{"id":65,"date":"2025-11-07T12:37:36","date_gmt":"2025-11-07T17:37:36","guid":{"rendered":"https:\/\/opentextbc.ca\/apncurriculum\/chapter\/course-outline-integrated-nursing-practice-3\/"},"modified":"2026-02-23T16:06:24","modified_gmt":"2026-02-23T21:06:24","slug":"course-outline-integrated-nursing-practice-3","status":"publish","type":"chapter","link":"https:\/\/opentextbc.ca\/apncurriculum\/chapter\/course-outline-integrated-nursing-practice-3\/","title":{"raw":"Course Outline: Integrated Nursing Practice 3","rendered":"Course Outline: Integrated Nursing Practice 3"},"content":{"raw":"Minimum Course Hours: 120\n

Course Description<\/h1>\nLearners build on the theory and practice from Level A courses. Using a variety of approaches (such as simulation), learners continue to develop knowledge and practise comprehensive nursing assessment, planning, and interventions in community-based settings for clients across the lifespan, including those with mental health and\/or substance use conditions, who are accessing care. Providing culturally safe and anti-racist care is emphasized. Learners discuss reporting and documentation as well as the leadership role of the practical nurse.\n\nPrerequisites:<\/strong> Successful completion of all Level A courses and Consolidated Practice Experience A\n\nCorequisites:<\/strong> Professional Communication 3; Professional Practice 3; Variations in Health 3; Health Promotion 3\n

Learning Outcomes<\/h1>\nUpon successful completion of this course, in the simulated learning environment the learner will be able to:\n
    \n \t
  1. Use the current British Columbia College of Nurses and Midwives (BCCNM) LPN Ethics Standards, Practice Standards, and Entry-Level Competencies to guide decision making (including autonomous practice) in community settings.\n
      \n \t
    • 1.1 Describe the role of the practical nurse in supporting clients and families in situations where the Mental Health Act is enacted.<\/li>\n \t
    • 1.2 Perform comprehensive holistic nursing assessment and interventions for clients across the lifespan in community settings, including maternity clients, newborns, children, youth, and clients with mental health and\/or substance use conditions, in a competent and safe manner.<\/li>\n \t
    • 1.3 Demonstrate a trauma-informed, culturally humble, and person-centred approach with clients.<\/li>\n \t
    • 1.4 Document assessments and care provided using objective and non-stigmatizing language.<\/li>\n<\/ul>\n<\/li>\n \t
    • Demonstrate clinical skills and assessments for nursing practice in community settings competently and safely.\n
        \n \t
      • 2.1 Use critical thinking, clinical judgment, and knowledge of holistic assessment to plan, implement, and evaluate care of clients across the lifespan, and clients with a mental health and\/or substance use condition.<\/li>\n \t
      • 2.2 Perform a quick priority assessment (QPA) to prioritize and plan care.<\/li>\n \t
      • 2.3 Use decision support tools (DSTs) to assist with decision making and implementation of care.<\/li>\n \t
      • 2.4 Complete a point-of-care risk assessment related to infectious diseases in a competent and safe manner.<\/li>\n<\/ul>\n<\/li>\n \t
      • Initiate, maintain, and conclude therapeutic relationships with clients from across the lifespan, including clients with a mental health and\/or substance use condition.\n
          \n \t
        • 3.1 Collaborate with clients, the interprofessional team, peers, and faculty.<\/li>\n<\/ul>\n<\/li>\n \t
        • Demonstrate the principles of medication administration for clients across the lifespan, including clients receiving medication for mental health and\/or substance use conditions.\n
            \n \t
          • 4.1 Describe pharmacology commonly encountered in mental health and\/or substance use treatment.<\/li>\n \t
          • 4.2 Describe factors influencing a person\u2019s adherence to psychotropic medications.<\/li>\n \t
          • 4.3 Describe psychotropic medication toxicity and possible life-threatening adverse effects.<\/li>\n \t
          • 4.4 Respond to an opioid overdose competently and safely.<\/li>\n<\/ul>\n<\/li>\n \t
          • Provide person-centred care that recognizes diversity and respects the uniqueness of each individual through cultural safety, cultural humility, and anti-racism.\n
              \n \t
            • 5.1 Identify one\u2019s own values, biases, and assumptions as a self\u2010reflective, responsible, and accountable practitioner.<\/li>\n \t
            • 5.2 Demonstrate appropriate and required actions in a simulated environment when observing racist or discriminatory behaviour.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

              Course Concepts<\/h1>\nCourse outcomes will be met through examination and exploration of the following:\n
                \n \t
              • Comprehensive health assessment and care for clients across the lifespan, including maternity clients, newborns, children and youth (theory only)<\/li>\n \t
              • Comprehensive health assessment and care for clients with mental health and\/or substance use conditions<\/li>\n \t
              • Suicide risk assessment<\/li>\n \t
              • Sterile technique and wound care<\/li>\n \t
              • Infusion therapy 1 including:\n
                  \n \t
                • Assessment of insertion sites: short peripheral catheter, peripherally inserted central catheter (PICC), and central venous catheter (CVC) lines<\/li>\n \t
                • Changing intravenous (IV) tubing and solutions<\/li>\n \t
                • Regulating rate of flow<\/li>\n \t
                • Setting up and priming infusion line<\/li>\n \t
                • Converting IV to an intermittent infusion device<\/li>\n \t
                • Flushing an intermittent infusion device<\/li>\n \t
                • Discontinuing a peripheral infusion device<\/li>\n<\/ul>\n<\/li>\n \t
                • Urinary catheterization<\/li>\n \t
                • Context-specific reporting and documentation<\/li>\n \t
                • Mental Health Act<\/li>\n \t
                • Clinical decision making<\/li>\n \t
                • Nursing interventions<\/li>\n \t
                • Risk management<\/li>\n \t
                • Individualizing nursing care plans across the lifespan<\/li>\n \t
                • Principles of medication administration for clients across the lifespan<\/li>\n \t
                • Pharmacology for clients with mental health and\/or substance use conditions, including:\n
                    \n \t
                  • Drug classes: SSRIs, mood stabilizers, antipsychotics, benzodiazepines, and stimulants<\/li>\n \t
                  • Effects and considerations: anticholinergic effects, cognitive changes, fluctuations and\/or changes in mood and energy impacting levels of risk (i.e., increased risk of suicidality), neurological changes, paradoxical responses, physiological changes, and sexual dysfunction<\/li>\n<\/ul>\n<\/li>\n \t
                  • Psychotropic medication toxicity, including (but not limited to) lithium toxicity, serotonin syndrome, neuroleptic malignant syndrome, metabolic syndrome<\/li>\n \t
                  • Medications and approaches for substance use, including alcohol, benzodiazepine, cannabis, nicotine, opioid, polysubstance and stimulant use<\/li>\n \t
                  • Factors influencing a person\u2019s adherence:\n
                      \n \t
                    • Age, culture, attitudes and beliefs about medications<\/li>\n \t
                    • Treatment burden and benefits of oral or long-acting injectables<\/li>\n \t
                    • Environmental factors and support systems<\/li>\n \t
                    • Knowledge and understanding<\/li>\n \t
                    • Therapeutic responses<\/li>\n<\/ul>\n<\/li>\n \t
                    • Immunizations across the lifespan<\/li>\n \t
                    • Cultural safety, cultural humility, anti-racism, particularly Indigenous-specific anti-racism<\/li>\n \t
                    • Diversity, equity, and inclusion<\/li>\n<\/ul>","rendered":"

                      Minimum Course Hours: 120<\/p>\n

                      Course Description<\/h1>\n

                      Learners build on the theory and practice from Level A courses. Using a variety of approaches (such as simulation), learners continue to develop knowledge and practise comprehensive nursing assessment, planning, and interventions in community-based settings for clients across the lifespan, including those with mental health and\/or substance use conditions, who are accessing care. Providing culturally safe and anti-racist care is emphasized. Learners discuss reporting and documentation as well as the leadership role of the practical nurse.<\/p>\n

                      Prerequisites:<\/strong> Successful completion of all Level A courses and Consolidated Practice Experience A<\/p>\n

                      Corequisites:<\/strong> Professional Communication 3; Professional Practice 3; Variations in Health 3; Health Promotion 3<\/p>\n

                      Learning Outcomes<\/h1>\n

                      Upon successful completion of this course, in the simulated learning environment the learner will be able to:<\/p>\n

                        \n
                      1. Use the current British Columbia College of Nurses and Midwives (BCCNM) LPN Ethics Standards, Practice Standards, and Entry-Level Competencies to guide decision making (including autonomous practice) in community settings.\n
                          \n
                        • 1.1 Describe the role of the practical nurse in supporting clients and families in situations where the Mental Health Act is enacted.<\/li>\n
                        • 1.2 Perform comprehensive holistic nursing assessment and interventions for clients across the lifespan in community settings, including maternity clients, newborns, children, youth, and clients with mental health and\/or substance use conditions, in a competent and safe manner.<\/li>\n
                        • 1.3 Demonstrate a trauma-informed, culturally humble, and person-centred approach with clients.<\/li>\n
                        • 1.4 Document assessments and care provided using objective and non-stigmatizing language.<\/li>\n<\/ul>\n<\/li>\n
                        • Demonstrate clinical skills and assessments for nursing practice in community settings competently and safely.\n
                            \n
                          • 2.1 Use critical thinking, clinical judgment, and knowledge of holistic assessment to plan, implement, and evaluate care of clients across the lifespan, and clients with a mental health and\/or substance use condition.<\/li>\n
                          • 2.2 Perform a quick priority assessment (QPA) to prioritize and plan care.<\/li>\n
                          • 2.3 Use decision support tools (DSTs) to assist with decision making and implementation of care.<\/li>\n
                          • 2.4 Complete a point-of-care risk assessment related to infectious diseases in a competent and safe manner.<\/li>\n<\/ul>\n<\/li>\n
                          • Initiate, maintain, and conclude therapeutic relationships with clients from across the lifespan, including clients with a mental health and\/or substance use condition.\n
                              \n
                            • 3.1 Collaborate with clients, the interprofessional team, peers, and faculty.<\/li>\n<\/ul>\n<\/li>\n
                            • Demonstrate the principles of medication administration for clients across the lifespan, including clients receiving medication for mental health and\/or substance use conditions.\n
                                \n
                              • 4.1 Describe pharmacology commonly encountered in mental health and\/or substance use treatment.<\/li>\n
                              • 4.2 Describe factors influencing a person\u2019s adherence to psychotropic medications.<\/li>\n
                              • 4.3 Describe psychotropic medication toxicity and possible life-threatening adverse effects.<\/li>\n
                              • 4.4 Respond to an opioid overdose competently and safely.<\/li>\n<\/ul>\n<\/li>\n
                              • Provide person-centred care that recognizes diversity and respects the uniqueness of each individual through cultural safety, cultural humility, and anti-racism.\n
                                  \n
                                • 5.1 Identify one\u2019s own values, biases, and assumptions as a self\u2010reflective, responsible, and accountable practitioner.<\/li>\n
                                • 5.2 Demonstrate appropriate and required actions in a simulated environment when observing racist or discriminatory behaviour.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                  Course Concepts<\/h1>\n

                                  Course outcomes will be met through examination and exploration of the following:<\/p>\n

                                    \n
                                  • Comprehensive health assessment and care for clients across the lifespan, including maternity clients, newborns, children and youth (theory only)<\/li>\n
                                  • Comprehensive health assessment and care for clients with mental health and\/or substance use conditions<\/li>\n
                                  • Suicide risk assessment<\/li>\n
                                  • Sterile technique and wound care<\/li>\n
                                  • Infusion therapy 1 including:\n
                                      \n
                                    • Assessment of insertion sites: short peripheral catheter, peripherally inserted central catheter (PICC), and central venous catheter (CVC) lines<\/li>\n
                                    • Changing intravenous (IV) tubing and solutions<\/li>\n
                                    • Regulating rate of flow<\/li>\n
                                    • Setting up and priming infusion line<\/li>\n
                                    • Converting IV to an intermittent infusion device<\/li>\n
                                    • Flushing an intermittent infusion device<\/li>\n
                                    • Discontinuing a peripheral infusion device<\/li>\n<\/ul>\n<\/li>\n
                                    • Urinary catheterization<\/li>\n
                                    • Context-specific reporting and documentation<\/li>\n
                                    • Mental Health Act<\/li>\n
                                    • Clinical decision making<\/li>\n
                                    • Nursing interventions<\/li>\n
                                    • Risk management<\/li>\n
                                    • Individualizing nursing care plans across the lifespan<\/li>\n
                                    • Principles of medication administration for clients across the lifespan<\/li>\n
                                    • Pharmacology for clients with mental health and\/or substance use conditions, including:\n
                                        \n
                                      • Drug classes: SSRIs, mood stabilizers, antipsychotics, benzodiazepines, and stimulants<\/li>\n
                                      • Effects and considerations: anticholinergic effects, cognitive changes, fluctuations and\/or changes in mood and energy impacting levels of risk (i.e., increased risk of suicidality), neurological changes, paradoxical responses, physiological changes, and sexual dysfunction<\/li>\n<\/ul>\n<\/li>\n
                                      • Psychotropic medication toxicity, including (but not limited to) lithium toxicity, serotonin syndrome, neuroleptic malignant syndrome, metabolic syndrome<\/li>\n
                                      • Medications and approaches for substance use, including alcohol, benzodiazepine, cannabis, nicotine, opioid, polysubstance and stimulant use<\/li>\n
                                      • Factors influencing a person\u2019s adherence:\n
                                          \n
                                        • Age, culture, attitudes and beliefs about medications<\/li>\n
                                        • Treatment burden and benefits of oral or long-acting injectables<\/li>\n
                                        • Environmental factors and support systems<\/li>\n
                                        • Knowledge and understanding<\/li>\n
                                        • Therapeutic responses<\/li>\n<\/ul>\n<\/li>\n
                                        • Immunizations across the lifespan<\/li>\n
                                        • Cultural safety, cultural humility, anti-racism, particularly Indigenous-specific anti-racism<\/li>\n
                                        • Diversity, equity, and inclusion<\/li>\n<\/ul>\n","protected":false},"author":123,"menu_order":2,"template":"","meta":{"pb_show_title":"on","pb_short_title":"","pb_subtitle":"","pb_authors":[],"pb_section_license":""},"chapter-type":[],"contributor":[],"license":[],"class_list":["post-65","chapter","type-chapter","status-publish","hentry"],"part":62,"_links":{"self":[{"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/chapters\/65","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/chapters"}],"about":[{"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/wp\/v2\/types\/chapter"}],"author":[{"embeddable":true,"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/wp\/v2\/users\/123"}],"version-history":[{"count":1,"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/chapters\/65\/revisions"}],"predecessor-version":[{"id":66,"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/chapters\/65\/revisions\/66"}],"part":[{"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/parts\/62"}],"metadata":[{"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/chapters\/65\/metadata\/"}],"wp:attachment":[{"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/wp\/v2\/media?parent=65"}],"wp:term":[{"taxonomy":"chapter-type","embeddable":true,"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/pressbooks\/v2\/chapter-type?post=65"},{"taxonomy":"contributor","embeddable":true,"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/wp\/v2\/contributor?post=65"},{"taxonomy":"license","embeddable":true,"href":"https:\/\/opentextbc.ca\/apncurriculum\/wp-json\/wp\/v2\/license?post=65"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}