CLINICAL

ORIENTATION
NUR 3755L
Spring, 2015

AGENDA FOR NUR 3755L

ORIENTATION
8AM WELCOME
AGE OF CHAMPIONS
ALZHEIMER PROJECT

Review of NUR 3755L syllabus

Review of clinical paperwork
Review of clinical evaluation
tool
Hints for clinical information
9:45 BREAK
10:00 PREVENTION OF MEDICAL ERRORS
11:15 AM MEET FACULTY

POSITIVE AGING: THE AGE OF CHAMPIONS

http://ageofchampions.org/

ALZHEIMER PROJECT - LTC

PREVENTION OF MEDICAL ERRORS

http://qsen.org/faculty-resources/videos/chasingzero-winning-the-war-on-healthcare-harm/

CLINICAL
Long-Term
Care sites
SITES

Melbourne Terrace Mrs. Vohra Th/Fr

251 Florida Ave, Melbourne 32901
Park at MCC and walk over; carpool; no food close
Back door entry *725 (need to confirm this)

Health Center of Merritt Island Mrs.

Krause Th/Fr
500 Crockett Blvd, Merritt Island 32953
Carpool, park in church lot on east of building

CLINICAL
Long-Term
Care sites continued
SITES
Royal Oaks Rehabilitation Center Mrs
Sawdy Th/Fr
o 2225 Knox McCrae Blvd Titusville, FL 32780

Life Care Center Melbourne Mrs

Hargraves Th/Fr

o 606 East Sheridan Road Melbourne, FL 32901

o Passcode 0215* (changes each monthmonth/year)

CLINICAL REQUIREMENTS
Paperwork
Forms
Requirements by all
facilities
Special requirements

PAPERWORK
Updated Health Form with TB test result
Current CPR certification (that extends through
August 2016)
Proof of current health insurance
FDLE/FBI fingerprinting and drug testing
HIPAA
Form related to the reading of the 2014-2015
College of Nursing Student Handbook.

CLINICAL HOURS
90 Long-term Care
7 hours orientation
7 hours of simulation
84 hours in facility
(9 8.5 hour days)
Clinical hours 0630-1600
30 minutes for lunch not
counted

Finish CNC hours VA Stand

Down

ATTENDANCE
Attendance at scheduled clinical experiences is
MANDATORY.
Excused absences include personal illness, illness of
child or other dependent and a death of immediate
family members.
Students who are ill must notify the instructor before the
start of the clinical experience for that day. Sending
messages via other students is not acceptable.
Unexcused absences will result in clinical failure
Punctuality is imperative more than 5 minutes late is
considered tardy by healthcare employers and UCF College
of Nursing
Plan for traffic, trains, planes and automobiles.

DRESS CODE
UCF uniform whenever in clinical area
When not to wear uniform: Any off-campus
activities deemed non-professional such as
bar hopping
Nails, Jewelry, make-up, perfume, facial hair
Tattoos, piercing must be covered.
2 small stud earrings only
No smoking in uniform or odor or smoke
No perfume

PREPARATION FOR CLINICAL

Students must be prepared
Must have LTC drug cards on all clinical days
You will be expected to be competent in skills you
have learned in lab such as vital signs assessment,
basic hygiene, basic assessment, safe use of mobility
aides, feeding safety and aspiration precautions,
medical asepsis and resident safety.
Unprepared students will be asked to leave for the
day and will result in an unsatisfactory grade for the
day
Can result in clinical failure

PREPARATION FOR CLINICAL

Getting assignments- Clinical Instructors will send
basic info via coursemail:
Example #1 : if your instructor tells you that you will care for an
82-year-oldfemale who is 4 days post-op hip surgery, you need
to review care of the resident how has had that type of
procedure (This is why you have your Lewis Med/Surg text!)
Example #2 : if your instructor tells you that you will be caring for a
72-year-old male who had a stroke and has a gastrostomy tube
which is used for feeding, you will need to know about stroke care and
tube feeding care.

SAFE PRACTICE
Students deemed UNSAFE will be removed from
clinical and a clinical failure will be recorded.
Keep up on your assessment skills.
Know your normal and when to report these to your
instructor. Any abnormal findings should be shared
with your instructor in a timely fashion.
Keep the normal vital sign sheet given to you by Dr.
Burr

IMPAIRED PRACTICE
Students who are suspected of attending clinical
impaired may be sent for screening for illegal
substances and will be referred for further discipline
to program coordinator/Associated Dean and
potentially Students Rights and Responsibilities.
There should be no discussion of personal social
activities including use of alcohol, beer pong, what
you did last night, etc in the clinical environment
This has led to student dismissal from the nursing
program

CLINICAL ACCOUNTABILITY
Please review clinical accountability
policies in CON Handbook

CLINICAL HINTS
Know
Where you are going
Where to park
How long it takes to get there
When to be there
What to wear

EQUIPMENT
Professional Nursing Items
Black pen
Stethoscope & BP cuff
Pocket penlight (working)
Small Pad of paper
Bandage scissors
Watch with a sweep second
hand

Extra Things to Carry

a.Several alcohol wipes
b.Extra pair of gloves
c.Hemostat or other
smallclamp (not required)
Approved References
Drug book
Reference clinical companions
Lab reference
Drug cards

REQUIRED DRUG CARDS

(DUE BY MARCH 19)
Types of insulin
Novolog (insulin aspart)
Novolog 70/30 insulin
Humalog (insulin lispro)
Levemir (insulin detemir)
Lantus (insulin glargine)
Regular insulin
NPH insulin
Novolin/Humalin 70/30
insulin

Common Injections
Lovenox (enoxaparin)
Flu vaccine
Pneumococcal vaccine
PPD TB testing
Cyanocobalmin (Vitamin B-12)

DOCUMENTATION TOOLS IN LTC

Fall risk assessment*
Skin assessment*
Admission assessment*
Monthly assessment*
Neuro assessment*
MDS care plan
Others
*

Handout given at LTC orientation

WEEKLY PAPERWORK
Journal each week to LTC instructor by coursemail
see sample in NUR 3028 LTC module
Clinical log each week to LTC instructor by coursemail
7 hours LTC orientation
7 hours LTC simulation
8.5 hours each LTC clinical day (9 total)
Short form/SOAP note each resident
Sample LTC SOAP:
https://webcourses.ucf.edu/courses/1078990/files/41997957?module_item_id=7957831

1 satisfactory NCP
Cut and paste samples and forms
Sample LTC care plan:
https://webcourses.ucf.edu/courses/1078990/files/41998015?module_item_id=7957833
blank form
https://webcourses.ucf.edu/courses/1078990/files/43092096?module_item_id=810158
8

SUCCESS HINTS & TIPS

Drink water and keep a quick snack handy.
Wash you hands frequently!!! (after transporting client, leaving facility, etc)
Be aware of your verbal and non-verbal language.
Accurate assessment
Observation
Listening

Documentation is VIP
Make sure you have the right chart
We may document meds/vitals/etc but will not document care notes.
Your SOAP will serve as this function and must be complete
See sample SOAP in course
https://webcourses.ucf.edu/courses/1078990/files/41997957?mod
ule_item_id=7957831

PRIORITIZE
THINK!
a.What do you see?
b. What other data do you need?
c.What does it mean?
Most importantly
d.What should you do about it?
Then do it. And go onto the next need.

MORE SUCCESS HINTS & TIPS

Treat the resident first. If the way the resident
looks isnt supported by the data, recheck both.
ABC if a resident becomes restless and/or
agitated or has a change in the LOC check
respiratory status. If decreased then act quickly
notify instructor or closest nurse.

MORE HINTS
Develop a plan for:
a.AM care
b. Assessment head to toe
c.Getting procedures done
Charting
Dont wait until 1100 to start
an assessment or AM care.
Assessments need to be
done EARLY FIRST.

ABCDEs
Assess Client, equipment & environment
Baseline Vitals & Communications/Care
Chart Review - H&P, labs, treatments
Drugs - meds at home vs in rehab (changes?)
Evaluation are all concerns identified in care plan
Re-evaluation any new issues identified, orders?

RESPECT THE RESIDENT

Remember Confidentiality
HIPAA- TIME AND PLACE FOR DISCUSSIONS!!!
Remember we are temporary guests.
Courtesy.
Caring
Chain of command
Instructor is first!!!

CRITICAL THINKING
Check residents
frequently for changes
and determine why any
changes have occurred.
Do not move on to help
staff with routine tasks
until full assessments and
all care is rendered to
your client

MEET YOUR INSTRUCTORS

Make a good first impression!

Print your evaluation form ONLY ONCE for your instructor when
weekly paperwork is due:
https://webcourses.ucf.edu/courses/1078990/files/43091943?module_item_id
=8101580

ON TO HEALTH FIRST REHAB

What you will learn there
Learn the role of physical and
occupational therapists in
promoting rehabilitation
Build on what you learned in
simulation experience on
mobility
How to prevent, recognize
and treat aspiration from a
speech therapist.
***This content will be on next
test!!

DIRECTIONS TO HRMC
HRMS Holmes Regional Medical Center
Address 1350 South Hickory St. Melbourne
Take 1-95 to US 192 (exit 181)
Turn left at end of exit ramp
Take 192 east to Babcock St.
Turn left (north) on Babcock
Go up 2 lights to Hibiscus Blvd and make
right (east)
HRMC is on the left several lights up.
Park in parking A 3
This is located across the street (east
side) of hospital between ALF and nursing
home.
ALTERNATE routes are NOT advisable
due to road work at end of Hickory
St.