St.

Joseph College Cavite City Institute of health Sciences CLINICAL TEACHING PLAN ON GERONTOLOGY Description: This clinical teaching plan will serve as a guide for the faculty/clinical instructor and students in developing the core competencies required of during the care of Geriatric client. Medical-Surgical Ward, Obstetric-Gynecologic Ward, Operating-Delivery Room, Pediatric Ward and Emergency Room, Special Institutions for Greatrics 24 Hrs.

Area of Exposure: Duration: Entry Competencies:

Knowledge on the concept of Gerontology, its history ans Evolution, Anatomy and Physiology, Nursing Process, Pharmacology, Principles of Bio-Ethics Skills in doing Nursing Plan especially in the care and management of older population Identify the demographic profile of the older population Identify the different theories of aging Assess geriatric clients according to the theory developed by the different theorists Identify factors that have influence on health and illness Skills in rendering effective management in the care of geriatric clients Identify legal and ethical issues pertaining to the care of older population Renders pharmacologic intervention Decision making skills/critical thinking skills Desirable attitude of patience, empathy, accuracy, and gentleness in dealing/caring of geriatric clients Orientation Activities for Clinical Instructors: Must have been completed prior to students exposure in coordination with the affiliating training hospital officer or hospital chief nurse for 1 week depending on hospital protocol. Orientation Activities for Students:

Must be accomplished before the actual exposure of the students or on the first day of the clinical exposure. Orientation on the following: 1. 2. 3. 4. 5.

Personnel/Organizational chart of the area of exposure. Area set-up, supplies, instruments, and other equipments. Area protocols, policies and guidelines. Records and forms for documentation and requisitions. Practice skills: a. Use of therapeutic communication b. Application of measures in the management of care c. Assess biologic and physiologic changes, the developmental tasks d. Formulate plan of care for elderly using the nursing process 6. Grading system and requirements: a. Attendance b. NCPs c. Drug studies d. Journal reports e. Case study 7. Bedside discussion about Geriatric clients and management of the identified problems

Daily Protocol after Orientation: y Pre-conference y Actual clinical exposure/ experience y Post-conference Last day of Experience: Last day evaluation of students performance through comprehensive examination and skills inventory using the Evaluation Performance Checklist.

Clinical Activities Intermediate Competencies Faculty 1. Safe and Quality Nursing Care Utilizes the nursing process in caring for geriatric clients a. Perform comprehensive and systematic nursing assessment. Students Method of Evaluation

Assigns a student to geriatric client

Handles specific geriatric client in the ward Performs comprehensive assessment on older client using the different assessment tools for geriatric clients. Performs complete physical assessment Takes the vital signs Interpret data using the different Assessment Tools Develops nursing care plans Performs appropriate interventions based on the identified problems Maintain clients trust and establish rapport

Evaluation of Assessment Record Performance Evaluation Checklist Quizzes

Supervises the students in the assessment of client

b. Formulates plan of care c. Implements planned nursing care to achieve identified outcomes Assists the student in validating the completeness and the accuracy of the assessment data.

d. Promote safety and comfort of client

Checks nursing care plans Supervises students as they perform nursing interventions safely

Raise the side rails of the bed

Gives appropriate feedback as necessary. e. Administers medications and other health therapeutics safely

Lower the bed to a height most comfortable to the client Assists/supervises the students in carrying Place the client in an environment out doctors orders. conducive for rest. Before giving medications: y Make use of the ten rights of giving medications y Wash hands before and after y Provide health teachings Records : y Pertinent observations and findings y Outcomes of the medications given and nursing care rendered. Reports any signs of deviation from normal.

f.

Evaluates progress towards expected outcomes

Explains the results of the evaluation with the students Reviews data before final recording

II. Management of Resources, Environment and Equipment Organizes work load to facilitate client care

Reviews with the students the importance of the management of resources and the environment in accordance with the guidelines.

Performance Evaluation Checklist

Prepares the supplies needed: y Medicine tray with lining, medicines glasses, medicine cards, syringes, alcohol, container Assists the students in prioritizing activities of cotton balls with alcohol, in order to finish the works on time. container for soiled cotton balls, etc.

Explains to the students to make use of the available supplies wisely Utilizes adequate and appropriate resources to support client care Familiarizes the students with the different equipments, supplies and instruments in the area. Instructs the students to discard the sharps and other infectious materials on their proper disposals.

Prioritizes plan of care and finishes the task/activities on time. Uses supplies wisely and diligently to maintain adequacy of supplies. Ensures the application of sterile techniques in all the procedure given to the client. Utilizes the labelled trash cans in the disposal of hospital wastes and the proper disposal of sharps and other infectious materials.

Ensure functioning of resources

Maintain a safe environment in the area.

Evaluation of Teaching Plan

III. Health Education Implements appropriate health education activities to clients based on the assessment of needs. Reviews the teaching plan of the students. Supervises the students in the actual provision of health education to the client Evaluates the activity and gives feedback as necessary. Provides instructions on the factors that will maintain level of functioning of the older population Instruct the client on simple management of self and environment Provide instructrions on take home medicines. Provides list of contact persons and numbers in case of emergencies , Evaluates the effectiveness of the

teachings by asking the client or significant others to repeat what have said Reinforce teachings based on the outcome.

IV. Legal Responsibility Assists the student in identifying the ten basic rights of giving medication Adheres to practices in accordance with the Assists the student in preparing and giving nursing law and other relevant legislation including of medications. contracts, informed consent. Assists the student in securing informed Adheres to organizational policies and consent in all procedures needing procedures, local and national. consent. Documents care rendered to clients. Validates with the student the accuracy of the procedure performed Checks for the validity and accuracy of the documentation.

Checks for the ten basic rights before giving medications. Gives/administers medications after thorough checking. Ensures that informed consent is properly signed by the client and/or if not capable, a thumb mark or the significant other responsible for the client signs. Documents accurately and legibly all pertinent data. Report and refer any findings deviated from normal.

Accuracy and Completeness of records and documentation

V. Ethico-Moral Responsibility Respect the rights of the individual/family/groups Emphasizes with the students that every individual, family, group has the right to be Recognizes that every individual/family/group has the right to be Actual Observation of the Students Behavior

healthy irrespective of race, religion, culture, and ethnic background. Accepts responsibility and accountability for own decisions and actions. Discusses with the students the significance of ethico-moral responsibilities. Serves as a role model for the students in displaying professional attitudes and values of a good and moral nurse.

healthy. Maintains the secrecy, privacy and confidentiality of the medical finding and diagnosis of the client.

Adheres to the national and international code of ethics for nurses

VI. Personal and Professional Development Projects beginning professionalism

Encourages the student to project self as a beginning professional. Assists students to accept criticisms and recommendations, whether good or bad, as constructive ones and take these positively for improvement. Encourages the student to uphold the highest standards of practice.

Updates oneself to the latest trends and innovations in the management of client on promotion of growth and development Projects a professional image at all times. Accepts criticisms and recommendations positively. Performs functions according to standards.

Actual Observation of Students Behavior

Supervises the student in gathering data and assists in the detection of variation in specific parameter.

Nursing Audit Report

VII. Quality Improvement Gather s data for quality improvement Explains to student the importance of prompt reporting of the significant changes or variances in clients condition/environment and facilitates discussion of ward audit during the post conference. Assists the student to coordinate with proper authority regarding the validated report of variances. Identifies deviation of practice from the standards

Participates in nursing audit and rounds.

Participates in nursing round and audit in the ward. Identify corrective and preventive measures and recommend to the clinical instructor for the identified deviation.

Identifies and reports variances.

Recommends solutions to the identified problems

VIII. Research Disseminates results of pain related research findings to the clinical group ( other students and other members of the health team) Facilitates analytical discussion of journal and researches presented by the students. Identifies researchable problems related to specific problem of the older adults ands management Initiates a research study on an identified researchable problem. As a member of a research team, participates in the conduction of research. Utilizes research study findings in caring of Aging client Journal Reports Case Study Reports

Discusses with students current trends and innovations about older population

IX. Records Management Maintains accurate and up-dated documentation of client care. Records outcome of client care. Observes legal imperatives in record keeping. Discusses the relevance of a complete updated, legible, accurate record of client Observes the privacy and confidentiality of care based on the principle of record the clients record. management Explains to student the importance of maintaining the integrity, safety and security of the clients record. Follows institutional protocol in releasing information and clients record. Assists the student in utilizing the KARDEX or the Hospital Information System (HIS) for future decision and policy making activities. Documentation of the client care Completes and updates the KARDEX and make it readily accessible to facilitate client care. Up-dating of KARDEX

X. Communication Establishes rapport with client, significant others and members of the health team. Assists student in communicating effectively with the client, significant others Utilizes the protocol of communication and other members of the health team. channel. Establishes rapport with the client, significant others and other member of the health team. Being sensitive not only to the verbal cues

Listens attentively to clients queries and requests. Explains to the student the utilization of communication channels. Uses appropriate information mechanisms to Supervises students during endorsement. facilitate communication.

Identifies verbal and non-verbal cues.

Assist the students in identifying verbal and non-verbal cues manifested by the older client

but especially to the non-verbal cues manifested by an older client.

XI. Collaboration and Teamwork Actual Observation Establishes collaborative relationship with colleagues and other member of the health team. Collaborates plan of care with other members of the health team. Facilitates collaborative relationship with the members of the health team. Functions effectively as a member of the health team. Communicates findings of assessment to all concerned. Establishes a collaborative relationship with the members of the health team and the family of the older client Performance Evaluation Checklist

Requirements: y y y y y Nursing care plan Journal reports Case study Quizzes and Clinical Performance Evaluation Attendance and Decorum

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