Course Title

CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC RESPONSE AND PERCEPTION AND COORDINATION Course Description : This course deals with the concepts, principles and theories of human behavior and the care of the sick client across the lifespan with emphasis on the adult and the older person, population group experiencing alterations in Inflammatory and Immunologic Response and perception and coordination in varied settings. Contact hours : Course Objectives : At the end of the course and given actual clients, population group, with problems in inflammatory and immunologic response and perception and coordination, the student should be able to: A. Utilize the nursing process in the care of individuals, families in community and hospital settings. Name of the Institution : Unit/Area Assigned : Description of the Learners : The students belong to the Level 4 of their nursing education who had finished their concepts in Nursing Care Management (NCM) 100, 101, 102, 103, 105 and have successfully passed the necessary requirements in the level. Description of the Setting : The clinical exposure will take place at the St. Joseph Unit of St. Paul Hospital Tuguegarao situated at the 2nd floor, east wing of the new building of the hospital. Length of Exposure : The students will be exposed for 2 weeks in St. Joseph Unit of St. Paul Hospital Tuguegarao

Method of Evaluation: (THIS IS JUST A SAMPLE. YOU MAY WANT TO HAVE YOUR OWN CRITERIA, BASED ON YOUR OBJECTIVES) Knowledge (33.33%) - RLE exam 40% - Bedside Conference 30% - Case Study 10% - Case Presentation 20% Skills (33.33%) - Delivery of Care - OSCE Attitude (33.33%)

60% 40%

Attendance Decorum

20% 80%

Matrix: OBJECTIVES At the end of the rotation in the area, the student will be able to: 1. discuss the visionmission of the institution, the policies, procedures and protocols in the area. - Articulates the vision, mission of the institution - Acts in accordance with the established norms of conduct of the institution. Orientation/Briefing - The Clinical Instructor together Patients Assignment with the Clinical Coordinator Tasking conducts a general orientation program for the students. The (1-acting charge nurse, 1Training Officer and/or the medication nurse, others Nurse Supervisor of the hospital bedside nurse) will be asked to discuss the Learning Plan policies, Standard Operation, unit activities, and procedures during the activity. Pre-conference - The clinical instructor discusses the course objectives, the duty schedule, tasking, requirements and evaluation procedure - The clinical instructor asks the students to make a learning plan Reflective Learning Journal How do you promote safe environment and safe and quality nursing care BEHAVIORAL SIGNS (STUDENTS) MENTORING PROCESS (CLINICAL INSTRUCTOR) ASSESSMENT STRATEGIES

2. discuss the course objectives, the duty schedule and tasking, requirements and evaluation procedures for the clinical duty a. set goals for the

- Identifies own strength, weaknesses/limitation - Determines personal and professional goals and aspirations - Sets attainable objectives to

clinical experience b. agree on the roles and expectations

enhance nursing knowledge, skills and attitude - Assesses own performance against standards of practice

3. describe the learning environment for the clinical experience

- Adheres to policies, procedures and protocols on prevention and control of infection - Observes protocols on pollution-control (water, air and noise) - Observes proper disposal of wastes - Defines steps to follow in case of fire, earthquake and other emergency situations

every week (3 days). The learning plan serves as a basis for the clinical instructor in making the patients assignment. It is important to stress to the students the focus of the course. Incidental learning may occur and the clinical instructor should be able to identify these. Tour in the Area - The clinical instructor presents to the students the different areas in the unit. These include the nurses station, endorsement area, medication area, working area, handwashing area, draining/waste disposal area, utility room, supply room, equipment room and restroom. - The clinical instructor shall also present to the students the safety devices such as fire extinguisher, smoke detector device, buzzer, and fire exits. - Moreover, the clinical instructor shall discuss the DOs and DONTs in the area while performing the clinical duty.

of the patient?

ARFA (Reflective Journal)

4. Promote safe and quality nursing care to the child at risk/with problems (KRA: Safe and Quality Nursing Care)

Identifies the health needs of the child Explains the health status of the child

Identifies wellness potential and/or health problems of the child Gathers data related to the health condition of the child Analyzes the data gathered Selects appropriate action to support/enhance wellness response of a child Monitors the progress of the action taken to the child

Development of a Health Education Plan The clinical instructor asks the student to carefully examine the child and identify his/her health needs at the moment. From the data, the clinical instructor asks the student to develop a health education plan to explain the health status of the Adult. SIDE-BY-SIDE TEACHING The clinical instructor may act as a role model when he/she is performing an assessment as needed. The clinical instructor observes the student while obtaining information from the adult or family member and identify and address challenges. The clinical instructor may alternate with the student duties of examining the patient, writing relevant information to countercheck students outputs. DIRECT OBSERVATION The clinical instructor observes the student in the performance of safety measures, comfort measures and measures to ensure privacy.

Health Education Plan or Session design for the Health Education

Bedside Questioning

Performs safety measures in all aspects of care to the child Performs comfort measures in all aspects of care to the child

Actual Student Evaluation

Performs measures to ensure privacy in all aspects of care to the child

Identifies the priority needs of the child Analyzes the needs of the child Determines appropriate nursing care to address priority needs/problems Refers identified problem to the clinical instructor, staff nurse or any appropriate individual Establishes means of providing continuous care to the child Conforms to the 10 Golden Rules in medication administration and health therapeutics

Give emphasis on these measures during the skills laboratory These measures must be emphasized during the skills laboratory of the student. In all procedures, these must be observed always The clinical instructor must be Bedside Conference present during the assessment of Asks the students how to the student and identify with the prioritize the needs of the student the priority needs of the patients? adult. Asks the student the Assists the student in the analysis model he/she may utilize of the data gathered. (e.g. ABC, Maslow Hierarchy) The clinical instructor gives the Nursing Care Plans patients assignment to the charge nurse-on-duty. The clinical instructor must see to it that the student is assigned to the same patient as of the duty (except if the patient is already discharged) DIRECT OBSERVATION OSCE Initially, the clinical instructor reviews with the student the 10 golden rules in medication administration and health therapeutics The clinical instructor directly observes the student in the preparation of medications until the student has already been given the

medication to the patient. SIDE-BY-SIDE TEACHING Obtains informed consent from the significant others if not from a child Completes appropriate assessment forms Performs appropriate assessment techniques for a child Obtains comprehensive information from the child/significant others Maintains privacy and confidentiality Identifies health needs of the child Includes the child and family in care planning Collaborates with other members of the health team States expected outcomes of nursing intervention maximizing the childs competencies Development of Nursing Care Plan (NCP) The clinical instructor assists the students in the development of NCP The NCP is submitted by the student everyday (except the first day) and checked by the clinical Submission of Nursing Care Plans - The clinical instructor may act as a role model when he/she is performing an assessment as needed. - The clinical instructor observes the student while obtaining information from the client and identify and address challenges. - The clinical instructor may alternate with the student duties of examining the patient, writing relevant information to countercheck students outputs. Bedside Conference

Develops comprehensive care plan for the child maximizing opportunities for prevention of problems and/or enhancing wellness response Accomplishes a patient-centered discharge plan Explains interventions to the child and family before carrying them out to achieve identified outcomes Implements nursing intervention that is safe and comfortable Acts to improve the health condition or human response of the chid Performs nursing activities effectively and in a timely manner Uses the participatory approach to enhance patient-partners empowering potential for healthy lifestyle and wellness

instructor The NCP is evaluated by the student and the CI guides the students in the evaluation of patients outcomes

BEDSIDE TEACHING (defined as teaching and reinforcing skills at patients bedside) The clinical instructor can watch the student interact with patients and family The clinical instructor guides and supervises the student in the actual performance of nursing activity. The clinical instructor can experience what the student does and how he/she act with patient firsthand. The clinical instructor models important clinical skills, attitudes, and communication in the context of patient care as well as observes students performance.

Bedside Conference/questioning

Monitors effectiveness of nursing intervention Revises care plan based on expected outcomes

The clinical instructor guides the students in the evaluation of patient care During evaluation of patient care, the clinical instructor must be present at the bedside to ensure validity of the clinical evaluation made by the student A revised care plan may be asked as needed

Nursing Care Plans

PLEASE INCLUDE THE SCHEDULE OF ACTIVITES THAT YOU ARE GOING TO CONDUCT DAILY, FROM THE ORIENTATION UNTIL THE LAST DAY OF THE EXPOSURE.