Al-Zaytoonah University of Jordan ‫جـامعـة الـزيتـونــــة األردنيــة‬

Faculty of Nursing ‫كلية التمريض‬

‫ كلية التمريض‬/‫نموذج متابعة اداء الطلبة اليومي في اماكن التدريب العملي – لجنة التدريب العملي‬ QF03\0630

Faculty of nursing

Daily Nursing Student Activity Sheet

For All Practicum Courses

Student's Name ‫عبدالفتاح عزام الخطيب‬ Course Name ‫التدريب الميداني‬

Student's ID. Number 201610897 Course Number 0301434
Teacher's Name ‫ محمود الكاللدة‬.‫د‬ Area of Training ‫مستشفى االسالمي‬

Instructions
 This sheet is a daily requirement for all practicum nursing courses
 Each student should select a case from clinical settings
 Student must fill the required data regarding to the assigned case
 Student must be prepared to submit the paper to his teacher, or to set for daily oral presentation of his case
 Students should use a pencil not a pen to fill this form, since he expected to update any changes of his\her client.
 Evaluation of this form will be part of daily clinical evaluation

QF03/0630 Page1/5
 Al-Zaytoonah University of Jordan ‫جـامعـة الـزيتـونــــة األردنيــة‬

Faculty of Nursing ‫كلية التمريض‬

‫ كلية التمريض‬/‫نموذج متابعة اداء الطلبة اليومي في اماكن التدريب العملي – لجنة التدريب العملي‬ QF03\0630

Client's name ‫احمد حسن محمد سعد‬ Room and bed no. R: 9 B: 1 Date of admission 23-2-2020

Department ICU Medical diagnosis Hepatic encephallo Date of submission 15-5-2020

pathy

Select most priority approved NANDA nursing diagnosis

Subjective & Objective NANDA label Objective Implementation Evaluation

S: Pt said I have sever pain Acute pain R.TO abdomen Pt will be able to decrease 1- relaxation technique ( deep breath) The goal was met AEB
In abdomen and level of pain Disease ( hepatic Pain from 8 to 4 during 2- comfortable position ( semi sitting ) The pain decrease from 8
8-10 Encephalopathy ) AMB 2 hrs 3- destruction technique To 4 and the pt feel
O: facial expression and level Pt said I have pain 8-10 4- give medication as Dr order Comfort.
Of pain 8-10 5- re assess pain

Subjective & Objective NANDA label Objective Implementation Evaluation

S: My father have
Accumulation of fluid in her
abdomen
O: when I do physical exam
The Pt have ( Dull sound )
Ineffective breath pattern Pt will be able to maintain 1- auscultate breath sound ( wheezes) The goal was met AEB
R.TO accumulation of And enhance breath pattern 2-observe changes in level of consciousness
Pt sill or contact with
Fluid in abdomen (ascites) During my shift. 3- keep the head elevated ventilation
AMB when I do physical
exam The Pt have 4- provide o2 ( ventilation )
( Dull sound ) 5- re assess breathing

QF03/0630 Page2/5
 ‫‪Al-Zaytoonah University of Jordan‬‬ ‫جـامعـة الـزيتـونــــة األردنيــة‬

‫‪Faculty of Nursing‬‬ ‫كلية التمريض‬

‫نموذج متابعة اداء الطلبة اليومي في اماكن التدريب العملي – لجنة التدريب العملي‪ /‬كلية التمريض‬ ‫‪QF03\0630‬‬

‫‪QF03/0630‬‬ ‫‪Page3/5‬‬
 Al-Zaytoonah University of Jordan ‫جـامعـة الـزيتـونــــة األردنيــة‬

Faculty of Nursing ‫كلية التمريض‬

‫ كلية التمريض‬/‫نموذج متابعة اداء الطلبة اليومي في اماكن التدريب العملي – لجنة التدريب العملي‬ QF03\0630

Date and time Student's Caring Student's Teacher's

Signature
Activities Signature

23-2-2020 Measure vital sign and decoment in sheet ‫عبد الفتاح‬

23-2- 2020 Do procedure enema ‫عبدالفتاح‬

23-2-2020 Clean the patient ‫عبدالفتاح‬

Student's Nursing Record

Temperature Pulse Respiration Blood pressure Pain level

36.5 C 90 P/min 18 B/min 135/90 mmhg 8-10

Nursing intervention for the assigned client

Any nursing intervention that have done for other clients in the setting
Date and Client's name Student's Caring Student's Teacher's
time Signature
Activities Signature
Bed and room no.

QF03/0630
Page4/5
 ‫‪Al-Zaytoonah University of Jordan‬‬ ‫جـامعـة الـزيتـونــــة األردنيــة‬

‫‪Faculty of Nursing‬‬ ‫كلية التمريض‬

‫نموذج متابعة اداء الطلبة اليومي في اماكن التدريب العملي – لجنة التدريب العملي‪ /‬كلية التمريض‬ ‫‪QF03\0630‬‬

‫‪QF03/0630‬‬
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