SAINT PAUL UNIVERSITY OF THE PHILIPPINES

TUGUEGARAO CITY, CAGAYAN 3500

CARE OF CLIENTS WITH PROBLEMS IN CELLULAR ABERRATIONS,

ACUTE BIOLOGIC CRISIS INCLUDING EMERGENCY AND DISASTER
NURSING

Course Title CARE OF CLIENTS WITH PROBLEMS IN CELLULAR ABERRATIONS, ACUTE BIOLOGIC CRISIS
INCLUDING EMERGENCY AND DISASTER NURSING

Course Description: The course is designed to provide students the cognitive skills, technical skills,
interpersonal skills and ethical and legal skills in Perioperative Nursing.

Contact hours : 48 hours

Course Objectives : The course aims to inculcate the basic concepts in the understanding of Operating
Room Techniques and intra-operative procedures essential for the total care of surgical
patients.

Name of the Institution : Cagayan Valley Medical Center

Unit/Area Assigned : Operating Room

Description of the Learners : The students are on their fourth year level of nursing education having
gone through the three and a half year preparatory and have successfully
passed the necessary requirements for admission to the nursing course.
Description of the Setting: The clinical exposure will take place at the Operating Room of Cagayan Valley
Medical Center, a tertiary hospital located at Carig, Tuguegarao City.

Length of Exposure : The rotation for the Operating Room is scheduled two days weekly for two(2)
weeks equivalent to forty-eight(48) hours of related learning experience in each
rotated area. The students duty is scheduled in the morning shift (7:00am-
3:00pm).

Method of Evaluation:
Daily post-conferences and/or ARAS are facilitated before going off duty for students to share
their experiences, difficulties, insights and resolve conflicts brought about and encountered in
the exposure with the aim of maximizing the learning process.
Student performance and RLE grade will be evaluated and obtained on the basis of the following:

SKILLS--------------------------------------------40%
Total Patient Care-(40%)
Tool for Student Clinical Performance-(60%)

KNOWLEDGE-----------------------------------30%
Quizzes/Exercise-(30%)
Rotation Exam-(70%)
DOCUMENTATION----------------------------15%
Requirements: Articles/Drawing-(50%)
Case Study-(50%)

ATTITUDE-----------------------------------------15%
Attitude rating scale (CI)-80%
Attitude Rating Scale (Self-evaluation)-20%

RLE Area Grade------------------------------100%

 Matrix:

OBJECTIVES BEHAVIORAL SIGNS MENTORING PROCESS ASSESSMENT

(STUDENTS) (CLINICAL INSTRUCTOR) STRATEGIES
At the end of the
rotation in the area,
the student will be
able to:

1. discuss the vision- - Articulates the vision, Orientation/Briefing

mission of the mission of the institution - The Clinical Instructor together with Room Assignment
institution, the - Acts in accordance with the Clinical Coordinator conducts a Case Selection
policies, procedures the established norms of general orientation program for the
and protocols in the conduct of the institution. students. The Training Officer and/or Learning Plan
area. the Nurse Supervisor of the hospital will
be asked to discuss the policies,
Standard Operation, unit activities,
and procedures during the activity.

2. discuss the course Pre-conference

objectives, the duty - Identifies own strength, - The clinical instructor discusses the Reflective Learning
schedule and weaknesses/limitation course objectives, the duty schedule, Journal
tasking, - Determines personal and tasking, requirements and evaluation
requirements and professional goals and procedure How do you promote
evaluation aspirations . safe environment and
procedures for the - Sets attainable safe and quality nursing
clinical duty objectives to enhance care of the patient?
a. set goals for the nursing knowledge, skills
clinical experience and attitude
b. agree on the roles
and expectations
 - Assesses own
performance against
standards of practice
3. describe the - Adheres to policies, Tour in the Area Reflective Journal
learning procedures and - The clinical instructor presents to the
environment for the protocols on prevention students the different areas in the unit.
clinical experience and control of infection These include the nurses station,
- Observes protocols on endorsement area, medication area,
pollution-control (water, working area, handwashing area,
air and noise) draining/waste disposal area, utility
- Observes proper disposal room, supply room, equipment room
of wastes and restroom.
- Defines steps to follow in - The clinical instructor shall also present
case of fire, earthquake to the students the safety devices such
and other emergency as fire extinguisher, smoke detector
situations device, buzzer, and fire exits.
- Moreover, the clinical instructor shall
discuss the DOs and DONTs in the
area while performing the clinical
duty.

4. Discuss and - Articulates the principles DISCUSSION

demonstrate the of Aseptic Technique
principles of Aseptic - Act in accordance to the
Technique established principles.
 The clinical instructor reviews with the Assisting as a
students the principles of aseptic SCRUB/CIRCULATING
technique. NURSE

RETURN DEMONSTRATION

The Clinical instructor demonstrates

proper gowning and gloving, and how
to serve gown and gloves to the
Doctor. After then, the student will re-
demonstrate the skills. Through this, the
clinical instructor will be able to assess
the students skill competency.

DIRECT OBSERVATION

The Clinical Instructor, with its guidance,

directly observes the students when
assisting a surgical procedure. The
student should carefully act following
the principles of aseptic technique.
- DISCUSSION
5. Familiarize self to - Identify surgical
BASIC Surgical instruments The clinical instructor will orient students Conference/Questioning
Instruments and and its uses with the surgical instruments then OR write-ups
Surgical -Identify common surgical discuss the uses of each instrument.
terminologies terminologies
DISCUSSION
6. Discuss the roles of -Enumerate the roles of a Conference and
Scrub and scrub and circulating Questioning
Circulating Nurse nurse.
 The Clinical instructor will be discussing
to the students the roles of a scrub and
circulating nurse.
DIRECT OBSERVATION
7. Perform the roles of -Does surgical scrub, The clinical instructor,with its proper
a scrub nurse gowning and gloving guidance, will let the student assist in Assist as a SCRUB NURSE
correctly the procedure. The instructor will then in a surgical procedure
observe if the student is competent as a
-Prepares table and scrub nurse.
counts
sponges/instruments
correctly

-Assists in draping

-Anticipate the needs of

the surgeon

-Serves instruments
properly

-Dispose waste materials

properly

8. Perform the roles of -Prepares the OR for use DIRECT OBSERVATION

a circulating nurse
-Check consent and pre-
op checklist
-Position patient in the OR
bed
The Clinical instructor will assign a Assist as a CIRCULATING
student to act as a circulating nurse. NURSE in a surgical
The instructor will then observe the procedure.
student if he/she is competent as a
circulating nurse.
 -Counts sponges and
instruments correctly

-Anticipates the needs of

the surgical team

-Accomplishes records

-Collects and labels

specimen properly.

-Conducts patient safety

to RR

-Assist in cleaning and

preparing the room for
next case

ACTIVITIES:

Daily clinical activities for hospital nursing include the following:

a. Pre-conference helps clarify and direct activities for the day; initial coaching done by the Clinical
Instructor, and demonstration of clinical skills.
b. Hands-on this is the actual experience being an Operating Room nurse either being a SCRUB NURSE
or a CIRCULATING NURSE through the guidance always of the Clinical Instructor. Discussions shall be
conducted anytime where instance warrants.
c. Post-conference evaluates and gives feedback for the days learnings and problems encountered
i. Group processing should be done in order to attest problems and avoid some problems to
occur.
d. Written Evaluation( Rating System) through this activity, assessment on the performances of the
students as well as their co- workers will be identified that will tend to further be checked for future re-
evaluation and identification of their strengths and weaknesses in the area.

The purposes of everyday evaluation is as follows:

1. Determine job competence.
2. Provide feedback to enhance students development and motivates them towards
higher achievements.
3. Discover the students aspirations and encourage and recognize accomplishments.
4. Improves communications between the clinical instructor and the students to reach
an understanding about the objectives of their job description.
5. Improve performance by examining and encouraging better relationship among co
workers and co- students.
6. Determine training and developmental needs.
7. Identify unsatisfactory student (s).