ca/objects/nursing/skills/intermediate/
Evaluation


9
CLO2, CLO3, CLO6


NG insertion & removal, care and maintenance
Identify the indications for nasogastric tube.
Describe the different types of ng tubes and their indications.
Describe the process involved in insertion and removal of ng tubes
Discuss assessment and care of nasogastric tube related to enteral feeds and decompression
Discuss complications associated with nasogastric tube

Discussion
Cue Card: Steps for Insertion of an NG tube

Text Chapter 42 (p. 1088-1106)
Watch Video (intermediate) Post-op care, managing an NG tube at the following link: http://innovation.dc-
uoit.ca/objects/nursing/skills/intermediate/
Evaluation


9
CLO1, CLO2, CLO3, CLO4, CLO6


NG insertion & removal

Demonstrate the insertion and removal of an NG tube

Demonstration and/or video - nasogastric tube insertion, the removal of the nasogastric tube
Practice
Professor Feedback

See Week 9 above
Evaluation
Peer Critique - insertion/removal NG tube


10
CLO2, CLO3, CLO6


Discuss the advantages and disadvantages of I.V. therapy
Discuss and observe IV equipment including locks, buretrol, macro and micro tubing
Discuss fluid and electrolyte balance
Discuss isotonic, hypotonic and hypertonic solutions
Discuss electronic equipment used to maintain IV rates
Describe how to complete a basic IV assessment
Discuss potential complications of IV therapy
ETPC
4,5,7,19,20,31,35,36,
37,39,42,45,56,68,71,83,104,
115

Cue Card: Write the formula for calculating infusion drip rate
Online quiz
Homework

Text Chapter 39 (pp 950-963, 969-991).
Watch video: Priming IV Line

http://mediasite.uoit.ca/mediasite/Catalog/pages/catalog.aspx?catalogId=6fd02641-183f-47e7-b2a6-
84f30975f2e3
NSOL: Module 11; Lesson 1: IV fluid Admin and

Module 12 IV fluid therapy management
Evaluation


10
CLO2, CLO3, CLO6


Discuss the advantages and disadvantages of I.V. therapy
Discuss and observe IV equipment including locks, buretrol, macro and micro tubing
Discuss fluid and electrolyte balance
Discuss isotonic, hypotonic and hypertonic solutions
Calculate I.V. infusion rates
Discuss electronic equipment used to maintain IV rates
Describe how to complete a basic IV assessment
Discuss potential complications of IV therapy
ETPC
4,5,7,19,20,31,35,36,
37,39,42,45,56,68,71,83,104,
115

Discussion
Cue Card: IV assessment & monitoring principles, and IV drip formula

Text Chapter 39 (pp 950-963, 969-991).
Watch video: Priming IV Line

http://mediasite.uoit.ca/mediasite/Catalog/pages/catalog.aspx?catalogId=6fd02641-183f-47e7-b2a6-
84f30975f2e3
NSOL: Module 11 IV fluid Admin and

Module 12 IV fluid therapy management
***BRING BASIC CALCULATOR TO THIS CLASS***
Evaluation


10


Demonstrate setting up and priming the IV line
Complete thorough IV assessment including potential complications of IV therapy
Regulate and monitor IV infusion (pump and gravity)
ETPC
4,5,7,19,20,31,35,36,
37,39,42,45,56,68,71,83,104,
115

Demonstration and/or video - setting up and priming the I.V. line
Practice Priming and Regulating IV (Pump and gravity/manual)
Professor Feedback

See Week 10 above
***BRING IV EQUIPMENT, BASIC CALCULATOR, AND WATCH WITH SECOND HAND TO THIS
LAB***
Evaluation
Peer Critique - IV therapy assessment & monitoring


11
CLO2, CLO3, CLO6


List the eight rights of medication administration.
Describe the process to administer oral, topical, inhaled and sublingual medications.
Describe the legal and ethical responsibilities of the nurse administering medications.
Describe three principles for the nurse to consider when faced with a decision about medication practice.

Cue card: eight rights of medication administration, process of medication administration

Read Potter & Perry pp. 676-721
CNO Documents: Medication Practice Standard:

http://www.cno.org/globalassets/docs/prac/41007_medication.pdf
Medication Decision Tool: http://www.cno.org/fr/exercice-de-la-profession/educational-tools/decision-tool-

medication/
Evaluation


11
CLO2, CLO3, CLO6


List the eight rights of medication administration.
Describe the process to administer oral, topical, inhaled and sublingual medications.
Describe the legal and ethical responsibilities of the nurse administering medications.
Describe three principles for the nurse to consider when faced with a decision about medication practice.

Discussion/Case Study
Cue Cards: Eight Rights and 3 checks of Administration, Steps/Process of Medication Administration,
Critical thinking components of Medication Administration.

Read Potter & Perry pp. 676 - 721
CNO Documents: Medication Practice Standard:

http://www.cno.org/globalassets/docs/prac/41007_medication.pdf
Medication Decision Tool: http://www.cno.org/fr/exercice-de-la-profession/educational-tools/decision-tool-

medication/
Evaluation


11


Comply with the principles and standards of medication administration related to oral, topical, inhaled and
sublingual medication.
Perform accurate calculation, administration and documentation of oral, topical, inhaled and sublingual
medications.
Design health teaching to clients related to their specific learning needs related to oral, topical, inhaled
and sublingual medication regime.

Demonstration
Critical Thinking Exercises/Scenarios/Practice
Simulation

See Week 11 above
Evaluation
Peer Critique - Medication Administration (PO)

12
CLO1, CLO2, CLO3, CLO4, CLO5, CLO6


Review of learning objectives from weeks 8-11

Review all content from weeks 8-11 in preparation for test/critique

All class notes and referenced resources from weeks 8-11.
Evaluation


12


Evaluation of learning objectives from weeks 8-11
ETPC
4,5,7,19,20,27,31,34,
35,36,37,39,45,56,68,71,83,104,115
83,104,115

Written Test #2 (Multiple choice and short answer questions)

Refer Weeks 8 - 11
Written Test #2 see evaluation notes

12

EES1, EES2, EES4, EES5, EES7, EES9, EES11

Skills Consolidation: Surgical Asepsis, IV Assessment, and Medication Administration
Refer Weeks 2 - 11
ETPC
4,5,7,19,20,27,31,34,
35,36,37,39,45,56,68,71,
83,104,115

Skills consolidation
Practice for Critique #2

Refer Weeks 2-11
Evaluation
Final Critique rubric - Medication administration (PO)


13
CLO2, CLO3, CLO6

EES4, EES5, EES11

Review all content from Weeks 11-12 in preparation for final critique

Review and practice the process of medication administration

All class notes and referenced resources from weeks 11-12
Evaluation

13
CLO3, CLO4, CLO5

Test #2 review (by appointment)

n/a

n/a
Evaluation


13


Evaluation of learning objectives from weeks 11 & 12
Final Critique
30 minutes per student as scheduled
Perform accurate calculation, administration, and documentation of oral, topical, inhaled or sublingual
medication in a safe and thorough manner.

Students will demonstrate complete care based on the need for medication:
PO/TOPICAL/INHALATION/SL medication administration.

Testing schedule and evaluation criteria for Medication Administration Critique to be posted on DC
Connect.
Final Critique Pass/Fail


14

EES1, EES2, EES4, EES5, EES7, EES9, EES11

NOTE: there is no classroom hour this week.
Re-critique PRN as per PN Policy
Pulling it all together - consolidation of knowledge from Semester 1 and 2 labs.

Practical review of skills covered throughout course.
ETPC
4,5,7,19,20,31,36,37,
39,42,45,68,71,83,104,115

Case based learning related to Semester I and Semester II labs

Refer to both Semester 1 and 2 labs
Evaluation

!Outline-Pratice Lab II

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School of Health & Community Services

2018-19 Academic Year

Course Code: NURS 2523 Course Equiv. Code(s): N/A

Durham College Course Outline - NURS 2523 - 2018-2019 Page 1 of 41

Subject Eligibility for Prior Learning Assessment & Recognition

PLAR Assessment (if eligible):

Durham College Course Outline - NURS 2523 - 2018-2019 Page 2 of 41

Durham College Course Outline - NURS 2523 - 2018-2019 Page 3 of 41

Evaluation Description Course Learning Outcomes EESOs Weighting

Written test #1 CLO2, CLO3 EES1, EES2, EES4, PASS/FAIL

Competency is achieved when the student demonstrates the ability to:

1. Perform skills safely and accurately following established principles.

Durham College Course Outline - NURS 2523 - 2018-2019 Page 4 of 41

Required Text(s) and Supplies:

Semester 2 Lab Kit - will be distributed in Week I

4. Learning Resource for skills:

Recommended Resources (purchase is optional):

Durham College Course Outline - NURS 2523 - 2018-2019 Page 5 of 41

General College policies related to General policies related to

+ Acceptable Use of Information Technology + attendance

+ Academic Policies + absence related to tests or assignment due

+ Student Code of Conduct + writing tests and assignments

+ Students’ Rights and Responsibilities + classroom management can be found in the

Durham College Course Outline - NURS 2523 - 2018-2019 Page 6 of 41

Food and Beverage

NO CELL PHONES PERMITTED IN THE HEALTH CARE LEARNING ENVIRONMENT

Independent Practice Review

Injury while in Lab

- Attendance and punctuality

- Missed tests and missed labs

- Learner preparation and participation

Durham College Course Outline - NURS 2523 - 2018-2019 Page 7 of 41

General Course Outline Notes:

5. A full description of the Academic Appeals Process can be found at http://durhamcollege.ca/gradeappeal.

Durham College Course Outline - NURS 2523 - 2018-2019 Page 8 of 41

Wk. Hours: 1 Delivery: Online

Course Learning Outcomes

Essential Employability Skills

Intended Learning Objectives

Review Practice Lab 1 skills: PPE, transfer, ADLs

Intended Learning Activities

Discussion Board Questions

Resources and References

Course Outline posted on DC Connect

Practice Lab 2 notes/critiques

Durham College Course Outline - NURS 2523 - 2018-2019 Page 9 of 41

Course Learning Outcomes

Essential Employability Skills

Intended Learning Objectives

Introduction to Practice Lab II

Review routines and expectations for the learning environment

Explain the evaluation process for Practice Lab II

Explanation/signing of Health Care Learning Center Policy.

Introduction to NSOL 3.0

Review week to week schedule

Intended Learning Activities

Examine online resources

Perform a basic head to toe assessment.

Resources and References

Durham College Course Outline - NURS 2523 - 2018-2019 Page 10 of 41

Course Learning Outcomes

Essential Employability Skills

Intended Learning Objectives

BRING DRESSING TRAY FOR THIS LAB