Practical Nursing Program

Practical Nursing Diploma Program

Practical nurses are essential to the healthcare profession, serving as vital links between physicians, registered nurses, and patients. Practical nurses function as members of the client care team in planning, implementing and evaluating nursing care. The practical nurse engages in a multitude of tasks including the following: assisting the client to learn appropriate self-care techniques; observing, recording, and reporting to appropriate supervisory personnel the client’s general physical and mental condition and any signs and symptoms that may be indicative of change; administering medications; performing wound care; and, preparing patients for operative procedures and other treatments.

Upon successful completion of the program, students will be awarded a Diploma in Practical Nursing. In order to obtain the required license to work as a practical nurse in the State of Ohio, the graduate must take and pass the NCLEX-PN exam.

Program Objectives

The graduate of the Practical Nursing program is expected to: Function within the legal and ethical scope of practice for the licensed practical nurse in Ohio. Apply knowledge from the basic biological, physical, social, behavioral, and technological sciences. Apply principles of microbiology, nutrition, and pharmacology in the care of the assigned client throughout the life-span. Utilize the nursing process in meeting the various nursing care needs of diverse socio-cultural populations across the lifespan. Provide safe, caring interventions to clients/families during states of health and health deviation to promote self-care. Integrate critical thinking when incorporating knowledge from nursing and related disciplines. Demonstrate strategies to promote, maintain, and restore health. Demonstrate behaviors that reflect the values of nursing as a caring profession. Utilize effective communication skills to interact with clients/families and other members of the healthcare team. Collaborates with the healthcare team in the care for the client with health problems.

Admissions Criteria

Following are the requirements that an applicant must satisfy to be considered for admission into the Felbry School of Nursing Practical Nursing program:

  1. Be a high school graduate and submit a High School Certificate or have successfully passed the General Education Development Test (GED) and submit a General Education Development Certificate. In the alternative, students may submit academic transcripts of college education.
  2. Submit an application form with a non-refundable application fee.
  3. Complete a required entrance test, which will be used to assess the student’s areas of strength and weaknesses. In addition, individuals who achieve less than 45% on the test will be required to enroll for the Myfoundationlab developed by Pearson Education. Students will be notified of test date, time and cost. Photo identification must be presented prior to testing at the test site.
  4. Pay a non-refundable registration fee. A late registration fee will be assessed for registrations done after the first day of class.
  5. Complete the following clinical health requirements:
    1. Submit current immunization on tetanus, polio, 2-step Montoux text, rubella and rubeola titre or vaccine, Varicella, and Hepatitis vaccine. All costs for immunization or reports to the school are to be paid by the student.
    2.  Complete an alcohol and drug screen. Time, date, and place may be arranged by the school on request. All costs for alcohol and drug screen or reports to the school are to be paid by the student.
    3.  Have liability insurance as described under ‘Liability Insurance Requirement’ in the Student Handbook.
  6. Submit two character references from individuals who know the applicant, such as teachers, clergy, employers or counselors. A relative may not give a reference.
  7. Complete the Background Check Investigation and FBI Background check Investigation. Time, date and place may be arranged at the school. However, the school may accept BCI and FBI checks done with approved agencies within the last 6 months from the date of registration. (All costs or fees for such checks are to be paid by the student.)

Students will have up till the end of the first week of classes to complete these requirements otherwise they will be withdrawn from the Program. Students may be permitted up to the end of the sixth week of resumption to complete items number 5, 6 and 7 above.

Practical Nursing Diploma Program
Curriculum Outline

Anatomy and Physiology I [A&P 101] 2.5 Credits

This course will acquaint the student with the skeletal structure and function of the human body and the mechanisms for maintaining homeostasis, and the ways in which the body maintains health and the effect of the disease process. Students will study the organization of the body, cells, tissues, and the characteristics of the blood. The integumentary, endocrine system, skeletal, articulation of the skeletal system, muscular, and nervous systems will also be explored.This course includes a 6 hour skills lab component. In lab the student will practice labeling the anatomical parts of the human body. The lab component will assist the student in being successful in the content for this course.Prerequisite(s): None

Fundamentals of Nursing [PNU 101] 9.5 Credits

Nursing Fundamentals and Skills provides an introductory course designed to establish the foundations of basic skills, knowledge, attitudes, and psychomotor skills necessary for beginning practice. This course acquaints the student with caring for individuals across the life span. Additionally, the concepts of nursing: health, environment, person, and nursing are presented as the supporting structure to nursing practice. Critical thinking, communication, and adaptation are introduced as contributing concepts that are essential to the art of holistic caring.This course combines didactic information with skills laboratory. In the skills lab the student will learn why and how to don personal protective equipment, learn proper hand hygiene, isolation techniques, and proper body mechanics. The student will learn how to make an occupied and unoccupied bed and will apply knowledge and skills in obtaining vital signs using each other and manikins. The course provides the student the opportunity to engage in student-centered learning activities that will provide a strong foundation of nursing knowledge as they move forward into future courses and nursing practice.Co-requisite: PNU 102

Nursing Concepts [PNU 102] 3.5 Credits

Nursing Concepts 102 will introduce the student to the core concepts related to nursing as well as the philosophy and conceptual framework of the School of Nursing. Core concepts explored will include person, environment, health, and nursing. The historical and social development of nursing, nursing as an essential element of the healthcare system, and the role of the professional licensed practical nurse is addressed. Legal and ethical aspects of nursing will be explored. Students are introduced to gathering data to contribute to the nursing process, reporting and utilizing data and computerized documentation skills; all as critical pieces for quality health care. Evidenced-based practice will also be discussed.Effective communication skills such as are needed to interact with the patient, family, and the healthcare team are emphasized. Effective and ineffective communication skills will be discussed and demonstrated using simulated case studies in skills lab. Techniques of therapeutic communication will be discussed and demonstrated in skills lab. Cultural, spiritual, psychological, and ethnic diversity are explored as they relate to caring.
Co-requisite: PNU 101

Pharmacology: Dosage & Calculation [PHARM 101] 1.5 Credits

Safe drug preparation and administration requires that nurses know systems of measurement and how to convert within those systems of measurement, including metric, household, milli-equivalents, and units. This course includes commonly used terminology, abbreviations, measurement systems, drug labeling, and interpretation of drug orders, dosage calculations and documentation. Basic medication administration principles, techniques, materials and equipment will be reviewed. Math computation skills of addition, subtraction, division, multiplication, and fractions are reviewed. An overview of basic IV therapy including calculations of drip rates and infusion times is also included.Prerequisite(s): None

Nutrition Across the Lifespan [NUT 100] 1.5 Credits

Didactic course content stresses that good nutrition is required and utilized to promote, maintain, and restore health. This course will present the principles of good nutrition and how the body uses nutrition for growth, development, maintenance and restoration of health. The basic principles of chemistry, microbiology, and biology as they apply are discussed enabling the practical nurse student to develop a science foundation as it relates to nutrition. Metabolic stress, physiological adaptation, nutritional needs including enteral and parenteral support and the nurse’s role related to health and illness throughout the lifespan are emphasized. Application of the nursing process is integrated in the textbook and throughout the course. Healthy People 2020,, nutrient resources, government resources and community based nutrition information resources are reviewed.Prerequisite: None

Medical-Surgical Nursing I [PNU 103] 9.5 Credits

Medical-Surgical Nursing I focus on nursing practice with adults experiencing a wide range of acute and chronic alterations in health. Medical Surgical Nursing I is the first course of a 2 quarter sequence. Health promotion strategies and health care principles are examined with an emphasis on: fluid and electrolyte imbalances, acid-base imbalances; endocrine system disorders; musculoskeletal and neurological disorders; care of the patient with integumentary disorders and peri-operative care is addressed including: surgical procedures, pre-operative care, post-operative care, aseptic technique, and complications associated with surgery. Community resources are discussed.Emphasis is placed on holistic understanding of the cultural, psychosocial, and spiritual needs of the individual adult and family. Nurse accountability, adult and family psycho-social development and care, cognitive development, Maslow’s Hierarchy of Needs, cultural diversity, spiritual and psychological needs, and the art of caring behaviors by the nurse are integrated throughout the course. End of life care [palliative and hospice] will also be explored, including ethical, legal, and socio-cultural concerns. Care of the adult and family and family life processes and adaptation are discussed. Pharmacology is emphasized. Application of the nursing process occurs throughout this course. Lab and clinical experiences in providing patient care and documentation of care given are integrated throughout this course; which includes practicing basic wound care skills.Prerequisites: PNU 101 and PNU 102

Anatomy and Physiology II [A&P 102] 2.5 Credits

Anatomy and Physiology II is the second course in the second quarter sequence of anatomy and physiology. This course is a continuation of the study of the structure and function of the human body and the mechanisms for maintaining homeostasis, the ways in which the body maintains health and the effect of the disease process. The special senses, cardiovascular, lymphatic, immune, respiratory, digestive, urinary, fluid/electrolyte balance along with acid/base balance and reproductive systems will be examined. Nutrition and body metabolism will be discussed. Genetics and heredity will also be examined in this course. The effects of aging will be integrated into the discussion of each body system.Prerequisite: A&P 101 or examination credit for A&P 101

Pharmacology: Medication and Administration [PHARM 102] 3.5 Credits

This course is a continuation of Pharmacology 101. Drugs that affect body systems such as neurological, cardiovascular, respiratory, gastrointestinal, urinary, reproductive, integumentary, endocrine, musculoskeletal system, and immune system will be examined. Emphasis will be on safe preparation, administration of drugs and their mechanism of action, use, adverse effects, and dosages. Anti-infective medications, medications for pain management, hematological products [including anti-coagulants], and topical preparations will also be explored. The nursing process is incorporated throughout this course.Prerequisites: PHARM 101

Care of Special Populations: [PNU 104] 4.5 Credits

Care of special population begins with reproduction (maternal/child) and progresses through the life span development, including the pediatric patient, with emphasis on developmental, psychosocial, and cultural considerations. Theorist such as Erickson, Freud, Sullivan and Piaget will be studied. Care of the adult and family will be discussed. Community resources are explored. Nursing management of the pregnant woman and her family will be discussed. Emotional and mental health issues will be examined. Palliative care and hospice care will also be explored, including ethical, legal, and socio-cultural concerns. Emphasis is placed on gathering data for the nursing process and the communication skills needed to interact with the patient across the lifespan. Cultural, spiritual, psychological, and diversity are integrated throughout the course as they relate to caring. Lab and clinical experiences in basic patient care are incorporated into this course.Prerequisites: PNU 101 and PNU 102

Medical-Surgical Nursing II [PNU 105] 12.5 Credits

Medical-Surgical Nursing II is the second course of a 2-quarter sequence. Health promotion strategies and health care principles are examined with an emphasis on the disease states of various body systems (respiratory, cardiovascular, gastrointestinal renal/urinary, reproductive, the immune system and nursing management). A holistic understanding of the cultural, psychosocial, and spiritual needs of the individual adult and family is emphasized. Accountability, cultural diversity, spiritual and psychological needs of the patient and family, and the implementation of caring behaviors by the nurse is integrated throughout the course. Pharmacology is emphasized. Application of the nursing process occurs throughout this course. Lab and clinical experiences in providing patient care and documentation of care given are integrated throughout this course.Prerequisite: PNU 103, PNU 104

Pharmacology: IV Therapy and Phlebotomy [PNU 106] 4.0 Credits

In this course the student will focus on the practical nurse role in the performance of intravenous (IV) therapy procedures. Theory in intravenous therapy administration is provided in accordance with the rules and regulations of the Ohio Board of Nursing (4723-17). Students will review fluid and electrolyte balance. The principles of infection and infection control measures will be discussed. Students will be instructed as to various IV infusion systems. Peripheral intravenous therapy will be discussed and demonstrated. Complications in IV therapy such as phlebitis, catheter dislodgement, occlusions, and thrombosis will be discussed. Systemic complications will also be presented. Calculation of IV infusion rates in relation to electronic and gravity infusion will be covered. Charting of IV insertion and any complications will be discussed and practiced.Prerequisite: PNU 103, PNU 104

Transitions [PNU 107] 1.0 Credits

Transitions into nursing will explore the issues pertinent to entry into nursing practice such as the influence of one’s own needs, behavior/values and communication skills. It includes a study of the roles and competences of the beginning Licensed Practical Nurse integrated with team building, accountability, relationship skills, and coping strategies for career-related stressors. Legal aspects of nursing are explored with an emphasis on the Nurse Practice and the licensing role of the State Board of Nursing. Resume building will be discussed. Prerequisites: PNU 105, PNU 106 and NUT 100

Integrated Concepts: NCLEX-PN Preparation and Exit Exam* [IC 110] 3 Credits

The focus of this course has been specifically designed to assist nursing students to prepare for the National Council of Licensure Examination (NCLEX-PN) with the goal of becoming a licensed practical nurse. Students will be provided the opportunity to assess their level of preparedness for the national examination. Skills in computer test-taking and test-taking strategies will be included. The current test plan for the NCLEX-PN examination will guide the presentation of specific course content. This course will cover all areas of the NCLEX-PN exam over two (2) weeks. The course includes a 20-hour lab component where students will be exposed to sample questions representing all types of question formats, including multiple choice, fill-in-the-blank, multiple responses, charts, figures, and delegating and prioritizing. Students will be exposed to over 5000 practice NCLEX-PN type questions covering all areas of the current test plan for the NCLEX-PN examination using the NCLEX-PN review computer program provided.Prerequisites: Successful completion of all courses in previous quarter.* This course is also available to non-Felbry students who have completed a similar Practical Nursing program approved and/or accredited by a Board of Nursing in any U. S. state. Permission of the program administrator is required.