WESLEYAN UNIVERSITY - PHILIPPINES

COLLEGE OF NURSING AND ALLIED MEDICAL SCIENCES

PLANNED CLINICAL INSTRUCTION PROGRAM
(PCIP)
Agency:
National Center for Mental Health
Unit/Area: Pavilion __
Shift:
7:00 AM- 3:00 PM (Monday to Friday, Summer SY 2015-2016)
Dates:
May 23, 2016 June 3, 2016
Description: The planned clinical instruction program (PCIP) provides a comprehensive attention to the related learning experience of the Bachelor of Science in Nursing
Level III students on the concepts of:
Mental Health and Mental Illness
Collaborative Process of the Mental Health Team
Theories of Human Behavior

Therapeutic Milieu
The Nurse-Client Relationship

Psychopharmacology
Therapeutic Communication

Psychotherapeutic Interventions
Mental Status Examination

Nursing Process: Context in Psychiatric Nursing

Psychosocial Assessment
General Objective: Through the related learning experience at National Center for Mental Health, the BSN III students will be equipped with
the fundamental knowledge, skills, and attitude in the care of patients with maladaptive patterns of behavior.

Specific Objectives: At the end of the 80-hour rotation and given clients with maladaptive patterns of behavior, the student will be able to:

1.
2.
3.
4.

Be acquainted with the structure, personnel, policies and procedures of the institution through establishing an orientation to the clinical unit.
Observe daily morning routines
Establish rapport and professional working relationship with the client and their family, the staff and administrators.
Utilize the nursing process in the context of psychiatric nursing, mindful of the concepts of:
- Mental Health and Mental Illness
- Theories of Human Behavior
5. Apply therapeutic communication techniques effectively to the clients within the duration of the nurse-client relationship.
6. Assess the client accurately using process recording, mental status examination and psychosocial assessment guides.
7. Provide basic nursing care procedures, such as:

-Hygienic measures

-Vital signs taking

8. Provide different psychotherapeutic interventions.
9. Observe Electro Convulsive Therapy (ECT) procedure.
10. Observe provision of care to patients with different mental disorders in other pavilions.
11. Appreciate the roles and responsibilities of a psychiatric nurse in the provision of care to clients and as a member of the mental health team.

Page 1 of 38 [Carissa Balaria; WUP]

SCHEDULE OF ACTIVITIES

Date

Activity

May

(Mo

7:00

WEEK 1
DAY 1

Students Orientation at Pag-asa Hall

Courtesy call to the Nursing Supervisor, Head Nurse, Staff Nurses and Nursing aides
Pre-conference
o Reiterate policies, rules and regulations of the hospital regarding affiliation and affiliates
o Orientation on the physical set-up, policies, rules and regulations of the assigned Pavilion
o Discuss the role of each staff members in the psychiatric area
Psychiatrist
Psychologist
Nurses
Nursing Aides
Social Workers
Family / Significant others
o Observation in the ward activities of the personnel with clients
o Discuss the responsibility of the nursing students in dealing with clients
view and perceptions and remember the following techniques:
focus on his/her safety and security
focus also on the safety, security and feelings of the client

Page 2 of 38 [Carissa Balaria; WUP]


10:0

10:1

accept client as he/she is

be honest and consistent
encourage clients to express more fully
reflect, clarify and validate clients statement
encourage hope and never with false assurance
acknowledge verbal and non-verbal behavior
do not provide a response that implies that the client is unworthy
never be defensive and avoid asking why
attempt to establish good relationship at all times
o Discuss the Rights of the Patients
Accurate diagnosis
Confidentiality
Quality care and holistic treatment
o Appropriate care according to his/her cultural background and religious belief
Dignity
Self-determination
Information
Freedom of Choice (if he/she competent)
Health Education
Refuse to participate in research and training
Protection against labor and exploitation
o Discuss the routine procedures of the nursing students
o Discuss mental health concepts, therapeutic nursing process, and some psychiatric disorder
presented by the patient in the area
o Students introduction of self (autobiography)
Evaluation Conference
o Discuss the grading system, the requirements of the related learning experience, flow of the duty
for the entire 2 weeks of stay in the area
o Provide assignments to students for the whole rotation.

Page 3 of 38 [Carissa Balaria; WUP]

10:4

Page 4 of 38 [Carissa Balaria; WUP]

Page 5 of 38 [Carissa Balaria; WUP]

11:4

Page 6 of 38 [Carissa Balaria; WUP]

May

(Tue

7:00

DAY 2

Pre-conference
o Self Awareness Activity
Receiving of patient from the Staff Nurses and Nursing Aides for activity
Activity of Daily Living
o self care activities
o encourage independence or with assistance
o self esteem worth
o improve function and health
o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the
skin, care of the nail
Nurse Patient Interaction (Orientation Phase)
o Introduce self
o Set therapeutic contract
o Trust and rapport
o Therapeutic Environment
o Assess clients strength and weakness
o Help and/or encourage the client to communicate
o Observe the clients during therapeutic communication on general
appearance, motor behavior, clients verbal communication,
disturbances of clients perception, thought process, mood and affect,
sensorium and intellectual process, judgment and insight, self concept and roles and relationship
BREAK
o Returning/endorsing of patients to the Staff Nurses and Nursing Aides
o Nursing Students Break (Per batch)

Page 7 of 38 [Carissa Balaria; WUP]

o
o
o

Post Conference
Appreciation and evaluation of the activity
Discussion of Concepts Mapping/ Process Recording and Therapeutic Communication
Discussion among students the activity for tomorrow (Wednesday).

9:00

Page 8 of 38 [Carissa Balaria; WUP]

11:0

Page 9 of 38 [Carissa Balaria; WUP]

11:1

May

Wed

7:00

DAY 3

Pre-conference
Discussion of what transpired last meeting
Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting
o Organize support system
o Verbalize feelings (encourage)
o Implement action plan
o Develop positive coping behaviors
o Evaluate the results of plan of action
o Receiving of clients from the staff nurses and nursing aides for activity
Activity of Daily Living
o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the
skin, care of the nail

Page 10 of 38 [Carissa Balaria; WUP]

9:00

Start of Activity
o Short Prayer
o Introduction of the Nursing students and the patients
o Calisthenics
o Music Appreciation thru and Art Therapy
o Song Therapy (at least one to two clients)
o Newspaper Reading/Discussion
BREAK
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Post Conference
After care of the materials used
Appreciation and evaluation of the activity
Making of Process Recording
Discussion of related topics for the day (Pharmacology)

Page 11 of 38 [Carissa Balaria; WUP]

11:0

Page 12 of 38 [Carissa Balaria; WUP]

11:1

May

DAY 4

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting

Page 13 of 38 [Carissa Balaria; WUP]


Thu

7:00

9:00

o Organize support system

o Verbalize feelings (encourage)
o Implement action plan
o Develop positive coping behaviors
o Evaluate the results of plan of action
o Receiving of clients from the staff nurses and nursing aides for activity
Activity of Daily Living
o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth,
care of the skin, care of the nail
o Short Prayer
o Introduction of the Nursing students and the patients
o Calisthenics
o Music Appreciation thru and Art Therapy
o Song Therapy (at least one to two clients)
o Newspaper Reading/Discussion
BREAK
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Post Conference
o After care of the materials used
o Appreciation and evaluation of the activity
o Making of Process Recording
o Discussion of related topics for the day (Schizophrenia)

Page 14 of 38 [Carissa Balaria; WUP]

Page 15 of 38 [Carissa Balaria; WUP]

11:0

11:1

DAY 5
Page 16 of 38 [Carissa Balaria; WUP]


May

Frid

7:00

9:00

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting
o Organize support system
o Verbalize feelings (encourage)
o Implement action plan
o Develop positive coping behaviors
o Evaluate the results of plan of action
o Receiving of clients from the staff nurses and nursing aides for activity
o Activity of Daily Living
o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth,
care of the skin, care of the nail
o Short Prayer
o Introduction of the Nursing students and the patients
o Calisthenics
o Music Appreciation thru and Art Therapy
o Song Therapy (at least one to two clients)
o Newspaper Reading/Discussion
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Chart Reading
o legal document
o strict confidentiality
o safeguard and care of the thick and loose chart
o return after use
Post Conference
o After care of the materials used
o Appreciation and evaluation of the activity

Page 17 of 38 [Carissa Balaria; WUP]

o
o
o
o

Making of Process Recording

Discussion of related topics for the day (Mood Disorders)
Examination/Quiz for the week
Discussion among students the activity for next week (Monday).

Page 18 of 38 [Carissa Balaria; WUP]

11:0

11:3
Page 19 of 38 [Carissa Balaria; WUP]

 WEEK 2
DAY 6

May

Mon

7:00

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting
o Organize support system
o Verbalize feelings (encourage)
o Implement action plan
o Develop positive coping behaviors
o Evaluate the results of plan of action
o Receiving of clients from the staff nurses and nursing aides for activity
o Activity of Daily Living
o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of
the skin, care of the nail
o Short Prayer
o Introduction of the Nursing students and the patients
o Calisthenics

Page 20 of 38 [Carissa Balaria; WUP]

9:00

o Recreational Therapy (Games with Music)

o Song or Dance Therapy
o Photo therapy
o Bibliotherapy
BREAK
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Post Conference
o After care of the materials used
o Appreciation and evaluation of the activity
o Making Process Recording
o Discussion of related topics for the day (Thought Disorders)
o Discussion among students the activity for tomorrow (Tuesday).

Page 21 of 38 [Carissa Balaria; WUP]

11:0

Page 22 of 38 [Carissa Balaria; WUP]

11:1

May

Tues

7:00

DAY 7

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting
o Organize support system
o Verbalize feelings (encourage)
o Implement action plan
o Develop positive coping behaviors
o Evaluate the results of plan of action
o Observe for common treatment like Electroconvulsive Therapy (ECT)
o Receiving of clients from the staff nurses and nursing aides for activity

Page 23 of 38 [Carissa Balaria; WUP]

o Activity of Daily Living

o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of
the skin, care of the nail
o Short Prayer
o Introduction of the Nursing students and the patients
o Calisthenics
o Remotivation Therapy
o Music Therapy
o Occupational Therapy

9:00

BREAK
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Post Conference
o After care of the materials used
o Appreciation and evaluation of the activity
o Discussion of related topics for the day (Substance-Related and Addictive
Disorders)
o Discussion among students the activity for tomorrow (Wednesday).

Page 24 of 38 [Carissa Balaria; WUP]

11:0

Page 25 of 38 [Carissa Balaria; WUP]

11:1

June

DAY 8

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting

Page 26 of 38 [Carissa Balaria; WUP]

o
o
o
o
o
o
o
o
o
o

Wed

7:00

o
o
o
o
o
o

9:00

Organize support system

Verbalize feelings (encourage)
Implement action plan
Develop positive coping behaviors
Evaluate the results of plan of action
Observe for common treatment like Electroconvulsive Therapy (ECT)
Receiving of clients from the staff nurses and nursing aides for activity
Activity of Daily Living
Hygiene and Grooming
Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of
the skin, care of the nail
Short Prayer
Introduction of the Nursing students and the patients
Calisthenics
Remotivation Therapy
Music Therapy
Occupational Therapy

BREAK
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Post Conference
o After care of the materials used
o Appreciation and evaluation of the activity
o Discussion of related topics for the day (Anxiety Disorders)
o Discussion among students the activity for tomorrow (Wednesday).

Page 27 of 38 [Carissa Balaria; WUP]

Page 28 of 38 [Carissa Balaria; WUP]

11:0

11:1

Page 29 of 38 [Carissa Balaria; WUP]

June

Thu

7:00

9:00

DAY 9

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Working Phase)
o Promote positive self-concept
o Realistic goal setting
o Organize support system
o Verbalize feelings (encourage)
o Implement action plan
o Develop positive coping behaviors
o Evaluate the results of plan of action
o Observe for common treatment like Electroconvulsive Therapy (ECT)
o Receiving of clients from the staff nurses and nursing aides for activity
o Activity of Daily Living
o Hygiene and Grooming
o Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of
the skin, care of the nail
o Short Prayer
o Introduction of the Nursing students and the patients
o Calisthenics
o Remotivation Therapy
o Music Therapy
o Occupational Therapy
BREAK
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
o Nursing Students Break
Post Conference
o After care of the materials used
o Appreciation and evaluation of the activity
o Discussion of related topics for the day

Page 30 of 38 [Carissa Balaria; WUP]

o Discussion among students the activity for tomorrow (Wednesday).

Page 31 of 38 [Carissa Balaria; WUP]

11:0

11:1

Page 32 of 38 [Carissa Balaria; WUP]

June

DAY 10

Pre-conference
o Discussion of what transpired last meeting
o Preparation of materials for routine procedures for the day
Nurse Patient Interaction (Termination Phase)
o
o
o
o
o
o
o
o
o

Frid

7:00

o
o
o
o

Promote self care

Recognize increasing anxiety
Increase independence
Demonstrate emotional stability
Environmental support
Receiving of clients from the staff nurses and nursing aides for activity
Activity of Daily Living
Hygiene and Grooming
Emphasizes on hand washing, wound dressing, care of the hair, care of the
mouth, care of the skin, care of the nail
Short Prayer
Introduction of the Nursing students and the patients
Grand Socialization Activity
Prepare parlor games /team or group games

BREAK

Opportunity by the nursing students to terminate nurse patient relationship

leading the patients into no hopefuls and dependency
o Returning/endorsing of clients to the Staff nurses and Nursing Aides
Post Conference

Page 33 of 38 [Carissa Balaria; WUP]

9:00

o
o
o
o
o
o

After care of the materials used

Appreciation and evaluation of the activity
Completion of requirements for grades in RLE psychiatric nursing
exposure
Tour of Nursing Students to different Pavilion
End of duty exposure at NCMH for the group.

Page 34 of 38 [Carissa Balaria; WUP]

11:0

11:1

Page 35 of 38 [Carissa Balaria; WUP]


TIME

Week

Week

6:15-

A
C
T
I
V
I
T
I
E
Monday (day 1)
S

Tuesday (day 2)

Wednesday (day 3)

Pre-conference
Courtesy callPto
hospital
r
administrative
a
officers
Courtesy callyto the
nursing staffe
in the
clinical unit
r
Review on the
concept of NurseC
Client relationship
h
Self-awareness
e
activities
Assignment of
c
Specific Clients
k
Chart Reading
i
(variable schedule)
Post-conference
n
-Evaluation
g
-Planning for
tomorrows activities
Monday (dayo4)

Pre-conference
Ward Class
Morning Hygiene Care
Morning Exercise
Psychotherapeutic Interventions
Snack Break for Clients
Nurse-Client Interaction
Process Recording
Post-conference
-Evaluation of the goals for
the day
-Planning for tomorrows
activities

Tuesday (day 5)

Pre-conference
Ward Class
Morning Hygiene
Care
Morning Exercise
Psychotherapeutic
Interventions
Snack Break for
Clients
Nurse-Client
Interaction
Process Recording
Post-conference
-Evaluation of
the goals for the
day
-Mid-rotation
evaluation
-Planning for
tomorrows
activities
Wednesday (day 6)

Pre-conference
Ward Class
U
Morning Hygiene
Care
n
Morning Exercise
i
Psychotherapeutic
Interventionsf
Snack Break o
for
Clients
r
Nurse-Client
Interaction m
Process Recording
/
Post-conference
-Evaluation of the
goals for thePday
-Planninga
for
tomorrows activities
r

Pre-conference
Ward Class
Morning Hygiene Care
Morning Exercise
Psychotherapeutic Interventions
Snack Break for Clients
Nurse-Client Interaction
Process Recording
Observation of ECT procedure
Physical Tour and Observation of
provision of care of other
Pavilions
Post-conference
-Evaluation of the goals for
the day
-Planning for tomorrows
activities

a
p
h
e
r
n

Pre-conference
Socialization Party
Snack Break for
Clients
Nurse-Client
Interaction
Process Recording
Post-conference
-Evaluation of
the goals for the
day
-Submission of
RLE requirements
RLE Evaluation

Summary of Activities:

Page 36 of 38 [Carissa Balaria; WUP]

Prepared by:

CARISSA JULIANA R. BALARIA, RN, MAN

Clinical Instructor

Submitted to:

JOSEPHINE O. SAMONTE, RN, MAN

Program Chair for Nursing, CONAMS

Approved by:

DR. REYNALDO M. SAMONTE

Dean; CONAMS

Page 37 of 38 [Carissa Balaria; WUP]

Significant dates and Requirements:

W
ee
k
1

W
ee
k
2

Mon

Mon

Tues

Tues

Wed

Wed

Thurs

Thurs

Fri

Fri

Page 38 of 38 [Carissa Balaria; WUP]