Practical Nursing 1

Introduction

This unit will introduce the student to the nursing process, data collection skills, recording on the client's record and reporting. Listening skills, questioning skills, an awareness of non-verbal behavior and the ability to speak at a level that the client and other healthcare team members can understand are all important aspects of effective communication.  Documentation of assessments and observations must be concise and use language that is understood by the healthcare team.  Concepts planted here will grow throughout the program.

Objectives

Upon completion of this module, the student will be able to:

• Receive and give oral report of patient’s status
• Report and record objective, pertinent observations
• Maintain current documentation
• Document changes in patient behavior and mental awareness
• Obtain specified data from patient and family
• Define and explain the steps in the nursing process and the role of the practical nurse in that process
• Utilize nursing principles to assist with the patient’s plan of care

Readings and Resources

Complete reading assignments chapters 7 & 8, deWit, Susan C.  Fundamental Concepts and Skills for Nursing, 4th Edition. W.B. Saunders Company, 2014.

Review the following documents:  Guidelines for Charting.pdf  

Assignments

• Complete readings and review
• Complete Assignment - Verbal and Written Communications
• Complete Exam 7 -Verbal and Written Communications
• Students will be evaluated by their clinical instructors in the clinical areas for competency in data collection, assessment, documentation, and formulation of a plan of care.