NUR 190: LPN to RN Articulation Bridge

Course Description

Endorsed by the Directors of Connecticut (CT) Licensed Practical Nurse (LPN) and Associate Degree (AD) Registered Nurse (RN) programs and offered by Charter Oak State College, NUR 190 meets one of the requirements of the Connecticut Articulation Model for Nurse Educational Mobility for advancement from LPN to RN.

This 3-credit course is designed to facilitate successful entry of CT LPNs into the third semester of a CT AD RN program. This course provides theoretical and applied learning that addresses content in the first two semesters of CT’s AD RN programs in those areas not presented in CT practical nurse education programs. NUR 190 is approved by the Articulation Oversight Committee of the CT League for Nursing Deans and Directors Council to meet the three credit LPN to RN transition course requirement of the Articulation Model for Nurse Educational Mobility for advancement from LPN to RN.

NUR 190 is an online course designed to expand on the breadth and depth of the common content from CT’s practical nurse education programs and to introduce new theories, processes and skills specific to CT’s AD RN programs, as below:

  • nursing process
  • utilization of critical thinking skills
  • sound decision-making principles
  • selected theories
  • the communication processes
  • teaching/learning methodologies
  • the transition in role expectations between LPN and RN.

Prerequisites

To be eligible to begin the LPN to RN Articulation/Bridge Process, LPNs/students must:

  1. Be licensed as an LPN in Connecticut
  2. Be admitted to an AD RN program in Connecticut. LPNs/Students outside of Connecticut are not eligible.
  3. Have the consent of the Director of their Connecticut AD RN program.
  4. Have completed the course requirements for the second year of their AD RN program

Student Learning Outcomes (SLOs)

Students who successfully complete this course will be able to:

  1. Relate the advantages of utilization of the nursing process to clients of diverse cultures, nursing practice, and the profession of nursing.
  2. Utilize the nursing process as the theoretical framework for the delivery of care.
  3. Relate that the practice of nursing derives from the application of theories.
  4. Communicate effectively with clients of diverse cultures.
  5. Describe the relationship of learning theory and methodology to effective client teaching.
  6. Describe the ethical and legal implications relative to safe nursing practice.
  7. Identify the different expectations between the LPN and RN role in actual practice.

Course Activities and Grading

AssignmentsWeight

Nursing Process Activities

25%

Final Project- Nursing Care Plan

25%

Assignments

25%

Discussions

25%

Total

100%

  • The faculty will grade assignments within one week of receiving them and provide a grade and comments on Grading Rubric when appropriate.
  • STUDENTS MUST ACHIEVEA GRADE OF "B-" (80%), OR BETTER, IN ORDER TO PROGRESS TO THE ONE or TWO-CREDIT SCHOOL BASED COURSE WHICH FOLLOWS THIS ONLINE COURSE.
  • Please refer to COSC official catalog for the complete Course Grading Policy.
  • Course Grading Policy:
    • Charter Oak State College utilizes a four-point grading system, where an "A" equals 4.0 grade points and an "F" equals 0.0 grade points. Each grade and grade point designation will correspond to a numerical percentage range as shown below. *

Letter Grade

Range (%)

Grade Point

A

93.0-100.0

4.0

A-

90.0-92.9

3.7

B+

87.0-89.9

3.3

B

83.0-86.9

3.0

B-

80.0-82.9

2.7

C+

77.0-79.9

2.3

C

73.0-76.9

2.0**

C-

70.0-72.9

1.7

D+

67.0-69.9

1.3

D

63.0-66.9

1.0

D-

60.0-62.9

0.7

F

0.0-59.9

0.0

  • No handwritten or emailed assignments are accepted.
  • Late Work Policy: 
    There will be a penalty for late assignments without advance award of an extension by the assigned faculty as follows:
    • 5 points for 1 day late
    • 10 points for 2 days late
    • 0/no acceptance for anything submitted after day 2
  • Students may request a transcript to be sent to their home institution after the completion of the course.

Required Textbooks

Available through Charter Oak State College's online bookstore

  • Nursing (Custom Package). ISBN-13: 978-0-443-20849-2
    • This package contains components:
    • Ackley, Betty. Guide Nursing Diagnosis. 7th ed. C.V. Mosby Co. ISBN-13: 9780323812719
    • Potter, Patricia A. Fundamentals of Nursing. 11th ed. Elsevier Science. ISBN-13: 9780323810340

Course Schedule

Week

SLOs

Readings and Exercises

Assignments

1

3,7

Topics: Lesson 1 - Orientation, Role Transitions 

Objectives:

  • Demonstrate the ability to post comments in the discussion area and respond to discussion threads.
  • Identify the different scopes of practice between the LPN and RN.
  • Compare and Contrast the role of the LPN and RN in patient care responsibilities.
  • Determine how Nurse Practice Act defines and governs the distinctions of nurse roles.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Review Orientation Video in Bb for NUR 190
  • Potter and Perry, Fundamentals of Nursing
    • Chapter 1: Nursing Today
  • Complete assigned activities -- See course content in Bb for assignments.

1

2,3

Topics: Lesson 2 - Nursing Process Overview: Critical Thinking and Clinical Decision Making

Objectives:

After completing this lesson, you will be able to:

  • Discuss the components of the Nursing Process.
  • Define the terms critical thinking, clinical decision making, and clinical judgment.
  • Describe the skills and abilities necessary to develop critical thinking.
  • List the intellectual, interpersonal, and psychomotor skills required for application at each step of the Nursing Process Model. 
  • Apply the initial step of Assessment to a selected patient utilizing the Comprehensive Case Study Cluster Sheet.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Review PowerPoint Summary
  • Potter and Perry, Fundamentals of Nursing
    • Chapter 5: Evidence-Based Practice
    • Chapter 15: Critical Thinking in Nursing Practice
    • Chapter 16: Nursing Assessment.
  • Complete assigned activities -- See course content in Bb for assignments.

2

1,2

Topics: Lesson 3 - Nursing Process Overview: Problem Identification/Prioritization.

Objectives:

  • Utilize the data from the Comprehensive Case Study Cluster Sheet via cue recognition and cue analysis to formulate hypothesis about the nature of patient problems.
  • Select the most relevant problems.
  • Prioritize the problems.
  • Identify Concept Mapping and relationship to Nursing Process Model.

 

  • Lecture material with associated web readings
  • Read assigned chapters
  • Potter and Perry, Fundamentals of Nursing- Chapter 17- Nursing Diagnosis (For this lesson read only the section headed Critical Thinking and the Nursing Diagnostic Process and its subsection on Data Clustering). The remainder of the Chapter will be assigned in next Lesson).
  • Utilize Ackley & Ladwig’s, Guide to Nursing Diagnosis.
  • Complete assigned activities -- See course content in Bb for assignments.

2

1,2

Topics: Lesson 4 - Nursing Process Overview: Nursing Diagnosis, NANDA-I Statement Protocols, Goal Standards - Part I.

Objectives:

  • Select nursing diagnoses based on the prioritization of problems from previous week.
  • Write Nursing Diagnostic statements for the problems selected, using the NANDA format.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Review PowerPoint Presentation video
  • Potter and Perry, Fundamentals of Nursing
  • Utilize Ackley & Ladwig’s, Guide to Nursing Diagnosis.
  • Complete assigned activities -- See course content in Bb for assignments.

3

2,4

Topics: Lesson 4 (cont.)-Nursing Process Overview: Nursing Diagnosis, NANDA-I Statement Protocols, Goal Statements - Part II

  • Formulate corresponding short and long-term outcomes/goals for each identified nursing diagnosis utilizing the SMART

Topics: Lesson 5 - Nursing Process Overview: Nursing Interventions, Evaluations

Objectives:

  • Identify nursing interventions to prevent, reduce, or resolve client problems.
  • Discuss the Implementation of nursing interventions.
  • Evaluate effectiveness of Nursing Care Plan.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Review PowerPoint Presentation video
  • Read Potter and Perry,  Fundamentals of Nursing
    • Chapter 18: Planning and Outcomes Identification in Nursing Care
    • Chapter 19:  Implementing Nursing Care
    • Chapter 20: Evaluation
  • Utilize Ackley & Ladwig’s, Guide to Nursing Diagnosis.
  • Complete assigned activities -- See course content in Bb for assignments.

4

4,6

Topics: Lesson 6- Effective Communication, Therapeutic Relationship, SBAR, SOLER

Objectives:

  • Identify the main concepts of effective communication processes. {SOLER}
    • Sit facing the patient
    • Observe an open posture
    • Lean into the patient
    • Establish and maintain eye contact
    • Relax
  • Describe the characteristics of the therapeutic nurse-client relationship and each of the Phases of professional and therapeutic nurse-client relationships.
  • Identify the SBAR Method of Communication (Institute of Healthcare Improvement)
  • Apply this Method of Communication in a simulated patient situation.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Potter & Perry, Fundamentals of Nursing
    • Chapter 24-Communication
  • Utilize Ackley & Ladwig’s, Guide to Nursing Diagnosis.
  • Complete assigned activities -- See course content in Bb for assignments.

4

5,6

Topic: Lesson 7 - Patient Education, Nursing Care Plan Project

Objectives:

  • Describe the importance and purposes of patient education.
  • Identify teaching and learning principles.
  • Describe the relationship of the teaching-learning process to the nursing process.
  • Describe strategies for identifying and writing learning objectives and identify the Teach Back Method.
  • Identify interventions to achieve the learning outcomes.
  • Incorporate a teaching intervention into a comprehensive nursing care plan.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Review PowerPoint Presentation video
  • Utilize Ackley & Ladwig’s, Guide to Nursing Diagnosis, Section II-for NCP Assignment.
  • Perry and PotterFundamentals of Nursing
    • Chapter 25
  • Complete assigned activities -- See course content in Bb for assignments.

5

6,7

Topics: Lesson 8 - Legal, Ethical and Professional Standards and Issues in Nursing

Objectives:

  • Describe the legal implications to nursing practice and Legal Guidelines for Documentation.
  • Identify and define the QSEN competencies.
  • Recognize the National Patient Safety Goals.
  • Describe the ethical implications in nursing practice.
  • Describe the difference between the LPN and the RN student roles, and differences in Professional Scope of Practice from LPN to RN.
  • Lecture material with associated web readings
  • Read assigned chapters
  • Potter and Perry, Fundamentals in Nursing
    • Chapter 22
    • Chapter 23
    • Page 391 (Table 26.1)
    • Page 415 (Table 27.2); Page 418 (Table 27.1); Page 419 (Table 27.4); Page 425 (Table 27.4)
  • Utilize Ackley & Ladwig’s, Guide to Nursing Diagnosis.
  • Complete assigned activities -- See course content in Bb for assignments.

COSC Accessibility Statement

Charter Oak State College encourages students with disabilities, including non-visible disabilities such as chronic diseases, learning disabilities, head injury, attention deficit/hyperactive disorder, or psychiatric disabilities, to discuss appropriate accommodations with the Office of Accessibility Services at OAS@charteroak.edu.

COSC Policies, Course Policies, Academic Support Services and Resources

Students are responsible for knowing all Charter Oak State College (COSC) institutional policies, course-specific policies, procedures, and available academic support services and resources. Please see COSC Policies for COSC institutional policies, and see also specific policies related to this course. See COSC Resources for information regarding available academic support services and resources.