RNSG 1327 – Transition to Professional Nursing

Unit I – Transition from LVN & Paramedic to ADN Role

Behavioral Objectives / Content Outline / Clinical Objectives / Learning Opportunities /
1.  Discuss professional role development and the transition from the LVN or Paramedic to the RN role.
2. Compare and contrast the roles of the Licensed Vocational Nurse & Paramedic and the Associate Degree Nurse. / I. Professional Role Development
A.  Role socialization
B.  Role transition
C.  Role conflict
D.  Change process
E.  Returning to student role
II. LVN & Paramedic vs. ADN roles
A.  Historical Origins
1.  Nursing models
2.  Nursing theories
3.  Paramedic origins / Serve as a positive role model for students, peers, and members of the interdisciplinary health care team.
Support the client’s right of self-determination and choice even when these choices conflict with values of the individual professional. / Read:
Lewis (2011)
Berman & Snyder (2012)
Zerwekh (2012)
Required - My Nursing Lab:
Module I: Nursing Foundations
Lesson 1: Nursing Basics
Lesson 2: Nursing Roles and Health Care Delivery
Do Pretest, Content and Posttest
B.  Knowledge, skills, and abilities
1.  Education
2.  Job analysis
3.  NCLEX test plans
4.  Competencies
C.  Scope of practice
D.  Roles
1.  Provider of client centered care
2.  Member of health care team
3.  Member of a profession
4.  Patient safety advocate
5.  Change agent
6.  Counselor
7.  Teacher
8.  Resource person
9.  Client advocate/principles
E.  Regulations, policies, standards
1.  Nursing Practice Act
2.  RN vs. LVN vs. Paramedic licensure
3.  BON policies
4.  Standards of practice
5.  Professional boundaries
F.  Directed nursing practice vs. autonomous nursing practice
G.  Collaborative nursing practice
H.  Role in varying heath care services
1.  Primary settings
2.  Secondary settings
3.  Tertiary settings
I.  Role in health care team
1.  Patterns of nursing care delivery
2.  Clinical pathways
3.  Collaboration with multidisciplinary team
4.  Delegation/supervision
5.  Referral & community resources
6.  Working within organizations
a.  Chain of command
b.  Group process
J.  Current issues/trends affecting profession
1.  National patient safety goals / Act as a role model in maintaining client confidentiality.
Provide nursing care within limits of professional nursing knowledge, education, experience, and ethical/legal standards of care. / TVCC Library – Nursing Education in Video
http://tvcc.ent.sirsi.net/client/tvcclibraries
HIPAA for Health Care Workers
3.  Review factors affecting ethical nursing practice with regard to the level of the associate degree nurse. / III. Ethical nursing practice
A.  Factors affecting ethical decision making
1.  Legislative and judicial factors
2.  Scientific and technological advances
3.  Societal influences
4.  Values clarification
5.  Professional values vs. client values
6.  ANA Code of Ethics
7.  Patient Bill of Rights
8.  Client advocacy
9.  Ethical principles
a.  Autonomy
b.  Nonmalficience
c.  Beneficience
d.  Justice
e.  Veracity
f.  Fidelity
B.  Ethical decision making
1.  Ethical dilemmas
4.  Review legal factors affecting the nursing practice considering the level of the associate degree nurse. / IV. Legal parameters
A.  Classifications of law
1.  Civil law/torts
a)  Assault & battery
b)  False imprisonment
1)  Restraints
2)  Seclusion
c)  Invasion of privacy
d)  Defamation
e)  Fraud
f)  Negligence & malpractice
2.  Contract law
B.  Accountability
1.  Documentation
2.  Standards
a)  Standards of practice
b)  Joint Commission
c)  OBRA
d)  Occupational Safety and Health Administration (OSHA)
3.  Unprofessional conduct/disciplinary action
a)  Sexual misconduct
b)  Sexual harassment
c)  Boundary crossing
A.  Liability
B.  Risk management
C.  Legal issues
1.  Advance directives/wills/DNR
2.  Informed consent
3.  Confidentiality
a) HIPAA
4. Impaired nurses

N:Syllabus\Transition\Transition Unit I Revised 03/13