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Waxahachie · Health Professions · Nursing - VN

Advanced Nursing Skills

  • Spring 2021
  • Section 61
  • 4.0 Credits
  • 01/19/2021 to 05/11/2021
  • Modified 01/19/2021

Based on recommendations from the CDC and other governmental agencies, the content delivery method for this course may need to be modified.

Meeting Times

Lecture and Lab

  • Monday -Friday
  • Waxahachie Campus

Lecture and Lab will meet during Monday thru Friday as scheduled by  Program Calender

Syllabus Addendum

Navarro College Vocational Nursing Program

VNSG 1460.61 Clinical II Practical Nurse

Georgia Dixon, BSN, RN – Instructor



To best facilitate the learning experience of students within an episode of college directed Covid -19 quarantine, lectures and classroom discussions may be recorded by the instructor or program coordinator/director.

Contact Information

Sharon Wolfe, RN, CDP

Lecture Instructor

Waxahachie Campus

Building C Room 124 B

Office # 972-923-6481

Cell 972-921-7411

email  [email protected]



Sherry Williams, RN

Lab Instructor

Waxahachie Campus

Office # 972-923-6482

email [email protected]





Instructor: RN, CDP, Sharon Delores Wolfe

Office Hours


Monday 0800-1200 1300-1700

Tuesday 0800-1000 1300-1700

Wednesday 0800-1200 1300-1700   Starting in February Clinicals

Thursday 0800-1200 1300-1700 Starting in February Clinicals

Friday 0800-1200


2 lec/6 lab (4 Cr.) This course focuses on mastery of advanced-level nursing skills and competencies in a variety of health care settings utilizing the nursing process as a problem-solving tool.


Prerequisites: VNSG 1505, 1423, 1331, 1327, 1122, 1260. Co-requisites: VNSG 1133, 1429, 1334, 1330, 1460.


Upon completion of the core curriculum, students are expected to demonstrate competence in all of the core objectives listed in the college catalog. The overall content of this course is designed to enhance skills in each of the following core objectives.

  • Critical Thinking Skills - to include creative thinking, innovation, inquiry, and analysis, evaluation and synthesis of information
  • Communication Skills - to include effective development, interpretation and expression of ideas through written, oral and visual communication
  • Empirical and Quantitative Skills - to include the manipulation and analysis of numerical data or observable facts resulting in informed conclusions
  • Social Responsibility - to include intercultural competence, knowledge of civic responsibility, and the ability to engage effectively in regional, national, and global communities
  • Personal Responsibility - ability to connect choices, actions and consequences to ethical decision making
  • Teamwork - to include the ability to consider different points of view and to work effectively with others to support a shared purpose or goal.


Each student learning outcome is linked to an LVN Core Objective.  (See “Vocational Nursing Core Objectives” below SLO’s) SLO's are measured by students' success in this course and reflected in overall Program Learning Outcomes. 

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

Student Learning Outcomes:

Each student learning outcome is linked to an LVN Core Objective:  See “Vocational Nursing Core Objectives” below. Congruent with the Differentiated Essential Competencies through the Texas Board of Nursing (DEC’S) See DEC’s statement below Core Objectives.  See SLO’s above and links to Core Objectives. 

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

 A. Verbalize or explain an understanding of underlying scientific principles of basic nursing skills. 


B. Demonstrate satisfactory performance of advanced nursing skills.


C. Apply the concepts of medical terminology for use in communicating within the     healthcare system


D. Apply effective communication techniques.


E. Demonstrate an understanding in effective nurse- client relationship and how this  assists clients.


F. Recognize legal and ethical responsibilities of the vocational nurse.



G. Demonstrate the leadership role of the vocational nurse within the healthcare setting.


H. Identify principles and practices as it relates to nutrition.



Vocational Nursing Core Objectives:  

The Navarro College Vocational Nursing Program will maintain at all times a quality curriculum and high standard for its students.

Upon successful completion of the Vocational Nursing Program the student should be able to:

  1. Act as a member of the profession be demonstrating an understanding of basic health sciences through the acquisition of concepts of nutrition, pharmacology, microbiology, anatomy and physiology.
  2. Act as a provider of patient centered care by utilizing the nursing process and scientific principles to identify patient centered care by utilizing the nursing process and scientific principles to identify patient needs across the life span, to plan, implement and evaluate the effectiveness of nursing care using evidence based practice.
  3. Act as a patient safety advocate by providing safe, competent health care for patients in a variety of settings in accordance with the scope of practice and code of ethics for vocational nursing practice.
  4. Act as a patient safety advocate by safely and competently administering medications.
  5. Act as a member of the profession by demonstrating accountability through responsible behavior, by protecting the legal and ethical rights of the patient and facilitating personal and professional growth through continued education.
  6. Act as a member of the healthcare team by utilizing resources within the community to provide holistic teaching to the patient and caregiver and to assist in the promotion of health, and prevention of disease and rehabilitation.                       
  7. Act as a member of the healthcare team by promoting mental health concepts through therapeutic communication when interacting with patients, families, caregivers, peers, health care team and other professionals.
  8. Act as a member of the healthcare team by beginning to supervise other unlicensed assistive personnel and vocational licensed personnel as assigned.

DECs: Differentiated Essential Competencies (DECs) were designed to provide guidance to nursing education programs for curriculum development and revision and for effective preparation of graduates who will provide safe, competent, compassionate care.  The DECs outline knowledge, clinical behaviors and judgments necessary to meet the essential competencies, but it is acknowledged that not all competences can be evaluated upon graduation until the nurse has transitioned into nursing practice (BON 2010).  The competencies are organized according to four major roles of the nurse:  Member of the Profession (MOP) 2. Provider of Patient-Centered Care (PPCP) 3. Patient Safety Advocate (PSA) 4. Member of the Health Care Team (MHCT).  Note:  Refer to Texas Board of Nursing website or Navarro College VN Student Policy Handbook. 

Required and Optional Materials

Fundamental Concepts and Skills for Nursing

  • Author: Patricia A. Williams, RN MSN CCRN
  • Publisher: Elsevier Health Sciences
  • Edition: 5th
  • ISBN: 9780323396219
  • Availability: Campus Bookstore and various resources
  • Price: Variable prices

Fundamental Concepts & Skills for Nursing Student Learning Guide

  • Author: Patricia A. Williams, RN MSN CCRN
  • Publisher: Elsevier Health Sciences
  • Edition: 5th
  • ISBN: 9780323483261
  • Availability: Campus Bookstore and various resources
  • Price: Variable prices

Nurses Pocket Guide

  • Author: Marilynn E. Doenges APRN BC, Mary Frances Moorhouse RN MSN, Alice C. Murr BSN RN CRRN,
  • Publisher: FA Davis
  • Edition: 15th
  • ISBN: 9780803676442
  • Availability: Campus Bookstore and various resources
  • Price: Variable prices

Davis’ Drug Guide for Nurses

  • Author: April Hazard Vallerand, Cynthia A Sanoski
  • Publisher: FA Davis
  • Edition: 17th
  • ISBN: 9781719640053
  • Availability: Campus Bookstore and various resources
  • Price: Variable prices


Assessment Technologies Institute (ATI) resources

This is a computer based program utilized throughout all courses in the program.  This program is paid for in the student's tuition.  


  • Availability: Through ATI
  • Price: Price Varies (Paid for in student's tuition)

This program is a requirement for the LVN program. 

V-Sim for Nursing Fundamentals

This is a computer-based program utilized throughout all courses in the program.  This program is not paid for in the student's tuition and must be purchased separately.  The program is sold as a code. 



  • Availability: Navarro College Bookstore
  • Price: Approximately $100.00-$120.00

VSIMS purchased in the program for other courses could possibly be utilized in this course. (VSim for Fundamentals, VSim for Pharmacology etc). 


Taber’s Cyclopedic Medical Dictionary

  • Author: Venes
  • Publisher: FA Davis
  • Edition: 24th
  • ISBN: 9781719642859
  • Optional
  • Availability: Campus Bookstore and various resources
  • Price: Variable prices

This is strongly recommended.  If this book is not purchased, the student should purchase some type of medical dictionary to have access to at all times. 

Mosby’s Diagnostic & Laboratory Test Reference

  • Author: Kathleen Pagana, Timothy Pagana, Theresa Pagana
  • Publisher: Elsevier/Mosby's
  • Edition: 15th
  • ISBN: 9780323675192
  • Optional
  • Availability: Campus Bookstore and various resources
  • Price: Variable prices

This is strongly recommended.  If this book is not purchased, the student should purchase some type of diagnostic and laboratory reference book to have access to at all times. 

Assignments and Activities

Grading Criteria


Vocational Nursing Grading Scale:   

A    =    90 – 100

B    =    80 – 89

C    =    75 – 79

D   =     60 - 74

F    =     Below 60

If a student has a final Numeric grade < 75% in the VN Program  the student will not be able to progress to the next semester. 

*See "Exception to the final grading scale with regard  Skills Proficiency" under "Breakdown" below

Types of evaluations and related weights
Type Weight Topic Notes
Unit Exams 80% Fundamentals Advanced Skills

There will be 3 unit exams in this course which may be administered face to face, or remotely. 

Remote and face to face exams will be proctored.  See Computer Requirements section and Computerized Testing policy including Remote Testing Guidelines in the Specific Vocational Nursing Policies section. 

In addition to the 3 unit exams:

ATI Proctored Exam will count as the same percentage as one unit exam.

The ATI Proctored Exam for this course will be given toward the end of the course.  Practice exams A and B will be administered in a proctored setting prior to the proctored exam. Practice exams do not count for a grade. Students will be required to complete focused reviews as instructed by instructor by the designated due date in order to sit for the proctored exam.  Students who do not complete focused reviews for the practice exams will not be allowed to take the proctored exam and will receive a zero on the ATI proctored exam.  Students are responsible to provide proof to the instructor of the completion of focused reviews and must submit as instructed.

After the student takes the proctored exam, they can complete a focused review on the proctored exam and are eligible to receive addition points to their ATI score based on completion of the focused review.  (See Rubric below)


Level 3

Level 2

Level 1

 Below level 1

Unit Test Grade: 90

Unit Test Grade: 80

Unit Test Grade: 70

Unit Test Grade: 60

Remediation =

 • Minimum ONE hour reading and/or watching videos in Focused Review (More time is recommended to prepare for NCLEX)

• Choose a minimum of ONE topic missed, and complete an active learning template

Remediation =

 • Minimum TWO hours reading and/or watching videos in Focused Review (More time is recommended to prepare for NCLEX)

• Choose a minimum of TWO topics missed, and complete two active learning templates

Remediation =

 • Minimum THREE hours reading and/or watching videos in Focused Review (More time is recommended to prepare for NCLEX)

• Choose a minimum of THREE topics missed, and complete three active learning template

Remediation =

 • Minimum FOUR hours reading and/or watching videos in Focused Review (More time is recommended to prepare for NCLEX)

• Choose a minimum of FOUR topics missed, and complete four active learning template

Completion= 1 pts

Completion= 2 pts

Completion= 3 pts

Completion= 4 pts



Final Exam 20% Fundamentals Advanced Skills

There is a comprehensive final exam in this course from the 3 unit exams. 

Skills Proficiency Pass/Fail Fundamentals Advanced Skills

Lab performance is pass/fail with three opportunities granted for successful performance of skill.  (See Skills Proficiency Criteria VN Student Policy Handbook). Students will not be allowed to perform a skill in a live facility until proficiency is demonstrated in the Skills Lab.   Students who are not successful after three attempts of any skill will not be allowed to progress to the next semester.  (See Skills Proficiency Criteria VN Student Policy Handbook). 


There will be NO rounding until the final calculation is known. The final Grade will be calculated on the first decimal (10th place).  If the 10th place value is 5 or greater, the whole number is rounded up.  If the 10th place is 4 or less the final grade will not change.  Example: Final Grade 74.5, the final grade will be rounded to 75.  If the final grade calculated to 74.4 the grade will remain 74.

A final Numeric grade < 75% in the VN Program is not passing, and the student will not be allowed to progress to the next semester. 

*Exception to the final grading scale with regard to Skills Proficiency: If a student does not  pass any Skills Proficiency after three attempts, the student will receive a letter grade of "F" on the final transcript. 

Course Policies

Instructional Methodologies

Face to Face  Hybrid Online

Face to face courses are taught in a traditional classroom format. 

Courses classified as “Hybrid” in the course schedule (identified with the letter ‘H’ in the course section designation) will use a combination of face-to-face classroom and online instructional methods. A minimum of 50 percent of the course must be taught online to be classified as a hybrid course.

Students must have regular access to a computer and a reliable internet connection, either on campus or in a personal setting, to complete all assignments.

In addition to traditional lecture, Navarro College uses the Canvas Learning Management System to provide course materials and activities assigned by the instructor. Here is a video overview of Canvas:

To access Canvas:

(1) Go to: [email protected] 
(2) Enter your User Name (MyNC ID) and Password
(3) Click on the Canvas icon and locate your course in your Canvas Dashboard.

Please note some courses will also use materials provided by the publisher and require the student to have an access code in order to complete assignments, activities, and exams. Please see the Materials section of this syllabus to determine if an access code will be necessary for this course.

Final Exams

Students are required to take final exams during the posted final exam week and should not make travel reservations or other plans which would require them to request a rescheduled final.  Requests to take final exams early, or at a time other than indicated on the final exam schedule, must be approved by the appropriate Executive Dean and are granted only in exceptional circumstances. Personal or family travel plans are not deemed as exceptional circumstances.

Confidentiality and Mandatory Reporting

Students may choose to share personal information or experiences, as appropriate, in written assignments, class discussions, presentations, and conferences with instructors. While instructors and other college employees will strive to keep personal student information private, they are required to report information about sexual misconduct, childhood abuse, and criminal activity to the proper authorities. Students may speak to someone confidentially by contacting NorthSTAR Mobile Crisis at 1-800-260-8000 or the Navarro College Licensed Counselor at 903-875-7393.

Course Content and Rigor

College-level courses may include controversial, sensitive, and/or adult material. Students are expected to have the readiness for college-level rigor and content.


All Navarro College students are required to use their Navarro College email to correspond with instructors and other Navarro College personnel.

Academic Integrity

Students are expected to do their own work at all times. Cheating is a serious offense with serious consequences which may include any of the following:  a grade of zero, course failure, or removal from a program.

Student Conduct

All students enrolled in classes at Navarro College shall follow the tenets of common decency and acceptable behavior conducive to a positive learning environment. Behavior deemed by the instructor to be disruptive may result in the student being dropped from the course.

Subject to Change

The Course Syllabus and/or the Course Calendar may be changed as the term progresses at the discretion of the department and/or instructor.

Computer requirements

Students are expected to have adequate internet access in the LVN program. 

 For remote testing, students should have the following on a lap top or personal computer.

  • Microphone: Any microphone, either internal or external
  • Webcam: 320x240 VGA resolution (minimum) internal or external
  • Proctorio Google Chrome extension may need to be installed on device (Instructor will advise if this is needed).

Students may be able utilize campus internet as allowed at the library if problems with internet.

Specific Vocational Nursing Policies

The following is not an all-inclusive list of policies for the LVN program.  Students should refer to the Navarro College Vocational Nursing Handbook for a complete list of program policies. In addition, students should refer to the Navarro College Student Handbook (Link is provided on this Syllabus) for more college wide policies. Students will be provided with a semester calendar which will show dates and times for classes.  Instructor will give details on individual class due dates, test dates, and/or assignments. 

Method of Instruction:  A portion of this class may be conducted online remotely (including testing), and small groups will be assigned to report to campus for lab practice. Individual instructors will give specific instructions on this. The method of instruction may include a combination of lectures, (face to face or media),  ATI Total Curriculum Support, demonstrations, group discussions, audiovisual/multimedia aids, supervised practice, student presentations, assigned readings, critical thinking exercises, role playing, and other assignments at the discretion of the instructor.  Students are expected to have access to adequate internet, and have a laptop or PC that meets the camera/mic specifications outlined under the item titled “Computer Requirements”.  Exams will be proctored in this course as instructed by instructor. 

.Counseling, Contract, or Grade Jeopardy Forms: Faculty may initiate a counseling, contract, or grade jeopardy form, for any student who has a grade of 75% or less, or at the instructor’s discretion. The forms may also be administered to students with excessive absence, behavior, or performance problems.

Email:   All Navarro College students are required to use their Navarro College email to correspond with instructors and other Navarro College personnel.  Students are expected to read their e-mail on a daily basis.  Students should allow 24 hours for a response when e-mailing their instructor. 

Make-Up Exams: Vocational Nursing Students are expected to take examinations at the regularly scheduled time. Make up exams will be scheduled on a case by case basis at the discretion of the instructor depending on the circumstances that caused the student to miss the exam.

Missing an exam may ONLY be excused in Emergency situations and the instructor reserves the right to require proof of the emergency, such as a written Dr. excuse or hospital discharge papers.  Students who miss an exam for NON-emergency situations will NOT be allowed a make-up exam.  It is the student’s responsibility to notify the instructor prior to the exam if he/she is going to miss the exam due to an emergency.  Students who are “no shows” for the exam will not be allowed a make-up exam and will receive a ZERO on the exam.

If approved, the student must take the make-up exam at the assigned time scheduled by the instructor Failure to attend the make-up test date will result in a zero for the test(s) missed by the student. Students may be required to take the make-up exam at the testing center, face to face, or remotely, at the instructor's discretion. 

Classroom Policies:  Students are required to read the syllabus, course outline, and Student Handbook, and be familiar with the policies contained therein.  Students will be provided with a semester calendar showing dates and times for each course and are expected to adhere to the schedule.  

  • Students are required to complete all assigned reading on time.
  • Students are required to take all exams as scheduled. If a student misses a scheduled exam and the absence is deemed excused by the instructor, he/she may request a make-up test. If the student must miss an exam due to illness or family emergency, the student must contact the instructor IMMEDIATELY to let the instructor know of the impending absence.  Makeup exams are given by appointment only and must be taken outside of the regularly scheduled class time. Students may be asked to take the make-up exam at the testing center.
  • All students must participate in class discussion and group activities as assigned. 
  • Students are required to attend all class meetings, arrive on time, and actively participate in class discussions and activities.
  • Students are required to pass all exams and complete all assignments with a final average grade of 75% or better to pass the course.

Electronic Devices in Classrooms: Navarro College believes that the dynamics occurring in the classroom should primarily enhance the instruction process. The classroom is a learning laboratory, which must be free from interruption or interference. As a result, all electronic devices capable of generating noise such as cellular phones, pagers, palm pilots, beeper watches, etc., are considered a distraction to the learning process and will be turned off prior to entering the classroom. Such devices will also be kept out of sight and not accessed during the class period, unless authorized by the instructor. Instructors may authorize the use of electronic devices for the purpose of accessing online learning information.

Any student who anticipates receiving a message during classroom instruction or expects to be contacted in class by an outside source must communicate with the instructor.

The instructor will warn a student who fails to comply with this policy one time. The student, upon the warning by the instructor, will take immediate corrective action. In the event the student fails to comply with the Instructor’s request, the student will be dismissed from class and at the Instructor’s discretion, may be counted absent or have points deducted for work missed, if appropriate. A student who violates this policy a second time will be dismissed from class, counted absent and have points deducted for work missed. If appropriate the student may be referred to the Campus Coordinator, Director, and/or Dean of Health Professions.

A student who has an unauthorized electronic device activated during an examination period will not be permitted to continue the examination, will be asked to leave the classroom and will be denied the opportunity to complete or re-take the examination. Due to the circumstance, the Instructor may question the validity of any portion of the examination completed prior to the violation and may elect not to grade the examination. In such a situation, the student will not receive credit for the examination and will not be permitted to make up the missed examination.

Food and Beverages in Classrooms: Navarro College is proud of the appearance of the campus and facilities.  In order to assist in keeping facilities clean, no food of any type is allowed in any classroom, laboratory, the library, planetarium, art gallery, or museum.  Food is defined as any edible food EXCEPT gum and cough drops. If you must carry food with you to be consumed elsewhere, the food must be in a backpack or a closed bag and out of view.

Beverages are allowed in all areas, classrooms included, except the planetarium, art gallery, museum, computer laboratories and other specialized laboratories containing sensitive equipment. Students must exercise extreme care in bringing beverages into campus facilities as spills might damage carpet and other furnishings.  Beverages must have a lid or a cap when brought into classroom.  No drinks should be brought into skills lab or computer labs. All students are expected to properly dispose of all trash, drink containers, etc. brought into college facilities.

Disruptive Classroom Behavior Policy: Navarro College seeks to promote a teaching and learning environment free from material and substantial classroom disruptions.  Faculty members have the authority and responsibility to effectively manage their classroom environments.  Instructors may determine the time and manner for student questions and expression of points of view in the instructional setting.  Accordingly, instructors should establish, communicate and enforce reasonable rules of classroom behavior and decorum via the syllabus and classroom discussion.  This policy is not intended to discourage appropriate classroom expression, discussion, or disagreement, but to promote respectful interactions.

Disruptive behavior is prohibited.  "Disruptive behavior" means conduct that materially or substantially interferes with or obstructs the teaching or learning process in the context of a classroom or educational setting.  Disruptive behavior includes conduct that distracts or intimidates others in a manner that interferes with instructional activities, fails to adhere to an instructor’s appropriate classroom rules or instructions, or interferes with the normal operation of the College.

Computerized testing policyNavarro College is committed to a high standard of academic integrity. Students are responsible for an honest and independent effort during testing. When there is evidence of cheating, disciplinary action may be taken; including but not limited to: receiving a zero for the exam, or being withdrawn from the course.  Cheating includes, but is not limited to:

  1. Looking at or copying from another student’s exam
  2. Communicating or receiving answers during the exam
  3. Using unauthorized notes, texts, or other materials during an exam
  4. Obtaining and/or distributing an unauthorized exam or part of an exam
  5. Having additional browser windows open before, during, or after an exam
  6. Discussing exam content or questions with classmates who have not yet taken the exam
  7. Taking photos of questions during the exam

All computerized testing in the course will be proctored either face to face or remotely, and students are expected to be looking only in the direction of their own computer. Students who are observed looking at other computer screens will be verbally warned. If the behavior continues, the student’s computer test will be terminated, and the student will receive a zero for that exam. Students are expected to act with the same level of integrity for any non-proctored exams. Students are expected to have access to adequate internet and camera/mic specifications.  See item titled "Computer Requirements". 

All exams will be timed at one minute per question. (note this is only for scheduled unit exams and may differ with individual quizzes). 

If a student skips a question or does not save an answer properly, the student will not receive credit for that question.  The only browser window allowed to be open during an exam is the one that is being used to administer the exam. This browser window is not to be opened by the students prior to the exam or remain open after the conclusion of the exam process. Absolutely no other browser windows are to be opened before, during, or after an exam (including emails). If necessary, student may have ZOOM open AND their exam.

The student will not open any exam at any time unless the exam is a scheduled exam in a proctored setting at the established time.  Under no circumstances will a student print out or email an exam or exam results.  Students may not discuss the content of an exam until all students have taken the exam. For non-proctored exams, follow the instructions of the instructor.

For face to face on campus exams, all books and personal belongings, including hats, are to be placed at the front of the class when exams are taken on campus. Only proctor approved items are allowed during test (i.e. scratch paper, tissue, etc.). No drinks or food are allowed in the testing room, unless approved by proctor. No cell phones or other electronic devices are allowed in the testing area. If a calculator is required, only approved simple calculators will be permitted.

Faculty will not define or explain the meaning of medical terminology for students during an exam. Students will have an opportunity to review their exam in a proctored, formal setting. The faculty will not accept questions concerning answer rationales during the exam.

In the event that the exam is interrupted due to failure of Internet connection or power failure, the instructor will provide instructions for completing the exam. Until instructions are given, students will remain at their computer and refrain from any discussion with other students. Discussion with other students may result in terminating the exam and the student receiving a zero for that exam.

Should the student encounter technical difficulties during an exam, the student is responsible for notifying the instructor of the problem.  Should the student not notify the instructor during the test of the problem and the grade on the exam is affected, the grade will not be adjusted. Students testing remotely are under the same obligation to notify the instructor. 

Remote Testing: Students who are testing remotely should follow these guidelines:

  1. Student must always be clearly visible by the proctoring instructors.  The student should not sit in front of a bright window and should make sure they are clearly visible.  The entire face should be seen during an exam. Students should be in a chair in an upright position while taking the exam. 
  2. Students may be asked to scan the room to display for the instructor before, during, and/or after the exam. 
  3. Students may NOT click outside the browser at any time.  Students who click outside the browser will be subject to stopping their exam and receive a grade of zero on the exam. 
  4. Students may not use their cell phone to chat or make calls during the exam. The student may ONLY notify the instructor through chat on Video platform, i.e. Zoom, Microsoft Teams, Webex. 
  5. Students should make provisions for childcare and be in a location free from external noises and interruptions during the exam. Students who do not follow this guideline may have their test stopped and receive a zero on the exam. 
  6. No blankets, large pillows, bulky coats, jackets, hoodies, or hats are allowed during the exam.
  7. No earphones or headphones allowed during the exam.
  8. Students are responsible to have adequate internet access for the exams and the appropriate computer specifications.  (See item section titled "Computer Requirements"). If you are disconnected from the internet for any reason, he/she must immediately notify the instructor for further instruction. 

Skills-Media Lab:  The Skills-Media Laboratory is an important part of the laboratory credit hours.  Electronic curriculum support is an important tool for student use. Students are expected to be self-directed and are expected to utilize the lab and available support systems as needed to enhance academic studies and to maintain clinical skills.

Field Trips:  Limited off campus activities may be scheduled as a part of the didactic experience and all students are expected to utilize the laboratory as needed to enhance academic studies and to maintain clinical skills.

Tobacco Free Campuses: The use of any tobacco products or other related devices (e.g., cigarettes ,pipes, cigars, electronic cigarettes, vapor devices) is prohibited in college buildings and on college grounds, including parking areas and structures, sidewalks, walkways, and college owned buildings.

Children on campus: Students may NOT bring children on campus and they cannot be present in the classroom, skills lab, or hallways. 

Attendance & Preparation: Attendance and preparation for class are expected in the Vocational Nursing Program since it is assumed that students are enrolled for the serious purpose of furthering their education. Students are expected to be present, on time, and prepared for all scheduled days of class and clinical lab practice. Attendance is a student responsibility. Absence is considered institutional and not a student privilege. If assignments given by the instructor in lieu of class hours are not complete, the student will be counted absent and attendance points deducted accordingly. Students will be accountable for any content missed due to absence. See Vocational Nursing Student Handbook for attendance policy. If a student goes over the allotted hours, (specific hours are allotted for clinical and classroom), the student will be dismissed from the Vocational Nursing Program. If a student is tardy, it will be counted into the attendance points. (See Attendance Policy in the Vocational Nursing Student Handbook). 

Students must pass all skills proficiency in this course.  Students will have three attempts to pass each skill in the skills lab. Failure to pass after three attempts will result in a failing grade in this course and the student will not be allowed to progress to the next semester. 

Late/Make-Up Work

Institutional Policies

Students are expected and required to have read the Student Handbook and to consult appropriate sections of the College Catalog for general academic information.

Attendance and Preparation

Face to Face and Hybrid Online

Regular and punctual class attendance is expected at Navarro College as a key element for student success. Excessive absenteeism is defined as two consecutive weeks of instruction in a 16-week semester (or the equivalent in any shorter term) and may result in being dropped from the course.

Students who miss class to participate in a co-curricular activity must have written permission (e-mail accepted) from a coach/director and must make prior arrangements with the instructor to take an examination or complete an assignment scheduled for that day. 

Regular (daily or weekly) online work is a key element for student success in an internet-based class.  Students must complete the first assignment by the designated deadline to document participation in the course.  The instructor will drop any student who fails to complete an assignment by the deadline provided in Canvas.

Although the instructor MAY withdraw a student from the class for insufficient participation the RESPONSIBILITY for dropping a class belongs to the student! Insufficient participation is defined as not logging in and completing assignments for the equivalent of two consecutive weeks.  If you are unable to complete the course, you should formally drop it.

  • Additional information regarding attendance requirements is available in the Navarro College Catalog.
  • You may drop this class by completing an online form. It is the student's responsibility to visit with his or her instructor concerning course status before submitting the required paperwork to the Office of Admissions and Records to drop this class. Additional information about dropping a class may be found in the Navarro College Catalog.
  • Failure to withdraw by the deadline may result in your name remaining on the class roll, resulting in a grade of ‘F’ at the end of the semester. 
  • A student who foresees educational issues related to pregnancy, postpartum recovery, or other physical or mental health matters is strongly encouraged to notify the College as soon as possible.  By doing so, the student and College personnel can collaborate and develop an appropriate plan for the continuation of the student's education.  Pre-planning when possible also may help with particular challenges a student faces while pregnant, when recovering from childbirth, or in response to a physical or mental health concern (e.g., missed classes, make-up work).  The choice to inform the College of any health concern is voluntary. A student is not required to share this information with the College. A student may choose to consult a College counselor or the Office of Disability Services before deciding whether or not to disclose any health-related information.
  • If you are receiving financial aid grants or loans, you must ATTEND AND PARTICIPATE in all classes FROM THE FIRST CLASS DAY.  Do not drop or stop attending any class without consulting the Financial Aid Office. Changes in your enrollment level and/or failing grades may require you to repay financial aid funds.  
  • All students receiving Veterans Administration (VA) benefits must notify the Veteran’s Certifying Official of any enrollment changes as soon as they are made. The Veterans Affairs benefit recipient needs to be aware that the VA may require repayment of all benefits received since the beginning of a semester for any course in which a “W” grade is received
  • According to current Texas law, dropping a course may have serious academic consequences. Under most circumstances, a maximum of 6 courses may be dropped throughout the entire undergraduate degree program. Before you decide to withdraw from this or any other course, make sure you understand the consequences. For more information see the Office of the Registrar.

MyNC Single Sign-On

MyNC Single Sign-On:

The MyNC Single Sign-On page provides one-stop access to several student resources, such as the MyNC Portal, Canvas, Office365 (Student Email), and Self-Service.

For Login Instructions, please visit: 

For Login Assistance, please contact:

OneStop Service Desk
Phone: (903) 875-7416
Email: [email protected]

Your privacy is extremely important.  Please DO NOT SHARE your account information with anyone.

Always include full name and date of birth, phone number, and valid email address when contacting the One-Stop Service Desk. Navarro College will not disclose sensitive account access information with anyone other than the student regardless of student’s age.

For Assistance with Canvas, please contact:

Matt Miller, Dean of Online Instruction
Phone: (903) 875-7422
Email: [email protected]

Links to Important Information

Academic Decorum:

Includes:  Civility, Being a Successful Student, Classroom Decorum, Change of Grade, Grade Challenge Procedure, Academic Dishonesty, and User Responsibilities for IT Resources/Penalties for Violation of Technology Policy, Tobacco Use Policy

Academic Integrity:

College Catalog:

Campus Safety:

Family Education Rights and Privacy Act (FERPA):

Student Rights and Responsibilities:

Student Handbook:

Links to Campus Services

Bulldog Life: Learning. Living. Launching: 

Navarro College's Bulldog Life is a student success service to all students. Opportunities include Canvas courses, meaningful activities, Culture of Caring and travel opportunities. Bulldog Life is a self-guided experience. We know that every student is in a different stage in life. 

Counseling Services: 

The Counseling Center is staffed by licensed counselors who provide brief counseling, assessment, referral, and crisis intervention services to currently-enrolled Navarro College students. The Navarro College Counseling Center is free, confidential, and available to all enrolled NC students.

Testing Center Hours and Contact Information:

Online Proctored Testing Information:

Library Services:

Tutorial Services:

NOTE: In addition to Navarro College tutoring services, students also have access to free 24/7 tutoring by visiting UpSwing ( and logging in to their UpSwing account.  If you're a new user, click NEW USER to create an account.

Disability Services: 

It is the responsibility of the student to contact Navarro College Disability Services Office to request accommodations.

The instructor is committed to helping each student reach his/her academic potential and to providing every student equal opportunity to participate in and engage with the course.  In keeping with this commitment, effort has been made to develop accessible learning materials that provide equal access.  Please contact the instructor immediately if access to course materials is restricted due to a disability so the issue(s) can be resolved in a timely manner.

Student Support and Administrative Services:


Major Course topics:  Instruction and evaluation will follow textbook objectives at the beginning  of each chapter. The student is responsible for reviewing material prior to class.


Unit 1: Chapters 25 & 36: Fluid, Electrolyte & Acid Base Balance, Administering Intravenous solutions & medications.


Unit 2: Chapters 31,32,37,38: Pain Comfort & Sleep, Complimentary and Alternative Therapies, Care of The Surgical Patient, Providing Wound Care and Treating Pressure Injuries.    


Unit 3: Chapters 9,10,28,39: Patient Education and Health Promotion. Delegation, Leadership, and Management. Assisting with Respiration & Oxygen Deliver, Promoting Musculoskeletal Function.                                                                     

  **There may be requirements in this course as a prerequisite to exams at the instructor's discretion.  Failure to submit instructor required work will result in the student not being allowed to take the exam and receiving a zero on the exam.                                                       

     A comprehensive final exam will be given toward the end of this course.

     ATI exams will be given in this course.  See section "Grading Criteria" above.

     See semester calendar for course dates, times, and locations. 


        Testing dates and times TBA.


A Semester Calendar will be provided to students at the beginning of each semester.