INTENSIVE NURSING PRACTICUM 2nd Semester School Year 2011 - 2012

Clinical Teaching Plan Cagayan Valley Medical Center (Surgery Ward)

Prepared by: ____________________________________

Noted by:

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Approved By:

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CLINICAL TEACHING PLAN

DESCRIPTION OF LEARNERS  an assessment tool used for identifying an individual student's strengths and needs in various content and developmental areas. These descriptions, which consist of listings of abilities and accomplishments that are developmentally appropriate, indicate where children begin in their learning and the stages through which they progress as they achieve proficiency. The students are in their 4th year of studies in nursing, ages ranging from 18-26 years old. They mostly belong from middle-income family and have strong desire to finish nursing as their course and later on become a well rounded nurse of the community after their graduation and passing the local board exam. They have been taught the different concepts, theories and skills in the classroom and have minimal exposures to clinical area in terms of caring for surgical patients. They are oriented in the hospital where they will be exposed, and are aware of the different hospital policies.

FOCUS OF CLINICAL EXPERIENCE  Most instructors will provide specific criteria for students to follow when fulfilling a clinical experience or classroom observation. When such criteria are not specified, students may focus on the following when preparing a written report of the experience: Instructional goals, objectives, and activities; materials and resources; assessment procedures; classroom climate; classroom management; student involvement in learning. 1. Utilizing the common care delivery methods, the students will be given a specific ward to manage and to display beginning leadership skills in the management of surgical patients 2. Apply the basic principle of leadership and management in patient care 3. Utilize the nursing process as framework for patient care 4. Integrate research findings in the care of client 5. Collaborate with other health team regarding patient care SETTING SURGICAL WARD The Surgical Ward of the CVMC is located at the northeast part of the hospital with a 55 bed capacity. It consist of 8 rooms, where in room 1 is for Male who is classified under general Surgery, room2 is for Females under General Surgery, room3 and 4 composed of patients, male and female who encountered trauma, room 5 and 6 are for patients who are under Medicare Service, room 7 is for patients who needs to be isolated and lastly room 8 is purposely for burned patients. In this area, Pre-operative activities and post operative care are being made here for those patients who are scheduled for surgery, also, life saving devices is seen and highly specialized equipment for examination is seen with paramedical staffs available 24 hours a day. TERMINAL COMPETENCIES At the end of the course, the students will be able to function as a beginning staff nurse and will be able to focus their clinical experience applying the nursing process in the care of individuals, group of clients and families. BRIEFING/ORIENTATION An orientation is conducted at the start of the students weekly exposure to the surgery ward so that they will be informed of their respective areas of assignment. Orientation is being done regarding the physical set up of the area, policies, equipments and type of patients to be admitted. Included also in the orientation is the areas objective to the

students, requirements and activities within the span of the clinical exposure. Explanation of the methods of evaluation is also being done. 1. Explain the objectives to the students, requirements, and activities within the span of the clinical exposure. 2. The students will be given about 2-3 patients of different disease entity. 3. Orient to physical set-up of the area, policies, and types of patients to be admitted. 4. Explain the methods of evaluation: Attitude 10% -established nurse- client relationship -display self direction and self discipline -values excellence in nursing practice -attendance -proper decorum

Knowledge -20% -rotation exam -post and bedside conference -requirements; individual case study, drug study, learning reflection and documentations

Skills -70% -bedside care -history taking -provision of nursing procedures -utilizing nursing process -competencies of a beginning staff nurse, head nurse, researcher and leader -documentation (dummy charting, including kardex making)

GENERAL OBJECTIVES  broad and long-term  met through accomplishing each of the specific objectives. Given a variety of health care situations, the students will be able to: 1. Apply the theories, principles and concepts of clinical nursing practice to groups of clients in varied settings 2. To refine nursing skills in the different basic nursing services including community. Emphasis is placed on integrating the multiple roles of professional nursing such as staffing, concepts of leadership and management as a vehicle to enhance critical thinking and communication skills. 3. Provide opportunities for actual hospital experiences applying the primary nursing and the case method of assignment to ensure competencies are developed SPECIFIC OBJECTIVES  short term and narrow in focus. Within the 2 week clinical exposure at the surgery ward, the students will be able to: 1. Develop competency as a beginning staff nurse 2. Apply the nursing process in the care of groups of clients across the lifespan 3. Observe bioethical principles, core values and standards of nursing care

EVALUATION  comparison of actual impacts against strategic plans. It looks at original objectives, at what was accomplished and how it was accomplished.  systematic determination of merit, worth, and significance of something or someone using criteria against a set of standards 1. Share their learning experience, difficulties, and suggestions on how to improve experience. 2. Evaluation of the clinical instructors in the different areas.

11 Key Areas of Responsibility

ACTIVITIES DAY 1 OBJECTIVES At the end of day 1 of the clinical duty, students will be able to: >orients self on the clinical objectives and assignments ACTIVITIES TEACHER Orients students on the following: a. clinical objectives b. roles and responsibilities c. clinical requirements to complete ACTIVITIES EVALUATION STUDENT Listen to the clinical instructor and familiarize self to ward setting

>familiarize self to tour on the assigned the physical set of the ward ward a. Location of room numbers and its specific cases. b. Nurses station c. Medication area d. Procedure area e. Equipment/ machine and its uses Discuss the organizational chart of the assigned area f. Show the organizational chart and introduce students to the supervisor and staff >Explain the different protocols, policies, vision, mission of the ward >show the different logbooks and explain how it is being filledup. Ex. Kardex >Admission/discharge logbook >ward census OR request >laboratory request >endorsement logbook >discuss the requirements and activities within the span of clinical exposure >Explain the objectives of the requirements and their activities >set deadline for the requirements given Identify the different >Tasking > Listen and accepts the requirements and activities that is being given >Comply and submits requirements to the deadline being given

>Identify the different protocols, policies, vision and mission of the area >Familiarize self to the different documents/ logbooks to be filled-up in the ward

>Listen and understand the different protocols, policies, vision and mission of the ward Review the logbook

roles of the following: y Team leader y Medication nurse y Bedside nurse >given an assigned area to manage, the students will be able to: Apply the basic concept and principles of leadership and management using team method as a basis for care delivery

Ask students to recall duties and responsibilities of staff for functional nursing >assign students to specific task such as: y Team leader y Medication nurse y Bedside nurse >Introduce self and the school where they belong >Explain the purpose of having them as their duty exposure >Nurse-Patient Interaction

Outline duties and responsibilities

>Built rapport to their patient

ACTIVITIES FOR DAY 2-6 OBJECTIVES TEACHERS ACTIVITY At the end of day 2- > Guides students 5 duty, the students will be able to: >display beginning skills in staffing STUDENTS ACTIVITY > Ward management ACTIVITIES OF TEAM LEADER: y Act as a charge nurse of the unit/ward y Prepares patients assignment for the day y Does the following, admission/discha rge, joins doctors rounds, carry out of doctors order, update the cardex, referrals MEDICATION NURSE y Prepares and administer the medications of patients Ensures that all medications are available and follow up all prescribed medications Ensures that all medications are given on time EVALUATION >post conference, sharing of significant learning> >performance checklist > group evaluation

BEDSIDE NURSING y y Attends to the needs of patients Collaborate with

y y

y >sets priorities in nursing care based on patients needs (Safe and Quality Nursing Care)

team regarding patient care Carry out procedures to be done to the patient Monitoring of patients progress/conditi on Implement plan of care Evaluate patients response to care given Documents care given

>identify the priority needs of patients >analyzes the needs of patients >determines appropriate nursing care to be provided >identifies the task or activities that need to be accomplished >plans the performance of tasks or activities based on priorities >finishes work assignment on time

>organize their work loads to facilitate patient care (Management of Resources and Environment)

>develop health education plan based on assessed and anticipated needs (Health Education)

>considers nature of learner in relation to: social, cultural, political, economic, education, and religious factors

>documents care rendered to patients (Legal Responsibility)

>utilizes appropriate patient care records and reports

>respect the rights of the patient (Ethico-moral Responsibility)

>renders nursing care consistent with the patients Bill of Rights

>project a professional image of the nurse (Personal and Professional Development)

>demonstrate manners and conduct

good right

>identify and report variances (Quality Improvement)

>identifies actual and potential variance to patient care

>apply research findings in nursing practice (Research)

>incorporates findings in research in the provision of nursing care to the patient

>record outcome of patient care (Records Management)

>utilizes system

record

>utilize formal and informal channels (Communication) >collaborate plan of care with other members of the healthcare team (Collaboration and Teamwork) >Conduct case conference base on the given format >At the end of day 6 the student will be able to: >receive feedback on performance

>makes use of available visual aids

>refers clients to other allied health team partners

> Guide students >Actual conduct of case on what case is to presentation present. >explain the >conforme evaluation to the students

>performance checklist >quiz (20 items) >rotation examination >group case presentation