This course plan, its lessons and its assessments has not yet been verified by a licensed clinician in the field or by a certification or approval body. It is a study draft and may contain errors. Do not use it to make decisions about any patient or medication. Always follow your instructor, your supervising professional, and current official references and regulations.
VoTechWorks program approval and accreditation are still in progress. Credentials are issued only by the certifying bodies named in each program, after their own exams.
9 courses · 1,800 clock hours · 12 mo full-time. Grading is competency-based: each course requires the written exam, a competent skills demonstration with zero safety faults, a signed log, and a passed safety audit; percentage weights only rank performance above the competency floor.
This foundational course equips pre-licensure practical nursing students with the safety protocols, dosage calculation skills, health-literacy communication strategies, and professional behaviors required throughout the LPN program and in entry-level nursing practice. Students earn OSHA 10 recognition and CPR/First Aid certification while building the numeracy and documentation habits that directly support safe patient care. All content is mapped to NCLEX-PN client-needs categories, particularly Safe and Effective Care Environment and Health Promotion and Maintenance.
OutcomesThis foundational course equips pre-licensure practical nursing students with the safety protocols, dosage calculation skills, health-literacy communication strategies, and professional behaviors required throughout the LPN program and in entry-level nursing practice. Students earn OSHA 10 recognition and CPR/First Aid certification while building the numeracy and documentation habits that directly support safe patient care. All content is mapped to NCLEX-PN client-needs categories, particularly Safe and Effective Care Environment and Health Promotion and Maintenance.
How the course runs. 7 blocks: Workplace Safety, OSHA 10, and Infection Control in the Clinical Setting; First Aid and CPR/AED Certification; Dosage Calculation and Medication Math for LPNs; Medical Terminology, Technical Reading, and Clinical Documentation; Therapeutic Communication and Patient Education Across the Lifespan; Digital Tools for Nursing Practice: EHR Navigation and Health Informatics; Professional Identity, Scope of Practice, and Career Planning.
What competent looks like. Demonstrate workplace safety practices aligned with OSHA general-industry standards and infection-control principles in a simulated clinical environment. Perform accurate dosage and measurement calculations—including metric conversions, ratio-and-proportion, and drip-rate problems—with 90% or greater accuracy. Interpret and produce clear clinical documentation, including accurate use of medical terminology, abbreviations approved by facility policy, and plain-language patient instructions. Apply therapeutic communication techniques and professional standards of conduct consistent with the LPN scope of practice and the NCLEX-PN Safe and Effective Care Environment framework. Use common digital health-care tools—electronic health record training modules, patient education databases, and online credentialing portals—to locate and record information accurately. Construct a personal career plan that includes a completed NCLEX-PN eligibility timeline, state board of nursing application requirements, and a professional resume and cover letter.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Workplace Safety, OSHA 10, and Infection Control in the Clinical Setting | 22 | theory | Students will identify OSHA general-industry hazard categories relevant to health-care settings and demonstrate correct PPE selection, donning, doffing, and hand-hygiene technique. |
| OSHA 10-Hour General Industry course access (OSHA-authorized provider), CDC Hand Hygiene in Healthcare Settings guidelines, facility-grade PPE set (gloves, gown, N95/surgical mask, face shield), sharps container, biohazard waste bags, UV hand-hygiene demonstration lotion, CDC isolation-precautions reference card | Instructor observes each student's full PPE sequence and hand-hygiene technique using a 10-point competency checklist; student must score 9/10 (90%) and must correctly answer all three OSHA 10 end-of-course assessments to receive the OSHA 10 card. |
| 2 | First Aid and CPR/AED Certification | 16 | lab | Students will perform adult, child, and infant CPR, use an AED, and deliver first-aid interventions for choking, bleeding control, and shock management to the standard required for certification. |
| Adult, child, and infant CPR manikins with CPR feedback devices, AED trainer units, face shields and gloves, commercial tourniquets (CAT or similar training version), pressure dressings, BLS course provider cards, AHA BLS Provider Manual or equivalent | Students must pass both the written exam and the hands-on skills station of the accredited CPR/First Aid course with the scores required by that course's issuing organization to receive a valid certification card; all students must achieve a passing score before advancing. |
| 3 | Dosage Calculation and Medication Math for LPNs | 28 | practice | Students will accurately solve metric unit conversions, ratio-and-proportion dosage problems, weight-based calculations, and basic IV flow-rate problems at a minimum of 90% accuracy on timed practice sets. |
| Drug Calculations: Ratio and Proportion Problems for Clinical Practice (Kee & Marshall, current edition) or equivalent adopted textbook, calculators (non-programmable), sample MARs and medication labels (faculty-created), whiteboard and markers, printed drill worksheets | Students complete a 20-problem timed calculation quiz (40 minutes); passing score is 90% (18/20 correct); any student below 90% completes a documented remediation session with the instructor and retakes a parallel-form quiz within one week before progressing. |
| 4 | Medical Terminology, Technical Reading, and Clinical Documentation | 26 | theory | Students will correctly interpret and apply at least 200 core medical terms (prefixes, suffixes, root words) and produce accurate SBAR and narrative nursing notes using only approved abbreviations. |
| Medical Terminology: A Short Course (Chabner, current edition) or equivalent adopted text, The Joint Commission Official 'Do Not Use' List (current version), de-identified sample clinical documents (faculty-created), SBAR template, nursing note format guide, medical dictionary | Students submit one SBAR and one narrative nursing note for the same scenario; the instructor scores both with a rubric (terminology accuracy, abbreviation compliance, logical organization); passing standard is 80% on the rubric with zero use of TJC 'Do Not Use' abbreviations. |
| 5 | Therapeutic Communication and Patient Education Across the Lifespan | 22 | demo | Students will demonstrate at least four NCLEX-PN-aligned therapeutic communication techniques and adapt a patient teaching moment to the literacy level and developmental stage of an assigned patient scenario. |
| Fundamentals of Nursing textbook (Potter, Perry, or equivalent, current edition) communication chapter, scenario cards (faculty-created), observation/tallying form, readability checker (Hemingway App or SMOG formula worksheet), plain-language health-education example handouts from MedlinePlus | Instructor evaluates the live simulated interview with a 12-item therapeutic communication checklist (must demonstrate at least 4 of 6 target techniques correctly, score ≥ 67%); the teach-back handout is scored on a separate rubric for accuracy, reading level, and completeness with a passing score of 80%. |
| 6 | Digital Tools for Nursing Practice: EHR Navigation and Health Informatics | 16 | lab | Students will navigate a simulated electronic health record system to enter, retrieve, and verify patient data accurately, and locate evidence-based clinical references using digital databases. |
| Computers or tablets with internet access, EHR training platform subscription (SimChart or equivalent), clinical reference database access, instructor-created EHR task packet, screen-capture software or printer, APA citation quick guide | Instructor reviews the submitted EHR output for completeness and accuracy using a 10-item task checklist; passing score is 90% (9/10 items correct with zero critical errors such as wrong patient or undocumented allergy); drug monograph worksheet is graded for accuracy at 80% pass. |
| 7 | Professional Identity, Scope of Practice, and Career Planning | 18 | field | Students will construct a complete personal career-entry plan that includes a professional resume, a cover letter, an NCLEX-PN eligibility checklist aligned to their state board of nursing requirements, and a two-year professional-development goal statement. |
| State board of nursing website (student's state), NCSBN candidate bulletin (current version), NCLEX-PN Test Plan (current version, available free from NCSBN), job-posting printouts from local healthcare employer sites, resume rubric (faculty-created), interview reflection prompt sheet, word-processing software | Instructor scores the completed career plan portfolio (NCLEX-PN eligibility worksheet, resume, cover letter, reflection) with a four-part rubric; each section must score at least 80% and the eligibility worksheet must have zero factual errors about state board requirements; incomplete portfolios are returned for correction within one week. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Safety and Regulatory Knowledge Exam | Written exam | 25% | 75% (38/50 items correct) | A 50-item multiple-choice and select-all-that-apply written exam covering OSHA hazard categories, PPE selection and sequence, infection control (standard and transmission-based precautions), chain of infection, the hierarchy of controls, and emergency response procedures, all mapped to the NCLEX-PN Safe and Effective Care Environment: Safety and Infection Control client-needs category. Accuracy · Safety · Communication · Professionalism |
| Dosage Calculation and Medical Terminology Exam | Written exam | 25% | 90% on the calculation section (18/20 problems); 80% on the terminology section (32/40 items); both sections must be passed independently | A two-section closed-book exam: Section A contains 20 medication math problems (conversions, dosage, weight-based, and flow-rate) administered without a calculator beyond the final verification step; Section B contains 40 items testing medical term decoding, approved-abbreviation recognition, and identification of TJC 'Do Not Use' abbreviations, mapped to NCLEX-PN Pharmacological Therapies and Basic Care and Comfort categories. Accuracy · Safety · Communication · Professionalism |
| Career-Entry Portfolio Project | Project | 25% | 80% overall on the portfolio rubric with zero factual errors on the NCLEX-PN eligibility checklist | Students submit a complete career-entry portfolio containing a professional nursing resume, a targeted cover letter for a real LPN job posting, an accurately completed NCLEX-PN eligibility checklist sourced from their state board of nursing, and a one-page informational-interview reflection linking LPN scope of practice to personal professional-development goals; the portfolio is evaluated for accuracy, professionalism, and completeness. Accuracy · Safety · Communication · Professionalism |
| Communication Skills Oral Defense | Oral / panel | 25% | Pass on all three evaluated domains (score ≥ 2 on a 3-point scale per domain); any domain scored 1 requires a documented remediation and re-evaluation within two weeks | In a 10-minute structured interaction with the instructor (acting as a simulated patient), students must demonstrate therapeutic communication techniques, deliver a brief plain-language patient education explanation using teach-back, and transmit a verbal SBAR report; a second faculty member or peer observer scores three domains—therapeutic technique, health-literacy appropriateness, and SBAR accuracy—using a validated 3-point rubric, mapped to NCLEX-PN Psychosocial Integrity and Management of Care. Accuracy · Safety · Communication · Professionalism |
This course introduces LPN students to the principles of drug therapy, safe medication administration, and pharmacokinetics as they apply to practical nursing practice. Students develop the knowledge and skills to prepare, calculate, administer, and document medications across multiple routes while recognizing adverse effects and applying patient teaching principles. Content aligns directly with the NCLEX-PN Pharmacological Therapies and Safe and Effective Care Environment client needs categories.
OutcomesThis course introduces LPN students to the principles of drug therapy, safe medication administration, and pharmacokinetics as they apply to practical nursing practice. Students develop the knowledge and skills to prepare, calculate, administer, and document medications across multiple routes while recognizing adverse effects and applying patient teaching principles. Content aligns directly with the NCLEX-PN Pharmacological Therapies and Safe and Effective Care Environment client needs categories.
How the course runs. 12 blocks: Foundations of Pharmacology: Terminology, Legal Scope, and Drug Sources; Pharmacokinetics and Pharmacodynamics; Dosage Calculation: Oral and Enteral Medications; Dosage Calculation: Parenteral and IV Medications; The Ten Rights of Medication Administration and Preventing Medication Errors; Oral, Topical, Ophthalmic, Otic, and Inhalation Administration; Subcutaneous, Intradermal, and Intramuscular Injections; Drug Classifications Part 1: Cardiovascular, Respiratory, and Analgesic Agents; Drug Classifications Part 2: Anti-infectives, Endocrine, Gastrointestinal, and Psychiatric Agents; Adverse Drug Reactions, Interactions, and Toxicity; Patient Teaching, Medication Reconciliation, and Special Populations; Integrated Pharmacology Simulation: Safe Medication Pass.
What competent looks like. Calculate accurate medication dosages using dimensional analysis and ratio-proportion methods for oral, injectable, and IV medications with 100% accuracy on dosage calculation assessments. Demonstrate safe medication administration via oral, subcutaneous, intramuscular, intradermal, topical, and inhalation routes following the ten rights of medication administration. Identify the mechanism of action, therapeutic uses, common adverse effects, and nursing implications for major drug classifications encountered in LPN practice. Apply knowledge of pharmacokinetics—absorption, distribution, metabolism, and excretion—to anticipate drug interactions and individualize patient monitoring. Document medication administration accurately in a simulated medication administration record (MAR) and report adverse drug reactions using correct terminology and chain of command. Educate a simulated patient on purpose, schedule, side effects, and storage of a prescribed medication using plain-language teaching techniques appropriate to health literacy level.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Foundations of Pharmacology: Terminology, Legal Scope, and Drug Sources | 14 | theory | The student will define core pharmacology terms, describe the LPN scope of practice related to medication administration under state and federal law, and classify drugs by source and schedule. |
| Kee, Hayes & McCuistion Pharmacology: A Patient-Centered Nursing Process Approach (current edition); state nurse practice act printout; DEA schedule chart; whiteboard; student notebooks | Terminology quiz of 40 items; student must score 80% or higher to proceed. |
| 2 | Pharmacokinetics and Pharmacodynamics | 16 | theory | The student will explain the four phases of pharmacokinetics (absorption, distribution, metabolism, excretion) and apply pharmacodynamic concepts—peak, trough, therapeutic window—to patient monitoring scenarios. |
| Pharmacology textbook chapters on pharmacokinetics; printed pharmacokinetic diagram worksheet; case vignette packets; dose-response curve poster | Completion and accuracy check of the pharmacokinetic diagram (instructor-scored rubric); all phases correctly labeled and annotated earns a pass. |
| 3 | Dosage Calculation: Oral and Enteral Medications | 20 | lab | The student will accurately calculate ordered oral medication doses using dimensional analysis and ratio-proportion methods, converting between metric, household, and apothecary units as needed. |
| Dosage calculation textbook or workbook; calculators; simulated MAR forms; mock medication cart with labeled placebo tablets and liquid cups; metric conversion reference card | Written dosage calculation quiz of 20 problems; student must achieve 100% accuracy (all 20 correct) to progress, with one supervised remediation and retest opportunity. |
| 4 | Dosage Calculation: Parenteral and IV Medications | 20 | lab | The student will calculate correct parenteral doses in milliliters and IV flow rates in drops per minute and milliliters per hour, demonstrating safe syringe selection and reading. |
| Dosage calculation workbook; 1 mL, 3 mL, 5 mL, and insulin syringes; colored water; printed syringe diagrams; IV pump simulator or paper scenario; sample MARs | Parenteral and IV calculation quiz of 20 problems; student must score 100% accuracy, with one remediation and retest opportunity. |
| 5 | The Ten Rights of Medication Administration and Preventing Medication Errors | 14 | theory | The student will name and apply the ten rights of medication administration and describe the LPN's responsibility for recognizing, preventing, and reporting medication errors using facility reporting tools. |
| Ten-rights vignette card deck (instructor-prepared); ten-rights observation checklist; sample incident report form; simulated MAR; ISMP medication error resource | Observer checklist score during role-play: student must demonstrate all ten rights in correct sequence with no omissions to earn a pass; any omission requires repeat demonstration. |
| 6 | Oral, Topical, Ophthalmic, Otic, and Inhalation Administration | 18 | demo | The student will demonstrate safe preparation and administration of medications via oral, sublingual, buccal, topical, ophthalmic, otic, and metered-dose inhaler routes using correct technique and patient teaching. |
| Simulation mannequin or task trainer; placebo oral medications; simulated eye drops and otic drops; transdermal patch demonstration model; MDI trainer with spacer; route-specific skills checklists | Instructor-observed skills checklist for at least three routes; student must perform all critical steps on each checklist with no unsafe omissions (100% of critical steps) to pass. |
| 7 | Subcutaneous, Intradermal, and Intramuscular Injections | 20 | lab | The student will prepare and administer subcutaneous, intradermal, and intramuscular injections using correct site selection, angle, needle length, and aseptic technique on simulation trainers. |
| Injection skill pads; mannequin with IM and SC injection sites; simulated vials and ampules; colored water; syringes and needles of appropriate gauges; alcohol swabs; gloves; sharps container; simulated MARs | Instructor-observed IM injection demonstration on mannequin using critical-steps checklist; all critical steps (hand hygiene, site ID, angle, aspiration policy per facility type, documentation) performed correctly for pass. |
| 8 | Drug Classifications Part 1: Cardiovascular, Respiratory, and Analgesic Agents | 18 | theory | The student will describe the mechanism of action, therapeutic uses, major adverse effects, contraindications, and LPN nursing implications for cardiovascular, respiratory, and analgesic drug classes. |
| Pharmacology textbook; drug-classification grid worksheet; case study packets; individual student whiteboards or dry-erase sleeves; drug handbook (Davis's Drug Guide or Nursing Drug Handbook) | Drug classification quiz covering 30 drugs across the three categories; student must score 80% or higher to proceed. |
| 9 | Drug Classifications Part 2: Anti-infectives, Endocrine, Gastrointestinal, and Psychiatric Agents | 18 | theory | The student will describe the mechanism of action, therapeutic uses, major adverse effects, contraindications, and LPN nursing implications for anti-infective, endocrine, gastrointestinal, and psychiatric drug classes. |
| Pharmacology textbook; drug-classification grid worksheet; insulin syringes; simulated insulin vials (NPH and regular placebo); current drug handbook; black-box warning handout | Drug classification quiz covering 30 drugs across the four categories; student must score 80% or higher to proceed. |
| 10 | Adverse Drug Reactions, Interactions, and Toxicity | 16 | theory | The student will differentiate between side effects, adverse drug reactions, allergic reactions, and anaphylaxis, identify common drug-drug and drug-food interactions, and describe the LPN's response to signs of toxicity. |
| Case scenario packets; drug handbook; interaction mapping worksheet; simulation debrief video (instructor-created or commercially licensed); anaphylaxis response algorithm poster | Written scenario response: student must correctly classify the reaction type and list correct priority nursing actions for three of four scenarios to pass (75%). |
| 11 | Patient Teaching, Medication Reconciliation, and Special Populations | 15 | demo | The student will conduct a medication reconciliation interview using a structured tool and deliver an individualized medication teaching session adapted for a patient from a special population (pediatric, geriatric, or pregnant). |
| Medication reconciliation form; simulated admission orders; patient teaching rubric; teach-back handout templates; pharmacology textbook chapters on special populations | Peer and instructor evaluation of teach-back session using rubric; student must score satisfactory or above on all three rubric domains (accuracy, plain language, teach-back confirmation) to pass. |
| 12 | Integrated Pharmacology Simulation: Safe Medication Pass | 16 | practice | The student will independently complete a simulated medication pass for a two-patient assignment, applying all course skills—calculation, preparation, administration, documentation, and patient teaching—safely and without prompting. |
| Simulated two-patient MAR packets; simulation mannequins or task trainers; simulated medication cart with labeled placebo medications; syringes; injection pads; gloves; skills checklist; documentation debrief form | Instructor-scored integrated skills checklist: student must perform all critical safety steps (correct drug, dose, route, patient ID, documentation) with zero critical errors and score 80% overall on the checklist to pass this capstone simulation. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Pharmacology Knowledge Examination | Written exam | 25% | 80% (80 out of 100 items correct) | A 100-item written examination covering pharmacokinetics, pharmacodynamics, drug classifications, adverse reactions, drug interactions, special populations, and patient teaching, with item formats mirroring NCLEX-PN style (multiple choice, select-all-that-apply, ordered response). Items are mapped to the NCLEX-PN Pharmacological Therapies and Safe and Effective Care Environment client needs categories. Standard met · Safety · Time · Quality/finish · Documentation |
| Medication Administration Skills Demonstration | Skills demonstration | 45% | 100% of critical steps performed correctly on at least one injectable and one non-injectable route; no critical safety errors permitted | The student performs a complete medication preparation and administration sequence for an oral medication and an IM injection on simulation equipment, observed by the instructor using a standardized critical-steps checklist. Any critical error (wrong patient, wrong drug, wrong dose, breach of aseptic technique, failure to document) results in an automatic fail and requires a full remediation and retest. Standard met · Safety · Time · Quality/finish · Documentation |
| Dosage Calculation Lab Log | Log | 15% | 100% accuracy required on all calculation sections; any incorrect answer requires reworking before log is accepted | Students submit a compiled lab log containing all completed dosage calculation worksheets from oral, parenteral, and IV lessons, showing full dimensional analysis work for each problem. The log is reviewed by the instructor for mathematical accuracy, correct unit labeling, and legibility of work shown; all answers must be correct and all work must be shown. Standard met · Safety · Time · Quality/finish · Documentation |
| Medication Safety Check | Safety audit | 15% | Zero critical safety errors; all ten rights verified and documented correctly | An unannounced observational safety check conducted during the integrated simulation lesson in which the instructor uses a ten-rights verification checklist to confirm the student independently identifies the correct patient using two identifiers, verifies the ten rights without prompting, and documents administration accurately on the MAR before and after the simulated administration event. Standard met · Safety · Time · Quality/finish · Documentation |
This course prepares practical nursing students to provide safe, competent care to adult patients experiencing common medical and surgical conditions across body systems. Students apply the nursing process—assessment, planning, intervention, and evaluation—to manage conditions including cardiovascular disease, respiratory disorders, diabetes, renal disease, neurological conditions, cancer, and perioperative care. Lessons align directly with the NCLEX-PN test plan categories of Physiological Integrity, Safe and Effective Care Environment, and Reduction of Risk Potential.
OutcomesThis course prepares practical nursing students to provide safe, competent care to adult patients experiencing common medical and surgical conditions across body systems. Students apply the nursing process—assessment, planning, intervention, and evaluation—to manage conditions including cardiovascular disease, respiratory disorders, diabetes, renal disease, neurological conditions, cancer, and perioperative care. Lessons align directly with the NCLEX-PN test plan categories of Physiological Integrity, Safe and Effective Care Environment, and Reduction of Risk Potential.
How the course runs. 12 blocks: Foundations of Med-Surg Nursing: Nursing Process, Assessment, and Safety; Fluid, Electrolyte, and Acid-Base Balance; Cardiovascular Disorders: Assessment, Interventions, and Medications; Respiratory Disorders: Assessment, Airway Management, and Oxygen Therapy; Endocrine Disorders: Diabetes Management and Thyroid Conditions; Neurological Disorders: Stroke, Seizures, and Increased Intracranial Pressure; Renal and Urinary Disorders: Kidney Function, UTI, Renal Failure, and Dialysis; Gastrointestinal Disorders: Assessment, Ostomy Care, and Wound Management; Musculoskeletal Disorders: Fractures, Arthritis, Amputation, and Mobility; Cancer Care, Immunological Disorders, and Infection Control; Perioperative Nursing: Preoperative, Intraoperative, and Postoperative Care; NCLEX-PN Integration: Prioritization, Delegation, and Clinical Judgment in Med-Surg.
What competent looks like. Apply the nursing process to plan and deliver safe, individualized care for adult patients with medical-surgical conditions across major body systems. Recognize and report abnormal assessment findings, critical laboratory values, and changes in patient condition that require immediate intervention or escalation. Implement evidence-based nursing interventions for common medical-surgical conditions while maintaining scope of practice as a licensed practical nurse. Administer medications safely for medical-surgical patients, including calculation of dosages, recognition of side effects, and documentation in compliance with facility policy. Demonstrate perioperative nursing care including preoperative preparation, intraoperative support roles, and postoperative monitoring and patient education. Use therapeutic communication, patient teaching, and interdisciplinary collaboration to promote recovery, prevent complications, and support discharge planning.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Foundations of Med-Surg Nursing: Nursing Process, Assessment, and Safety | 16 | theory | Students will apply the five steps of the nursing process (ADPIE) to a medical-surgical case and identify at least four safety priorities aligned with the LPN scope of practice. |
| Lewis's Medical-Surgical Nursing textbook (current edition), NCSBN NCLEX-PN test plan, SBAR template, vital signs reference card, whiteboard | Students correctly identify all five ADPIE steps and write a complete, prioritized nursing problem list for a new written case scenario; pass = 80% accuracy on a 10-item written check. |
| 2 | Fluid, Electrolyte, and Acid-Base Balance | 14 | theory | Students will interpret common fluid, electrolyte, and arterial blood gas imbalances and identify appropriate nursing interventions for each condition. |
| Lewis's Medical-Surgical Nursing, printed lab-value reference ranges, ABG interpretation worksheet, colored pens for flagging, calculator | Students correctly classify at least 5 of 6 ABG results and identify appropriate nursing interventions on a short quiz; pass = 80%. |
| 3 | Cardiovascular Disorders: Assessment, Interventions, and Medications | 20 | theory | Students will describe nursing assessment findings, priority interventions, and medication considerations for patients with hypertension, heart failure, coronary artery disease, myocardial infarction, and dysrhythmias. |
| Lewis's Medical-Surgical Nursing, printed EKG rhythm strips, drug reference handbook (Davis's Drug Guide or equivalent), index cards, stethoscopes, blood pressure cuffs | Students correctly label all six EKG strips and score at least 80% on a 20-item multiple-choice quiz covering cardiovascular pathophysiology, nursing interventions, and medication safety. |
| 4 | Respiratory Disorders: Assessment, Airway Management, and Oxygen Therapy | 18 | demo | Students will perform a focused respiratory assessment, set up and apply supplemental oxygen delivery devices, and explain nursing priorities for patients with pneumonia, COPD, asthma, and pulmonary embolism. |
| Stethoscopes, lung sound audio recordings, nasal cannulas, simple masks, Venturi masks, non-rebreather masks, nebulizer kits, pulse oximeters, oxygen flowmeters, task trainer or mannequin, Lewis's Medical-Surgical Nursing | Students correctly identify at least four breath sound types during a live auscultation check and set up the correct oxygen delivery device for a given scenario; pass = instructor sign-off on skills checklist with all critical steps met. |
| 5 | Endocrine Disorders: Diabetes Management and Thyroid Conditions | 18 | lab | Students will perform blood glucose monitoring, demonstrate safe insulin preparation and injection technique, and describe nursing care for patients with hypoglycemia, hyperglycemia, diabetic ketoacidosis, and thyroid disorders. |
| Glucometers and test strips, lancets, alcohol swabs, insulin syringes (U-100), normal saline vials labeled as insulin for practice, sharps containers, gloves, Lewis's Medical-Surgical Nursing, drug reference handbook | Students perform all steps of blood glucose monitoring and insulin preparation correctly on a pass/fail skills checklist (100% on critical safety steps including correct dose, sterile technique, and proper sharps disposal); written quiz on DKA and hypoglycemia nursing care scored at 80% or higher. |
| 6 | Neurological Disorders: Stroke, Seizures, and Increased Intracranial Pressure | 16 | theory | Students will identify the signs and symptoms of stroke, seizure activity, and increased intracranial pressure, and describe priority nursing interventions and safety measures for each condition. |
| Lewis's Medical-Surgical Nursing, Glasgow Coma Scale reference card, BE-FAST poster, hospital bed mannequin, suction equipment, oxygen delivery supplies, timer, documentation form | Students correctly perform a complete GCS assessment scored within one point of instructor score and list all seizure precautions without prompting; pass = 80% on a 15-item written quiz. |
| 7 | Renal and Urinary Disorders: Kidney Function, UTI, Renal Failure, and Dialysis | 14 | theory | Students will explain nursing care priorities for patients with urinary tract infections, acute kidney injury, chronic kidney disease, and patients receiving dialysis, including monitoring intake and output and interpreting relevant laboratory values. |
| Lewis's Medical-Surgical Nursing, printed CMP lab results worksheets, urinalysis reference chart, diagrams of hemodialysis and peritoneal dialysis circuits, dietary restriction handout | Students correctly identify all abnormal values on the lab analysis worksheet and state appropriate nursing actions; pass = 80% on a 15-item quiz covering renal pathophysiology, lab interpretation, and nursing interventions. |
| 8 | Gastrointestinal Disorders: Assessment, Ostomy Care, and Wound Management | 16 | lab | Students will perform an abdominal assessment, perform ostomy pouch care on a mannequin, and demonstrate wound assessment and basic dressing-change technique using sterile and clean technique as appropriate. |
| Abdomen task trainer with colostomy simulator, ostomy pouching system kits, scissors, skin barrier wafers, gloves, wound care mannequin arm with simulated wound, sterile dressing supplies, normal saline, sterile gloves, documentation form, Lewis's Medical-Surgical Nursing | Students complete all critical steps on both the ostomy care checklist and the wound care checklist without instructor prompting; critical safety steps (hand hygiene, sterile field maintenance, stoma assessment) must be 100% correct; overall checklist pass = 80%. |
| 9 | Musculoskeletal Disorders: Fractures, Arthritis, Amputation, and Mobility | 12 | demo | Students will demonstrate safe patient mobility techniques including positioning, transfer, and assistive device use, and describe nursing care for patients with fractures, hip replacement, rheumatoid arthritis, and lower-limb amputation. |
| Hospital bed with side rails, draw sheets, transfer belt, walker, axillary crutches, standard cane, stump wrapping elastic bandages, mannequin, Lewis's Medical-Surgical Nursing, safe patient handling policy reference | Students safely demonstrate one assigned mobility or transfer technique with no safety errors (e.g., no unsupported patient, correct hip precautions maintained); pass = instructor sign-off on skills checklist; written scenario quiz scored at 80%. |
| 10 | Cancer Care, Immunological Disorders, and Infection Control | 16 | theory | Students will describe nursing care priorities for patients receiving chemotherapy or radiation therapy, explain oncological emergencies, and apply appropriate transmission-based precautions for immunocompromised and infectious patients. |
| Lewis's Medical-Surgical Nursing, CDC isolation precautions reference, PPE sets (gowns, gloves, surgical masks, N95 respirators, eye shields), precaution signs, ANC calculation reference, whiteboard | Students correctly don and doff PPE for all four precaution levels in sequence with no contamination errors (100% on critical steps); written quiz on cancer nursing and oncological emergencies scored at 80%. |
| 11 | Perioperative Nursing: Preoperative, Intraoperative, and Postoperative Care | 18 | practice | Students will complete a preoperative nursing checklist, perform a postoperative assessment including airway, breath sounds, circulation, pain, and wound status, and identify at least five common postoperative complications with corresponding nursing interventions. |
| Preoperative checklist form, consent form template, incentive spirometer, SCD sleeves and pump unit, stethoscopes, pulse oximeter, blood pressure cuff, mannequin, ALDRETE scoring tool, surgical wound pad for inspection, Lewis's Medical-Surgical Nursing | Students identify both planted errors on the preoperative checklist and complete all 12 steps of the postoperative assessment checklist correctly; pass = 100% on critical steps (airway and consent), 80% overall on skills checklist and a 15-item written quiz. |
| 12 | NCLEX-PN Integration: Prioritization, Delegation, and Clinical Judgment in Med-Surg | 27 | practice | Students will apply clinical judgment and NCLEX-PN Next Generation item-style reasoning to prioritize care, make safe delegation decisions, and answer application-level questions across all medical-surgical body systems covered in this course. |
| NCLEX-PN test plan (current NCSBN version), Saunders Comprehensive Review for the NCLEX-PN (current edition), printed 50-question practice exam with answer key and rationales, delegation reference chart, timer | Students score at least 80% on the 50-question practice test and correctly prioritize all four patients in rank order with written rationale accepted by the instructor; any student scoring below 80% completes a targeted remediation assignment before sitting the course knowledge exam. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Medical-Surgical Nursing Knowledge Examination | Written exam | 25% | 80% (80 of 100 questions correct) | A 100-item written examination using NCLEX-PN-style multiple-choice and multiple-response questions covering all body systems, nursing process application, pharmacological considerations, lab value interpretation, and prioritization across the full course content. Items are written at the application and analysis level to mirror the cognitive demand of the NCLEX-PN, and the exam is completed independently without notes or references within a timed block. Standard met · Safety · Time · Quality/finish · Documentation |
| Integrated Med-Surg Skills Demonstration | Skills demonstration | 45% | All critical safety steps scored as 'met' (pass/fail); overall checklist score 80% or higher | Each student is assigned a simulated patient scenario (drawn from a set of six rotating scenarios covering postoperative care, diabetic emergency, neurological deterioration, wound and ostomy care, respiratory distress, or renal failure) and must perform a focused assessment, identify two priority nursing problems, carry out two assigned psychomotor skills from the scenario, and communicate findings to the instructor using SBAR. Critical steps including hand hygiene, correct patient identification, and patient safety during any procedure must be performed without error for the student to pass regardless of overall checklist score. Standard met · Safety · Time · Quality/finish · Documentation |
| Clinical Lab Log and Nursing Care Plan Portfolio | Log | 15% | All six entries submitted and scored at 80% or higher on the rubric; any entry below 80% must be revised and resubmitted within one week | Throughout the course, each student completes and submits six lab log entries corresponding to the six lab and practice lessons (fluid and electrolytes, cardiovascular EKG, diabetes and endocrine, GI and wound care, musculoskeletal mobility, and perioperative care); each entry includes a completed skills checklist, a one-page nursing care plan with at least two NANDA-format nursing diagnoses and SMART goals, and a reflection paragraph on one learning challenge encountered and how it was resolved. The portfolio demonstrates cumulative skill development and written documentation competency. Standard met · Safety · Time · Quality/finish · Documentation |
| Medication and Patient Safety Check | Safety audit | 15% | 100% on all safety-critical items; no partial credit for critical errors | A structured safety evaluation conducted by the instructor in the lab setting in which each student must correctly perform the five rights of medication administration (right patient, right medication, right dose, right route, right time) using a written medication administration record and a mock medication preparation scenario, correctly calculate one dosage problem without a calculator error, demonstrate proper sharps disposal, and identify one instance of a planted safety hazard in the simulated room (such as an unlabeled solution or unsecured bed rail). Any critical safety error—including a calculation error that would result in an unsafe dose—results in an automatic retest after mandatory remediation before the student may progress to the next course. Standard met · Safety · Time · Quality/finish · Documentation |
This course covers nursing care of the childbearing family across the perinatal continuum—antepartum through postpartum—and of the newborn and pediatric patient through adolescence. Students apply the nursing process, scope-of-practice principles, and LPN competencies to common conditions encountered in obstetric, newborn, and pediatric settings. Lessons map directly to the NCLEX-PN test plan areas of physiological adaptation, health promotion and maintenance, reduction of risk potential, and safe and effective care environment.
OutcomesThis course covers nursing care of the childbearing family across the perinatal continuum—antepartum through postpartum—and of the newborn and pediatric patient through adolescence. Students apply the nursing process, scope-of-practice principles, and LPN competencies to common conditions encountered in obstetric, newborn, and pediatric settings. Lessons map directly to the NCLEX-PN test plan areas of physiological adaptation, health promotion and maintenance, reduction of risk potential, and safe and effective care environment.
How the course runs. 12 blocks: Anatomy, Physiology, and Terminology of Reproduction and Pregnancy; Antepartum Care: Prenatal Assessment and Common Discomforts; High-Risk Pregnancy: Complications and LPN Response; Intrapartum Nursing: Labor, Delivery, and Fetal Monitoring; Obstetric Medications and Analgesic/Anesthesia Support; Obstetric Emergencies: Recognition and Priority Action; Postpartum Nursing: Assessment and Care of the Mother; Newborn Assessment, Care, and APGAR Scoring; Breastfeeding, Newborn Nutrition, and Parent Education; Pediatric Growth, Development, and Health Maintenance; Common Pediatric Conditions, Medications, and Nursing Care; Pediatric Emergencies, Child Safety, and Mandatory Reporting.
What competent looks like. Describe normal physiological changes of pregnancy, labor, delivery, and the postpartum period and identify deviations that require escalation to an RN or provider. Perform accurate obstetric and pediatric assessments including fundal height measurement, fetal heart rate monitoring interpretation, APGAR scoring, and pediatric vital-sign interpretation using age-appropriate norms. Implement evidence-based nursing interventions for common antepartum, intrapartum, postpartum, and newborn conditions within LPN scope of practice. Apply growth-and-development milestones to anticipatory guidance and age-appropriate patient and family education across the pediatric lifespan from newborn through adolescence. Demonstrate safe medication administration including pregnancy risk categories, weight-based pediatric dosing calculations, and common obstetric and neonatal medications. Recognize clinical emergencies—including obstetric emergencies and pediatric respiratory distress—and execute correct priority actions and escalation procedures.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Anatomy, Physiology, and Terminology of Reproduction and Pregnancy | 14 | theory | Students accurately describe female and male reproductive anatomy, fertilization, fetal development by trimester, and physiological adaptations of pregnancy using correct medical terminology. |
| Maternal-newborn nursing textbook (e.g., Pillitteri or London/Ladewig), anatomical models of female pelvis and fetal development stages, whiteboard, terminology flash cards, NCLEX-PN test plan (Client Needs: Health Promotion and Maintenance) | Score ≥ 78% on a 25-item terminology and physiology quiz; correctly label at least 10 of 12 structures on an unlabeled diagram. |
| 2 | Antepartum Care: Prenatal Assessment and Common Discomforts | 16 | theory | Students identify components of the initial and ongoing prenatal assessment, apply GTPAL notation, and distinguish normal discomforts of pregnancy from warning signs requiring provider notification. |
| Maternal-newborn nursing textbook, GTPAL reference card, prenatal flow-sheet forms, blood pressure cuffs, fetoscope/Doppler (demo), NCLEX-PN test plan (Health Promotion and Maintenance; Reduction of Risk Potential) | Correct GTPAL notation on all six vignettes; identification of at least four of five planted warning signs in the case study with correct rationale; instructor observation checklist score ≥ 78% on patient education role-play. |
| 3 | High-Risk Pregnancy: Complications and LPN Response | 18 | theory | Students describe pathophysiology, signs and symptoms, and priority LPN nursing actions for major antepartum complications including gestational hypertension, preeclampsia, gestational diabetes, placenta previa, and placental abruption. |
| Maternal-newborn nursing textbook, printed comparison chart templates, case study packets, SBAR communication reference card, NCLEX-PN test plan (Physiological Adaptation; Reduction of Risk Potential) | Accurate completion of comparison chart with ≥ 78% correct entries; correct prioritization and rationale in all three case studies; SBAR report includes all four elements as rated by instructor checklist. |
| 4 | Intrapartum Nursing: Labor, Delivery, and Fetal Monitoring | 20 | demo | Students describe the stages and phases of labor, perform Leopold maneuvers on a simulation model, and interpret fetal heart rate monitor strips identifying reassuring versus non-reassuring patterns. |
| Birthing simulator/pelvis model, Leopold maneuvers reference card, printed fetal heart rate monitor strips (variety of patterns), labor flow-sheet forms, electronic fetal monitor (demo unit or training software), maternal-newborn textbook, NCLEX-PN test plan (Reduction of Risk Potential; Physiological Adaptation) | Correct performance of all four Leopold maneuvers on three consecutive simulator attempts as rated by instructor skills checklist (pass = correct technique on ≥ 3 of 4 maneuvers per attempt); ≥ 78% accuracy classifying monitor strip patterns; SBAR report complete per checklist. |
| 5 | Obstetric Medications and Analgesic/Anesthesia Support | 16 | theory | Students identify the mechanism of action, indications, nursing considerations, and adverse effects of medications commonly used in obstetric care including oxytocin, magnesium sulfate, terbutaline, and opioid and epidural analgesics. |
| Maternal-newborn nursing textbook, drug handbook (current edition), medication reference card templates, calculator, dimensional analysis worksheet, NCLEX-PN test plan (Pharmacological and Parenteral Therapies) | Medication cards accurate for ≥ 78% of entries; all four calculation problems correct with dimensional analysis shown (any error flagged for remediation before clinical); correct adverse effect identification and sequenced response in case study. |
| 6 | Obstetric Emergencies: Recognition and Priority Action | 14 | practice | Students correctly identify clinical signs of obstetric emergencies—including umbilical cord prolapse, shoulder dystocia (nurse support role), amniotic fluid embolism, and postpartum hemorrhage—and execute priority LPN actions including positioning, escalation, and hemorrhage assessment. |
| Birthing/postpartum simulator, calibrated perineal pads (simulated blood loss), SBAR cards, scenario station cards, personal protective equipment (gloves, gown), maternal-newborn textbook, NCLEX-PN test plan (Physiological Adaptation; Safety and Infection Control) | Correct emergency identification at ≥ 3 of 4 carousel stations; fundal massage performed correctly per skills checklist (pass = correct hand placement, direction, and documentation of findings); SBAR includes all elements. |
| 7 | Postpartum Nursing: Assessment and Care of the Mother | 16 | lab | Students perform a complete systematic postpartum assessment using the BUBBLE-HE mnemonic, document findings accurately, and identify two postpartum complications (hemorrhage, infection) requiring escalation. |
| Postpartum simulator or standardized patient, BUBBLE-HE assessment checklist, SOAP note forms, lochia specimen reference cards, wound photograph cards, centimeter ruler, gloves, maternal-newborn textbook, NCLEX-PN test plan (Health Promotion and Maintenance; Reduction of Risk Potential) | BUBBLE-HE assessment checklist completed with ≥ 78% correct findings documented; SOAP note includes all four sections with relevant data; both abnormal findings identified with correct escalation action. |
| 8 | Newborn Assessment, Care, and APGAR Scoring | 18 | lab | Students perform a systematic newborn physical assessment, calculate APGAR scores from given data at one and five minutes, and implement priority interventions for a newborn requiring resuscitation support within LPN scope. |
| Newborn simulator, infant scale, tape measure, stethoscope, APGAR scenario cards, radiant warmer (demo unit or model), infant hats/blankets, newborn assessment reference card, maternal-newborn textbook, NCLEX-PN test plan (Health Promotion and Maintenance; Physiological Adaptation) | Newborn assessment completed in correct sequence with ≥ 78% of findings accurately recorded; all five APGAR scores calculated correctly with accurate interpretation; thermoregulation return demonstration passes all critical steps on checklist. |
| 9 | Breastfeeding, Newborn Nutrition, and Parent Education | 12 | practice | Students explain the physiology of lactation, demonstrate correct latch assessment technique using a simulator, and provide evidence-based anticipatory guidance to new parents about infant feeding, sleep safety, and newborn care. |
| Breastfeeding simulator, infant doll, latch assessment checklist, parent education handout template, AAP safe sleep guidelines reference, current infant formula preparation guidelines, maternal-newborn textbook, Flesch-Kincaid readability guide | Latch assessment identifies all three errors planted on simulator per checklist; handout reviewed for accuracy and readability (pass = all six topics covered, no inaccurate information, readability at or below 8th-grade level); role-play rated satisfactory on non-judgmental communication and accuracy per instructor checklist. |
| 10 | Pediatric Growth, Development, and Health Maintenance | 18 | theory | Students match age-appropriate developmental milestones to Erikson's psychosocial stages across the pediatric lifespan (infant through adolescent) and apply this knowledge to developmentally appropriate patient communication, assessment techniques, and anticipatory guidance. |
| Pediatric nursing textbook (e.g., Hockenberry or Ball/Bindler), CDC developmental milestones reference, Erikson's stages reference card, lifespan grid worksheet, case vignette packets, NCLEX-PN test plan (Health Promotion and Maintenance) | Development grid completed with ≥ 78% accuracy; correct milestone assessment and referral decision in all three vignettes; age-appropriate communication rated satisfactory for all three age groups per instructor checklist. |
| 11 | Common Pediatric Conditions, Medications, and Nursing Care | 22 | theory | Students describe pathophysiology, assessment findings, and LPN nursing interventions for high-priority pediatric conditions including respiratory illnesses (croup, asthma, bronchiolitis), gastrointestinal conditions (dehydration, pyloric stenosis), and communicable diseases, and accurately calculate weight-based pediatric medication doses. |
| Pediatric nursing textbook, current drug handbook with pediatric dosing, dimensional analysis worksheets, calculator, safe dose range reference card, comparison chart template, case study packet, NCLEX-PN test plan (Pharmacological and Parenteral Therapies; Physiological Adaptation) | Condition chart ≥ 78% accurate; all six medication calculations correct with dimensional analysis shown and safe-dose verification documented (any error requires remediation before clinical rotation); dehydration case study: correct assessment indicators identified and priority interventions appropriate. |
| 12 | Pediatric Emergencies, Child Safety, and Mandatory Reporting | 20 | practice | Students recognize clinical signs of pediatric respiratory distress and shock, describe the LPN's role in pediatric emergency response, apply age-appropriate injury prevention teaching, and state the legal and ethical obligations of mandatory reporting for suspected child abuse and neglect. |
| Pediatric simulator or high-fidelity manikin (child-sized), pulse oximeter, pediatric non-rebreather mask and nasal cannula, Pediatric Assessment Triangle reference card, SBAR form, mandatory reporting resource (state child protective services process overview), injury prevention reference (AAP or CDC), pediatric nursing textbook, NCLEX-PN test plan (Safety and Infection Control; Coordinated Care) | Respiratory distress signs correctly identified and oxygen application performed within 2 minutes per skills checklist; mandatory reporting case study: objective documentation accurate (no subjective language), reporting obligation correctly described, and no contraindicated actions taken—rated pass/fail by instructor; injury prevention teaching plan includes three accurate, age-appropriate topics as rated by peer and instructor checklist ≥ 78%. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Maternal/Child Nursing Knowledge Examination | Written exam | 25% | 78% or higher on a 75-item multiple-choice exam | A proctored, 75-item multiple-choice examination covering antepartum, intrapartum, postpartum, newborn, and pediatric content aligned to NCLEX-PN client needs categories (Health Promotion and Maintenance, Physiological Adaptation, Pharmacological and Parenteral Therapies, Reduction of Risk Potential, Safety and Infection Control). Questions are written at the application and analysis level to mirror NCLEX-PN style, including medication dosing calculations embedded within clinical stems. Standard met · Safety · Time · Quality/finish · Documentation |
| Integrated Maternal/Child Skills Demonstration | Skills demonstration | 45% | Pass on all critical-safety steps; ≥ 78% overall on skills checklist | Students complete a sequential simulation that includes a postpartum BUBBLE-HE assessment, newborn APGAR scoring from a live scenario card, correct fundal massage technique on a simulator, and a pediatric respiratory distress priority-action sequence; each skill is rated on an instructor checklist with critical-safety steps (PPE, correct escalation, no contraindicated actions) designated as automatic fails if missed. Standard met · Safety · Time · Quality/finish · Documentation |
| Maternal/Child Lab Log | Log | 15% | All 12 lesson activities documented; ≥ 78% accuracy on medication calculation entries; instructor-initialed on each entry | Students maintain a cumulative lab log throughout the course recording completed lab and practice activities, all medication calculation work shown in dimensional analysis format with safe-dose verification, SBAR communications, assessment findings from simulator sessions, and reflection notes on scope-of-practice decisions; the log is submitted at course end and reviewed by the instructor for completeness, accuracy, and professional documentation standards. Standard met · Safety · Time · Quality/finish · Documentation |
| Obstetric and Pediatric Emergency Safety Check | Safety audit | 15% | Pass/fail — all five critical safety behaviors must be demonstrated correctly; no retakes on the same scenario; one remediation opportunity with a different scenario within the same course term | A timed, unannounced skills check in which each student individually manages one of two randomly assigned emergency scenarios (postpartum hemorrhage or pediatric respiratory distress); the instructor scores five pre-designated critical safety behaviors including correct identification of the emergency, immediate priority action, appropriate positioning, escalation using SBAR, and avoidance of at least one clearly contraindicated action—all five must be achieved to pass. Standard met · Safety · Time · Quality/finish · Documentation |
This course prepares practical nursing students to deliver safe, competent, person-centered care to older adults across long-term care, skilled nursing, assisted living, and home health settings. Students examine the physiological, psychological, and social changes of aging and apply evidence-based nursing interventions to common geriatric conditions, syndromes, and end-of-life situations. Lessons are mapped to NCLEX-PN client needs categories, with emphasis on safe and effective care environments, health promotion, physiological integrity, and psychosocial integrity.
OutcomesThis course prepares practical nursing students to deliver safe, competent, person-centered care to older adults across long-term care, skilled nursing, assisted living, and home health settings. Students examine the physiological, psychological, and social changes of aging and apply evidence-based nursing interventions to common geriatric conditions, syndromes, and end-of-life situations. Lessons are mapped to NCLEX-PN client needs categories, with emphasis on safe and effective care environments, health promotion, physiological integrity, and psychosocial integrity.
How the course runs. 12 blocks: Aging in America: Demographics, Settings, and LPN Scope of Practice; Normal Aging: Physiological and Psychosocial Changes Across Body Systems; Geriatric Assessment Tools and Focused Nursing Assessment; Falls Prevention and Safe Mobility in Older Adults; Pressure Injury Prevention and Wound Care in Older Adults; Dementia, Delirium, and Depression: The Three Ds; Polypharmacy and Medication Safety in Older Adults; Chronic Conditions Common in Older Adults: Cardiovascular, Respiratory, and Musculoskeletal; Nutrition, Hydration, and Elimination in Older Adults; Pain Management in Older Adults; Psychosocial Care, Elder Abuse, and Legal/Ethical Issues; End-of-Life Care, Palliative Nursing, and NCLEX-PN Geriatrics Integration Review.
What competent looks like. Distinguish normal age-related physiological and psychosocial changes from pathological findings and adjust nursing assessments and care plans accordingly. Implement safe, evidence-based nursing interventions for high-priority geriatric conditions including dementia, delirium, falls, pressure injuries, polypharmacy, and pain. Apply principles of person-centered care, cultural humility, and resident rights when planning and delivering care to diverse older adult populations. Demonstrate accurate documentation, structured communication (SBAR), and appropriate delegation consistent with LPN scope of practice in geriatric settings. Perform focused geriatric nursing assessments using standardized tools and report abnormal findings to the supervising RN or provider in a timely manner. Articulate ethical and legal responsibilities of the LPN related to elder abuse recognition and reporting, advance directives, and end-of-life care.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Aging in America: Demographics, Settings, and LPN Scope of Practice | 14 | theory | Students will describe the continuum of geriatric care settings, differentiate the LPN scope of practice from RN and CNA roles in those settings, and identify at least four current demographic trends shaping elder care in the US. |
| Current LPN/LVN nursing textbook (geriatrics chapter), state nurse practice act (printed excerpt), NCSBN LPN scope-of-practice resources, whiteboard, case vignette handouts | Exit quiz: 10 multiple-choice questions covering demographics, care settings, and scope of practice; students must score 80% or higher to proceed without remediation. |
| 2 | Normal Aging: Physiological and Psychosocial Changes Across Body Systems | 18 | theory | Students will correctly differentiate normal age-related changes in at least eight body systems from abnormal findings that require nursing action, using system-by-system comparison charts. |
| LPN textbook, printed body-system comparison charts, colored markers for concept mapping, simulated assessment findings handout | Scored concept map rubric: must correctly link all three selected changes to accurate nursing implications (3/3) and achieve 80% on an in-class 15-question quiz on normal vs. abnormal findings. |
| 3 | Geriatric Assessment Tools and Focused Nursing Assessment | 18 | demo | Students will correctly administer and score four standardized geriatric assessment tools—the Mini-Cog, the Katz Index of Independence in ADLs, the Braden Scale, and the Morse Fall Scale—and document results accurately. |
| Printed Mini-Cog, Katz ADL, Braden Scale, and Morse Fall Scale scoring sheets; simulated EHR training module or paper charting forms; simulated patient or standardized patient; instructor demonstration guide | Skills checklist: instructor verifies student completes all scored items, calculates scores without arithmetic error, and correctly identifies risk level for each tool; pass = zero critical errors and 85% checklist completion. |
| 4 | Falls Prevention and Safe Mobility in Older Adults | 18 | lab | Students will implement a falls-prevention care plan for a simulated high-risk resident, correctly applying environmental modifications, assistive devices, and safe transfer techniques according to facility protocol. |
| Lab simulation room with planted hazards, gait belts, standard walker, wheelchair, hospital bed, transfer belt, Morse Fall Scale form, OSHA body-mechanics poster, non-slip footwear | Instructor skills checklist: all eight environmental hazards identified and corrected, transfer completed without unsafe body mechanics, post-lab documentation complete; pass = zero safety-critical errors and 80% overall checklist. |
| 5 | Pressure Injury Prevention and Wound Care in Older Adults | 18 | lab | Students will stage pressure injuries using the NPIAP classification system, implement evidence-based prevention interventions, and perform a basic wound assessment and dressing change on a simulated wound model. |
| NPIAP staging photos and worksheet, manikin with simulated skin findings, Braden Scale forms, wound care task trainer or foam wound model, dressing supplies (gloves, gauze, moisture-retentive dressing), body diagram handout, measuring tape | Skills checklist: correct staging of five sample wounds (5/5), complete Braden Scale with accurate risk level, dressing change completed in correct sequence with no sterile-field breaks; pass = 80% checklist and 5/5 staging accuracy. |
| 6 | Dementia, Delirium, and Depression: The Three Ds | 20 | theory | Students will distinguish the clinical features, onset, and nursing management of dementia, delirium, and depression in older adults and prioritize appropriate nursing interventions for each condition. |
| LPN textbook, three-column comparison table handout, clinical video clips, guided question set, SBAR template, DSM-5 summary handout (depression criteria overview) | Written SBAR communication from the scenario scored on a four-component rubric (Situation, Background, Assessment, Recommendation): all four components present and clinically accurate = pass; plus 80% on a 10-question quiz on the Three Ds. |
| 7 | Polypharmacy and Medication Safety in Older Adults | 18 | theory | Students will identify at least five categories of medications on the Beers Criteria as potentially inappropriate for older adults, explain pharmacokinetic changes of aging, and apply the five rights plus two additional checks when administering medications to geriatric residents. |
| Printed or digital Beers Criteria summary (American Geriatrics Society), mock MAR, pharmacokinetics diagram, dosage-calculation worksheet, answer key, LPN pharmacology textbook chapter | Scored medication calculation quiz: 8/8 correct required (100% pass standard for medication math); Beers Criteria case study scored on rubric—identifies at least 4/5 target medications with correct rationale = pass. |
| 8 | Chronic Conditions Common in Older Adults: Cardiovascular, Respiratory, and Musculoskeletal | 18 | theory | Students will apply nursing assessment and intervention knowledge for heart failure, COPD, osteoporosis, and osteoarthritis in the geriatric population, recognizing atypical presentations and priority reportable signs. |
| LPN med-surg and geriatrics textbook chapters, priority-findings table handout, four printed case studies, whiteboard for class discussion | Case-study written response: must correctly identify both priority nursing diagnoses and all three interventions for at least three of four cases; scored at 75% minimum weighted average across all four cases. |
| 9 | Nutrition, Hydration, and Elimination in Older Adults | 16 | demo | Students will perform a nutritional screening using a validated tool, identify signs of dehydration and malnutrition in a simulated resident, and implement nursing interventions to promote adequate nutrition, hydration, and bowel/bladder function. |
| Mini Nutritional Assessment-Short Form, sample 24-hour I&O record, IDDSI framework chart, commercial thickening agent, cups, thickened liquid sample, simulated resident positioning pillow, calculator | Skills checklist: nutritional screening completed with correct score and risk interpretation, I&O calculation accurate within accepted rounding, IDDSI level correctly prepared and resident positioning performed safely; pass = 80% checklist completion with no safety errors. |
| 10 | Pain Management in Older Adults | 16 | theory | Students will select appropriate pain assessment tools for residents with and without cognitive impairment, differentiate pharmacological from non-pharmacological pain interventions within LPN scope, and identify signs of undertreated pain in nonverbal residents. |
| PAINAD scale printouts, numeric rating scale and FACES scale handouts, pain video clip, care plan template, LPN pharmacology textbook (analgesics chapter), Beers Criteria summary | PAINAD scoring accuracy: student scores must be within one point of instructor key score on all three practice scenarios; care plan template graded on rubric—two appropriate interventions documented per scenario with correct notation of order requirements = 80% minimum. |
| 11 | Psychosocial Care, Elder Abuse, and Legal/Ethical Issues | 16 | theory | Students will identify types of elder abuse and mandatory reporting obligations of the LPN, explain resident rights under federal guidelines, and demonstrate therapeutic communication techniques for residents experiencing grief, loneliness, or end-of-life transitions. |
| Federal resident rights summary sheet, elder abuse mandatory reporting reference (state-specific), POLST/MOLST sample form, advance directive sample, peer-feedback checklist, case scenario handouts | Role-play peer and instructor checklist: student correctly validates resident concern, initiates appropriate documentation language, and states mandatory reporting obligation without prompting = pass; case-study paragraphs graded for legal/ethical accuracy on four-point rubric, minimum 3/4 per scenario. |
| 12 | End-of-Life Care, Palliative Nursing, and NCLEX-PN Geriatrics Integration Review | 14 | practice | Students will apply palliative and hospice nursing principles to a complex geriatric end-of-life scenario and correctly answer NCLEX-PN–style questions across all geriatric care competency areas covered in the course. |
| End-of-life scenario packet, comfort care plan template, NCLEX-PN practice question bank (geriatrics subset), peer-feedback rubric, NCLEX-PN client needs category reference sheet | NCLEX-PN practice drill: minimum score of 75% (23/30 questions) required; comfort care plan presentation scored on rubric—all three components addressed accurately = pass for this lesson; deficiencies trigger instructor-guided remediation before course assessments. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Geriatric Nursing Knowledge Examination | Written exam | 25% | 75% (38/50 items correct) | A 50-item written examination in NCLEX-PN format (multiple-choice and select-all-that-apply) covering normal aging changes, the Three Ds, polypharmacy and the Beers Criteria, common chronic conditions, pain assessment, elder abuse, and palliative care, mapped to NCLEX-PN client needs categories. Students have 90 minutes to complete the exam; those scoring below 75% complete mandatory remediation and one retake within five business days. Standard met · Safety · Time · Quality/finish · Documentation |
| Geriatric Assessment and Care Skills Demonstration | Skills demonstration | 45% | Pass all critical-safety items; 80% overall checklist completion | In a proctored simulation lab, each student individually administers the Mini-Cog, Braden Scale, and Morse Fall Scale to a standardized patient or manikin, performs a focused skin assessment, documents findings in a sample EHR module, and delivers an SBAR report to the instructor acting as charge RN. Any critical-safety error (e.g., unsafe transfer technique, incorrect medication stage, failure to report an abnormal Braden score) results in automatic failure and a required remediation skills session before retake. Standard met · Safety · Time · Quality/finish · Documentation |
| Clinical Lab Log: Geriatric Care Activities Record | Log | 15% | All required entries present; 80% average score on narrative reflection rubric | Students maintain a structured lab log throughout the course documenting each lab or demo lesson, including: the assessment tool or skill practiced, their scored performance, two clinical reasoning notes explaining why the intervention matters for older adults, and one self-identified area for improvement. The instructor reviews the log at lesson 6 (midpoint) and again at lesson 12 for completeness and depth of reflection, using a four-point rubric per entry. Standard met · Safety · Time · Quality/finish · Documentation |
| Elder Safety and Mandatory Reporting Safety Check | Safety audit | 15% | 100% on all seven critical safety indicators; no safety indicator may be marked incomplete | A structured observed safety competency in which the instructor presents a written vignette describing a resident with signs of neglect or abuse, fall risk, and a potential pressure injury, then asks the student to verbally state: (1) correct identification of abuse or neglect type, (2) mandatory reporting obligation and steps, (3) immediate safety interventions for fall risk, (4) correct pressure injury stage, (5) who to notify and in what timeframe, (6) applicable resident right being violated, and (7) documentation requirements. All seven indicators must be answered correctly without prompting; failure on any indicator requires remediation and retake before the student may advance to the Clinicals course. Standard met · Safety · Time · Quality/finish · Documentation |
Students rotate through supervised clinical settings to apply nursing theory, pharmacology, and patient-care skills in real or high-fidelity simulated environments under licensed nurse supervision. Each lesson integrates NCLEX-PN competency areas including safe and effective care environment, health promotion, psychosocial integrity, and physiological integrity. Students document care accurately, practice therapeutic communication, and demonstrate safe scope-of-practice decision-making throughout.
OutcomesStudents rotate through supervised clinical settings to apply nursing theory, pharmacology, and patient-care skills in real or high-fidelity simulated environments under licensed nurse supervision. Each lesson integrates NCLEX-PN competency areas including safe and effective care environment, health promotion, psychosocial integrity, and physiological integrity. Students document care accurately, practice therapeutic communication, and demonstrate safe scope-of-practice decision-making throughout.
How the course runs. 12 blocks: Clinical Orientation: Facility Rules, Scope of Practice, and Professional Conduct; Infection Control and Standard Precautions in Clinical Practice; Head-to-Toe Physical Assessment in the Clinical Setting; Vital Signs: Accuracy, Trending, and Reporting Critical Values; Medication Administration: Five Rights, Documentation, and Patient Education; Subcutaneous and Intramuscular Injection Technique; Wound Assessment, Dressing Changes, and Pressure Injury Prevention; Urinary Catheter Care and Insertion; Nasogastric Tube Insertion, Feeding, and Medication Administration; Therapeutic Communication, SBAR, and Interdisciplinary Handoff; EHR Documentation and Legal Standards of Nursing Notes; Integrated Clinical Simulation: Full Shift Patient Care.
What competent looks like. Perform and document a head-to-toe physical assessment on an assigned patient, identifying and reporting abnormal findings to the supervising nurse. Administer oral, topical, and injectable medications using the rights of medication administration and appropriate documentation under licensed nurse supervision. Demonstrate safe application of at least six fundamental nursing skills—including wound care, catheter care, and vital signs—meeting established facility and program competency checklists. Communicate patient status using SBAR (Situation, Background, Assessment, Recommendation) format to supervising nurses and interdisciplinary team members. Maintain HIPAA-compliant, accurate nursing notes in a simulated or actual electronic health record (EHR) for every patient encounter. Identify situations that exceed LPN scope of practice and escalate appropriately to the supervising RN or provider without prompting.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Clinical Orientation: Facility Rules, Scope of Practice, and Professional Conduct | 14 | theory | Students will state the LPN scope of practice in the clinical setting, list facility safety and confidentiality policies, and identify mandatory reporting obligations before entering patient care areas. |
| State nurse practice act (current edition), facility policy and procedure manual, HIPAA orientation handout, LPN scope-of-practice quick-reference card, professional conduct agreement form | Written orientation quiz scored 80% or higher; role-play scenario evaluated by instructor using a pass/fail rubric requiring correct escalation in all three scenarios. |
| 2 | Infection Control and Standard Precautions in Clinical Practice | 16 | demo | Students will don and doff personal protective equipment (PPE) correctly and demonstrate hand hygiene technique meeting CDC standard precautions guidelines in a simulated patient-care environment. |
| Gloves (various sizes), surgical masks, N95 respirators, gowns, face shields, hand sanitizer and soap stations, CDC hand hygiene poster, isolation precautions reference cards, skill competency checklist | Instructor-scored PPE donning/doffing checklist; every critical step (e.g., not touching face during doffing) must be performed correctly; overall checklist pass rate 100% on critical steps, 85% on non-critical steps. |
| 3 | Head-to-Toe Physical Assessment in the Clinical Setting | 18 | practice | Students will complete a systematic head-to-toe assessment on a peer or standardized patient, documenting all findings using correct anatomical and clinical terminology within the allotted time. |
| Stethoscope, blood pressure cuffs (adult and pediatric), penlight, reflex hammer, pulse oximeter, thermometer, standardized assessment guide, EHR simulation software or paper EHR template, anatomy quick-reference chart | Instructor-observed assessment scored on a 30-item competency checklist; must complete assessment within 20 minutes; score of 85% or higher with zero omissions of safety-critical findings (pain, neurological change, abnormal respiratory pattern). |
| 4 | Vital Signs: Accuracy, Trending, and Reporting Critical Values | 14 | lab | Students will accurately obtain and record a full set of vital signs—temperature, pulse, respirations, blood pressure, oxygen saturation, and pain score—and correctly identify which values require immediate reporting to the supervising nurse. |
| Electronic and manual blood pressure cuffs, tympanic and oral thermometers, pulse oximeters, stopwatch, vital-signs documentation flowsheet, SBAR reference card, clinical log binder | Vital signs recorded within clinically accepted variance for each measurement type; clinical log reviewed by instructor for completeness; SBAR communication evaluated pass/fail—must include all four SBAR components correctly. |
| 5 | Medication Administration: Five Rights, Documentation, and Patient Education | 20 | lab | Students will administer oral and topical medications to a simulation mannequin or standardized patient using the rights of medication administration, document administration accurately, and provide patient-appropriate medication education. |
| Simulation mannequin, medication cups, simulated oral medications (candy/colored tablets), simulated MAR, Davis's Drug Guide for Nurses (current edition), dimensional analysis worksheet, EHR simulation or paper MAR, patient education rubric | Medication administration checklist scored by instructor; all seven rights must be verbalized and met—any wrong patient, drug, dose, or route results in automatic failure and repeat; overall checklist 90% or higher for pass. |
| 6 | Subcutaneous and Intramuscular Injection Technique | 16 | lab | Students will prepare and administer a simulated subcutaneous and intramuscular injection using correct site selection, aseptic technique, and safe sharps disposal on a task trainer. |
| Injection task trainer arm, syringes (1 mL and 3 mL), needles (various gauges and lengths), simulated medication vials (saline), alcohol swabs, gloves, sharps container, anatomical diagram of injection sites, clinical log binder | Instructor-scored injection technique checklist; critical steps (aseptic technique maintained, correct site, no recapping of needle) must be 100% correct; total checklist score 85% or higher. |
| 7 | Wound Assessment, Dressing Changes, and Pressure Injury Prevention | 18 | practice | Students will assess a simulated wound using the correct staging or classification system, perform a sterile dressing change, and document findings using standard wound-care terminology. |
| Wound care task trainer or moulage kit, sterile dressing supplies (gauze, transparent film, foam dressings), normal saline irrigation, sterile gloves, wound measurement guide, NPIAP pressure injury staging chart, wound documentation template | Wound staging accuracy 80% or higher on classification exercise; dressing change checklist scored by instructor with 85% minimum; wound note graded against rubric with all required elements present for pass. |
| 8 | Urinary Catheter Care and Insertion | 16 | lab | Students will insert an indwelling urinary catheter into a catheterization task trainer using sterile technique, maintain the closed drainage system, and identify signs of catheter-associated urinary tract infection (CAUTI). |
| Catheterization task trainer, Foley catheter kit (sterile), sterile gloves, drainage bag, tape or catheter securement device, CAUTI prevention checklist, SBAR reference card, clinical log binder | Instructor-scored catheterization checklist; sterile field break results in automatic redo; total checklist score 90% or higher required; CAUTI SBAR evaluated pass/fail with all four components required. |
| 9 | Nasogastric Tube Insertion, Feeding, and Medication Administration | 14 | demo | Students will demonstrate NG tube insertion on a simulation mannequin, verify placement using accepted bedside methods, administer a simulated tube feeding, and safely give a medication via the tube. |
| NG tube insertion mannequin, NG tubes (various French sizes), 60 mL catheter-tip syringe, pH paper, enteral feeding bag and formula (simulated), tape and tube holder, crushed simulated medication, water, clinical log binder | Placement verification step must be performed before any instillation—omission is an automatic failure; total competency checklist scored by instructor at 85% or higher for pass. |
| 10 | Therapeutic Communication, SBAR, and Interdisciplinary Handoff | 18 | practice | Students will conduct a therapeutic patient interview, deliver a complete SBAR handoff report, and demonstrate active listening and de-escalation techniques during a standardized simulated patient interaction. |
| SBAR reference card, standardized patient scenario cards, communication skills rubric, role-play evaluation form, de-escalation techniques handout | Communication rubric scored by instructor and one peer observer; therapeutic interview must include at least five open-ended questions and no leading questions; SBAR handoff scored pass/fail requiring all four components; overall rubric score 80% or higher. |
| 11 | EHR Documentation and Legal Standards of Nursing Notes | 16 | theory | Students will enter accurate, legally sound nursing notes into a simulated EHR for a full patient shift scenario, applying principles of timeliness, objectivity, and correct error correction. |
| EHR simulation software (or paper EHR template), shift scenario packet, list of unapproved abbreviations (per The Joint Commission), documentation standards reference, legal implications case summaries | EHR documentation graded using a documentation standards rubric; notes must be objective, timely (within scenario time frame), free of unapproved abbreviations, and contain all required fields; score of 85% or higher for pass. |
| 12 | Integrated Clinical Simulation: Full Shift Patient Care | 24 | field | Students will manage a simulated two-patient assignment over a full shift scenario, integrating assessment, medication administration, wound care, documentation, SBAR communication, and scope-of-practice decision-making without instructor prompting. |
| High-fidelity simulation mannequins or standardized patients, full simulation lab setup (medication cart, EHR station, supply cart), shift report cards, simulated MAR, all previously used skill supplies, shift assignment worksheet, scenario unexpected-event cards | Holistic clinical performance rubric scored by two instructors independently; student must pass all four embedded critical checkpoints (correct prioritization, safe medication administration, appropriate escalation of unexpected events, complete EHR documentation); overall rubric score 80% or higher; any patient-safety critical failure triggers remediation and repeat. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Clinical Knowledge Examination | Written exam | 25% | 75% or higher (scaled score) | A 60-question multiple-choice and alternate-format examination covering infection control, medication administration principles, wound staging, documentation standards, scope of practice, and NCLEX-PN client needs categories (Safe and Effective Care Environment, Physiological Integrity, Psychosocial Integrity, Health Promotion and Maintenance). Questions are written at the application and analysis level to mirror NCLEX-PN cognitive demand. Standard met · Safety · Time · Quality/finish · Documentation |
| Clinical Skills Demonstration | Skills demonstration | 45% | All critical steps rated 'satisfactory'; overall checklist score 85% or higher; any critical safety failure requires remediation and one repeat attempt | Each student is evaluated individually by a licensed nurse instructor on four randomly selected skills from the course (drawn from: head-to-toe assessment, IM injection, Foley catheter insertion, wound dressing change, NG tube management, or SBAR handoff). The evaluator uses a standardized pass/fail competency checklist for each skill; critical steps—those directly linked to patient safety—must be performed correctly on every attempt. Standard met · Safety · Time · Quality/finish · Documentation |
| Clinical Log and Documentation Portfolio | Log | 15% | 85% or higher on the portfolio rubric; all required entries present and complete | Students submit their clinical log binder containing completed documentation from every lesson: vital-signs flowsheets, wound assessment notes, medication administration records, EHR printouts or screenshots, and a one-page written reflection on scope-of-practice decision-making encountered during the integrated simulation. The portfolio is evaluated for accuracy, completeness, professional language, and legal documentation standards. Standard met · Safety · Time · Quality/finish · Documentation |
| Safety and Infection Control Checkpoint | Safety audit | 15% | 100% on all critical safety behaviors; no repeat of sharps mishandling or sterile-field break permitted without full remediation | An unannounced direct-observation check conducted by the instructor during any lab or practice lesson in weeks 6–10; the evaluator uses a non-negotiable safety checklist covering hand hygiene, PPE use, sharps disposal, sterile technique, and patient identification before any procedure. Any single critical safety failure stops the activity immediately, triggers a documented incident report, and requires mandatory remediation before the student may continue clinical rotations. Standard met · Safety · Time · Quality/finish · Documentation |
Students synthesize all prior coursework by designing, documenting, and defending a comprehensive, evidence-based nursing care plan for a complex simulated patient scenario that spans pharmacology, med-surg, maternal/child, and geriatric considerations. The capstone requires students to demonstrate safe, competent, entry-level LPN practice through written documentation, skills demonstration, and an oral defense before a faculty panel. Every component is mapped to NCLEX-PN client needs categories to reinforce exam readiness.
OutcomesStudents synthesize all prior coursework by designing, documenting, and defending a comprehensive, evidence-based nursing care plan for a complex simulated patient scenario that spans pharmacology, med-surg, maternal/child, and geriatric considerations. The capstone requires students to demonstrate safe, competent, entry-level LPN practice through written documentation, skills demonstration, and an oral defense before a faculty panel. Every component is mapped to NCLEX-PN client needs categories to reinforce exam readiness.
How the course runs. 4 blocks: Case Assignment, Patient Assessment, and Nursing Diagnosis Prioritization; Evidence-Based Intervention Planning, Pharmacology Integration, and Patient Education Design; Simulation Skills Demonstration and Documentation Refinement; Capstone Oral Defense, Self-Reflection, and NCLEX-PN Gap Analysis.
What competent looks like. Construct a complete, individualized nursing care plan—including assessment data, prioritized NCLEX-PN–aligned nursing diagnoses, SMART goals, planned interventions, and evaluation criteria—for a complex simulated patient. Apply safe medication administration principles, including dose calculation verification and patient education documentation, consistent with LPN scope of practice. Demonstrate accurate physical assessment findings and documentation using professional nursing terminology and standardized charting formats (SBAR and SOAP). Integrate knowledge from pharmacology, med-surg, maternal/child, and geriatrics courses to justify clinical decisions with rationales drawn from evidence-based nursing practice. Communicate clinical reasoning clearly and professionally during a structured oral defense before a faculty panel, fielding questions on safety, ethics, and scope of practice. Self-evaluate practice gaps using a structured reflection tool and produce a personalized NCLEX-PN study plan targeting identified weak areas.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Case Assignment, Patient Assessment, and Nursing Diagnosis Prioritization | 54 | lab | Given a complex simulated patient scenario packet, the student will complete a head-to-toe assessment, document findings using SOAP format, and select and prioritize at least five nursing diagnoses using Maslow's Hierarchy and the NCLEX-PN framework with a passing score of 80% or higher on the faculty-graded rubric. |
| High-fidelity simulation mannequin and simulator software, scenario packet (faculty-developed), SOAP documentation forms, NANDA-I nursing diagnosis reference, Maslow's Hierarchy reference chart, LPN scope-of-practice state guidelines handout, Saunders Comprehensive Review for the NCLEX-PN (current edition) | Faculty score the SOAP documentation and prioritized diagnosis list using a rubric; students must achieve 80% or higher overall, with mandatory satisfactory marks in the safety-critical items (vital signs accuracy, allergy documentation, fall risk notation) to advance; students below 80% receive targeted remediation and one resubmission opportunity. |
| 2 | Evidence-Based Intervention Planning, Pharmacology Integration, and Patient Education Design | 60 | practice | The student will develop a written care plan section detailing nursing interventions with evidence-based rationales, perform and document medication dose calculations for all scenario medications with 100% accuracy, and design a patient-education handout appropriate to the patient's literacy and developmental level. |
| Nursing care plan template (faculty-developed), nursing fundamentals textbook (current edition), med-surg nursing textbook (current edition), medication reference (Davis's Drug Guide for Nurses or equivalent, current edition), MAR worksheet, dose calculation worksheet, peer-check form, patient-education handout template, plain-language writing guide, Flesch-Kincaid readability reference | Dose calculations must be 100% accurate (any error triggers mandatory remediation and retest before advancing); the written care plan and patient-education handout are scored on a faculty rubric requiring 80% overall and satisfactory marks on all safety-critical interventions; peer-check forms are collected and reviewed by the instructor for completeness. |
| 3 | Simulation Skills Demonstration and Documentation Refinement | 54 | lab | The student will perform a minimum of four prioritized nursing skills drawn directly from the care plan on a simulation mannequin within a timed session, document each skill using SBAR communication format, and receive a satisfactory evaluation on all critical-safety steps. |
| High-fidelity simulation mannequin, skills lab supplies (dressing supplies, glucometer, stethoscope, sphygmomanometer, personal protective equipment per standard precautions), SBAR documentation form, standardized skills-performance checklist (faculty-developed, aligned to LPN scope of practice), care plan binder template, audio/video recording capability for self-review (optional per program policy) | The standardized skills checklist is used by faculty; all critical-safety steps (hand hygiene, patient identification, allergy verification before medication administration, correct technique on invasive steps) are mandatory-pass items with no allowance for error; the overall skills session requires satisfactory on all critical steps and 80% on non-critical steps; students with any critical-step failure repeat that skill with remediation before submitting the final binder. |
| 4 | Capstone Oral Defense, Self-Reflection, and NCLEX-PN Gap Analysis | 48 | field | The student will present and defend the completed care plan before a two-person faculty panel, respond to structured clinical-reasoning questions mapped to NCLEX-PN client needs categories, and produce a written self-reflection with a personalized NCLEX-PN study plan that targets at least three self-identified knowledge gaps. |
| Completed care plan binder (from Lessons 1–3), faculty panel oral defense rubric, structured question bank (faculty-developed, mapped to NCLEX-PN client needs categories), self-reflection form, personalized NCLEX-PN study plan template, Saunders Comprehensive Review for the NCLEX-PN (current edition), NCSBN NCLEX-PN candidate bulletin (current year) | The oral defense is scored on the faculty panel rubric requiring 80% overall; any question involving a patient-safety scenario (e.g., recognizing a critical lab value, refusing an out-of-scope order) must be answered correctly as a mandatory-pass item; the self-reflection and study plan are evaluated pass/fail on completeness using a checklist—all three sections (reflection, gap identification, study schedule) must be present and substantive to pass. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Integrated Nursing Care Plan Project | Project | 60% | 80% overall on the faculty scoring rubric, with satisfactory marks on all designated critical-safety items; a score below 80% or any unsatisfactory critical-safety item requires targeted remediation and one resubmission within the course timeline | The student submits a complete care plan binder containing the SOAP assessment, prioritized NANDA-I–aligned nursing diagnoses, SMART goals, evidence-based interventions with rationales, 100%-accurate dose calculations for all scenario medications, a patient-education handout, and SBAR documentation for each performed skill. Faculty score the binder using a detailed rubric aligned to NCLEX-PN client needs categories, ensuring every section reflects safe, entry-level LPN practice. Meets specification · Within estimate · Workmanship · Safety · Documentation |
| Capstone Professional Portfolio | Portfolio | 20% | Pass/fail based on a completeness and quality checklist; all eight required artifacts must be present and meet minimum quality standards (no plagiarism, professional language, accurate clinical content) as determined by faculty review | Each student compiles a professional portfolio containing: the finalized care plan binder, the peer-check medication calculation form, the patient-education handout with peer critique feedback incorporated, the completed skills-performance checklist with faculty sign-off, the self-reflection form, and the personalized NCLEX-PN study plan—presented in a organized, professionally formatted binder or digital document. The portfolio demonstrates the student's cumulative growth across the program and serves as a personal reference tool for NCLEX-PN preparation and early employment. Completeness · Organization · Evidence quality |
| Oral Defense Before Faculty Panel | Oral / panel | 20% | 80% overall on the panel rubric; mandatory correct response on all patient-safety scenario questions embedded in the Q&A; students who do not meet the passing standard complete a structured remediation session and defend one additional time before a grade is finalized | In a 20-to-25-minute session, the student presents the care plan to a two-person faculty panel and responds to at least five structured clinical-reasoning questions mapped to NCLEX-PN client needs categories, demonstrating the ability to articulate assessment findings, justify clinical decisions, recognize safety-critical situations, and communicate within LPN scope of practice. The panel scores the presentation and Q&A separately using a shared rubric, and consensus scoring is used when evaluators differ by more than one rating level. Explains decisions · Answers technical questions · Professional communication |
Students complete 324 supervised clinical hours at approved healthcare worksites, applying classroom and laboratory skills to direct patient care under the oversight of a licensed nurse preceptor. Learners practice the full scope of LPN duties across care settings, integrating pharmacology, medical-surgical, maternal/child, and geriatric competencies in real patient interactions. Performance is formally evaluated by the site preceptor and program faculty using standardized rubrics tied to NCLEX-PN client needs categories.
OutcomesStudents complete 324 supervised clinical hours at approved healthcare worksites, applying classroom and laboratory skills to direct patient care under the oversight of a licensed nurse preceptor. Learners practice the full scope of LPN duties across care settings, integrating pharmacology, medical-surgical, maternal/child, and geriatric competencies in real patient interactions. Performance is formally evaluated by the site preceptor and program faculty using standardized rubrics tied to NCLEX-PN client needs categories.
How the course runs. 4 blocks: Practicum Orientation: Site Policies, Safety, and Scope of Practice; Direct Patient Care: Assessment, Skills Performance, and Documentation; Interdisciplinary Collaboration, Patient Teaching, and Care Transitions; Capstone Clinical Days: Independent Performance and Preceptor Final Evaluation.
What competent looks like. Perform foundational LPN clinical skills—including vital signs, wound care, catheterization, medication administration, and IV site monitoring—safely and accurately on real patients under preceptor supervision, meeting facility policy standards. Apply the nursing process (assessment, planning, implementation, evaluation) to assigned patients across at least two distinct care settings, documenting findings and interventions in the facility's health record system. Demonstrate safe medication administration using the rights of medication administration, recognize adverse reactions, and communicate concerns to the supervising RN or provider within scope of LPN practice. Communicate therapeutically and professionally with patients, families, and interdisciplinary team members, adapting to age-specific and culturally diverse populations encountered at the clinical site. Identify and report actual or potential patient safety events, apply standard and transmission-based precautions, and follow facility emergency and incident-reporting procedures. Receive, act on, and document written preceptor feedback to demonstrate progressive improvement in clinical performance across the practicum period, achieving a passing score on the final employer evaluation.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | Practicum Orientation: Site Policies, Safety, and Scope of Practice | 24 | field | Students accurately identify the clinical site's policies, chain of command, emergency procedures, and LPN scope-of-practice boundaries before delivering any direct patient care. |
| Facility policy and procedure manual, state nurse practice act summary, SBAR reference card, site EHR training module, personal protective equipment (PPE) station, student clinical orientation checklist, reflective journal | Preceptor signs completed orientation checklist (all items verified); reflective journal entry reviewed by faculty showing accurate scope-of-practice reasoning; SBAR role-play scored by preceptor on a 4-point rubric, minimum 3/4 on each of the four SBAR elements to pass. |
| 2 | Direct Patient Care: Assessment, Skills Performance, and Documentation | 180 | field | Students perform assigned LPN clinical skills—including head-to-toe assessment, vital signs, wound care, urinary catheterization, enteral feeding, subcutaneous and intramuscular injections, and IV site monitoring—accurately and safely on real patients while documenting each encounter completely in the facility EHR. |
| Clinical skills tracking log, facility MAR, approved drug reference (e.g., Davis's Drug Guide or facility formulary), EHR workstation, sterile and non-sterile supply carts, wound care supplies, catheterization kits, injection supplies, enteral feeding equipment, stethoscope, blood pressure cuff, pulse oximeter, thermometer, weekly patient-care reflection form | Skills tracking log shows each core LPN skill performed and signed off by preceptor at least twice (or as specified by program's minimum skill frequency list); no unresolved medication errors or safety incidents attributable to student negligence; weekly reflection forms submitted on time with substantive entries; faculty review of log at midpoint—students with fewer than 50% of required skill sign-offs by midpoint complete a remediation plan. |
| 3 | Interdisciplinary Collaboration, Patient Teaching, and Care Transitions | 80 | field | Students actively participate in interdisciplinary care activities—including care conferences, hand-off reports, and discharge planning—and deliver at least two documented patient or family teaching sessions appropriate to the patient's learning needs and the LPN's scope of practice. |
| SBAR hand-off form, site hand-off checklist, plain-language patient education materials (facility-provided or approved by preceptor), teach-back documentation template, EHR, care-conference notes, one-page summary template | Preceptor hand-off checklist scores minimum 80% on two observed SBAR reports; teach-back teaching session documented in EHR with preceptor co-signature; one-page care-conference summary reviewed by faculty for accuracy and completeness—pass requires all required elements present and accurate. |
| 4 | Capstone Clinical Days: Independent Performance and Preceptor Final Evaluation | 40 | field | Students manage a full patient assignment with minimal prompting, demonstrating integrated clinical judgment, safe care delivery, and professional accountability across an entire shift, achieving a passing score on the standardized employer final evaluation form. |
| Shift time-management worksheet, standardized employer final evaluation rubric (program-issued), student self-evaluation form, completed skills tracking log, portfolio of weekly reflection forms, all patient care documentation from the practicum period | Employer final evaluation form completed by preceptor scores at minimum 75% overall and no individual competency domain rated below 'satisfactory'; student self-evaluation submitted for all three capstone shifts; final conference held with faculty present—student who scores below 75% on the employer evaluation or has an unsatisfactory domain rating must complete a remediation plan and, if available within the program calendar, additional supervised hours before program completion. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Preceptor Clinical Evaluation (Employer Evaluation) | Clinical evaluation | 70% | Minimum overall score of 75% on the standardized employer evaluation rubric, with no competency domain rated below 'satisfactory'; any domain rated unsatisfactory triggers a written remediation plan. | The assigned preceptor completes the program's standardized clinical evaluation form at the practicum midpoint and at the end of the practicum, rating the student across competency domains that include clinical skills performance, medication safety, clinical judgment and prioritization, professional behavior, communication, and documentation accuracy—domains aligned to the NCLEX-PN client needs categories of Safe and Effective Care Environment, Health Promotion and Maintenance, Psychosocial Integrity, and Physiological Integrity. Ratings are discussed in a face-to-face conference with the student and reviewed by program faculty, who make the final pass/fail determination. Competency · Safety · Attendance · Conduct · Initiative |
| Clinical Practicum Skills and Reflection Log | Log | 30% | All required core skills signed off by preceptor at least the minimum number of times specified in the program's skill frequency list; all weekly reflection forms submitted; no weeks with missing entries—any incomplete log requires remediation before a grade is posted. | Students maintain a cumulative skills tracking log documenting every clinical skill performed at the site, with the date, patient setting, and preceptor signature for each entry, alongside the portfolio of weekly patient-care reflection forms submitted to faculty throughout the practicum. The log serves as the official record of hours and competency breadth, verifying that the student has practiced the range of LPN skills assessed on the NCLEX-PN across the Physiological Integrity and Safe and Effective Care Environment client needs categories, and it is reviewed by faculty at midpoint and at the end of the practicum to confirm satisfactory completion of externship requirements. Complete · Verified |
This 90-hour course systematically reviews all content areas tested on the NCLEX-PN using the National Council of State Boards of Nursing Next Generation NCLEX framework, including clinical judgment, pharmacology, safe care, health promotion, and psychosocial integrity. Students practice with NCLEX-style questions across all item types—including Next Generation NCLEX case studies, bow-tie items, and extended multiple-response—to build test-taking stamina, strategy, and content mastery. The course culminates in a timed, full-length computerized mock exam that mirrors the licensure exam experience.
OutcomesThis 90-hour course systematically reviews all content areas tested on the NCLEX-PN using the National Council of State Boards of Nursing Next Generation NCLEX framework, including clinical judgment, pharmacology, safe care, health promotion, and psychosocial integrity. Students practice with NCLEX-style questions across all item types—including Next Generation NCLEX case studies, bow-tie items, and extended multiple-response—to build test-taking stamina, strategy, and content mastery. The course culminates in a timed, full-length computerized mock exam that mirrors the licensure exam experience.
How the course runs. 4 blocks: NCLEX-PN Blueprint, Clinical Judgment Model, and Exam Strategy; Content Review: Safe Care, Pharmacology, and Physiological Integrity; Content Review: Health Promotion, Psychosocial Integrity, and Maternal/Child & Geriatric Nursing; Full-Length Mock NCLEX-PN Examination and Individualized Remediation Debrief.
What competent looks like. Demonstrate mastery of safe and effective care environment content—including infection control, safety, and management of care—by scoring at or above the benchmark on targeted NCLEX-PN practice sets. Apply clinical judgment using the NCSBN Clinical Judgment Measurement Model to analyze patient scenarios and select priority nursing actions across all client need categories. Correctly answer pharmacology and medication administration questions, including dosage calculation, drug classifications, and adverse-effect recognition, at or above the course benchmark. Identify and apply evidence-based test-taking strategies—including prioritization frameworks such as ABC and Maslow, process of elimination, and recognition of distractors—to improve performance on NCLEX-style items. Complete a full-length, timed computerized mock NCLEX-PN exam under simulated testing conditions, achieving a passing benchmark consistent with NCSBN passing standards. Develop and execute an individualized remediation plan based on diagnostic practice-exam data to address personal content and clinical judgment gaps before sitting for licensure.
| # | Lesson | Hr | Type | Objective | Activities | Materials | Check |
|---|---|---|---|---|---|---|---|
| 1 | NCLEX-PN Blueprint, Clinical Judgment Model, and Exam Strategy | 18 | theory | Students will accurately describe the NCLEX-PN test plan client need categories and percentage weights, explain the six layers of the NCSBN Clinical Judgment Measurement Model, and apply at least three test-taking strategies to a set of practice items. |
| Current NCLEX-PN Test Plan (NCSBN publication, available free at ncsbn.org); NCSBN Next Generation NCLEX sample item handouts; approved NCLEX-PN review textbook (e.g., Saunders Comprehensive Review for the NCLEX-PN or equivalent); printed blueprint annotation worksheets; laptop or tablet with internet access for NCSBN practice resources. | Students complete a 25-item scored quiz covering blueprint category definitions, Clinical Judgment Model layers, and application of test-taking strategies to sample stems; pass mark is 76% (19/25 correct). |
| 2 | Content Review: Safe Care, Pharmacology, and Physiological Integrity | 32 | practice | Students will correctly answer practice questions at or above 76% in the Safe and Effective Care Environment and Physiological Integrity client need categories, including pharmacology, infection control, reduction of risk potential, and basic care and comfort subcategories. |
| NCLEX-PN review textbook; printed and digital question banks aligned to NCSBN test plan subcategories; individual dry-erase whiteboards and markers; delegation and scope-of-practice reference chart (state board of nursing LPN scope summary); drug classification quick-reference cards developed in Course 2; printed prioritization case-study packets. | Two topic-area scored practice exams—one covering Safe and Effective Care Environment (50 items) and one covering Physiological Integrity including pharmacology (50 items)—administered under timed conditions (1 minute per item); students must score 76% or above on each; those below 76% complete instructor-assigned remediation modules and retest within the same lesson block. |
| 3 | Content Review: Health Promotion, Psychosocial Integrity, and Maternal/Child & Geriatric Nursing | 20 | practice | Students will correctly answer NCLEX-PN practice questions at or above 76% in the Health Promotion and Maintenance and Psychosocial Integrity client need categories, integrating content from maternal/child and geriatric nursing coursework. |
| NCLEX-PN review textbook chapters on health promotion, psychosocial integrity, maternity, and pediatrics; CDC immunization schedule reference (current year); blank concept-map templates; course notes from Courses 4 and 5; printed 40-item practice sets; individual remediation tracking sheets. | One scored 50-item practice exam covering Health Promotion and Maintenance and Psychosocial Integrity administered under timed conditions; pass mark is 76% (38/50); students who score below 76% complete targeted remediation using the review textbook and a second practice set before the mock exam in Lesson 4. |
| 4 | Full-Length Mock NCLEX-PN Examination and Individualized Remediation Debrief | 20 | lab | Students will complete a full-length, timed, computerized mock NCLEX-PN examination under simulated testing-center conditions and develop a written individualized remediation plan identifying content gaps and specific study actions for each deficient category. |
| Computerized NCLEX-PN mock exam platform (school-licensed adaptive testing software or publisher-provided full-length practice exam with Next Generation NCLEX item types); school computer lab with individual workstations; printed scratch paper and pencil per testing-center protocol; category-level score reports generated by the exam platform; blank individualized remediation plan templates; NCLEX-PN review textbook. | Students must achieve a score equivalent to the NCSBN passing standard on the mock exam (76% correct on a fixed-format exam, or a passing-level performance indicator on an adaptive platform); all students regardless of mock score must submit a complete, instructor-approved individualized remediation plan by end of the lesson to receive credit; students scoring below benchmark receive mandatory one-on-one remediation coaching from the instructor before program completion. |
| Assessment | Type | Weight | Pass standard | Method & rubric |
|---|---|---|---|---|
| Full-Length Mock NCLEX-PN Certification Examination | Mock certification exam | 100% | Score at or above 76% on a fixed-format exam, or a passing-level adaptive indicator on a computerized adaptive platform; submission of a complete, instructor-approved individualized remediation plan is required for course completion regardless of exam score. | Students complete a full-length, timed, computerized mock NCLEX-PN examination administered under simulated testing-center conditions, covering all NCSBN test plan client need categories and including Next Generation NCLEX item types. Results are reviewed in a structured debrief, and each student produces a written individualized remediation plan identifying content gaps and a concrete study schedule to prepare for the actual NCLEX-PN licensure exam. Score · Time management |
Students sit the NCLEX-PN (National Council Licensure Examination for Practical Nurses), administered by the National Council of State Boards of Nursing (NCSBN) through its testing vendor at authorized testing centers. Passing the NCLEX-PN is required to obtain a practical nurse license in any U.S. state or territory. Pass standard: Credential issued by the body.
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