Associate Degree in Nursing

Course Objective

To prepare Nurse Student with the appropriate knowledge, skills and attitudes to provide health services in line with the identified strategies of the Health Care System of the ministry of Health.

Learning Outcomes

Graduates from this program will:

Work competently, especially at the front line of health services
Show a positive attitude and respect for the people regardless of economic status, customs and beliefs
Apply the nursing process with quality of care to patients, families and the community by using evidence based approach
Consult with other health professionals when nursing and midwifery practice/ care requires additional expertise
Use the primary health care approach to meet basic health needs in the community and promote safe motherhood and responsible parenthood
Apply team work approach.

Course Requirements

The students can leave with school permission for 15% of semester hours or 10% on leave without school permission, but they are not allowed to leave the whole single credit hours (theory and practice hours)
The students can leave only 15% of semester hours with or without school permission
They have to attend at least 85% or 90% and fulfill at least 70% of semester clinical requirements before allowing sitting the exam of related semester. The remain 30% of clinical requirements will be completed during their internship or upon arrangement of the school
If attendance is within 50-84% of semester hours or 50-89% or fulfilling of clinical requirement is within 50-69%, they are allowed only to sit the 2^nd session exam at the end of the scholar year
If attendance is less than 50% of semester hours or fulfilling of clinical requirement is less than 50%, they have to repeat class.

Admission Requirements

Admission Requirements

In principle, applicant shall fulfill the following criteria:

Males/ females aged 18-23 years (Apply for Public training institution that provide scholarship to students and if graduates from private training institution are willing to apply for MoH Emplyment)
Have High School Diploma
Be passed successfully the National Entry Exam
Be in a good health

Note:

Number of intakes to the ADN Program is limited based on MoH health workforce projection and capacity of production of each training institution

Validity and transfer of Credits

Validity and transfer of Credits
Student could fulfill their ADN credits in 5-year period
Student must fulfill credits of First year requirement before transferring to another school based on agreement set by both sides.

Curriculum structure (See annex 1)

ADN Program Total Credits Hours

Year	Theory (T)	Class Practice	Practice (P)	Field study Internship (*)	Total by Year
Cr	Hr	Hr	Cr	Hr	Cr	Hr	Cr	Hr
Ⅰ	36	539	91	4	180			40	810
Ⅱ	33	503	52	5	225	1*	90	38+1*	870
Ⅲ	22	346	104	3	135	6*	540	25+6*	1125
Total	91	1388	247	12	540	7*	630	103+7*	2805

Note:
-ADN Program Total Credits=110 Credits (Included *Credits)
-ADN Program Total Hours= 2805 hours (Included *Credits)
-Theory = 1388 Hr = 49.48%
-Practice = 1417 Hr = 50.52%

No	Adult nursing methodology Ⅰ,Ⅱ,&Ⅲ
1	Care of the client in skeletal traction and pin site care		X	5
2	Performing oro pharyngeal suctioning	X			5
3	Applying nasal cannula or oxygen mask	X			10
4	Caring for clients with chest tube connected to disposal drainage system		X		5
5	Intubating the client with a naso gastric feeding tube	X			5
6	Inserting a indwelling catheter	X			10
7	Performing wound suture		X		5
8	Performing suture removal	X			10
9	Performing Abscess incision		X	5
24

Course assessment

The Three-year ADN Course shall be assessed on a basis of continuous assessment. Students will be informed on assessment schedule, assessment process and conditions for successful completion credits of each semester at the commencement of the course. Students will not be graduated unless they pass receive Certificate of Graduation issued by Training Institution. School graduates are required to pass the National Exit Exam in order to receive their Diploma of Associate Degree in Nursing

Purpose of the course assessment
To provide feedback to the student and the teacher as to how learning is progressing that assi…

the students to determine their strengths and weaknesses (Formative assessment)

To measure competence in both knowledge and skills of students at the end of th……..

(Summative assessment)

Assessment process
Formative assessment

a – Theory Assessment

The Theory Assessment is the continuous assessment to be conducted during the course and occurred at the end of each semester:

Theory exam is credit-based assessment
The ADN Course has 6 semesters which consist of 6 months per semester
Theory assessment will be done at the end of every semester
The students who failed any credit of the two semesters of each year are allowed to …… sit the 2^nd session exam after one month of the 2^nd semester exam result
If still failed of the 2^nd session exam of each year, they have to repeat the same class.

b – Clinical Performance Assessment

The clinical performance assessment will be conducted from the 2^nd semester of the first year based on clinical requirements of each semester stipulated in the curriculum:

Students shall have their Clinical Logbook for preceptor to monitoring, evaluating, and recording their skill performance progress
Clinical instructors and Preceptors will use clinical checklists to evaluate the competency of students
Assessment during the internship is aimed to allow the students to complete remaining clinical requirement in which they could not fulfill in the previous semester.
Summative assessment or graduation exam
It is the exam of theory and clinical performance at the end of the course
Students have to complete clinical requirements and pass all theory credits before allowing sitting the first graduation exam. If requirements could not be completed, they have to sit the second graduation exam
Students who do not pass the first graduation exam will be allowed to re-sit the second exam two months after the first exam (theory and/or clinical performance they failed)
The graduation exam will be conducted by the training institution under the supervision of relevant authorities.

References

-Barbara KOZIER & all, 2004: Fundamentals of Nursing. 7^th Ed, Pearson Education Prentice Hall

-Betty. R. SWEET & Denise TIRAN 2000, Mayes’ a text book for midwifery, 12^th edition, Bailliere Tindall, London

-Carol TAYLOR & al. 2001, Fundamentals of Nursing (The Art & Sciences of Nursing Care), 4^th Edition Lippincott, Legal Implication of Nursing,

-CHRISTENSEN & KOCKROW. 1999. Adult Health Nursing, 3^rd Edition. Mosby. St. Louis, Missouri

-Jackie CHANDLER. 1991. Tabbner’s Nursing Care: Theory and Practice, 2^nd Edition Churchill Livingstone, Melbourne

-Jean Weiler ASHWILL & Susan Colvert DROSKE, 1997, Nursing Care of Children Principle and Practice, W. B. Saunders Company, Philadelphia USA

-Julie C. NOVAK & Betty L. BROOM, 1999, Maternal & Child Health Nursing (Concepts & Practice), 5^th edition, Lippincott

-PERRY & POTTER. 2005. Clinical Nursing Skill and Techniques. Skills Performance Checklists, 6^th Edition. Elsevier, Mosby, St. Louis, Missouri.

-PERRY & POTTER. 2006. Clinical Nursing Skill and Techniques, 6^th Edition. Elsevier Mosby, St. Louis. Missouri

-Suzanne C. SMELTZER, Brenda G. BARE. 2000. Brunner & Suddarth’s Textbookof Medical-Surgical Nursing. 9^th Edition. Lippincott. Philadelphia

-WHO and UNICEF 2000, Handbook Integrated Management of Childhood Illness, WHO Department of Child and Adolescent Health and Development

-Other MoH National Protocols and Guidelines

វិទ្យាស្ថានវិទ្យាសាស្ត្រសុខាភិបាល ខ.ភ.ម

Health Science Institute of RCAF

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Associate Degree in Nursing