Nursing Practice Lab
  I: Administrative Information   II: Course Details   III: Topical Outline(s)  Printable Version
Section I: Administrative Information
  Total hours: 42.0
Credit Value: 3.0
Credit Value Notes: N/A
Effective: Spring/Summer 2021
Prerequisites: N/A
Corequisites: N/A
Equivalents: N/A
Pre/Co/Equiv Notes: N/A

Program(s): RPN Safe Practice Completion
Program Coordinator(s): N/A
Course Leader or Contact: N/A
Version: 20210517_01
Status: Approved (APPR)

Section I Notes: Access to course materials and assignments will be available on Sheridan's Learning and Teaching Environment (SLATE). Students will need reliable access to a computer and the internet.

Section II: Course Details

Detailed Description
Students apply new learning to prior nursing knowledge, skills and judgement within the framework of the nursing process to develop safe and competent care plans for lab-based health scenarios. The College of Nurses of Ontario (CNO) practice standards and guidelines, relevant legislation and best practice guidelines and research are utilized to promote critical analysis in practice and an evidence-based approach to care. Hands-on practice is required through mandatory in-person lab activities to ensure students collaborate with faculty and peers to demonstrate the fundamental skills and competencies required for safe and ethical practice. The focus of lab activities includes conducting patient assessment and physical examination, utilizing critical thinking and inquiry skills, reporting and recording data, and application of procedural knowledge and skills in a systematic and safe manner.

Program Context

RPN Safe Practice Completion Program Coordinator(s): N/A
This is a required course for successful completion of RPN Safe Practice Completion.

Course Critical Performance and Learning Outcomes

  Critical Performance:
By the end of this course students will have demonstrated the ability to apply the nursing process to lab-based health scenarios utilizing evidence-based knowledge, skills and judgement in a safe, competent and ethical manner.
Learning Outcomes:

To achieve the critical performance, students will have demonstrated the ability to:

  1. Apply the nursing process as a sequential framework to develop client-centered and evidence-based care plans.
  2. Integrate effective and culturally competent client interviewing and communication techniques to collect comprehensive patient histories and reports of symptoms and needs.
  3. Utilize critical thinking and inquiry skills to examine and analyze expected and unexpected client data to create a systematic and evidence-based approach to care.
  4. Prioritize and accurately demonstrate focused health examination techniques based on expected and unexpected client data presented in variable and unique health scenarios.
  5. Perform fundamental nursing skills and approaches to care, such as medication administration and infection control, according to regulatory standards and guidelines, legislation, and best practice guidelines to ensure public protection and quality care.
  6. Collaborate with faculty and peers using a collegial and partnership approach to demonstrate teamwork, knowledge-sharing and leadership competences.

Evaluation Plan
Students demonstrate their learning in the following ways:

 Evaluation Plan: IN-CLASS
 Post-lab Quizzes (10 x 2%)20.0%
 Midterm Test (Practical and Written)35.0%
 Final Exam (Practical and Written)45.0%

Evaluation Notes and Academic Missed Work Procedure:
Test and Assignment Protocol To encourage behaviours that will help students to be successful in the workplace and to ensure that students receive credit for their individual work, the following rules apply to every course offered within the division. 1. Students are responsible for being aware of test dates and times, as well as due dates and any special instructions for submitting assignments and projects, as supplied to the class by the Faculty. 2. Students must write all tests at the specified times. Missed tests are awarded a mark of zero. If an extension or make-up opportunity is approved by the Faculty, the mark of zero may be revised. 3. Students must complete all the assigned quizzes and in-class activities by the scheduled due date. Missed quizzes and exams are awarded a mark of zero. 4. Students must complete every quiz as an individual effort, unless the Faculty specifies otherwise. 5. Since there may be instances of grade appeal or questions regarding the timely completion of quizzes and/or extent of individual effort, etc., students are strongly advised to keep, and make available to their Faculty, if requested, a copy of all working notes until the course grade has been finalized. 6. Please note, students who miss academic work due to disability must follow the academic missed work procedures outlined by Accessible Learning which may be different than those indicated above.

Provincial Context
The course meets the following Ministry of Colleges and Universities requirements:


Essential Employability Skills
Essential Employability Skills emphasized in the course:

  • Communication Skills - Communicate clearly, concisely and correctly in the written, spoken, visual form that fulfills the purpose and meets the needs of the audience.
  • Critical Thinking & Problem Solving Skills - Use a variety of thinking skills to anticipate and solve problems.
  • Information Management Skills - Analyze, evaluate, and apply relevant information from a variety of sources.
  • Interpersonal Skills - Show respect for the diverse opinions, values, belief systems, and contributions of others.
  • Numeracy - Execute mathematical operations accurately.
  • Personal Skills - Manage the use of time and other resources to complete projects.

Prior Learning Assessment and Recognition
PLAR Contact (if course is PLAR-eligible) - Office of the Registrar

  • Not Eligible for PLAR

Section III: Topical Outline
Some details of this outline may change as a result of circumstances such as weather cancellations, College and student activities, and class timetabling.
Instruction Mode: In-Class
Professor: Multiple Professors
RequiredOtherCollege of Nurses of Ontario Standards and Guidelines
RequiredOtherRegistered Nurses Association of Ontario Best Practice Guidelines
RequiredTextbookMedical-surgical nursing in Canada: Assessment and management of clinical problems, Lewis, S. L., Bucher, L., Heitkemper, M. M., Harding, M.M., Elsevier Canada, 4th Canadian Edition, 2019, This is 1 of 3 e-books that students will purchase as a bundle. Instructions will be provided.
RequiredTextbookCanadian fundamentals of nursing, Potter, P. A., Perry, A.G., Stockert, P.A., & Hall, A.M., Elsevier Canada, 6th Canadian Edition, 2019, This is 1 of 3 e-books that students will purchase as a bundle. Instructions will be provided.

Applicable student group(s): This course is restricted to students with a CNO Letter of Assessment and/or Program Coordinator's approval.
Course Details:

Module 1: Introduction to Health Assessment and the Nursing Process

  • Nursing process
    • Assessment, planning, intervention, evaluation
  • Vital signs
  • General survey
  • Interviewing techniques
  • Physical examination techniques
  • Documentation standards and legislation

Module 2: Heart and Vascular System Assessment

  • Interview and history-taking
  • Examination techniques
  • Expected versus unexpected findings
  • Reporting and recording data
  • Scenario-based practice sessions

Module 3: Respiratory System Assessment

  • Interview and history-taking
  • Examination techniques
  • Expected versus unexpected findings
  • Reporting and recording data
  • Scenario-based practice sessions

Module 4: Abdominal and GI/GU Systems Assessment

  • Interview and history-taking
  • Examination techniques
  • Expected versus unexpected findings
  • Reporting and recording data
  • Scenario-based practice sessions

Module 5: Neurological System Assessment

  • Interview and history-taking
  • Examination techniques
  • Expected versus unexpected findings
  • Reporting and recording data
  • Scenario-based practice sessions

Module 6: Integumentary and Musculoskeletal Systems Assessment

  • Interview and history-taking
  • Examination techniques
  • Expected versus unexpected findings
  • Reporting and recording
  • Scenario-based practice sessions

Module 7: Infection Control

  • Chain, mode, and course of infection
  • Health Canada routine practices and additional precautions
  • Nursing Process of Infection Control
    • Risk for infection
    • Laboratory tests
    • Hand hygiene
    • Caring for a patient on isolation precautions
    • Common infections, barrier protection and Personal Protective Equipment
    • Donning and Doffing PPE
  • Scenario-based practice sessions

(Midterm Test 35%)

Module 8: Safe Medication Administration

  • Pharmacokinetics
  • Types of medication actions and dose responses
  • Dosage administration schedules
  • CNO Medication Standard and rights of medication administration
  • Nursing Process of Medication Administration
    • Oral route
    • Parenteral Routes
      • Intradermal
      • Subcutaneous
      • Intramuscular
      • intravenous
    • Topical
    • Inhalation
  • Dosage calculation
  • Scenario-based practice sessions

Module 9: Oxygenation

  • Common respiratory tests and methods of assessment
  • Nursing Process of airway maintenance and oxygenation
    • Breathing and coughing exercises
    • Incentive spirometry
    • Aspiration precautions
    • Nasal cannula
    • Oxygen masks
    • Artificial airway and tracheostomy care
    • Suctioning
  • Scenario-based practice sessions

Module 10: Hygiene, Nutrition and Elimination

  • Nursing Process for Hygiene care
    • Risk factors for skin impairment
    • Use of sensory aids
    • Hygiene care
  • Nursing Process for Urinary and Bowel Elimination
    • Assessment of urine
    • Common urine tests
    • Indwelling catheter care
    • Lab and diagnostic tests for bowel function
    • Stool assessment
    • Enemas
  • Nursing Process Scenario-based practice sessions

Module 11: Safe Patient Handling, Nutrition and GI care

  • Nursing Process for safe patient handling
    • Safe and effective transfer techniques
    • Fall risk assessment and prevention strategies
    • Assisting with mobility
    • Preventing deconditioning
    • Minimal restraints and alternatives
  • Nursing Process for nutrition and GI care
    • Food guidelines
    • Nutrition screening tools and collecting a dietary history
    • Diet progression and therapeutic diets
    • Inserting small bore nasogastric tube
    • Enteral tube feeding
    • Inserting a large bore nasogastric tube and suctioning
  • Scenario-based practice sessions

Module 12: Skin Integrity and Wound Care

  • Nursing Process for prevention of pressure injury
    • Risk factors for pressure injury
    • Nursing assessment, Braden scale
    • Classification of pressure injury
    • Wound care principles
    • Clean dressing techniques
  • Nursing Process for surgical asepsis
    • Preparation of a sterile field
    • Adding items to a sterile field
    • Sterile gloving
    • Sterile dressings
  • Nursing Process for catheterization
    • Inserting a straight or indwelling catheter
  • Scenario-based practice sessions

(Final Exam 45%)

Sheridan Policies

All Sheridan policies can be viewed on the Sheridan policy website.

Academic Integrity: The principle of academic integrity requires that all work submitted for evaluation and course credit be the original, unassisted work of the student. Cheating or plagiarism including borrowing, copying, purchasing or collaborating on work, except for group projects arranged and approved by the professor, or otherwise submitting work that is not the student's own, violates this principle and will not be tolerated. Students who have any questions regarding whether or not specific circumstances involve a breach of academic integrity are advised to review the Academic Integrity Policy and procedure and/or discuss them with the professor.

Copyright: A majority of the course lectures and materials provided in class and posted in SLATE are protected by copyright. Use of these materials must comply with the Acceptable Use Policy, Use of Copyright Protected Work Policy and Student Code of Conduct. Students may use, copy and share these materials for learning and/or research purposes provided that the use complies with fair dealing or an exception in the Copyright Act. Permission from the rights holder would be necessary otherwise. Please note that it is prohibited to reproduce and/or post a work that is not your own on third-party commercial websites including but not limited to Course Hero or OneNote. It is also prohibited to reproduce and/or post a work that is not your own or your own work with the intent to assist others in cheating on third-party commercial websites including but not limited to Course Hero or OneNote.

Intellectual Property: Sheridan's Intellectual Property Policy generally applies such that students own their own work. Please be advised that students working with external research and/or industry collaborators may be asked to sign agreements that waive or modify their IP rights. Please refer to Sheridan's IP Policy and Procedure.

Respectful Behaviour: Sheridan is committed to provide a learning environment that supports academic achievement by respecting the dignity, self-esteem and fair treatment of every person engaged in the learning process. Behaviour which is inconsistent with this principle will not be tolerated. Details of Sheridan's policy on Harassment and Discrimination, Academic Integrity and other academic policies are available on the Sheridan policy website.

Accessible Learning: Accessible Learning coordinates academic accommodations for students with disabilities. For more information or to register, please see the Accessible Learning website (Statement added September 2016)

Course Outline Changes: The information contained in this Course Outline including but not limited to faculty and program information and course description is subject to change without notice. Any changes to course curriculum and/or assessment shall adhere to approved Sheridan protocol. Nothing in this Course Outline should be viewed as a representation, offer and/or warranty. Students are responsible for reading the Important Notice and Disclaimer which applies to Programs and Courses.

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