Clinical Teaching Plan Level IV First Semester

7/23/2019 Clinical Teaching Plan Level IV First Semester

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CENTRAL MINDANAO UNIVERSITY College of Nursing

University Town, Musuan, Bukidnon

CLINICAL TEACHING PLAN

for

NCM 67!" Care of Clients with Problems inCellular Aberrations, Acute Biologic Crisis

including Emergency and isaster !ursing

#$%&elor of S%ien%e in Nursing



NCM 67!CARE O' MOTHER( CHILD( AND 'AMILY

Rel$)e* Le$rning E+,erien%eCLINICAL TEACHING PLAN

Pre"ared by#

MEVELLE L ASUNCION( MN( RNClinical $nstructor%&evel $' Coordinator

(eviewed by#

'IDELITO S ACO-EDO( MN( RN&evel $' Coordinator

A""roved by#

PILAR V DOMAGSANG( MAN( RNean, College of !ursing

May )*+



Central Mindanao UniversityCOLLEGE O' NURSING

University Town, Musuan, Maramag, Bukidnon

CLINICAL TEACHING PLAN

I COURSE IN'ORMATION

C-U(.E !UMBE(# !rsg /01+

C-U(.E !AME# CA(E -2 C&$E!T. 3$T4 P(-B&EM. $! CE&&U&A(ABE((AT$-!., ACUTE B$-&-5$C C($.$., EME(5E!C6 A!$.A.TE( !U(.$!5 7(&E8

C-U(.E E.C($PT$-!# $t deals with the "rinci"les and techni9ues of nursing caremanagement of sick clients across the lifes"an withem"hasis on the adult and older "erson withalteration%"roblems in cellular aberration, acute biologiccrisis, including emergency and disaster nursing and $' Thera"y1

P(E:(E;U$.$TE# !CM +*<:Care of clients with "roblems in in=ammatory andimmunologic res"onse, "erce"tion and coordination> !CM+*:Care of clients with malada"tive "atterns of behavior

!UMBE( -2 U!$T.# / units lecture, units (&E 7)units .kills &ab > ?units Clinical8

T$ME U(AT$-!# +*@ lecture hours, ) (&E 4ours

P&ACEME!T# <th 6ear, 2irst .emester

II O#-ECTIVES

A. 5E!E(A&

At the end of the <th year, given actual clients%situations the student shall be ableto demonstrate com"etencies in all the key areas of res"onsibility such as safe and9uality nursing care, communication, collaboration and teamwork, health education,legal res"onsibility, ethico:moral res"onsibility, "ersonal and "rofessional develo"ment,9uality im"rovement, research, management of resources and environment, and recordsmanagement1

B. .PEC$2$C."ecically, the student shall#a1 utilie the nursing care "rocess in caring for clients across the lifes"an with"roblems in cellular aberrations and acute biologic crisis, disaster%emergency

situations>b1 a""ly a nursing theory in the management of care of a client for case study>c1 observe the core values cherished by the nursing "rofession such as love of5od, country, "eo"le and caring, and the bioethical "rinci"les and legaldimensions in the care of clients> and,d1 demonstrate leadershi" and management skills in the care of a grou" of clients in the community and hos"ital setting utiliing research ndings1e1 Provide o""ortunities to demonstrate the "rocedures for in=ammatory andimmunologic res"onse, "erce"tion and coordination1f1 Utiliation of standardied documentation, a "rescribed form shall becom"letedright after the related clinical e"erience1g1 Provide o""ortunities for actual clinical hos"ital e"eriences to ensure

com"etencies are develo"ed1



h1 Provide o""ortunities to demonstrate "rocedures needed in acute biologiccrisis1i1 D1 2or isaster .ituations# 6ou may "rovide simulated scenarios% situations forthese e"eriences$' Thera"y#

2aculty member handling the course must have a currentcerticate as $' Thera"ist

.F$&&.#

+1 Assess the "atientGs health care needs and "roblems through data collection1)1 A""ly the correct techni9ues of the basic nursing "rocedures%functions1?1 Practice accurate taking and recording of vital signs1<1 Administer all oral medications, $' medications with Clinical $nstructors

guidance11 Assess the clientGs health care needs and "roblems through data collection1

/1 emonstrate correct ways of using monitoring devices101 A""ly the "rinci"les of ase"tic techni9ues1@1 Provide o""ortunities for demonstration%return demonstration through the use

of an $' dummy arm and one:on Hone intravenous insertion1I1 Acute Biologic Crisis# Provide e"erience o""ortunities for actual e"erience to

ensure com"etencies in caring for clients with acute biologic crisis and thosewith emergency situations are develo"ed1

+*1 2or isaster .ituations# Practice simulated scenarios% situations for thesee"eriences

F!-3&E5E

At the end of the course, and given actual clients with "roblems in cellularaberrations, acute biologic crisis and emergency, the student should be able to#+1 Utilie the nursing "rocess in the care of individuals, families in community andhos"ital settings1

: Assess with client%s his%her%their condition%health status through interview,"hysical eamination, inter"retation of laboratory ndings: $dentify actual and "otential nursing diagnosis1: Plan a""ro"riate nursing interventions with client%s and family for identiednursing diagnosis1: $m"lement "lan of care with client%s and family: Evaluate the "rogress of his%her%their clientGs condition and outcomes of care

)1 (e"roduce a well organied and accurate documentation system1?1 2ormulate and im"lement the nursing care "lan%discharge "lan1

<1 (elate the laboratory and diagnostic tests to the "atientGs condition11 iscuss im"ortant conce"ts related to drug administration1/1$dentify the instruments and e9ui"ments used101 escribe the "harmacologic and non:"harmacologic methods used to "romote comfortduring labor and birth1

ATT$TUE#

+1 emonstrate re9uirements on time, work eJciently and eKectively, and showscourtesy at all times1

)1 A""reciate the diKerent functions and res"onsibilities of a nurse in variedsettings1

?1 Com"ly with the standard o"erating "rocedures1<1 'alue the im"ortance of accurate data collection and documentation1



1 &isten to the concerns of the client who will deliver1/1 $ntegrate s"iritual care as "art of the healing ministry101 (ecognie the im"ortance of informed consent1@1 .how sensitivity to cultural diKerences1I1 Be aware o res"onsibilities related to medico:legal cases1+*1(ecognie the im"ortance of administering vitamin F inDection and CredeGs

"ro"hylais1++1 Com"ly with the standard o"erating "rocedures1+)1 A""reciate the im"ortance of accurate data collection and documentation1+?1 $nternalie new knowledge learned1+<1 $ntegrate s"iritual care as "art of the healing ministry1+1 (elate with client%s and their family and the health team a""ro"riately1+/1 -bserve bioethical conce"ts% "rinci"les, core values and nursing standards in

the care of clients+01 Promote "ersonal and "rofessional growth of self and others

C. TE(M$!A& C-MPETE!C$E.

At the end of the course, and given actual clients with "roblems in cellularaberrations, acute biologic crisis and emergency, the student should be able to#+1 Utilie the nursing "rocess in the care of individuals, families in community andhos"ital settings1

• Assess with client%s his%her%their condition%health status through interview,"hysical eamination, inter"retation of laboratory ndings1

• $dentify actual and "otential nursing diagnosis1

• Plan a""ro"riate nursing interventions with client%s and family for identied

nursing diagnosis1

• $m"lement "lan of care with client%s and family1

• Evaluate the "rogress of his%her%their clientGs condition and outcomes of care1)1 Ensure a well organied and accurate documentation system1

?1 (elate with client%s and their family and the health team a""ro"riately1<1 -bserve bioethical conce"ts% "rinci"les, core values and nursing standards in thecare of clients1 Promote "ersonal and "rofessional growth of self and others1

III STUDENT DESCRIPTION

The students are B.! $' who have taken necessary "rere9uisite courses and currentlyenrolled in !CM /01+1 They are assigned in Emergency (oom, -ut:Patient e"artment,$ntensive Care Unit, $solation Unit, Medical Area, and .urgical Area, and Pediatric Area1 They will have their clinical e"osure in Bukidnon Provincial 4os"ital:Maramag, @:< shiftfor the month of Luly to -ctober, and Bukidnon Provincial Medical Center:MalaybalayBukidnon1 The studentsG age range from +@:+I1 The will be e"osed in the clinical area

twice a week, +/:hours:hos"ital duty1

IV 'OCUS O' CLINICAL E.PERIENCE

The focus will be on caring clients having cellular abberations, multi:organ diseasesacross the lifes"an1 2urthermore, they will be e"osed to emergency nursing and clientsundergoing acute biological crises1 The clinical e"erience will be centered on enhancingthe student nurses on the a""lication of the !ursing Process in meeting the "romotive,"reventive, and curative needs of "atients through "rovision of guidance, assistance,and su"ervision in enhancing critical thinking and "roblem solving skills, an in theirim"lementation of nursing interventions1 A""lication of leadershi" and managementconce"ts and "hiloso"hy in the clinical area1 The following are the com"etencies for theirlevel#

A1 4ealth AssessmentB1 Administration of Medications in 'arious route1



C1 Bedside Care%!ursing Procedures1 ChartingE1 Assisting minor surgical cases121 Com"etency A""raisal by Practicing Clinical $nstructors1

V SETTING

The level $' students will have their clinical e"osure in Bukidnon Provincial 4os"ital:Maramag and Bukidnon Provincial Medical Center:Malaybalay1 They are assigned inEmergency (oom, -ut:Patient e"artment, $ntensive Care Unit, $solation Unit, MedicalArea, and .urgical Area, and Pediatric Area1 They will have their clinical e"osure inBukidnon Provincial 4os"ital:Maramag, @:< shift for the month of Luly to -ctober, andBukidnon Provincial Medical Center:Malaybalay Bukidnon1 A su""lementary 3orksho" on4emodialysis Conce"ts will be added1

VI RE/UIREMENTS

The students are re9uired to conduct a health assessment "rior to the day of duty1 TheProblem:-riented !ursing (ecord 7P-!(8 are submitted during the day of duty1 Corrected

P-!( are com"leted and to be submitted on a Monday of the succeeding week1 Thefollowing are the re9uirements of the course#

A1 Com"leted 3orkbookB1 Com"leted Procedure ChecklistC1 Case Presentation1 Practical EamE1 -ral (evalida

VII GRADING SYSTEM

The students will be evaluated using the following criteria#

C&$!$CA& PE(2-(MA!CE# Attitude )* Fnowledge <* .kills <*

+**

ATT$TUE#

(ate each item using the scale below#

.cale# Performs e"ectations "erfectly or almost "erfect, and com"lies

with the maimum re9uirements of the assigned task1

< Performs e"ectations very satisfactorily most of the time1? Com"lies satisfactorily more than the minimum re9uirements of

assigned tasks1) Com"lies less than the minimum re9uirements of the assigned

tasks1+ Performs e"ectations "oorly most of the time1

a8 (e"orts to the area on time1b8 emonstrate renement in s"eech and manner1c8 (e"orts to the area with com"lete uniform, neat, tidy, without Dewelries

and with com"lete "ara"hernalia1d8 Courteous and works harmoniously with C$, hos"ital "ersonnel and

classmates1e8 Acce"ts suggestions and criticism constructively1



f8 .hows awareness of oneGs own strength and weakness1g8 Utilies a""ro"riate resources to "re"are self and com"ly with (&E

re9uirements1h8 -bserve clinical "olicies religiously and conscientiously1i8 .ubmits re9uirements on time1 D8 emonstrates 9ualities such as honesty, res"ect, self:directed,

interested, diligence and res"onsible1

!ote# Attitude is )* of the "ercentile rate of the above "arameters1

F!-3&E5E#

3ritten re9uirements 7Clinical 3orkbook by area8 )* Case Presentation

+* ;uies +*

012

.F$&&.#

Procedures "erformed in clinical area +* Performance Evaluation 7key areas of res"onsibility8 ?*

012

TE(M 5(AE#

Clinical Performance@*

Term Eam1

)*

!112

2$!A& 5(AE#

Midterm 5rade +%?N ??1?? 2inal 5rade )%?N //1/0

!112

VIII PRECON'ERENCE

Preconference is done a day "rior to duty to orient students on the clinical rules, dutyre9uirements, and the strategies that we will a""ly during clinical e"osure1 Another"reconference is done during the day of duty Dust before the duty starts1 PracticingClinical $nstructors will be having

I. STRATEGIES O' TEACHING"LEARNING STRATEGIES3 METHODS

The following are strategies used#A1 Practical learningB1 Coo"erative learningC1 &ecture:iscussion1 EvaluationE1 Eamination



. POSTCON'ERENCE

Post conference is done every after the clinical duty1 This is allotted to discuss what thestudents learned during the e"osure1 Clinical instructorGs and those from PracticingClinical $nstructorsG observations are discussed with the students1 Any "roblems and

diJculties are also taken into consideration1 Practicing Clinical $nstructor of the day maygive a 9ui after the duty1 Evaluation for the Practicing Clinical $nstructor will thenfollowing1

.I PLAN O' ACTIVITIES

O#-ECTIVES TEACHERS4 ACTIVITIY STUDENTS4ACTIVITY

EVALUATION

+1 2ormulate and$EC material forEarth9uakeand 2ire rill to

at least )level of Activity

iscuss isaster !ursingConce"ts

2ire rill andEarth9uake rill $ECmaking, isaster!ursing Conce"ts

At the end of thediscussion thestudent will beable to make an

$EC material aboutthe conce"t to atleast 0 level ofcom"etency1

)1 A""raisethroughBatteryeamination to at least0 levelof Mastery

?1 Transcribe

givenoctorGsorder to atleast 0level ofmastery

Construct BatteryEaminations with to"icsfrom the 2undamentals of!ursing, Maternal and Child,Community, Medical:.urgical!ursing and Psychiatric!ursing and (esearch1iscuss the Clinical (otation

Plansrills for TranscribingoctorsG -rders

Battery Eaminations,-rientation of theClinical -rientationPlansrills for TranscribingoctorsG -rders

At the end of theactivities, thestudent will beable to a""reciatethe value ofcontinual"re"aration forthe Battery

eamination everysemester andtranscribe givenoctorGs order toat least 0 levelof mastery1

<1 AssistduringorientationProgram of4os"italstaK from

BukidnonProvincialMedicalCenter1

4os"ital -rientation byBukidnon Provincial MedicalCenter Malaybalay .taK and-Jcers(eview of Clinical (ules and(egulations, Policies

4os"ital -rientationby BukidnonProvincial MedicalCenter Malaybalay.taK and -Jcers(eview of Clinical

(ules and(egulations, Policies

At the end of theactivities, thestudent will beable to assistduring orientationProgram of

4os"ital staKfrom BukidnonProvincial MedicalCenter1

1 Assist duringorientationProgram of4os"ital staKfrom BukidnonProvincial4os"ital:Maramag1

/1 Practice drillsof lling:out

4os"ital -rientation byBukidnon 4os"ital: Maramag.taK and -Jcersrills for the re9uirements of Practicing Clinical $nstructorsand diKerent 4os"ital forms

4os"ital -rientationby Bukidnon 4os"ital:Maramag .taK and-Jcersrills for there9uirements ofPracticing Clinical$nstructors and

diKerent 4os"italforms

At the end of theactivities, thestudent will beable to#Assist duringorientationProgram of4os"ital staK

from BukidnonProvincial




EVALUATION

the hos"italforms to atleast 0level of

com"etency1

4os"ital:Maramag

Practice drills oflling:out the

hos"ital forms toat least 0 levelof com"etency1

01 emonstrateknowledge,skills andattitude inrenderingnursing careto clients in$CU, E(, -P,and $solationarea to at

least 0level ofmastery1

.u"ervise 4os"ital duty tos"ecial areas 7$CU, E(, -P,$solation Area8 withPracticing Clinical $nstructors

4os"ital duty tos"ecial areas 7$CU, E(,-P, $CU8 withPracticing Clinical$nstructors

At the end of theactivities, thestudent will beable to#emonstrateknowledge, skillsand attitude inrendering nursingcare to clients in$CU, E(, -P, and

$solation area toat least 0 levelof mastery1

@1 .chedule theactivities ase"ectedduring thesemester1

Attend 2acultyconference%.tudent 5eneralAssembly

Attend 2acultyconference%.tudent5eneral Assembly

At the end of theactivities, thestudent will beable to#.chedule theactivities ase"ected duringthe semester

I1 Conduct4emodialysis.eminar to atleast 0 levelof Mastery1

Conduct 4emodialysis.eminar 4emodialysisConce"ts .eminar At the end of theactivities, thestudent will beable to conduct4emodialysis.eminar to atleast 0 level ofMastery1

+*1 emonstrateknowledge,skills andattitude in

renderingnursing care toclients in $CU,E(, -P, and$solation areato at least 0level ofmastery1

4os"ital duty to s"ecialareas 7$CU, E(, -P,$solation Area8 withPracticing Clinical $nstructors

4os"ital duty tos"ecial areas 7$CU, E(,-P, $CU8 withPracticing Clinical

$nstructors

At the end of theactivities, thestudent will beable to

demonstrateknowledge, skillsand attitude inrendering nursingcare to clients in$CU, E(, -P, and$solation area toat least 0 levelof mastery1

++1 Assess theirlevel oflearning ofthe

conce"tslearned in

Construct MidtermEaminations

2acilitate making of thePrototy"e Manual of ."ecial

Take Midterm Eam

Construction of

Prototy"e Manual of."ecial Areas in $CU,

At the end of theactivities, thestudent will beable to#

+1 Assess their




EVALUATION

the $CU, E(,-P, and$solationArea

Conce"t toat least0 levelof mastery1

+)1 Com"osean"rototy"eof Manualin the $CU,E(, -Pand$solation.ection at

least 0level ofMastery

Areas in $CU, E(, -P and$solation Area 1

E(, -P and $solationArea

level oflearning of theconce"tslearned in the

$CU, E(, -P,and $solationArea Conce"tto at least0 level ofmastery1

)1 Com"ose an"rototy"e ofManual in the$CU, E(, -Pand $solation.ection atleast 0

level ofMastery1

+?1 emonstrateknowledge,skills andattitude inrenderingnursing care toclients in.urgical and

Pediatric Areato at least 0level ofmastery1

.u"ervise .urgical%Pediatric3ard Area 4os"ital uty7BP4 O BPMC8

.urgical%Pediatric3ard Area 4os"italuty 7BP4 O BPMC8

At the end of theactivities, thestudent will beable to#emonstrateknowledge, skillsand attitude inrendering nursing

care to clients in.urgical andPediatric Area toat least 0 levelof mastery1

+<1 emonstrateknowledge,skills andattitude inrenderingnursing careto clients in

.urgical andPediatric Areato at least0 level ofmastery1

.u"ervise Medical Area4os"ital uty 7BP4:Maramag8

Medical Area 4os"italuty 7BP4:Maramag8

At the end of theactivities, thestudent will beable todemonstrateknowledge, skillsand attitude in

rendering nursingcare to clients in.urgical andPediatric Area toat least 0 levelof mastery

+1 Assess thelevel ofknowledge ofthe &evel $'students1

Conduct 2inal Eamination Take 2inalEamination

At the end of theactivities, thestudent will beable to#Assess the level of knowledge of the

&evel $' studentsand achieve at




EVALUATION

least 0 level ofcom"etency1

+/1 Present theirCase .tudy toat least 0level ofMastery1

Criti9ue Case Presentation Case Presentation At the end of theactivities, thestudent will beable to "resenttheir Case .tudyto at least 0level of Mastery1

+01 efend theirlearning of thevarious nursingconce"ts to atleast 0 levelof mastery1

Conduct -ral (evalida efend -ral (evalida At the end of theactivities, thestudent will beable to#

+@1 emonstratenursing"rocedures atleast 0 levelof com"etency1

Conduct PracticalEamination

emonstration of!ursing .kills duringPractical Eamination

At the end of theactivities, thestudent will beable todemonstratenursing"rocedures atleast 0 level ofcom"etency1

.II SCHEDULE O' CLINICAL DUTY

TIME O'ACTIVITIES

DAY !

0#**:0#?* am Time of travel from CMU to BP4:Maramag%0#?*:0#< am Preconference and checking of "ara"hernalia together with

Practicing Clinical $nstructor0#<:@#** am &ogging:in and endorsement

&isten to endorsements@#**:@#?* am Entrances into the ward%$CU%$solation%-P:E(

Establish ra""ort with the "atient and signicant othersAssessment of the "atient and $nitial vital signs takingMorning care and bedside care

Check available medications and $'s@#?*:I#** am rug .tudy

Pre"aration and administration of medicationsAssist in the octorGs (ounds and carrying out of doctorsG order

I#**:+*#** am Continue morning care and bedside careConstruction of the A( sam"le chartingChecking and "lotting of vital signs for +* am

+*#**:++#?* am Continue morning care and bedside carerug .tudy, "re"aration and administration of medicationsConstruction of 2inal A( sam"le chartingCarrying out of octorGs -rder

++#?*:+)#** nn &unch Break H +st batch 7Endorse "atient8

Pre"arations%Administrations of Medications for +) nn and + "m+)#**:+)#?* "m &unch Break H )nd batch 7Endorse "atient8+)#?*:+#?* "m Construction and Checking of A( sam"le charting



Pre"arations of medications for ) "m+#?*:)#** "m Transcri"tion of A( charts, checking and "lotting of '. for )"m

(eview of the s"ecial orders% endorsements during the shift

)#**:)#?* "m Close charting, checking and signing of charts by the clinicalinstructor1

)#?*:<#** "m Endorsement to !urse:on:uty

<#** "m Eit from ward and Post conference

Clinical Teaching Plan Level IV First Semester

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