Seneca College of Applied Arts and Technology

Practical Nursing Diploma Program

PNL110 Skills Lab for the Practical Nurse I

Seneca College of Applied Arts Technology

Practical Nursing Diploma Program

Course Outline

PNL110

Skills Lab for the Practical Nurse I

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Seneca College of Applied Arts and Technology
Practical Nursing Diploma Program
PNL110 Skills Lab for the Practical Nurse I

Table of Contents

TABLE OF CONTENTS .............................................................................................................................................. 2

COURSE DESCRIPTION ............................................................................................................................................ 3

CREDIT STATUS ....................................................................................................................................................... 3

COURSE LEARNING OUTCOMES ............................................................................................................................ 3

COURSE ESSENTIAL EMPLOYABILITY SKILLS LEARNING OUTCOMES..............................................................................................4

COLLEGE POLICY ON ACADEMIC INTEGRITY ......................................................................................................... 4

ACADEMIC ACCOMMODATIONS .........................................................................................................................................5

FACULTY AVAILABILITY .......................................................................................................................................... 5

ACADEMIC ADVISEMENT ....................................................................................................................................... 5

TOPIC OUTLINE..............................................................................................................................................................5

REFERENCE MATERIAL ........................................................................................................................................... 6

REQUIRED SUPPLIES ............................................................................................................................................... 6

PROMOTION POLICY .......................................................................................................................................................6

MIDTERM AND FINAL EXAMS ................................................................................................................................ 6

TEST......................................................................................................................................................................... 7
GENERAL INFORMATION ..................................................................................................................................................8
PROFESSIONAL RESPONSIBILITY....................................................................................................................................................... 8
LAB ATTENDANCE ......................................................................................................................................................................... 8
LAB DRESS CODE .......................................................................................................................................................................... 8

PRACTICE LAB ......................................................................................................................................................... 8

INFECTION CONTROL IN THE LAB ..................................................................................................................................................... 8
SAFETY IN THE LAB ........................................................................................................................................................................ 9
LAB MANAGEMENT ...................................................................................................................................................................... 9
COMPUTER ACCESS AND MYNURSINGLAB........................................................................................................................................ 9
DEMONSTRATION OF PROFESSIONAL BEHAVIOURS............................................................................................................................. 9

PRE-LAB PREPARATION ........................................................................................................................................... 9

EVIDENCE-BASED PRACTICE ........................................................................................................................................................... 9
SENECA GENERAL HOSPITAL ......................................................................................................................................................... 10

CLIENT PROFILES ................................................................................................................................................... 10

TENTATIVE SCHEDULE.................................................................................................................................................... 11
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PNL110 Skills Lab for the Practical Nurse I

Course Outline
Skills Lab for the Practical Nurse 1 PNL110
Course Name Course Code

Course Description
This course gives the student the opportunity to apply theoretical concepts and practice skills that maintain
and promote health and healing. Students will demonstrate a safe level of performance in the lab before
implementing the skills in nursing practice settings.

Credit Status
Successful completion of this course provides one credit towards the Practical Nursing Diploma.

Course Learning Outcomes

Upon completion of this course, the student will reliably demonstrate the ability to:
1. Integrate theory, principles, College of Nursing standards and concepts of nursing and health into safe
nursing practice.
2. Integrate theory to select appropriate equipment and assessment tools for a variety of nursing skills,
assessments, and interventions across the lifespan.
3. Identify holistic patient assessment data that supports selected nursing interventions.
4. Demonstrate accurate psychomotor skills for all learned nursing interventions.
5. Recognize the importance of diversity when providing nursing care in all situations.
6. Model professional behavior by obtaining consent prior to initiating nursing care and providing privacy
prior to initiating nursing care.
7. Engage in reflective practice through self-evaluation of psychomotor skills.
8. Document nursing care performed clearly, concisely, and accurately.
9. Demonstrate therapeutic nurse client relationship through communication, engaging in a professional
introduction prior to starting nursing care, and collaboration for the purposes of assessment and to
identify needs.
10. Recognize assessment outcomes that are within normal limits and that are abnormal.

CNO Entry to Practice Competencies (identified in subject outline and weekly course objectives)

1. Develops a therapeutic relationship with clients.

2. Identifies clients' health care needs in a caring environment that facilitates achieving mutually agreed health
outcomes.
3. Collaborates with clients across the lifespan to perform a holistic nursing assessment.
6. Demonstrates knowledge in nursing, health and social sciences.
7(a). Promotes clients' rights and responsibilities by (a) Obtaining client consent prior to initiating nursing care;
7(b). Promotes clients' rights and responsibilities by (b) Protecting clients' rights by respecting confidentiality,
privacy, dignity and self-determination as part of the plan of care.
10. Reviews literature and collaborates with colleagues and other resources in selecting assessment tools or
techniques.
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19. Formulates clinical judgements that are consistent with the clients' needs and priorities by responding to
changing situations that affect client's health and safety.
41. Provides care that demonstrates an awareness of client diversity.
42. Maintains clear, concise, accurate and timely records of client's care.
104. Demonstrates a professional presence and models professional behavior.
106a. Uses the standards of practice to assess one’s competence to identify gaps in knowledge skill,
judgement and attitude by (a) Evaluating one’s practice.

Course Essential Employability Skills Learning Outcomes

Upon completion of this course the student will demonstrate the ability to:
1. Communicate clearly, concisely and correctly in the written, spoken, and visual form that fulfills the purpose
and meets the needs of the audience.
5. Use a variety of thinking skills to anticipate and solve problems.
8. Show respect for the diverse opinions, values, belief systems, and contributions of others.
10. Manage the use of time and other resources to complete projects.

Academic Integrity
Seneca College has the highest standards of academic honesty. Academic honesty means that all students will conduct
themselves in an honest and trustworthy manner in all aspects of their academic career. To support Academic Honesty,
all work submitted by students may be reviewed for authenticity and originality, utilizing software tools and third-party
services. Please visit the Academic Honesty site at https://www.senecacollege.ca/about/policies/academic-integrity-
policy.html

Appeals
You have the right to appeal academic decisions of the College. The procedures for informal and formal appeals are
outlined in the Policy on Academic Integrity: http://www.senecacollege.ca/academic-policy/acpol-13.html

Discrimination and Harassment

All students and employees have the right to study and work in an environment that is free from discrimination and/or
harassment. Seneca College will not tolerate any form of discrimination and/or harassment in its employment,
educational, accommodation or business dealings. https://www.senecacollege.ca/about/policies/discrimination-and-
harassment-policy.html

Accommodation for Students

Students requesting academic accommodations are asked to register with Counselling and Accessibility Services at the
beginning of the semester in order for supports and services to be put in place in a timely manner. If you require
accommodation, contact the Counselling and Accessibility Services at 416-491-5050 ext. 55157 to initiate the process for
documenting, assessing and implementing individual accommodation needs.
https://www.senecacollege.ca/student-services-and-support/support-services/counselling.html

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Faculty Availability
All faculty are available for course/curriculum consultation. It is the student's responsibility to raise course and
program concerns with the appropriate Professor/Coordinators/Chair. Normally, e-mail and voice mail
responses from faculty can be expected within 48 hours (business days only). Students should make
appointments in advance and cancel if they cannot attend.

Academic Advisement
Students wanting to review their final assignments, practical and/or written exams, are responsible for
contacting their professor to schedule an appointment.

Pre-requisites - None
Co-requisites - None

Topic Outline
Students will study and practice skills that will prepare them to:
1. Protect themselves and others from injury and infection
2. Accurately assess vital signs
3. Record assessments, skill implementation and client response
4. Assess the client's ability to meet basic health needs and activities of daily living
5. Collect specimens for diagnostic testing
6. Provide care for the client requiring assistance with:
• Mobilization
• Hygiene
• Nutrition
• Elimination
• Simple wound care

Modes of Instruction
4 periods per week (2 classroom + 2 lab) x 13 weeks = 52 hours.
A simulated hospital setting is used for the learning, practice and testing of clinical skills
required for the practice of nursing. This course focuses on basic nursing assessment and
healing practices required to maintain and promote client health.
A variety of teaching methods will be used, including, but not limited to: demonstration, audio-
visual presentation, independent research, individual and group practice, computer instruction,
lecture, pre-lab preparation, mannequin simulation, self-reflection through videoing and faculty
facilitation.

Required Texts and Resources

College of Nurses of Ontario. (2015). Standards and guidelines. Retrieved from
http://www.cno.org/learn-about-standards/publications-list/standards-and-guidelines/

Astle, B. J., Duggleby, W., & Potter, P. A. (2019). Canadian fundamentals of nursing. Milton, ON,
Canada: Elsevier Canada, a division of Reed Elsevier Canada.

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Recommended Text
Mosby’s Dictionary of Medicine, Nursing & Health Professions (10th ed.). (2016). St. Louis, MO:
Mosby Elsevier.

Reference Material
Research materials include current health related articles and nursing journal articles,
audio-visual and computer resources.
Performance checklists and skills videos are available on the website associated with the
Canadian Fundamentals of Nursing text. Access directions are provided with the text book

Required Supplies
It is mandatory that all students bring their own watch with a second hand, and stethoscope to
each lab class.

Promotion Policy
A minimum overall “C” grade is required for one credit toward the Practical Nursing Diploma.

Modes of Evaluation
Terminology Test Week 1-4 5% Week 5
Mini Skills Demonstration Random Skills Assessment 3% Week 6
Week 1-5
Quizzes 1 Online Week 1-5 2% Week 6
Vital Signs Evaluation Vital Signs Testing SAT/UNSAT Week 2-7
Pulse & Respiration Rate
Midterm Exam Week 1-5 30% Week 7
Vital Signs Evaluation 2 Vital Signs Testing SAT/UNSAT Week 3-13
Blood Pressure
Documentation Assignment In Class 5% Week 12
Psychomotor Testing Video Skills Testing 15% Week 12
Weeks 1-10
Quiz 2 Online Weeks 1-11 3% Week 12
Mini Skills Demonstration 2 Random Skills Assessment 2% Week 13
Week 8-11
Final Exam Comprehensive 35% Week 14

Midterm and Final Exams

The major exams for this course will be multiple choice and may include alternate format
questions. The Final Exam is comprehensive, covering content from Week 1 – 13; note the Final
Exam is scheduled in Week 14 on the Final Exam Schedule. It is not during class time.

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Test
There is an in-class written test with a focus on terminology in Week 5, worth 5%. The format
may include short answer, multiple choice, and/or fill in the blank. Content covers Week 1 – 4.
There is an in-class documentation assignment in Week 10, worth 5%.

Quizzes
There are two Blackboard quizzes, each worth 2% & 3% for a total of 5% of the final grade. Quiz
1 will be posted in Week 6 and Quiz 2 in Week 12.

Skills and Psychomotor Skills Testing

Evaluation includes random skill assessment including organization, manual dexterity, speed,
relevant verbal and written communication and safety. Skills testing may be tested live or
through a video; students are REQUIRED to have their skill videoed by a peer for self-evaluation
purposes.

Skills evaluated may include: donning and removal of personal protective equipment (PPE), vital
signs, blood pressure, positioning, transferring, hygiene, gastrostomy tube feeding, and
obtaining a urine specimen from a Foley catheter.

Evaluation
If an extension is required for any individual assignment, the request must be received prior to
the assignment due date. Grade deduction for late submission of an assignment is 5% per day
(Review guideline in PND Handbook).
In recognition of the significance of exceptional communication skills in the workplace, marks
are deducted for language errors. Please see the detailed assignment descriptions and rubrics
for more information.
Plagiarism will result in a grade of zero, as per Seneca College’s Academic Policy.
If a test or exam is missed due to extenuating circumstances, please contact the course
professor and Academic Coordinator (Review guideline in PND Handbook for Deferred
Evaluation Request).

_________________________________________________
Approved by: Nina Koniuch, Chair, School of Nursing
Revision Date: June 2019

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General Information

Professional Responsibility
The Nursing Practice Lab is a simulated clinical environment. The lab is designed to give the student an
opportunity to practice, develop competency and demonstrate proficiency in selected skills. Faculty and Lab
Technologists will assist students with their learning.

Lab Attendance
Students are expected to arrive on time, prepared, and remain for the full lab time. Attendance will be
monitored each week. Attendance is highly recommended for student success.

If exceptional circumstances arise and a student will be late or absent the student:
• Must notify the Lab Professor of your lateness or absence by e-mail.
• Must contact the Professor when you return to school to identify strategies for completing the
requirements.
• May be required to complete a Student Lab Absence form and have the form signed by a skills lab
facilitator, or a peer tutor verifying that the time has been made up and/or submit a video of skills
missed.

Lab Dress Code

Students must wear a solid coloured uniform, with matching top and bottom. Clean, dry running shoes are to
be worn in the lab. Students may wear a shirt under their uniform with sleeves above the elbow, or wear a
uniform warm-up jacket for warmth but no other clothing will be permitted, e.g. sweatshirts. Jewelry must be
removed and hair tied back out the face when in the lab for safety and infection prevention purposes.

Students who do not adhere to the dress code may not be permitted to enter the lab.
Students will role play the nurse and patient, and need to be prepared to remove shoes and wear patient
gowns that facilitate nursing activities such as taking blood pressures, lifting/moving/transferring in and out of
bed, etc.

Practice Lab
The practice lab is located in Room GH 1160. It has manikins and equipment for use by students outside of
their allocated lab time. Peer tutors are present according to availability to assist students with questions and
skills practice. Students are strongly recommended to use the practice lab every week for additional learning
as this has been shown to improve student success.

Infection Control in the Lab

Students are expected to protect themselves and others from infection through the use of Standard
Precautions or Routine Practices. This will be studied in the lab during the first week. Wash your hands or use
hand-cleansing products before coming to the lab.

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Safety in the Lab

Students are expected to protect themselves and others from injury during labs.
Following the dress code is essential to personal safety. Personal belongings other than those essential for lab
practice must be left in student lockers. Safe use of equipment and application of the principles of proper
body mechanics is essential.

Lab Management
Students will be allocated a bed area in the lab and will be responsible for maintaining the safety and
cleanliness of their environment. The responsibilities are shared for set-up and clean up.

Computer Access
Students are required to routinely check E-mail messages and Blackboard for any announcements and
additional preparations required prior to attending Lab. Blackboard quizzes will be made available to students
at selected times throughout the semester and are time limited. Students will be required to register for
Evolve Online resources and access relevant material weekly. Information regarding registration will be
posted on Blackboard.

Demonstration of Professional Behaviours

Completion of all required learning material, management activities, attendance, punctuality, initiation of
professor contact if absence, adherence to dress code, code for professional deportment, team effort etc. are
all essential to PNL 110 success.

Pre-Lab Preparation
Students are expected to complete pre-lab preparation prior to labs. This will include a combination of the
following; required reading, watching videos of skills, completing modules from Evolve, a pre-lab activity sheet
and any other professor assigned activity.

Evidence-Based Practice
Nursing is both the art and science of caring for individual(s), family(s) and/or communities in order to
promote quality of life. In order to meet professional standards of practice, it is essential that nurses embrace
the spirit of enquiry to ensure practice is evidence-based.
The textbook readings and MyNursingLab will be the main source of information for students but it is
important to recognize that relying on limited sources of information can lead to errors and omissions. In
today’s world, knowledge and technology change rapidly hence students will be expected to perform
literature searches of nursing journals in order to complete their lab preparation.
Journals are available at: The Seneca College Library home page.

It is not expected that first semester students be able to analyze the quality of the research, simply
demonstrate the spirit of inquiry. The most important questions to ask are why, what, how and when?
Let’s look at a caring intervention such as taking a blood pressure. Questions that might be useful to ask are:
• Why do we use aneroid blood pressure devices?
• What should I use to clean the equipment with?
• How often should I take a person’s blood pressure?
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• When is the best time to take a person’s blood pressure?

First semester students will not be expected to answer every question for each aspect of caring and they will
not be expected to provide in depth answers.

Seneca General Hospital

Welcome to Seneca General Hospital’s Garriock Care Unit. We are a small community hospital providing
nursing care. As a student nurse you will be assigned to an area and the faculty facilitator or a lab technologist
will help orientate you to the unit: layout, policies, procedures and routines. Please arrive on time for your
assigned lab in order to receive relevant information and prepare for client care activities.

You will be provided with weekly scenarios based on one or more of the client profiles and will be expected to
review the scheduled activity and readings, and complete a plan of care for the chosen scenario.

These learning activities have been designed to help you study and apply course content. The Professor may
adapt or add learning activities. Learning activities not completed in class should be considered independent
learning activities and be completed by the student.

Client Profiles
Client profiles can be found in the lab binders. As you read their profiles consider what their diagnosis and
treatment needs might mean for the person. Make a list of any new words and look them up. You will be using
these client profiles as a basis for assessing, planning, implementing and evaluating the interventions you will
perform this semester. Several of the patient profiles have been adapted from The Canadian Neighbourhood
(Giddens & Stalkie, 2013).

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Tentative Schedule
Note: It is not usually required to read entire chapters; follow the Weekly Objectives to locate selected readings .

Week Topic & Reading Theory = 2 classroom periods Lab Activities = 2 periods
Weekly Course Objectives in Theory Weekly Course Objectives in Lab

1 ▪ Course 1. Identify the learning outcomes, evaluation

Introduction methods, promotion policy, guidelines for lab 1. Develop a therapeutic relationship with lab
▪ Infection and professional behaviour partners, respecting partner’s rights and being
Prevention and 2. Describe the process for accessing learning respectful of diversity.
Control resources on BB and Evolve 2. Practice safety and infection prevention of with
▪ Bed Making 3. Briefly describe the following terms: infection, hand hygiene and donning and doffing PPE.
▪ Lab Safety pathogen, microorganism, resident flora 3. Practice making an unoccupied bed
4. Describe the term ‘infection prevention and 4. Identify lab equipment and safety precautions
control’
Potter, Perry, 5. Discuss the concept of health care- associated Skill 34.1: Hand Hygiene
Stockert & Hall, infections Practice Guideline 34.1: Nail and Hand Care for
Chapter 33 6. Explain the links in the chain of infection Nurses
7. Briefly discuss ways to break the chain and
Potter, Perry, prevent HAI infections, specifically Elimination Skill 34.2: Donning and Removing PPPE
Stockert & Hall, of Microorganisms and Reservoirs and
Chapter 38 Reduction of Transmission Skill 31.9 Changing an Unoccupied Bed
8. Explain the different types of Personal Practice Guideline 31.2 Bed Making and Disposal of
Protective Equipment and the rationale Linens
9. Understand the steps for doffing PPE
10. Explain Routine Practices and Additional
Precautions
11. Explain the process for reducing the
transmission of infection during bed making LO 1, 2, 4, 5, 6, 9, 10
LO 1, 3 CNO ETP # 1, 6, 7a, 7b, 10, 19, 41, 104
CNO ETP # 6, 19

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2 Measurement 1: 1. Discuss the importance of height and weight
▪ Height in the client assessment
▪ Weight 2. Understand body temperature and briefly
▪ Temperature explain the regulation of temperature
▪ Pulse 3. List and describe the factors affecting body
▪ Respirations temperature
▪ Pulse Oximetry 4. Briefly describe basic nursing interventions for
a client with a fever
Potter, Perry, 5. Describe how to assess body temperature and
Stockert & Hall, rationale for choosing an appropriate site
Chapter 32 6. Understand alterations in body temperature
including pyrexia and hypothermia
Potter, Perry, 7. Explain the term pulse, and cardiac output
Stockert & Hall, 8. Describe factors that affect pulse rate
Chapter 30 9. List the sites for obtaining a pulse
10. Describe how to count and assess a pulse
11. Describe the term respirations
12. Discuss how to assess respirations and the
factors that may affect respirations
13. Describe the term oxygen saturation, hypoxia,
and the factors affecting oxygen saturation
readings
14. Describe the appropriate sites that a oximeter
probe can be placed
15. Identify the acceptable ranges for
temperature, pulse, respiratory rate, and
oxygen saturation of an infant, child and adult
LO 1, 3, 6
CNO ETP # 2, 6,
3 Measurement 2: 1. Explain the physiology of blood pressure
PNL 110 2197-2204
1. Demonstrate how to measure height and weight
2. Demonstrate how to:
a. Obtain a temperature using oral, axilla,
temporal and tympanic sites
b. Identify, palpate, and count or auscultate
common pulse sites
c. Measure apical and radial pulses
d. Count respirations visually and with a
stethoscope
e. Measure oxygen saturation levels
f. Document vital signs on the appropriate charts
Skill 29.1: Assessing Body Temperature
Lifespan Considerations: Assessing Body
Temperature
Skill 29.2: Assessing a Peripheral Pulse
Skill 29.2: Assessing an Apical Pulse
Skill 29.4: Assessing an Apical-Radial Pulse
Lifespan Considerations: Assessing the Apical-Radial
Pulse
Skill 29.5: Assessing Respirations
Skill 29.7: Measuring Oxygen Saturation
Lifespan Considerations: Pulse Oximetry
LO 1, 2, 3, 4, 5, 6, 8, 9, 10
CNO ETP# 1, 2, 3, 6, 7a, 7b, 10, 19, 42, 104
Practice and demonstrate how to:
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PNL110 Skills Lab for the Practical Nurse I

▪ Blood Pressure 2. Understand the terms arterial blood pressure, 1. Use the two-step method to assess blood
▪ Assessment of systolic, diastolic, and pulse pressure pressure
Pain 3. Describe factors that affect blood pressure 2. Assess for orthostatic hypotension and the
4. Understand the terms hypertension, related nursing interventions
hypotension, and orthostatic hypotension 3. Complete a pain assessment using pain
Potter, Perry, 5. Identify the components of a stethoscope and assessment scales
Stockert & Hall, of a blood pressure cuff, sphygmomanometer, 4. Perform a complete vital signs assessment
Chapter 30 and bulb 5. Document vital signs appropriately
6. Identify usual blood pressure sites and
Potter, Perry, reasons why a site may not be used Skill 29.6: Assessing Blood Pressure
Stockert & Hall, 7. Explain the method of assessing blood Lifespan Considerations: Assessing Blood Pressure
Chapter 31 pressure using the two-step method
8. Describe the phases of Korotkoff sounds, and Teaching Clinical: Controlling Orthostatic
describe an auscultatory gap Hypotension
9. Be aware of common errors in assessing
blood pressure
10. Identify the range for normal blood pressure
across the lifespan
11. Briefly describe the nature of pain LO 1, 2, 3, 4, 5, 6, 8, 9, 10
12. Briefly identify and understand the CNO ETP # 1, 2, 3, 6, 7a, 7b, 10, 19, 41, 42, 104
components of a pain assessment (PQRSTU)
13. Describe various pain assessment scales for
use across the lifespan
14. Understand pain assessment in clients who
cannot self-report

LO 1, 3, 6
CNO ETP # 6, 10
4 Mobility and 1. Demonstrate knowledge of normal 1. Practice moving lab partners higher in the bed,
Immobility movement of the body including alignment and repositioning
(Part 1) and balance 2. Position lab partner in correct positions ensuring
▪ Body Mechanics 2. Explain how to use proper body mechanics appropriate body alignment, and use of
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▪ Body alignment and ergonomics to prevent musculoskeletal supportive devices as required

▪ ROM injuries 3. Utilize proper body mechanics appropriately
▪ Positioning and 3. Briefly describe the effects of immobility to 4. Demonstrate ROM (active and passive)
moving patients each body system 5. Practice applying anti-embolic Stockings
in bed 4. Explain the importance of range of motion
▪ Anti-embolic exercises and describe the technique for
stockings assisting a client with active and passive range
of motion Skill 39.1: Moving a Client Up in Bed
Potter, Perry, 5. Describes the importance and application of Skill 39.2: Turning a Client to the Lateral or Prone
Stockert & Hall, antiembolic stockings Position
Chapter 36 6. Discuss essential techniques and devices for
moving and positioning clients in bed Skill 36.2: Applying Anti-embolism Stockings
Potter, Perry, 7. Understand the common bed positions that
Stockert & Hall, clients are often placed in (Fowler’s,
Chapter 45 orthopneic, dorsal recumbent, prone, lateral, LO 1, 2, 3, 4, 5, 6, 9, 10
trendelenburg) CNO ETP # 1, 2, 3, 6, 7a, 7b, 10, 19, 41, 104,
Potter, Perry,
Stockert & Hall, LO 1, 3, 6
Chapter 38 CNO ETP # 6, 10
5 Mobility and 1. Discuss different methods of safely 1. Practice transferring lab partner(s) out of bed to
Immobility transferring clients manually (transfer belt, a chair with a transfer belt
Test (Part 2) gait belt, transfer board) and using a 2. Practice transferring lab partner from bed to
(5%) ▪ Transfer Client mechanical lift stretcher using a transfer board
out of Bed 2. Discuss the General Guidelines for transfer 3. Practice using the mechanical lift
▪ Mechanical techniques 4. Assess a lab partners risk for falls using the Morse
Lifting 3. Review orthostatic hypotension and measures to Falls Scale
▪ Ambulating control this condition 5. Assist lab partner to ambulate including using a
Clients with and 4. Describe assessment of a client prior to
without Mobility gait belt
ambulation 6. Assess gait and balance using the Berg Balance
Aids
5. Describe the use of, and teaching required of Scale
mechanical aids for walking, including canes, 7. Assess the fit of crutches, canes, and walkers and
Potter, Perry,
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Stockert & Hall, walkers and crutches demonstrate teaching on how to use them safely
Chapter 36 6. Discuss falls in the elderly, including causes
and related complications Skill 39.4: Assisting the Client to Sit on the Side of the Bed
Potter, Perry, 7. Discuss tools for assessing gait, balance, and Skill 39.6: Transferring Between Bed and Stretcher
Stockert & Hall, risk of falls for clients Box 39.3: Wheelchair Safety and the Safe Use of
Chapter 30 Stretchers
Skill 39.7: Assisting the Client to Ambulate
LO 1, 3, 6
Potter, Perry, Teaching Clinical: Using Canes
CNO ETP # 6, 10
Stockert & Hall, Teaching Clinical: Using Walkers
Chapter 45 Teaching Clinical: Using Crutches
Table 32.1: Falls: Risk Factors and Preventive Measures
Potter, Perry, Practice Guidelines 32.1: Preventing Falls in Health Care
Stockert & Hall, Agencies
Chapter 37
LO 1, 2, 3, 4, 5, 6, 9, 10
CNO ETP # 1, 2, 3, 6, 7a, 7b, 10, 19, 104
6 Quiz 1 (2%) Theory Catch-up Practice Lab
& Mini Skills Testing on 3 Skills
Midterm Review
LO 1, 4, 7, 10, 11
LO 1, 2, 3, 5, 10 CNO ETP # 3, 6, 7a, 7b, 104
CNO # 6
7 Mid-Term Exam LO 1, 3, 5, 6 Mini Skills Testing
(30%) CNO ETP # 6 Pulse & Respiration

LO 1, 2, 3, 4, 5, 6, 9, 10
CNO ETP # 3, 6, 7a, 7b, 104
Study Week – Practice Lab open for limited times (check schedule posted in Practice Lab)
8 Hygiene & 1. Describe factors that influence personal 1. Assess hygiene needs for lab partner
Documentation hygiene practices 2. Practice Complete and partial bed baths, shaving,
• Personal Care 2. Identify the components of a hygiene and mouth care on lab partners, and perineal
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▪ Occupied Bed assessment care on a manikin part,

Making 3. Describe the purpose and precautions of 3. Practice foot and nail care
▪ Writing a patient bathing 4. Practice oral hygiene, denture care
note 4. Outline the categories of baths 5. Practice hair and scalp care
5. Understand the steps for bathing an adult 6. Practice making an occupied bed
Potter, Perry, client 7. Practice writing a patient note
Stockert & Hall, 6. Understand the challenges of bathing a client
Chapter 38 with dementia Practice Guidelines: 31.1: Bathing People with Acute
7. Outline the process for providing perineal- Confusion or Dementia
Potter, Perry, genital care Skill 31.1: Bathing an Adult Client
Stockert & Hall, 8. Understand how to provide care to the feet, Skill 31.2: Providing Perineal-Genital Care
Chapter 15 hands, nails, mouth, hair, eyes, ears Skill 31.3: Providing Foot Care
and nose Skill 31.4: Flossing and Brushing Teeth
9. Discuss the specific precautions for Skill 31.5: Providing Special Oral Hygiene to an
performing mouth care for an unconscious or Unconscious Client
debilitated client Skill 31.6: Providing Hair Care
10. Understand the procedure for making an Skill 31.7: Shampooing the Hair of a Client Confined
occupied bed to Bed
11. Identify the components of a nursing note Skill 31.8: Removing, Cleaning, and Inserting a
Hearing Aid
LO 1, 3, 5, 6 Skill 31.10: Changing an Occupied Bed
CNO ETP # 6

LO 1, 2, 3, 4, 6, 8, 9, 10
CNO ETP# 1, 2, 3, 4, 7a, 7b, 10, 19, 41, 104
9 Elimination 1: 1. Describe the following consistency 1. Practice assisting your lab partner to eat
Nutrition and modifications for assisting with special diets: 2. Feed lab partner who simulates a variety of
Bowel Elimination clear fluids, full fluids, soft, puree, NPO, and physical deficits
• Client feeding DAT 3. Practice assessing and preparing G-tube feeds
• Caring for clients 2. Understand the terms anorexia, and 4. Explore a g-tube that is inserted in a manikin
with a dysphagia including the client at risk, and 5. Practice giving and receiving a bedpan
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PNL110 Skills Lab for the Practical Nurse I

gastrostomy symptoms of, dysphagia 6. Practice setting up and positioning mannequin

tube 3. Describe methods to stimulate the appetite for administration of a Large Volume enema
▪ Promoting 4. Be familiar with principles of assisting patients 7. Set up and position mannequin for
normal bowel with meals administration of a Fleet enema
elimination 5. Describe a gastrostomy tube (G-tube, PEG) an 8. Practice teaching how to initiate a bowel training
▪ Enema a jejunostomy tube (PEJ) as an enteral
program
administration nutrition method
9. Practice an abdominal assessment
▪ Ostomy care 6. Understand how to test for feeding tube
10. Document fluid intake and output
▪ Fluid balance placement
7. Describe enteral feedings (type and frequency, 11. Practice teaching about stoma and ostomy care
▪ Documentation
administering medications, preventing a and provide ostomy care on a mannequin
Potter, Perry, clogged tube) 12. Document fluid balance and the above nursing
Stockert & Hall, 8. Describe the assessment of patients receiving interventions
Chapter 42 a tube feeding 13. Write a nursing note documenting care provided
9. Review the steps for administering a tube
Potter, Perry, feeding
Stockert & Hall, 10. Explain the physiological aspects of normal
Chapter 44 defecation and factors that affect bowel Skill 40.4 and Skill 40.5: Administering a Tube
elimination Feeding
11. Understand characteristics of normal and Practice Guideline 41.1: Giving and Removing a
abnormal feces, including the Bristol Stool Chart
Bedpan
12. Identify and discuss fecal elimination
Skill 41.1: Administering an Enema
problems
13. Describe common bowel diversions and how
Skill 41.2: Changing a Bowel Diversion Ostomy
to manage them Appliance
14. Explain why, and how, stool specimens are
collected LO 1, 2, 3, 4, 5, 6, 8, 9, 10
15. Describe ways to promote regular defecation CNO ETP # 1, 2, 3, 6, 7a, 7b, 10, 19, 41, 42, 104
16. Define an enema and the four types of
enemas
17. Explain the process of digital removal of a
fecal impaction
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Practical Nursing Diploma Program
PNL110 Skills Lab for the Practical Nurse I

18. Explain the principles of a bowel-training

program
LO 1, 3, 6
CNO ETP # 6, 10
10 Elimination 2: 1. Describe the process of urination and factors 1. Practice applying incontinence briefs on lab
Bladder Elimination that affect voiding partner
2. Identify alterations in urinary elimination 2. Practice using urinals and bedpans on lab partner
(frequency, nocturia, urgency, dysuria, 3. Practice teaching collection of a midstream urine
enuresis, incontinence, retention) specimen with your lab partner
Potter, Perry, 3. Describe how to measure urinary output 4. Practice care of an indwelling urinary catheter on
Stockert & Hall, 4. Demonstrate knowledge of common urine mannequin
Chapter 43 specimen collections including a clean voided 5. Obtain a sterile urine specimen from an
specimen, a midstream urine specimen, timed indwelling catheter on a mannequin
urine specimen and a dipstick urine 6. Practice removing an indwelling catheter from a
5. Describe how to obtain a specimen from an mannequin
indwelling catheter 7. Practice applying, and care of a condom catheter
6. Describe strategies to maintain normal on a mannequin
urinary elimination 8. Practice completing intake and output
7. Describe catheter care and explain how to documentation
reduce the risk of infection for a client with an 9. Write a nursing note documenting care provided
indwelling catheter
8. Discuss ways to manage urinary incontinence Skill 42.1: Collecting a Urine Specimen for Culture
9. Describe an external urinary drainage device and sensitivity
(condom catheter) Skill 42.2: Applying an External (Condom) Urinary
LO 1,3,6 Device
CNO ETP # 6, 10, 19 LO 1, 2, 3, 4, 5, 6, 8, 9, 10
CNO ETP # 1, 2, 3, 6, 7a, 7b, 10, 19, 41, 42, 104

11 Skin Integrity and 1. Explain what a pressure injury is, and the risk 1. Practice setting up a sterile field
Wound Care factors increasing the risk 2. Practice taking a swab from a wound on a
• Simple Dressings 2. Explain the terms ischemia and reactive mannequin

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Seneca College of Applied Arts and Technology
Practical Nursing Diploma Program
PNL110 Skills Lab for the Practical Nurse I

▪ Sutures hyperemia 3. Practice changing a simple dressing on a

▪ Staples 3. List the classification of pressure injuries, and mannequin
▪ Bandaging the identifying features 4. Practice removal of sutures and staples on a
4. Describe measures to prevent pressure mannequin
injuries 5. Practice applying bandages on a mannequin
Potter, Perry, 5. Understand the Braden Scale for Predicting 6. Write a nursing note documenting care provided
Stockert & Hall, Pressure Ulcer Risk and why it is used
Chapter 46 6. Discuss the normal process of wound healing
including types of wound healing and the Skill 35.2: Obtaining a Wound Drainage Specimen for
Potter, Perry, phases of healing Culture
Stockert & Hall, 7. Identify patient factors that affect healing Table 34.8: Principles and Practices of Establishing
Chapter 35 8. List the different types of wound exudate and Maintaining a Sterile Field
9. Describe the complications related to wound Skill 34.3: Establishing and Maintaining a Sterile Field
Potter, Perry, healing Skill 35.2: Obtaining a Wound Drainage Specimen for
Stockert & Hall, 10. Explain aseptic technique Culture
Chapter 36 11. Discuss the principles of establishing and Skill 36.4: Cleaning and Dressing a Sutured Wound
maintaining a sterile field LO 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
12. Discuss the role of bandages for supporting CNO ETP # 6, 7a, 7b, 19, 41, 42, 104, 106
and immobilizing wounds
13. Understand the practice guidelines for
bandaging
14. Understand the technique for changing a
simple dressing
15. Discuss the process for removing sutures and
staples using sterile technique

LO 1, 3, 5
CNO ETP # 6, 10
12 In-class Theory Catch-up & Documentation Assignment Psychomotor Skills Testing (15%)
documentation 15 minutes
assignment (5%)
Quiz 2 (3%)
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Seneca College of Applied Arts and Technology
Practical Nursing Diploma Program
PNL110 Skills Lab for the Practical Nurse I

LO 1, 3, 5, 6, 8 LO 1, 2, 3, 4, 5, 6, 7, 9, 10
CNO ETP # 6 CNO ETP # 6, 7a, 7b, 19, 41, 42, 104, 106a
13 Course Review Final Exam Review Mini Skills Testing (2%)
BP Catch-up
LO 1, 2, 3, 5, 10
CNO # 6
LO 1, 2, 3, 4, 5, 6, 7, 8, 9, 10
CNO ETP # 6
14 Final Exam Week Final Exam (35%)

LO 1, 3, 6, 11
CNO ETP # 6

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