2016 – 2017
Florida Department of Education
Curriculum Framework 

Program Title:	Practical Nursing (Postsecondary) 
Program Type:	Career Preparatory
Career Cluster:	Health Science

PSAV	
Program Number	H170605	
CIP Number	0351390100	
Grade Level	30, 31	
Standard Length	1350 hours	
Teacher Certification	REG NURSE 7 G
PRAC NURSE @7  %7%G *(Must be a Registered Nurse)
LPN 7 G *	
CTSO	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	29-2061 Licensed Practical and Licensed Vocational Nurses
31-1014 Nursing Assistants
31-9099 Healthcare Support Workers, All Other	
CTE Program Resources 	http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml 	
Basic Skills Level	Mathematics:	11
Language:	11
  Reading:	  11	
* The LPN 7 G district issued certification is a practical nurse. This certification can only be utilized for the HSC0003 and HCP0121 courses within the practical nursing program when the program is an approved nursing assistant program with the Florida Board of Nursing. 

Purpose

This program offers a sequence of courses that provides coherent and rigorous content aligned with challenging academic standards and relevant technical knowledge and skills needed to prepare for further education and careers in the Health Science career cluster; provides technical skill proficiency, and includes competency-based applied learning that contributes to the academic knowledge, higher-order reasoning and problem-solving skills, work attitudes, general employability skills, technical skills, and occupation-specific skills, and knowledge of all aspects of Health Science career cluster. 

This program is designed to prepare students for employment as licensed practical nurses (SOC 29-2061).  The program must be approved by the Florida State Board of Nursing so the graduate may apply to take the examination to practice as a Licensed Practical Nurse.  The program must also be approved by the BON as a nursing assistant program in order for students to apply to take the C.N.A. exam at the end of OCP B as a program completer.

The content includes, but is not limited to, theoretical instruction and clinical experience in medical, surgical, obstetric, pediatric, and geriatric nursing; theoretical instruction and clinical experience in acute, care, long term care and community settings; theoretical instruction and clinical application of vocational role and function; personal, family and community health concepts; nutrition; human growth and development over the life span; body structure and function; interpersonal relationship skills, mental health concepts; pharmacology and administration of medications; legal aspects of practice; and current issues in nursing.  

Additional Information relevant to this Career and Technical Education (CTE) program is provided at the end of this document.

Program Structure

This program is a planned sequence of instruction consisting of 3 occupational completion points.

This program is comprised of courses which have been assigned course numbers in the SCNS (Statewide Course Numbering System) in accordance with Section 1007.24 (1), F.S.  Career and Technical credit shall be awarded to the student on a transcript in accordance with Section 1001.44(3)(b), F.S.

The following table illustrates the post-secondary program structure:

OCP	Course Number	Course Title	Length	SOC Code	
A	HSC0003	Basic Healthcare Worker	90 hours	31-9099	
B	HCP0121	Nurse Aide and Orderly (Articulated)	75 hours	31-1014	
C	PRN0091	Practical Nurse 1	285 hours	29-2061
	
	PRN0092	Practical Nurse 2	450 hours		
	PRN0096	Practical Nurse 3	450 hours		

Regulated Programs

Please refer to Florida Statute 464.019 (1) (b) for faculty credential requirements to teach this program. 

Students are eligible to apply to take the national licensing examination after satisfactory completion of an approved program.  Licensure Examination for Practical Nurses, CAT NCLEX-PN is a computer-administered examination that the nursing graduate must take and pass in order to practice as a Licensed Practical Nurse. 

Program must comply with the State Board of Nursing rules, including faculty qualifications.  For questions regarding this process, please contact:  Board of Nursing, 4052 Bald Cypress Way, Tallahassee, FL 32399-3752.

An approved licensed practical nurse supervisory education course can only be taken following completion of this program, and after licensure.  The Graduate must have 6 months clinical experience before supervising as well as meeting all other criteria listed in 64B9-16.002.

A Licensed Practical Nurse working in a nursing home shall qualify to supervise by meeting all of the requirements in 64B9-16.002 (FS).  The Supervisory course applicant must have no less than six months clinical nursing experience as an LPN.  The supervisory course must be approved by the board of nursing, and must be a minimum of 30 hours in length.

Clinical instruction of nursing students will meet the requirements of Florida Statute 464.019. Clinical experience must make up or least 50% of the total program.  Simulated practice and clinical experiences are included as an integral part of this program. Clinical Simulation may be used for no more than 50% of the total clinical experience. 

Common Career Technical Core – Career Ready Practices

Career Ready Practices describe the career-ready skills that educators should seek to develop in their students.  These practices are not exclusive to a Career Pathway, program of study, discipline or level of education.  Career Ready Practices should be taught and reinforced in all career exploration and preparation programs with increasingly higher levels of complexity and expectation as a student advances through a program of study. 

1. Act as a responsible and contributing citizen and employee. 

2. Apply appropriate academic and technical skills. 

3. Attend to personal health and financial well-being. 

4. Communicate clearly, effectively and with reason. 

5. Consider the environmental, social and economic impacts of decisions. 

6. Demonstrate creativity and innovation. 

7. Employ valid and reliable research strategies. 

8. Utilize critical thinking to make sense of problems and persevere in solving them. 

9. Model integrity, ethical leadership and effective management. 

10. Plan education and career path aligned to personal goals. 

11. Use technology to enhance productivity. 

12. Work productively in teams while using cultural/global competence. 

Standards

After successfully completing this program, the student will be able to perform the following:

01.0	Demonstrate knowledge of the healthcare delivery system and health occupations.
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively.
03.0	Demonstrate legal and ethical responsibilities.
04.0	Demonstrate an understanding of and apply wellness and disease concepts.
05.0	Recognize and practice safety and security procedures.
06.0	Recognize and respond to emergency situations.
07.0	Recognize and practice infection control procedures.
08.0	Demonstrate an understanding of information technology applications in healthcare.
09.0	Demonstrate employability skills.
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS.
11.0	Apply basic math and science skills. 
12.0	Use verbal and written communications specific to nurse assisting
13.0	Demonstrate legal and ethical responsibilities specific to nurse assisting
14.0	Perform physical comfort and safety functions specific to nurse assisting
15.0	Provide personal patient care
16.0	Perform patient care procedures
17.0	Apply principles of nutrition
18.0	Provide care for geriatric patients
19.0	Apply the principles of infection control specific to nursing assisting
20.0	Provide biological, psychological, and social support
21.0	Perform supervised organizational functions, following the patient plan of care
22.0	Assist with restorative (rehabilitative) activities
23.0	Perform skills related to the hospital setting (optional) 
24.0	Demonstrate computer literacy as related to nursing functions
25.0	Use appropriate verbal and written communications in the performance of nursing functions
26.0	Demonstrate legal and ethical responsibilities specific to the nursing profession
27.0	Apply the principles of infection control, utilizing nursing principles
28.0	Perform aseptic techniques
29.0	Describe the structure and function of the human body
30.0	Apply principles of nutrition as it relates to Practical Nursing Scope of Practice 
31.0	Describe human growth and development
32.0	Provide patient-centered care for the geriatric population
33.0	Demonstrate the performance of nursing procedures
34.0	Demonstrate how to administer medication 
35.0	Demonstrate how to care for the surgical patient. 
36.0	Demonstrate how to care for pre-operative and post-operative patients, utilizing nursing principles 
37.0	Demonstrate how to care for maternal/newborn patients, utilizing nursing principles 
38.0	Demonstrate knowledge of SIDS/ SUIDS as it relates to the practical nursing role
39.0	Demonstrate how to care for pediatric patients, utilizing nursing principles 
40.0	Demonstrate how to provide bio-psycho-social support 
41.0	Demonstrate healthy lifestyle responsibility specific to personal health maintenance. 
42.0	Implement education and resources for family wellness. 
43.0	Participate in Community Health Awareness Forums. 
44.0	Develop transitional skills
45.0	Demonstrate employability skills specific to practical nursing

Please Note:  The following outcomes can only be taken by Practical nurses who have graduated from their practical nursing program.  The LPN/IV education must be sponsored by a provider of continuing education courses approved by the Board pursuant to Rule 64B9.  To be qualified to teach this module, the instructor must be a currently Florida licensed Registered nurse with teaching experience and nursing experience which includes IV therapy.  The provider will be responsible for issuing a certificate verifying the requisite number of hours and course content.

In accordance with Rule 64B9 12.005, the module cannot be less than 30 hours post-graduate level.  These outcomes must be followed by supervised clinical practice as needed to demonstrate clinical competence.  Verification of competence shall be the responsibility of each employing institution.  Such verification shall be given through a signed statement of a Florida licensed registered nurse.

LPN/IV

01.0	Explain the legal aspects of IV administration by practical nurses to include the policies and procedures of the institution and appropriate documentation.
02.0	Demonstrate knowledge of the peripheral veins used for venipuncture.
03.0	Perform a venipuncture.
04.0	Discuss the effect of IV therapy on the body.
05.0	Recognize and respond to adverse reactions to IV therapy.
06.0	Recognize and use various types of IV equipment.
07.0	Administer drugs intravenously.
08.0	Care for patients receiving IV drug therapy, blood and blood components, and/or parenteral nutrition.
09.0	Describe and utilize the principles of infection control in IV therapy.
10.0	Manage special IV therapy procedures.
11.0	Recognize terminology pertinent to IV therapy.
12.0	Manage IV therapy via central lines.
01.0	

2016 – 2017
Florida Department of Education
Student Performance Standards

Program Title:	Practical Nursing  
PSAV Number:	H170605

The Basic Health Care Worker (HSC0003) is referred to as the Health Science Core and is the first OCP in the majority of the PSAV health science programs. Secondary and Postsecondary students completing the health science core will not have to repeat the core in any other health science program in which it is a part.  When the recommended sequence is followed, the structure allows students to complete at specified points for employment or remain for advanced training or cross-training.

PSAV Course Number:  HSC0003
Occupational Completion Point:  A 
Basic Healthcare Worker – 90 Hours – SOC Code 31-9099	
 
To ensure consistency whenever these courses are offered, the health science core standards (1-11) have been placed in a separate document. You can access the course standards and benchmarks by visiting this link: http://www.fldoe.org/core/fileparse.php/5652/urlt/health_sci_-core_psav_cc_1617.rtf 

Course Number:  HCP0121
Occupational Completion Point:  B
Nurse Aide and Orderly (Articulated) – SOC Code 31-1014 	
The following intended outcomes 12-22 should be taught together as a module to achieve the occupational completion point of Articulated Nursing Assistant.  The average achieving student should be able to complete the module in 75 clock hours.  The entire Articulated Nursing Assistant program including the core is 165 hours for the average achieving student but cannot be less than 120 hours. 

Successful completion of the occupational completion point of Articulated Nursing Assistant qualifies the student to take the state certification examination for Nursing Assistant if the program has been approved.  To be approved the program must be taught by a registered nurse and must have 40 hours of clinical, twenty of which are in a licensed nursing home, and be at least 120 hours in length.  Such certification is required for employment in a nursing home, in accordance with Chapter 82-163, Florida Statutes.	
12.0	Use verbal and written communications specific to nurse assisting–The student will be able to:	
12.01	Obtain specified data from patient and family.	
12.02	Utilize verbal and written information to assist with the patient's plan of care. 	
12.03	Demonstrate use of the communication system.	
13.0	Demonstrate legal and ethical responsibilities specific to nurse assisting–The student will be able to:	
13.01	Demonstrate legal and ethical behavior within the role and scope of nursing assistant responsibilities.	
13.02	Describe the purpose of the chain of communication (i.e., to resolve patient or employee problems.)	
13.03	Follow policies and procedures affecting the health, safety, and well-being of patients.	
13.04	Recognize and report signs of substance abuse. 	
13.05	Demonstrate the understanding of vulnerable population abuse and reporting procedures per agency.	
13.06	Follow legal guidelines in documentation. 	
13.07	Demonstrate methods regarding risk management including prevention and quality of care.	
13.08	Exhibit behavior supporting and promoting patients’ and/or residents' rights.  	
13.09	Recognize that a C.N.A. must self-report any crimes they’ve been involved in within 30 days of the offense in accordance with (FS 456.0727(1) w).	
13.10	Discuss Florida certified nursing assistant rules including role limitations.	
13.11	Recognize potential for and prevention of medical errors.	
13.12	Discuss proper procedures to follow regarding medical errors.	
14.0	Perform physical comfort and safety functions specific to nurse assisting–The student will be able to:	
14.01	Maintain patient units and equipment.	
14.02	Maintain service areas on the units including supplies and equipment. 	
14.03	Observe, report, and record changes in the patient's behavior daily, including mental awareness. 	
14.04	Adjust bed and side-rails.	
14.05	Lift, hold, and transfer patients including the use of the various assistive devices and equipment, utilizing proper body mechanics and patient safety measures. 	
14.06	Turn and position patient. 	
14.07	Demonstrate the proper use of a gait belt in both transfer and ambulation.	
14.08	Transfer patient to stretcher.    	
14.09	Apply protective devices as directed (e.g., vest and belt). 	
14.10	Apply comfort devices as directed (e.g., foot-board, overbed cradle, alternating pressure mattress).	
14.11	Assist patient to dangle.	
14.12	Assist patient in ambulation, including the use of crutch, cane, or walker. 	
14.13	Assist patient in using wheelchair.	
14.14	Assist patient with care and use of prosthetic/orthotic devices. 	
14.15	Describe emergency procedures utilized in the clinical area(s). 	
14.16	Implement appropriate regulatory and accrediting agency patient safety guidelines.  	
15.0	Provide personal patient care--The student will be able to:	
15.01	Give bed bath; observe and report changes in patient including skin and level of consciousness.	
15.02	Administer back rub.	
15.03	Assist with shower or tub bath, including the use of specialty tubs.	
15.04	Assist patient with sink, tub, shower, or bed shampoo.	
15.05	Demonstrate the use of a safety and/or electric razor to shave the patient. 	
15.06	Groom patient, including hair, skin, foot, hand and nail care.	
15.07	Assist with and/or administer oral hygiene including denture care.	
15.08	Assist patient with toileting using various types of restorative and rehabilitative equipment.	
15.09	Assist patient to dress.	
15.10	Assist patient with meals.	
15.11	Assist with bowel and bladder training.	
15.12	Assist and/ or provide perineal care.	
15.13	Empty, measure and record urinary output and/or drainage.	
15.14	Assist patient with both donning and doffing prosthesis and brace. 	
15.15	Demonstrate application and use of a leg bag, leg strap and dignity bag. 	
15.16	Monitor and assist with the drainage of urostomy bags and colostomy bags. 	
16.0	Perform patient care procedures–The student will be able to:	
16.01	Demonstrate ability to accurately measure, record and report vital signs. 	
16.02	Assist with the admission of a patient and/or resident.	
16.03	Assist with transfer of patient.	
16.04	Assist with discharge of patient.	
16.05	Make unoccupied/occupied bed.	
16.06	Measure and record patient's height and weight.	
16.07	Assist patient in passive range-of-motion exercises.	
16.08	Apply anti-embolic hose and sequential compression devices.	
16.09	Collect, strain, and/or test routine urine specimen.	
16.10	Collect timed urine specimen.	
16.11	Collect clean-catch (midstream-voided) urine specimen.	
16.12	Record fluid intake and output (I&O).	
16.13	Observe, record, and report patient's emesis. 	
16.14	Monitor and provide with care of urinary catheters and drainage systems for both males and females.	
16.15	Assist with ostomy care including emptying or changing ostomy bags that do not adhere to the skin. 	
16.16	Collect stool specimen.	
16.17	Perform postmortem care.	
16.18	Maintain patient-belongings list.	
16.18.01	Assist the nurse with care of the patient with complex medical needs.  	
16.19	Assist with the collection of a sputum specimen. 	
17.0	Apply principles of nutrition–The student will be able to:	
17.01	Identify nutrients and food groups. 	
17.02	Explain regional, cultural, and religious food references.	
17.03	Describe special diets.	
17.04	Prepare a basic food plan.	
17.05	Check patient's diet tray for accuracy.	
17.06	Demonstrate knowledge of the need for thickened liquids and fluid consistency.	
17.07	Identify methods of maintaining fluid balance including forcing and restricting fluids.	
17.08	Monitor and document Nutritional Intake. 	
18.0	Provide care for geriatric patients–The student will be able to:	
18.01	Identify methods and procedures to prevent pressure ulcers. 	
18.02	Identify methods to prevent falls in the elderly. 	
18.03	Identify safety principles as related to the elderly.	
18.04	Describe general characteristics, particular needs, and problems of the elderly.	
18.05	Identify attitudes and living habits that promote positive mental and physical health for the elderly.	
18.06	Distinguish between fact and fallacy about the aging process.	
18.07	Identify the need for community resources and services available to the elderly and their family.	
18.08	Apply reality orientation techniques and validation therapy unless it is contraindicated by the patient diagnosis (Alzheimer’s or Dementia).	
18.09	Provide and involve patients in diversional activities.	
18.10	Identify common alterations in elderly patient behavior.	
18.11	Provide care for patients with special needs (e.g., impaired hearing, impaired vision, immobility, impaired body functions, cognitively impaired (dementia)).	
18.12	Recognize and respond appropriately to symptoms of common diseases, including dementia, depression/suicide and Alzheimer’s.	
18.13	Demonstrate awareness of common behaviors in drug use and abuse in the elderly.	
18.14	Report concerns to the nurse related to drug use and abuse in the elderly patient.	
18.15	Identify components of the grief process. 	
18.16	Demonstrate an understanding of end of life care, hospice and palliative care.	
19.0	Apply the principles of infection control specific to nursing assisting–The student will be able to:	
19.01	Provide care for patients with infectious diseases applying the principles of "Standard Precautions" utilized with all patients as well as special procedures required.	
19.02	Set up isolation unit using proper personal protective equipment (PPE) for all types of isolation including donning and removing PPE appropriately.	
19.03	Follow isolation procedure with food tray, garments, and other materials.	
19.04	Collect specimen from patient in isolation.	
20.0	Provide biological, psychological, and social support–The student will be able to:	
20.01	Discuss family roles and their significance to health.	
20.02	Respond to patient and family emotional needs.	
21.0	Perform supervised organizational functions, following the patient plan of care–The student will be able to:	
21.01	Organize patient-care assignments.	
21.02	Complete assignments accurately and in a timely manner.	
22.0	Assist with restorative (rehabilitative) activities–The student will be able to:	
22.01	List the purposes of restorative (rehabilitation) program.	
22.02	Assist patient with specified restorative (rehabilitation) needs.	
22.03	Assist patients/residents to reach the optimum level of independence.	
23.0	Perform skills related to the hospital setting (optional) –The student will be able to:	
23.01	Care for hospital equipment and supplies.	
23.02	Transfer patient to stretcher.	
23.03	Assist patient to apply binders.	
23.04	Care for patient in skin and skeletal traction.	
23.05	Assist with pre-operative and post-operative patient care.	
23.06	Reinforce dressings under the supervision of the RN/LPN. 	
23.07	Obtain and record an apical pulse.	
23.08	Obtain and record an apical-radial pulse.	
23.09	Obtain and record pedal pulse.	
23.10	Provide cast care and/or pin care.	
23.11	Provide care for eye glasses, artificial eyes, and contact lens. 	
Course Number:  PRN0091
Occupational Completion Point:  C
Practical Nurse 1 – 285 Hours – SOC Code 29-2061	
Licensed Practical Nurse:  Intended outcomes 23-39 complete the occupational completion point(C) of Licensed Practical Nurse SOC Code 29-2061 (Licensed Practical and Licensed Vocational Nurse). The outcomes may be taught as one or more modules at the postsecondary level.	
24.0	Demonstrate computer literacy as related to nursing functions–The student will be able to:	
24.01	Demonstrate effective use of technology, including use of electronic medical records and email relevant to job requirements for a Licensed Practical Nurse. 	
24.02	Identify computer skills utilized for each clinical rotation and apply, as appropriate. 	
25.0	Use appropriate verbal and written communications in the performance of nursing functions–The student will be able to:	
25.01	Receive and give oral report of patient's status. 	
25.02	Report and record objective, pertinent observations. 	
25.03	Maintain current documentation. 	
25.04	Document changes in patient behavior and mental awareness. 	
25.05	Obtain specified data from patient and family. 	
25.06	Define and explain the steps in the nursing process and the role of the licensed practical nurse in that process. 	
25.07	Utilize nursing principles to assist with the patient's plan of care.	
26.0	Demonstrate legal and ethical responsibilities specific to the nursing profession–The student will be able to:	
26.01	Identify the components of the Nurse Practice Act. 	
26.02	Practice within the role and scope of the job description.	
26.03	Discuss medical errors related to the practical nurse. 	
26.04	Define legal aspects and code of ethics related to nursing. 	
26.05	Describe the practical nurses role in delegation of duties. 	
26.06	Follow policies and procedures affecting the health, safety, and well-being of patients.	
26.07	Follow legal guidelines in charting, including use of electronic medical records	
27.0	Apply the principles of infection control, utilizing nursing principles–The student will be able to:	
27.01	Identify common nosocomial infections and their prevention and treatment. 	
27.02	Identify emergent communicable diseases and their prevention and treatment. 	
27.03	Apply interventions to break each chain of infection. 	
27.04	Discuss immunity and the role of immunizations. 	
27.05	Discuss nursing responsibilities related to biological exposures. 	
28.0	Perform aseptic techniques–The student will be able to:	
28.01	Apply principles of medical and surgical asepsis.	
28.02	Apply and remove sterile gloves and gown.	
28.03	Apply sterile dressing.	
28.04	Open sterile equipment and supplies.	
28.05	Maintain sterile field.	
28.06	Clean and disinfect equipment.	
29.0	Describe the structure and function of the human body–The student will be able to:	
29.01	Describe the relationships of body systems in providing patient care. 	
29.02	Describe the structure and function of the respiratory system. 	
29.03	Describe the structure and function of the cardio-vascular system including lymph and immune response. 	
29.04	Describe the structure and function of the muscular-skeletal system. 	
29.05	Describe the structure and function of the nervous, skin, and sensory systems. 	
29.06	Describe the structure and function of the reproductive system. 	
29.07	Describe the structure and function of the urinary system. 	
29.08	Describe the structure and function of the digestive system. 	
29.09	Describe the structure and function of the endocrine system. 	
30.0	Apply principles of nutrition as it relates to Practical Nursing Scope of Practice –The student will be able to:	
30.01	Assist patient with and maintain therapeutic diets. 	
30.02	Describe the nutrients, their sources and significance in promoting health.	
30.03	List factors which must be considered when purchasing food. 	
30.04	List factors which must be considered when storing food safely. 	
30.05	Identify methods of safe food preparation.	
31.0	Describe human growth and development–The student will be able to:	
31.01	Describe characteristics of growth and development from conception to birth. 	
31.02	Describe characteristics of growth and development from birth through preschool. 	
31.03	Describe characteristics of growth and development from school age through adolescence. 	
31.04	Describe characteristics of growth and development of the adult through the life span. 	
31.05	Discuss family roles and their significance to health.	
32.0	Provide patient-centered care for the geriatric population.- the student will be able to:	
32.01	Incorporate professional attitudes, values, and expectations about physical and mental aging in the provision of patient-centered care for older adults and their families.	
32.02	Identify barriers for older adults in receiving, understanding, and giving of information. 	
32.03	Use valid and reliable assessment made by registered nurse to guide nursing practice for older adults. 	
32.04	Recognize living environments as it relates to functional, physical, cognitive, psychological, and social needs of older adults.	
32.05	Assist older adults and their support network to achieve personal goals, based on the analysis of the living environment and availability of community resources made by registered nurse.	
32.06	Identify actual or potential mistreatment (physical, mental or financial abuse, and/or self-neglect) in older adults and refer appropriately. 	
32.07	Implement strategies and use online guidelines to prevent and/or identify and manage geriatric syndromes.	
32.08	Recognize and respect the variations of care, the increased complexity, and the increased use of healthcare resources inherent in caring for older adults.	
32.09	Recognize the complex interaction of acute and chronic co-morbid physical and mental conditions and associated treatments common to older adults.	
32.10	Discuss models of care that promote safe, quality physical and mental health care for older adults such as PACE, NICHE, Guided Care, Culture Change, and Transitional Care Models.	
32.11	Facilitate ethical, non-coercive decision making by older adults and/or families/caregivers for maintaining everyday living, receiving treatment, initiating advance directives, and implementing end-of-life care.	
32.12	Assist registered nurse to promote adherence to the evidence-based practice of providing restraint-free care (both physical and chemical restraints). 	
32.13	Demonstrate leadership and communication techniques that foster discussion and reflection on the extent to which diversity (among nurses, nurse assistive personnel, therapists, physicians, and patients) has the potential to impact the care of older adults. 	
32.14	Facilitate safe and effective transitions across levels of care, including acute, community-based, and long-term care (e.g., home, assisted living, hospice, nursing homes) for older adults and their families.	
32.15	Provide patient-centered care with consideration for mental and physical health and well-being of informal and formal caregivers of older adults. . 	
32.16	Advocate for timely and appropriate palliative and hospice care for older adults with physical and cognitive impairments.	
32.17	Implement and monitor strategies to prevent risk and promote quality and safety (e.g., falls, medication mismanagement, pressure ulcers) in the nursing care of older adults with physical and cognitive needs.	
32.18	Utilize resources/programs to promote functional, physical, and mental wellness in older adults.. 	
32.19	Identify relevant theories and concepts related to the delivery of patient-centered care for older adults. 	

Course Number:  PRN0092
Occupational Completion Point:  C
Practical Nurse 2 – 450 Hours – SOC Code 29-2061	
33.0	Demonstrate the performance of nursing procedures (which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019) –The student will be able to:	
33.01	Perform data collection. 	
33.02	Apply hot and cold applications. 	
33.03	Assist patient with sitz bath.	
33.04	Describe and demonstrate how to monitor patient's pre and post special procedures (e.g. I.V.P., myelogram, MRI, CAT scan).	
33.05	Apply bandage.	
33.06	Perform clean and sterile dressing changing procedures.	
33.07	Insert urinary catheter.	
33.08	Obtain specimen from patient with indwelling catheter.	
33.09	Remove retention catheter.	
33.10	Demonstrate how to assist with physical examination.	
33.11	Assist patient with diagnostic procedures.	
33.12	Irrigate wound.	
33.13	Apply pelvic belt for traction. 	
33.14	Apply cervical collar.	
33.15	Apply orthopedic devices including binders, braces and splints.	
33.16	Care for patient in skin, skeletal traction and external fixators.	
33.17	Clean tong/pin site.	
33.18	Describe and demonstrate how to monitor chest drainage system. 	
33.19	Perform naso-oral suction.	
33.20	Perform tracheostomy care.	
33.21	Demonstrate how to instruct patient in breathing exercises.	
33.22	Set up vaporizer/humidifier.	
33.23	Administer and maintain oxygen.	
33.24	Test urine using point of care testing procedures.	
33.25	Irrigate urinary catheter.  	
33.26	Demonstrate how to maintain continuous urinary bladder irrigation. 	
33.27	Change ostomy appliance. 	
33.28	Connect nasogastric tube to suction machine.	
33.29	Remove nasogastric tube.	
33.30	Administer enteral feeding. 	
33.31	Give enema.	
33.32	Test stool for occult blood.	
33.33	Irrigate nasogastric tube.	
33.34	Irrigate oral cavity. 	
33.35	Irrigate colostomy. 	
33.36	Demonstrate how to maintain enteral feeding tubes.	
33.37	Perform neurological checks. 	
33.38	Logroll patient.	
33.39	Irrigate ear. 	
33.40	Irrigate eye. 	
33.41	Irrigate vaginal canal.  	
33.42	Obtain and test a drop of blood for glucose monitoring. 	
33.43	Perform calculation and adjust IV flow rate.   	
33.44	Observe intravenous infusion and report signs of adverse reactions. 	
33.45	Inspect insertion site, change dressing, and remove IV needle or catheter from peripheral veins. 	
33.46	Hang bags or bottles of hydrating fluid. 	
34.0	Demonstrate how to administer medication (which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019) –The student will be able to:	
34.01	Demonstrate accurate dosage calculation. 	
34.02	Demonstrate the six rights of administering medication.	
34.03	Demonstrate how to observe and respond to patient's need for medication.	
34.04	Demonstrate how to administer topical medication. 	
34.05	Administer inhalants. 	
34.06	Administer oral medication. 	
34.07	Administer sublingual medication. 	
34.08	Administer rectal medication. 	
34.09	Administer vaginal medication. 	
34.10	Administer eye medications. 	
34.11	Administer ear drops. 	
34.12	Administer nose drops. 	
34.13	Administer intramuscular injection (including Z-tract). 	
34.14	Administer intradermal injection. 	
34.15	Administer subcutaneous injection. 	
34.16	Properly obtain, monitor and document use of controlled substances.	
34.17	Instill bladder medication. 	
34.18	Care for equipment and supplies used to administer medications.	
34.19	Assist the patient with self-administration of medications; reinforce teaching by the RN on the patient's medication, their expected effects and potential side effects.	
34.20	Observe and communicate effects of medications to the patient’s assigned nurse.	
34.21	Document administration of medication and patient's response on medical record.	
34.22	Store medications properly according to facility policy and procedures. 	
34.23	Demonstrate use of medication resources.	
35.0	Demonstrate how to care for the surgical patient (which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019)  –The student will be able to:	
35.01	Identify signs and symptoms of disease/disorders of the body systems. 	
35.02	Identify diagnostic tests used in the treatment of diseases/disorders of the body systems. 	
35.03	Identify medications used in the treatment of diseases/disorders of the body systems. 	
35.04	Identify nutritional needs of patients with diseases/disorders of the body systems. 	
35.05	Identify the symptoms of acute/chronic psychological distress. 	
35.06	Care for the patient with a: 
35.06.01	respiratory disease/disorder. 
35.06.02	cardio-vascular disease/disorder.
35.06.03	endocrine disease/disorder.
35.06.04	oncologic disease/disorder.
35.06.05	muscular-skeletal disease/disorder. 
35.06.06	nervous, skin, and sensory disease/disorder. 
35.06.07	reproductive disease/disorder.
35.06.08	urinary disease/disorder. 
35.06.09	digestive disease/disorder. 	
36.0	Demonstrate how to care for pre-operative and post-operative patients, utilizing nursing principles (which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019)  –The student will be able to:	
36.01	Assist the RN with pre-operative and post-operative teaching.	
36.02	Perform a surgical prep.	
36.03	Prepare patient for operating room.	
36.04	Provide post-operative care.	
36.05	Reinforce post-operative discharge teaching provided by the RN. 	

Course Number:  PRN0096
Occupational Completion Point:  C
Practical Nurse 3 – 450 Hours – SOC Code 29-2061	
37.0	Demonstrate how to care for maternal/newborn patients, utilizing nursing principles(which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019)  –The student will be able to:	
37.01	Describe prenatal care and normal development of the fetus. 	
37.02	Identity complications and interventions during pregnancy.	
37.03	Describe how to assist the RN with admitting the patient to labor and delivery.	
37.04	Describe the stages of the labor process and nursing responsibilities.	
37.05	Describe the importance of monitoring contractions. 	
37.06	Recognize the importance of monitoring fetal heart rate. 	
37.07	Recognize signs/symptoms of fetal distress. 	
37.08	Describe signs of complications during labor and delivery and nursing interventions.	
37.09	Demonstrate how to assist the RN with preparing the patient for Caesarean.	
37.10	Describe and demonstrate care during delivery process. 	
37.11	Describe Apgar score. 	
37.12	Demonstrate how to suction infant's respiratory passage with bulb syringe.	
37.13	Demonstrate how to identify infant using mother's bracelet. 	
37.14	Demonstrate how to weigh and measure infant. 	
37.15	Demonstrate how to bathe infant.	
37.16	Demonstrate how to carry infant.	
37.17	Demonstrate how to feed infant.	
37.18	Demonstrate how to collect urine specimen from infant.	
37.19	Describe post- partum care.	
37.20	Demonstrate perineal care.	
37.21	Describe breast care for both breast feeding and bottle feeding mothers..	
37.22	Assist mother with infant care.	
37.23	Describe the care required for an infant with a circumcision. 	
37.24	Demonstrate perineal care and diapering technique. 	
37.25	Describe the discharge process of the postpartum and infant patient.	
38.0	Demonstrate knowledge of SIDS/ SUIDS as it relates to the practical nursing role: 	
38.01	Define SIDS and Sudden Unexpected Infant Death (SUID).	
38.02	Identify the critical SIDS/SUID risk-reduction methods for parents and caregivers.	
38.03	Demonstrate an understanding of the benefits of back sleeping for newborns and infants.	
38.04	Describe the LPN’s key role as educators to parents and caregivers about SIDS/SUID.	
39.0	Demonstrate how to care for pediatric patients, utilizing nursing principles which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019) –The student will be able to: 	
39.01	Describe how to adapt nursing care for the pediatric patient.	
39.02	Describe how to apply safety principles for the pediatric patient.	
39.03	Describe general characteristics, particular needs, and problems of pediatric patients. 	
39.04	Demonstrate how to prepare patient and family for the hospital experience.	
39.05	Identify signs and symptoms of common disorders/diseases. 	
39.06	Demonstrate how to implement prescribed nutritional requirement.	
39.07	Demonstrate how to provide diversion and recreational activities. 	
40.0	Demonstrate how to provide bio-psycho-social support (which can be accomplished through a combination of simulation, laboratory and clinical settings in accordance with F.S.464.019) --The student will be able to:	
40.01	Respond to emotional needs of patient and family.	
40.02	Demonstrate therapeutic communication.	
40.03	Discuss coping mechanisms as seen in the performance of healthcare. 	
40.04	Differentiate between mental health and mental illness.	
40.05	Recognize signs and symptoms of the various mental health disorders.	
40.06	Discuss treatment modalities for the various mental health disorders.	
40.07	Recognize the signs and symptoms for potential suicide and homicidal ideations in the patient and initiate appropriate interventions. 	
40.08	Describe treatments and resources for the addicted client.	
40.09	Describe drug seeking behaviors and resources for potential risk of addiction.	
40.10	Identify an individual in crisis and describe appropriate interventions.	
40.11	Describe the common personality traits in mental health disorders including addictive behaviors. 	
40.12	Correlate common psychological and developmental theories with both bio-, psycho-social components of health.	
41.0	Demonstrate healthy lifestyle responsibility specific to personal health maintenance. The student will be able to:	
41.01	Discuss annual medical screenings	
41.02	Define dental health and self-care practices	
41.03	Provide education in warning signs and risk factors for mental health issues	
41.04	Apply cultural diversity related to spirituality	
41.05	Identify education level	
41.06	Discuss occupation ability	
41.07	Provide resources  financial safety and security	
42.0	Implement education and resources for family wellness. The student will be able to:	
42.01	Discuss risk factors in communicable diseases	
42.02	Provide provider community resources for prenatal care	
42.03	Apply knowledge into healthy parenting styles	
42.04	Provide current immunization practices	
42.05	Discuss healthy nutrition options and resources	
42.06	Define abuse and neglect in relationships	
42.07	Apply insight into safe housing environments/communities	
42.08	Discuss school and family collaboration in education	
43.0	Participate in Community Health Awareness Forums. The student will be able to:	
43.01	Perform basic medical screenings such as vital signs, weight, glucose, cholesterol, and body mass index	
43.02	Discuss risk factors, screenings and resources for cancer	
43.03	Identify and provide resources for mental health conditions including suicide and substance abuse	
43.04	Discuss social and financial risk factors related to the aging adult	
43.05	Define safe housing strategies for senior living	
43.06	Discuss collaborative community strategies from healthcare providers, law enforcement agencies, religious affiliates, education systems, and legislative offices.	
44.0	Develop transitional skills--The student will be able to:	
44.01	Organize complex patient care assignments with multiple clients.	
44.02	Discuss F.S. 464 and the corresponding Rules	
44.03	Discuss the scope of practice of a Licensed Practical Nurse in a leadership/supervisory role 	
44.04	Describe the role of the LPN in delegation to unlicensed personnel	
44.05	Describe the Florida Board of Nursing requirements for licensure renewal	
44.06	Demonstrate an understanding of licensure by examination and by endorsement 	
44.07	Complete application for licensure by examination. 	
44.08	Discuss current legislation pertinent to the Florida Board of Nursing and its effect on your nursing practice.	
44.09	Determine how to apply for membership in a professional organization.	
44.10	Discuss benefits and responsibilities of the LPN in membership in a professional organization.	
45.0	Demonstrate employability skills specific to practical nursing--The student will be able to:	
45.01	Recognize the potential for stress in the practice of nursing and develop methods of managing stress.	
45.02	Recognize the potential for violence in the workplace and describe methods of reducing that potential.	
45.03	Identify employment opportunities for licensed practical nurses	
45.04	Participate in interview skill development activities.	
45.05	Complete letters of job application and resignation.	
45.06	Complete a professional portfolio, including a resume	

IV Therapy:  The following intended outcomes 01-12 can ONLY be taken by graduate
Practical Nurses who have completed their practical nursing program.
	
01.0	Explain the legal aspects of IV administration by practical nurses–The student will be able to:	
01.01	Explain the Nurse Practice Act and the Florida Administrative Code as it relates to IV therapy by LPNs.	
01.02	Describe the policies and procedures of employing agencies as they relate to IV therapy by LPNs.	
01.03	Chart IV therapy including all principles of charting necessary for legal documentation.	
01.04	List the aspects of intravenous therapy that can only be given under the direct supervision of the registered professional nurse.	
02.0	Demonstrate knowledge of the peripheral veins used for venipuncture–The student will be able to:	
02.01	Locate and identify the peripheral veins used for venipuncture.	
02.02	List preference of peripheral vein location used for venipuncture.	
03.0	Perform a venipuncture–The student will be able to:	
03.01	Prepare and support the patient psychologically.	
03.02	Prepare and support the patient's family and/or visitors psychologically.	
03.03	Prepare and support the patient physically.	
03.04	Choose equipment appropriately.	
03.05	Choose and properly prepare appropriate site(s).	
03.06	Palpate the vein(s) adequately.	
03.07	Insert equipment into the vein maintaining the safety of both the patient and the nurse.	
04.0	Discuss the effect of IV therapy on the body–The student will be able to:	
04.01	Describe the relationship between intravenous therapy and the body's homeostatic and regulatory functions.	
04.02	Discuss clinical manifestations of fluid and electrolyte imbalance.	
05.0	Recognize and respond to adverse reactions to IV therapy–The student will be able to:	
05.01	Recognize the signs and symptoms of local complications to IV therapy.	
05.02	Recognize the signs and symptoms of systemic complications to IV therapy.	
05.03	Discuss preventive measures for both local and systemic complications.	
05.04	Describe appropriate treatment measures for both local and systemic complications.	
06.0	Recognize and use various types of IV equipment–The student will be able to:	
06.01	Identify various types of equipment used in administering IV therapy.	
06.02	Discuss the criteria for the use of each type of equipment.	
06.03	Describe how to troubleshoot for malfunction of various types of equipment.	
07.0	Administer drugs intravenously–The student will be able to:	
07.01	List formulas and calculate fluid and drug administration rate.	
07.02	List methods of administering drugs intravenously, including the advantages and disadvantages of each.	
07.03	Utilize the principles of compatibility and incompatibility of drugs and solutions in preparing for administration.	
07.04	Administer IV drugs incorporating the "six rights" of medication administration.	
08.0	Care for patients receiving IV drug therapy, blood and blood components, and/or parenteral nutrition–The student will be able to:	
08.01	Utilize the principles of chemotherapy, including protocols, actions, and side effects when caring for patients receiving drug therapy.	
08.02	Manage the care of the patient receiving parenteral nutrition, including the principles of metabolism, potential complications, physical and psychological measures to ensure the desired therapeutic effect.	
08.03	Manage the care of the patient receiving blood and blood components, following institutional protocols, including indications and contraindications for use and identification of adverse reactions.	
09.0	Describe and utilize the principles of infection control in IV therapy–The student will be able to:	
09.01	Use aseptic technique as related to IV therapy.	
09.02	Describe ways to prevent iatrogenic infection.	
09.03	Describe treatment for iatrogenic infections.	
10.0	Care for the patient receiving special iv therapy procedures–The student will be able to:	
10.01	Describe and utilize the nursing management necessary for heparin locks.	
10.02	Describe and utilize the nursing management necessary for central lines.	
10.03	Describe and utilize the nursing management necessary for arterial lines.	
11.0	Recognize terminology pertinent to IV therapy–The student will be able to:	
11.01	Define terms common to IV therapy.	
11.02	Interpret written IV terms and abbreviations correctly.	
11.03	Use correct IV terminology in all written and oral communications.	
12.0	Care for the patient receiving IV therapy via central lines–The student will be able to:	
12.01	Describe the location of central lines and the purpose of this IV therapy.	
12.02	Administer fluids and medications via central lines.	
12.03	Demonstrate blood drawing via central lines.	
12.04	List central line complications and interventions appropriate to correct them.	
12.05	Describe and perform central line dressings, cap changes, and flushing, noting the adverse effects and remediation.	

Additional Information

Laboratory Activities

Laboratory investigations that include scientific inquiry, research, measurement, problem solving, emerging technologies, tools and equipment, as well as, experimental, quality, and safety procedures are an integral part of this career and technical program/course. Laboratory investigations benefit all students by developing an understanding of the complexity and ambiguity of empirical work, as well as the skills required to manage, operate, calibrate and troubleshoot equipment/tools used to make observations. Students understand measurement error; and have the skills to aggregate, interpret, and present the resulting data. Equipment and supplies should be provided to enhance hands-on experiences for students.

Special Notes

This program meets the Department of Health HIV/AIDS Domestic Violence and Prevention of Medical Errors education requirements.  Upon completion of this program, the instructor will provide a certificate to the student verifying that these requirements have been met.

If students in this program are seeking a licensure, certificate or registration through the Department of Health, please refer to 456.0635 F.S. for more information on disqualification for a license, certificate, or registration through the Department of Health. 

Students who have successfully completed the program Articulated Nursing Assistant, or the program, Patient Care Technician should be given advanced standing and can enter the program following OCP B or beyond. 

Following successful completion of the OCP B, the student is eligible to apply to take the CNA examination.

This program focuses on broad, transferable skills and stresses understanding and demonstration of the following elements of the health care industry; planning, management, finance, technical and production skills, underlying principles of technology, labor issues, community issues and health, safety, and environmental issues.

This program H170605 has a statewide articulation agreement approved by the Florida State Board of Education:

Nursing R.N. AS (1351380100) – 10 credit hours	

The following industry certifications have been approved by the Florida State Board of Education for statewide articulation credit into the Nursing R.N. (1351380100) AS degree.

Licensed Practical Nurse (FDMQA017) – 10 credits 

Outcomes 01-11 are referred to as the Health Science Core and do not have to be completed if the student has previously completed the Core in another health occupations program at any level. The Core should be taken first or concurrently with the first course in the program. Following the successful completion of the core, the student is eligible to take the National Health Care Foundation Skill Standards Assessment with instructor approval and the completion of a portfolio.

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the intercurricular career and technical student organization providing leadership training and reinforcing specific career and technical skills. Career and Technical Student Organizations provide activities for students as an integral part of the instruction offered. 

Cooperative Training – OJT

On-the-job training is appropriate but not required for this program.  Whenever offered, the rules, guidelines, and requirements specified in the OJT framework apply. 

Basic Skills 

In PSAV programs offered for 450 hours or more, in accordance with Rule 6A-10.040, F.A.C., the minimum basic skills grade levels required for postsecondary adult career and technical students to complete this program are:  Mathematics 11, Language 11, and Reading 11.  These grade level numbers correspond to a grade equivalent score obtained on a state designated basic skills examination.  

Adult students with disabilities, as defined in Section 1004.02(7), Florida Statutes, may be exempted from meeting the Basic Skills requirements (Rule 6A-10.040).  Students served in exceptional student education (except gifted) as defined in s. 1003.01(3)(a), F.S., may also be exempted from meeting the Basic Skills requirement.  Each school district and Florida College must adopt a policy addressing procedures for exempting eligible students with disabilities from the Basic Skills requirement as permitted in Section 1004.91(3), F.S.

Students who possess a college degree at the Associate of Applied Science level or higher; who have completed or are exempt from the college entry-level examination; or who have passed a state, national, or industry licensure exam are exempt from meeting the Basic Skills requirement (Rule 6A-10.040, F.A.C.)  Exemptions from state, national or industry licensure are limited to the certifications listed on the Basic Skills and Licensure Exemption List which may be accessed from the CTE Program Resources page.

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities to meet individual needs and ensure equal access. Postsecondary students with disabilities must self-identify, present documentation, request accommodations if needed, and develop a plan with their counselor and/or instructors. Accommodations received in postsecondary education may differ from those received in secondary education. Accommodations change the way the student is instructed. Students with disabilities may need accommodations in such areas as instructional methods and materials, assignments and assessments, time demands and schedules, learning environment, assistive technology and special communication systems. Documentation of the accommodations requested and provided should be maintained in a confidential file.

Note: postsecondary curriculum and regulated secondary programs cannot be modified.

Additional Resources

For additional information regarding articulation agreements, Bright Futures Scholarships, Fine Arts/Practical Arts Credit and Equivalent Mathematics and Equally Rigorous Science Courses please refer to:
http://www.fldoe.org/academics/career-adult-edu/career-tech-edu/program-resources.stml