2014 – 2015
Florida Department of Education
Curriculum Framework 

Program Title:	Nursing R.N. 
Career Cluster:	Health Science

AS	
CIP Number	1351380100	
Program Type	College Credit 	
Standard Length	72 Credits Hours 	
CTSO	HOSA: Future Health Professionals	
SOC Codes (all applicable) 	29-1141 Registered Nurses	
Targeted Occupation List	http://www.labormarketinfo.com/wec/TargetOccupationList.htm	
Perkins Technical Skill Attainment Inventory	http://www.fldoe.org/workforce/perkins/perkins_resources.asp 	
Statewide Articulation	http://www.fldoe.org/workforce/dwdframe/artic_frame.asp 	

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. 

The purpose of this program is to prepare students for employment as registered nurses SOC Code 29.1141 (Registered Nurses).The Health Careers Core must be taken by all students (secondary and postsecondary adult) planning to complete any Health Occupations program.  Once successfully completed, the core does not need to be repeated at any instructional level.

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 72 credit hours.

Standards

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

01.0	Demonstrate knowledge of the health care 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	Demonstrate competencies in the core components of professional nursing-professional behavior
13.0	Demonstrate competencies in the core components of professional nursing-communication
14.0	Demonstrate competencies in the core components of professional nursing-assessment
15.0	Demonstrate competencies in the core components of the professional nurse-clinical decision making
16.0	Demonstrate competencies in the core components of professional nursing-caring intervention
17.0	Demonstrate competencies in the core components of professional nursing- teaching and learning
18.0	Demonstrate competencies in the core components of professional nursing-collaboration
19.0	Demonstrate competencies in the core components of professional nursing-managing care
20.0	Demonstrate competencies in the core components of the professional nurse leadership and delegation

2014 – 2015
Florida Department of Education
Student Performance Standards

Program Title:	Registered Nurse 
CIP Number:		1351380100 
Program Length:	72 credit hours 
SOC Code(s):	  	29-1141

The AS degree requires the inclusion of a minimum of 15 credits of general education coursework according to SACS, and it must be transferable according to Rule 6A-14.030 (2), F.A.C.  At the completion of this program, the student will be able to:	
01.0	Demonstrate knowledge of the health care delivery system and health occupations. – The student will be able to:	
01.01	Identify the basic components of the health care delivery system including public, private, government and non-profit.	
01.02	Identify common methods of payment for healthcare services.	
01.03	Describe the various types of healthcare providers and the range of services available including resources to victims of domestic violence. 	
01.04	Describe the composition and functions of a healthcare team. 	
01.05	Identify the general roles and responsibilities of the   individual members of the healthcare team. 	
01.06	Identify the roles and responsibilities of the consumer within the healthcare delivery system. 	
01.07	Identify characteristics of effective teams. 	
01.08	Recognize methods for building positive team relationships.	
01.09	Analyze attributes and attitudes of an effective leader. 	
01.10	Recognize factors and situations that may lead to conflict.	
01.11	Demonstrate effective techniques for managing team conflict. 	
01.12	Describe factors that influence the current delivery system of healthcare.	
01.13	Explain the impact of emerging issues including technology, epidemiology, bioethics and socioeconomics on healthcare delivery systems. 	
02.0	Demonstrate the ability to communicate and use interpersonal skills effectively. – The student will be able to:	
02.01	Develop basic speaking and active listening skills.	
02.02	Develop basic observational skills and related documentation strategies in written and oral form.	
02.03	Identify characteristics of successful and unsuccessful communication including communication styles and barriers. 	
02.04	Respond to verbal and non-verbal cues. 	
02.05	Compose written communication using correct spelling, grammar, a formatting and confidentiality and specific formats of letter writing.	
02.06	Use appropriate medical terminology and abbreviations. 	
02.07	Recognize the importance of courtesy and respect for patients and other healthcare workers and maintain good interpersonal relationships. 	
02.08	Recognize the importance of patient/client educations regarding healthcare. 	
02.09	Adapt communication skills to varied levels of understanding and cultural orientation including diverse age, cultural, economic, ethnic and religious groups. 	
02.10	Analyze elements of communication using a sender-receiver model.	
02.11	Distinguish between and report subjective and objective information. 	
02.12	Report relevant information in order of occurrence. 	
03.0	Demonstrate legal and ethical responsibilities. – The student will be able to:	
03.01	Discuss the legal framework of the healthcare occupations including scope of practice legislation.	
03.02	Explain practices that could result in malpractice, liability, negligence, abandonment, false imprisonment and fraud. 	
03.03	Demonstrate procedures for accurate documentation and record keeping. 	
03.04	Interpret healthcare facility policy and procedures. 	
03.05	Explain the “Patient’s Bill of Rights”.	
03.06	Identify standards of the Health insurance Portability and Accountability Act (HIPAA).	
03.07	Describe advance directives. 	
03.08	Describe informed consent. 	
03.09	Explain the laws governing harassment, labor and employment. 	
03.10	Differentiate between legal and ethical issues in healthcare.	
03.11	Describe a code of ethics consistent with the healthcare occupation. 	
03.12	Identify and compare personal, professional, and organizational ethics. 	
03.13	Recognize the limits of authority and responsibility of health care workers including legislated scope of practice 	
03.14	Recognize and report illegal and/or unethical practices of healthcare workers. 	
03.15	Recognize and report abuse including domestic violence and neglect. 	
03.16	Distinguish among the five schedules of controlled substances.	
04.0	Demonstrate an understanding of and apply wellness and disease concepts. – The student will be able to:	
04.01	Describe strategies for prevention of diseases including health screenings and examinations. 	
04.02	Identify personal health practices and environmental factors which affect optimal function of each of the major body systems.	
04.03	Identify psychological reactions to illness including defense mechanisms. 	
04.04	Identify complementary and alternative health practices. 	
04.05	Discuss the adverse effects of the use of alcohol, tobacco, and both legal and illegal drugs on the human body and apply safety practices related to these and other high risk behaviors. 	
04.06	Explain the basic concepts of positive self image, wellness and stress. 	
04.07	Develop a wellness and stress control plan that can be used in personal and professional life. 	
04.08	Explore and utilize the U.S. Department of Agriculture’s MyPlate food guide (www.choosemyplate.gov).	
04.09	Recognize the steps in the grief process. 	
05.0	Recognize and practice safety and security procedures. – The student will be able to:	
05.01	Recognize safe and unsafe working conditions and report safety hazards. 	
05.02	Demonstrate the safe use of medical equipment.	
05.03	Explain and apply the theory of root- cause analysis  	
05.04	Identify and describe methods in medical error reduction and prevention in the various healthcare settings. 	
05.05	Identify and practice security procedures for medical supplies and equipment. 	
05.06	Demonstrate personal safety procedures based on Occupations Safety and Health Administration (OSHA) and Centers for Disease Control (CDC) regulations (including standard precautions. 	
05.07	Recognize Materials Data Safety Sheets (MSDS) and comply with safety signs, symbols and labels. 	
05.08	Demonstrate proper body mechanics and ergonomics. 	
05.09	Demonstrate the procedure for properly identifying patients. 	
05.10	Demonstrate procedures for the safe transport and transfer of patients. 	
05.11	Describe fire, safety, disaster and evacuations procedures. 	
05.12	Discuss The Joint commission patient safety goals (www.jointcommission.org ) 	
06.0	Recognize and respond to emergency situations. – The student will be able to:	
06.01	Monitor and record vital signs.	
06.02	Describe legal parameters relating to the administration of emergency care. 	
06.03	Obtain and maintain training or certification on cardiopulmonary resuscitation (CPR), automated external defibrillator (AED), foreign body airway obstruction (FBAO) and first aid. 	
06.04	Recognize adverse drug related emergencies and take appropriate first aid action. 	
07.0	Recognize and practice infection control procedures. – The student will be able to:	
07.01	Define principles of infection control including standard and transmission based precautions.	
07.02	Demonstrate knowledge of medical asepsis and practice procedures such as hand-washing and isolation. 	
07.03	Demonstrate knowledge of surgical asepsis. 	
07.04	Describe how to dispose correctly of biohazardous materials according to appropriate government guidelines such as OSHA. 	
08.0	Demonstrate an understanding of information technology applications in healthcare. – The student will be able to:	
08.01	Describe technology applications in healthcare. 	
08.02	Define terms and demonstrate basic computer skills. 	
08.03	Recognize technology applications in healthcare. 	
08.04	Interpret information from electronic medical documents. 	
08.05	Identify methods of communication to access and distribute data such as fax, e-mail and internet. 	
09.0	Demonstrate employability skills. – The student will be able to:	
09.01	Identify personal traits or attitudes desirable in a member of the healthcare team. 	
09.02	Exemplify basic professional standards of healthcare workers as they apply to hygiene, dress, language, confidentiality and behavior (i.e. telephone etiquette, courtesy and self-introductions). 	
09.03	Identify documents that may be required when applying for a job. 	
09.04	Write an appropriate resume. 	
09.05	Conduct a job search. 	
09.06	Complete a job application form correctly.	
09.07	Examine levels of education, credentialing requirements including licensure and certification, employment opportunities, workplace environments and career growth potential. 	
09.08	Recognize levels of education, credentialing requirements, employment opportunities, workplace environments and career growth potential. 	
09.09	Identify acceptable work habits. 	
09.10	Recognize appropriate affective/professional behavior. 	
09.11	Compare careers within the health science career pathways (diagnostic services, therapeutic services, health informatics, support services or biotechnology research and development). 	
10.0	Demonstrate knowledge of blood borne diseases, including HIV/AIDS. – The student will be able to:	
10.01	Recognize emerging diseases and disorders	
10.02	Distinguish between fact and fallacy about the transmission and treatment of diseases caused by blood borne pathogens including Hepatitis B.	
10.03	Identify community resources and services available to the individuals with diseases caused by blood borne pathogens.	
10.04	Identify "at risk" behaviors which promote the spread of diseases caused by blood borne pathogens and the public education necessary to combat the spread of these diseases.	
10.05	Apply infection control techniques designed to prevent the spread of diseases caused by blood borne pathogens to the care of all patients following Centers for Disease Control (CDC) guidelines.	
10.06	Demonstrate knowledge of the legal aspects of HIV/AIDS, including testing.	
11.0	Apply basic math and science skills. – The student will be able to:	
11.01	Draw, read, and report on graphs, charts and tables.	
11.02	Measure time, temperature, distance, capacity, and mass/weight.	
11.03	Make, use and convert using both traditional and metric units. 	
11.04	Make estimations and approximations and judge the reasonableness of the result.	
11.05	Convert from regular to 24 hour time.	
11.06	Demonstrate ability to evaluate and draw conclusions.	
11.07	Organize and communicate the results obtained by observation and experimentation.	
11.08	Ask appropriate scientific questions and recognize what is involved in experimental approaches to the solution of such questions.	
11.09	Calculate ratios. 	
Associate Degree Nursing: Intended outcomes 12-20 complete the occupational exit of Associate Degree Nurse. Inherent within these intended outcomes is the utilization and application of the nursing process (assessment, diagnosis, planning, implementation, and evaluation) across the life span and in diverse settings within the health continuum.	
12.0	Demonstrate competencies in the core components of professional nursing-professional behaviors.--The student will be able to:	
12.01	Practice within the ethical, legal and regulatory frameworks of nursing and standards of professional nursing practice.	
12.02	Report unsafe practices of healthcare providers using appropriate channels of communication.	
12.03	Demonstrate accountability for nursing care given by self and or delegated to others.	
12.04	Use standards of nursing practice to perform and evaluate client care.	
12.05	Advocate for client rights.	
12.06	Maintain organizational and client confidentiality.	
12.07	Practice within the parameters of individual knowledge and experience.	
12.08	Describe political processes as the processes affect agency specific health care.	
12.09	Participate as a member of professional organizations.	
12.10	Serve as a professional role model within healthcare settings and the community at large.	
12.11	Recognize the impact of political, social, and demographic forces on the delivery of health care.	
12.12	Participate in lifelong learning.	
12.13	Develop and implement a plan to meet self learning needs.	
12.14	Delineate and maintain appropriate professional boundaries in the nurse-client relationship.	
13.0	Demonstrate competencies in the core components of professional nursing-communication.--The student will be able to:	
13.01	Utilize therapeutic communication skills when interacting with clients and significant support person(s).	
13.02	Communicate relevant, accurate and complete information in a concise and clear manner.	
13.03	Report and document assessments, interventions and progress toward client outcomes.	
13.04	Utilize information technology to support and communicate the planning and provision of client care.	
13.05	Utilize appropriate channels of communication to achieve positive client outcomes.	
14.0	Demonstrate competencies in the core components of the professional nurse-assessment.--The student will be able to:	
14.01	Assess the interaction patterns of the individual client or significant support person(s).	
14.02	Assess the developmental, emotional, cultural, religious and spiritual influences on the client's health status.	
14.03	Assess the client's health status by completing a health history and performing a physical, cognitive, psychosocial and functional assessment.	
14.04	Assess client and significant support person(s) for learning strengths, capabilities, barriers and educational needs.	
14.05	Assess the client's response to actual and potential health problems.	
14.06	Assess the client's response to interventions.	
14.07	Assess the client for changes in health status and identified needs.	
14.08	Assess the client's ability to access available community resources.	
14.09	Assess the environment for factors that may impact the client's health status.	
14.10	Assess the strengths, resources and needs of clients within the context of the community. 	
15.0	Demonstrate competencies in the core components of the professional nurse-clinical decision making.--The student will be able to:	
15.01	Make clinical judgments and management decisions to ensure accurate and safe care.	
15.02	Analyze and utilize assessment and reassessment data to plan care.	
15.03	Evaluate the effectiveness of care provided in meeting client outcomes.	
15.04	Modify client care as indicated by the evaluation of outcomes.	
15.05	Participate in problem identification and data collection for research, quality control or improvement processes to meet client outcomes.	
15.06	Use evidence-based information collected electronically or through other means to support clinical decision making.	
16.0	Demonstrate competencies in the core components of the professional nurse-caring interventions.--The student will be able to:	
16.01	Protect and promote the client's dignity.	
16.02	Identify and honor the emotional, cultural, religious and spiritual influences on the client's health.	
16.03	Demonstrate caring behavior towards the client, significant support person(s), peers and other members of the healthcare team.	
16.04	Provide accurate and safe nursing care in diverse settings.	
16.05	Implement the prescribed care regimen for management of clients with obstetric, pediatric, medical, surgical, or psychiatric problems within the legal and ethical and regulatory framework of nursing practice.	
16.06	Perform nursing skills competently to include, but not limited to: medical technology, information management, nutrition and diet therapy, elimination needs, rehabilitation, asepsis, emergency interventions, medication administration, obstetric care, pre and post-operative care, fluid and electrolyte management, , activities of daily living, mobility, cardio-respiratory management, psychiatric interventions.	
16.07	Provide a safe physical and psychosocial environment.	
16.08	Assist the client and significant support person(s) to cope with and adapt to stressful events and changes in health status, including healthcare and end of life decision-making.	
16.09	Assist the client to achieve optimum comfort and functioning, including the pharmacological management of pain and the promotion of sleep.	
16.10	Prepare the client and significant support person(s) for intervention, treatment modalities and self-care.	
16.11	Support the client and significant support person(s) when making healthcare and end of life decisions.	
16.12	Adapt care in consideration of the client's values, customs, culture and/or habits.	
16.13	Implement appropriate Joint Commission patient safety goals.	
17.0	Demonstrate competencies in the core components of the professional nurse-teaching and learning.--The student will be able to:	
17.01	Develop an individualized teaching plan based on assessed needs.	
17.02	Provide the client and significant support person(s) with the information to make choices regarding health.	
17.03	Teach the client and significant support person(s) the information and skills needed to achieve the desired learning outcomes.	
17.04	Evaluate the progress of the client and significant support person(s) toward achievement of the identified learning outcomes.	
17.05	Modify the teaching plan based on evaluation of progress toward meeting the learning outcomes.	
17.06	Provide assistive personnel with relevant instruction to support achievement of client outcomes.	
18.0	Demonstrate competencies in the core components of the professional nurse-collaboration.--The student will be able to:	
18.01	Work cooperatively with others to achieve client and organizational outcomes.	
18.02	Collaborate with the client, significant support person(s), and other members of the health care team to evaluate progress toward achievement of outcomes.	
18.03	Interact creatively and openly with others to solve problems to achieve client goals and outcomes.	
18.04	Collaborate to bring about fair solutions that balance differing need, values and motivations for the purpose of achieving positive client outcomes.	
19.0	Demonstrate competencies in the core components of the professional nurse-managing care.--The student will be able to:	
19.01	Prioritize client care.	
19.02	Coordinate the implementation of an individualized plan of care for clients and significant support person(s).	
19.03	Facilitate the continuity of care within and across healthcare settings.	
19.04	Adapt provision of client care to changing healthcare settings and management systems.	
19.05	Assist the client and significant support person(s) to access available resources and services.	
19.06	Demonstrate competence with current technologies.	
20.0	Demonstrate competencies in the core components of the professional nurse leadership and delegation.--The student will be able to:	
20.01	Describe the components of leadership.	
20.02	Contrast leadership and management.	
20.03	Describe the qualities of an effective leader.	
20.04	Recognize the importance of followership and relationship building as a key component in the development of leadership skills.	
20.05	Describe skills necessary for effective leadership of an interdisciplinary team.	
20.06	Delegate aspects of client care to qualified assistive personnel.	
20.07	Supervise and evaluate the activities of assistive personnel.	
20.08	Communicate effectively with all members of the health care team.	
20.09	Use a coaching/collaborative approach in leading a team.	
20.10	Coordinate the decision making process with the client, significant support person(s), and other members of the health care team.	
20.11	Implement nursing strategies that support efficient and cost effective care.	
20.12	Describe how a leader utilizes research for evidence-based practice effecting positive client outcomes.	
20.13	Describe the leader’s role in the accreditation process.	
20.14	Employ effective conflict resolution strategies that promote a healthy work environment.	

Additional Information

Laboratory Activities

Laboratory activities are an integral part of this program.  These activities include instruction in the use of safety procedures, tools, equipment, materials, and processes related to these occupations.  Equipment and supplies should be provided to enhance hands-on experiences for students. 

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. Clinical Simulation may be used for no more than 50% of the total clinical experience.

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. 

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

The program must be approved by the Florida Board of Nursing.  It is important that each associate degree nursing program effectively utilize the services of an active program advisory committee composed of individuals’ representative of the community.  Only when the educators and employers work together can the associate degree nursing graduate be provided the competencies that are most needed for successful employment as a new registered nurse.

The Human Patient Simulator (HPS) may be used for a limited number of clinical hours with prior approval from the Florida Board of Nursing.

Outcomes 01-11 are referred to as the Health Careers Core and do not have to be completed if the student has previously completed the Core in another health science program.  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.

Associate degree nurses (ADN) are prepared to provide nursing care to clients in a variety of settings.  ADN graduates are eligible to take the National Council Licensing Examination (NCLEX-RN) which tests minimum competence to practice safe nursing care. 

Reinforcement of basic skills in English, mathematics, and sciences appropriate for the job preparatory programs occurs through didactic instruction and applied laboratory procedures or practice.

The location of the ADN program within the community college setting provides an appropriate academic environment for instruction in the biological, physical, social, and behavioral sciences.  The community college setting further provides instruction in the communication skills basic to the successful performance of the ADN graduate in the work setting.  This body of knowledge supports concepts specific to the practice of nursing.

This program focuses on broad, transferable skills and stresses understanding and demonstration of the following elements of the health care industry; planning, management, and community issues and health, safety, and environmental issues.

Career and Technical Student Organization (CTSO)

HOSA: Future Health Professionals is the appropriate career and technical student organization for 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.  The activities of such organizations are defined as part of the curriculum in accordance with Rule 6A-6.065, F.A.C.

Accommodations

Federal and state legislation requires the provision of accommodations for students with disabilities as identified on the secondary student’s Individual Educational Plan (IEP) or 504 plan or postsecondary student’s accommodations’ plan 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.

Articulation

To be transferable statewide between institutions, this program must have been reviewed, and a “transfer value” assigned the curriculum content by the appropriate Statewide Course Numbering System discipline committee.  This does not preclude institutions from developing specific articulation agreements with each other. 

The following PSAV programs have been approved by the Florida State Board of Education for statewide articulation credit into this degree program.  

Practical Nursing – CIP# 0351390100– 10 credits  

The following industry certifications have been approved by the Florida State Board of Education for statewide articulation credit into this degree program.  

Licensed Practical Nurse (FDMQA017) – 10 credits 

For details on articulation agreements which correlate to programs and industry certifications refer to http://www.fldoe.org/workforce/dwdframe/artic_frame.asp .

Program Length

The AS degree requires the inclusion of a minimum of 15 credits of general education coursework according to SACS, and it must be transferable according to Rule 6A-14.030 (2), F.A.C.  The standard length of this program is 72 credit hours according to Rule 6A-14.030, F.A.C.