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Al- Isra Private University Nursing Faculty Second semester 2015/2016 Course syllabus Child Health Nursing (Clinical) Nursing 901338 Course Instructors Miss Rula Ali

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Al- Isra Private University

Nursing Faculty

Second semester

2015/2016

Course syllabus

Child Health Nursing (Clinical)

Nursing 901338

Course Instructors

Miss Rula Ali

Al- Israa University

Faculty of Nursing

Nur. 901338

Child Health Nursing (Clinical)

Credits Hours: 3 hours

Course Title: Child Health nursing (clinical)

Course no. : 901338

Co-requisites:Nur.901332 (Child Health Nursing/theory)

Course Description:

While utilizing the concept the concept based learning pedagogy, this course will provide

students with opportunities to demonstrate the beginning performance & responsibilities required

for safe practice. The course allows the students to grasp initial professional interactions,

therapeutic relationships & nursing care practices associated with caring for pediatrics patients

within specialty & general settings. Students will propose and participate in the care of patients

based on an understanding of the underlying disease pathology, laboratory & diagnostic findings,

selected nursing concepts, the expected medical & pharmacological treatment, and the scope of

independent collaborative nursing practice. Students will also develop abilities introduced in prior

skill lab & to apply knowledge learnt from past or concurrent theoretical courses to form the basis

for nursing assessment, care planning, & health education of patients and families. The course

provides facilitated or preceptored clinical placement opportunities for students to demonstrate

competency as assessed by the Clinical Performance Evaluation Tool which partially fulfils

requirements of the Jordanian National Standards for the RN

Course intended Learning Outcomes (ILOs)/ Competencies

After completion of this course, the student will be able to:

1. Demonstrates responsibility & accountability for own learning while working the

license of a nurse preceptor.

2. Provides planned patient –centered nursing care to achieve identified outcomes for

a pediatric patient in general & specialty units.

3. Maintains effective communication with patients, families, and health team

members.

4. Develops patients teaching plan appropriate to the needs of a pediatric patient to

maintain and promote health.

5. Undertakes practice procedures in a competent, safe, confident, and timely way

within scope of clinical practice(as per course competencies)

6. Demonstrates proper clinical reasoning based on an understanding of the underlying

disease pathology, selected nursing concepts, the expected medical and

pharmacological treatment, and the scope of independent & collaborative nursing

practice.

7. Contributes to a safe responding environment & culture in nursing units

8. Links classroom theory to best available clinical evidence (integrated into practice

guidelines & protocols) for optimal nursing care.

9. Lists early and late warning signs of deterioration of hospitalized pediatric patient

10. Maintains legible documentation and ensures confidentiality of information

11. Reflects on daily encounters to identify achievements and areas for improvement

Clinical Pediatric course competency 1- Biographical assessment ( patient name , age , stage , physical parameters ht ,wt

,head circumference , chest circumference ,teeth eruption , BMI)

2- Health history assessment ( present illness , past illness , family history )

3- Assessment of growth and development according to chronological age ( newborn

,infant , toddler , pre school age , school age and adolescence )

4- General guide for Physical examination for newborn

5- General guide for Physical examination for childhood ( age specific approach )

a- Cardiovascular assessment ( noting syndromes , inspect nails , cyanosis ,

clubbing , Heart Rate ,heart sounds , murmur loud , cardiac palpation ,

cardiac auscultation )

b- Respiratory assessment (Respiratory Effort and Rate ,Breath Sounds ,Air

Exchange, Retractions )

c- Neuromuscular assessment (LOC ,Fontanelle ,Pupils ,Glasgow Coma Scale)

d- Gastrointestinal assessment(

*Abdominal Pain :- Quality – crampy or constant, sharp or stabbing

Radiation Timing – related to eating Severity Consider GU location

indicators – flank, suprapubic, genital, groin or low back pain and costo-

vertebral angle (CVA) tenderness

*Nausea, Vomiting or Regurgitation Frequency, amount, timing Presence of

bile Hematemesis Force Color Relationship to food intake, i.e., solids or

liquids Dysphagia Solids or liquids Site where food gets stuck Food is

regurgitated

*Bowel Habits Last bowel movement Frequency, colour and consistency of

stool Presence of mucous, blood or melena Pain before, during or after

defecation Sense of incomplete emptying after bowel movement Use of

laxatives Belching, bloating and flatulence Change in bowel habits

* Jaundice Scleral icterus Tea-coloured urine Clay-coloured bowel

movements Pruritis

e- Urinary assessment (Urine output , Enuresis (bed wetting) New onset

incontinence Frequency, urgency, quantity Dysuria and its timing during

voiding (at beginning or end, throughout) Change in colour and odour of

urine Haematuria Presence of stones or sediment in the urine Toilet

training problems)

f- Reflexes ( moro , gag, cough, sneeze , rooting , palmer , planter , blink ,

sucking , extrusion , tonic neck , babaniski …etc )

g- Abgar score

h- Appearance of newborn ( Mongolian spots , vernix caseosa , lanugo ,

desquamation )

i- Cranial nerves assessment The senses ( hearing , vision , taste , smell )

a- Assess major developmental characteristics of hearing & vision

b- Assess clues for detection of visual or hearing impairment

j- Assessment of language

a- Assess major developmental characteristics of language

b-Assess clues for language impairment

k- Erikson psychosocial development

l- Cognitive & motor development

m- Nutritional assessment

n- Sleep assessment

6- Measure vital signs for pediatric population “ being aware of pediatric normal

ranges “

a- Pulse

b- Respiration

c- Bp

d- Pain

e- Temperature ( oral , auxiliary , rectal , tympanic )

f- Pulse ox meter

7- Pain assessment and management ( pharma and non pharma )

a- Flacc method

b- Facial expression method

8- Collect specimen (heel stick , venous stick )

9- Cannulation of newborn

10- Medication administration for pediatric population ( dosage , side effect for each

age group )

a- Intravenous therapy

b- Oral tablet or capsule or liquid “ droper , cup , syringe , nipple “

c- Ear medication

d- Eye medication “ drops , ointment “

e- Nasal medication “ spray drops “

f- Subcutaneous injection

g- Intramuscular injection

h- Intradermal injection

i- Topical

11- Suctioning

a- Bulb syringe

b- Nasal pharyngeal

c- Oral pharyngeal ETT size

d- Tracheotomy

12- Feeding

a- Breast feeding

b- Bottle

c- Continuo’s or intermittent tube feeding

13- Administration of intravenous infusion for pediatric population

14- Oxygen administration for pediatric population

a- Nasal cannula

b- Face mask

c- Tent

d- Trach collar

15- Foleys catheter care & insertion ( assist ) for pediatric population

16- Chest tube , drains system ( care , maintenance , removal )

17- Colostomy care for pediatric population

18- Gastric tube insertion & care “ nasogatric tube , orogastric tube “

19- Blood transfusion administration for pediatric population

20- Lumber puncture procedure “ assist “for pediatric population

21- Bone marrow aspiration “ assist “for pediatric population

22- Cpr children

23- Administration of immunization

24- Restrain for pediatric population

25- Wound care ( dressing techniques , removal , irrigation ) for pediatric population

26- Ambulating the patient “ upon each group age “

27- Elimination patient care for pediatric population

28- Patient safety concerns & injury prevention for pediatric population

29- Teaching patients & families

a- Medication

b- Disease process

c- Discharge plan

d- Special procedures

e- Caring of babies

30- Unconscious patient care for pediatric population

31- Neonatal daily care

32- Guideline for communication techniques with children ( verbal , non verbal )

33- Medication administration patient control analgesia for children

34- Abgs , vbgs interpretation for pediatric population

35- Chocking protocol for pediatric population

36- Endotracheal tube care for pediatric population

37- Assistance in doing diagnostic tests :-

a- Ct scan

b- MRI

c- Echo

d- Endoscopy

e- Suturing

TEACHING STRATEGIES: 1. Post conferences

2. Nursing Rounds

3. In-depth clinical discusses (one to one) (case studies).

4. Assigned Readings )

5. Project presentation

6. Demonstration

7. Supervised clinical practice /for dependent actions; Unsupervised for independent

actions.

Required Materials:

- Uniform

- Name tag

- Black/blue and Red Pens

- Scissors

- Watch with second hand

- Stethoscope

- Meter

- NANDA Pocket

- Terminology / abbreviation sheet.

Methods of Evaluation:

Clinical performance 20%

Health Education Session

(In the MCH) 10%

Mid Case Study 10%

Clinical Nursing NCP. 10%

(students are required to write

comprehensive care plans)

Nursing presentation 10%

-----------------------------------------------------

60%

Final written exam 20%

Final oral exam 20%

----------

40%

Total 100%

Textbooks\ Recommended readings:

Mosby's Pediatric Nursing Reference by Cecily Lynn Betz PhD RN FAAN, Linda A.

Sowden MN RN

RULES & REGULATIONS

Communication Devices:

All communication devices including cell phones must be turned off while in clinical day.

●Course Policies:

1. There will be 12 clinical hours per week in one day shift (Tuesday)

2. Students must report to assigned clinical agency each clinical day no later than

7:15 AM and leave the clinical area at 7:00 PM. at 7.30 AM will be

considered late.

3. Any three days late will be considered as one absent without excuse.

4. A post conference will be conducted each clinical day. All students must be

present in the conference room as scheduled by the instructor.

5. Students must meet with their teaching assistant on a weekly basis for feed

back about their performance.

6. Student must adhere to the school of nursing regulations regarding uniform

and general appearance. Faculty reserves the right to send students home or

adjust their grades, anytime the code is violated.

7. The maximum amount of clinical experience student can miss is 1 clinical day

without acceptable excuses. If do so he/she will receive a written a warning

letter from the course coordinator. Students who miss more than 2 clinical

days they will receive 35% as a final grade for the course.

8. Absence without acceptable reason will results in Zero in the Daily Clinical

Evaluation. Daily worksheet, and all other planned assignment for that day.

9. Arrangements must be made with the course coordinator prior to the absence

if the student plans to attend a professional activity during a scheduled

examination.

10. Neither absence no notification of absence relieves the student of course

requirements.

11. Assignments turned in after the specified date & time will not be accepted &

therefore given a grade of zero.

12. There are no provisions for make-up of any clinical experiences. All clinical

experiences are mandatory and cannot be rescheduled (this includes all clinical

conferences and days at clinical facilities).

13. Any student comes after 7:40 AM will be considered absent for that whole

day.

14. Smoking. Eating. Chewing gum prohibited in side the clinical agency.

15. Students must conduct themselves in professional manner all times including

the break hours.

16. Each student must complete the Competency Clinical Checklist in order to

pass the course. Students who do not complete the list will be responsible for

their own practice in the university lab with his teaching assistant until they

master the procedure.

17. Additions, deletions, and changes in the calendar, syllabus, and assignments

may be necessary during the course. These changes will be communicated to

students in class, post conference or announcement’s board. The students

enrolled in this course are responsible for all announcements made absence

from class is not an excuse for not being aware of changes. It is the student’s

responsibility to get this information.

APPEARANCE AND HYGIENE Comfort, security, and well being of the patient is

dependent upon the nurse's level of knowledge and competence, however, in

addition to this, it is influenced by the nurse's personal hygiene, appearance, and

behavior. Poor grooming and inappropriate behavior may convey to the client and

family a feeling of carelessness. Students who are working with clients and health

professionals as a part of their learning practice are expected to dress in a

professional manner, clean and neat. The students' appearance and dress must be

consistent with the faculty policy. All faculty members will closely uphold the

following guidelines:

a) Uniform

The uniform will be white for female students and white tope with navy blue trouser for

male students. Uniform could be in of any style that provides a professional appearance,

allows comfort and freedom of movement. White washable (with white buttons) sweaters

may be worn with the uniform. The student is responsible of purchases uniform. Uniform

is to be worn in the clinical setting only.

b) Name Tag

The student name, student academic year and the institution "Isra University" imprinted on

the name tag and should be worn at all times. Name tag is the student responsibility to buy.

c) Jewelry and Scents

Watches, nametags, medical alert identification, plain wedding ring, and small stud

earrings may be worn. Jewellery should not be worn; perfume and scented after-shave

should be avoided.

d) Hair and Nails

Hair must be worn off the collar and away from the face. Men must keep facial hair

trimmed or closely shaven. No nail polish may be worn, and nails must not extend beyond

the end of the finger.

Evaluation criteria for case study presentation:

Case studies include the following items:

a- Definition

b- Signs and symptoms

c- Causes

d- Patho physiology

e- Diagnostic test

f- Medical management

The case study should include the nursing process

Assessment, Nursing diagnosis, Planning, Interventions, Evaluation.

Evaluation criteria for case study presentation

Final grade Instructor note Grade Item

5% Definition

10% Signs& Symptoms

10% Causes

10% Pathophysiology

10% Diagnostic test

10% Medical management

10% Assessment (adding

g&d)

10% Nursing diagnosis

10% Planning

10% Intervention

5% Evaluation

10 100% Total

Professionalism Evaluation Sheet

No. Criteria 0 1 2 3 4

1. Punctual-No absence without excuse

2. Accept constructive criticism

3. Grasp opportunities to extend knowledge and skills

4. Recognize the family role incorporated in the plan of

care

5. Deeps trustful relationship with patient

6. Reports and records current condition of client

correctly

7. Organize equipment involved in client care correctly

8. Perform nursing procedures correctly

9. Utilize the principles of aseptic technique while

carrying out all nursing procedures

10. Participate and share learning experiences in group

conferences consistently

11. Tidy & cleanness

Al Israa University

Faculty of Nursing

Behavioral - Performance

Objectives & Indicators

I. Nursing Process

1. Assessment:

- Identify child growth and development milestones and

variations from "norm".

- Identify the child's individual response to stress, pain

common and distinct manifestations.

- Assess the child's coping mechanisms (i.e.) pain

management or maladaptive responses to:

- Drugs

- Blood

- Therapeutic interventions (procedures)

- Assess the child needs- Hygiene, feeding, discharge

planning.

- Complete nursing physical examination, history, admission.

- Assess safety in the environment.

- Review pharmacological history, allergies and drugs

prescribed, child's reaction to drugs.

- Assess family and strengths and needs.

2. Diagnosis:

- Analyze and interpreting the collected data

- Determine clients health problems, risks and strengths

- Formulate nursing diagnosis according to PES &

Taxonomy of NAND'S format

- Ability to prioritize the Nsg. Diagnosis

- Validate the Nsg. Diagnosis

3. Planning:

- Consider the total child and family when developing nursing

diagnoses and strategies using developmental assessment.

- Develop age-related nursing care plans related to nursing diagnoses

and expected outcomes.

- show ability to plan and organize nursing actions to meet identified

goals.

- Adapt nursing care plans to include health promotion and prevention

activities.

- Develop daily objectives and plan of care to the child.

- Include immediate patient needs in the plan of nursing care.

4. Implementation: - Utilize individualized nursing plans to actions based on holistic needs

of children and families.

- Incorporate activities to continually monitor child’s status, goal

progress and communication.

- Apply skills of auscultation, percussion, palpation (appropriately,

safely, skillfully).

- Minimize child’s distress (pain, fear, hunger separation, restlessness).

- Collaborate and implement a realistic play program for all ages.

- Makes environment safe for children and parents.

- Question drug dosage that indicate overdose or other difficulty and

completes safe medication dispensing.

- Implement professional meaningful communication to maintain

continuity of care.

- Report record on regular nursing documents.

- Perform daily care for the patient Bathing, changing diapers, feeding.

- Perform Technical procedures, (suctioning, intravenous therapy

dressing, catheter care, medications etc...).

- Perform appropriate measures in emergency situation (CPR,

tracheotomy care etc...).

- Teach a patient’s family about the patient’s needs.

- Teach preventive health measures to patients and their families.

- Develop innovative methods and materials for teaching child’s and

families.

- Explain nursing procedures to patient and family prior to performing.

5. Evaluation:

- Interpret date in terms of scientific theory and nursing process,

selecting appropriate concepts for optimal care.

- Apply regular re-evaluation concerning functions and alterations and

adaptation to:

- Health-teaching/ learning needs

- Bio psychosocial needs and stresses

- Medication administration

- Evaluate need for precautionary methods of isolation.

- Evaluate child’s and parent’s knowledge of procedures and child’s

response to illness.

- Evaluates effectiveness and modifications needed in teaching and play

- Follow appropriate communication channels.]

- Evaluate effectiveness of teachings.

- Minimize threats in the environment.

- Evaluate effectiveness of response to emergency situation.

II. Self-growth / Leadership:

- Practice personal hygiene.

- Follow dress codes.

- Understand and function within hospital and school policies.

- Support family-centered pediatric care principles, in clouding advocacy.

- Look for and create new ideas that can be applied to enhance the nursing

process and nursing knowledge.

- Assess own learning objectives.

- Devalue learning objectives.

- Plan for and berate learning opportunities four-leaf.

- Seek assistance when necessary.

- Contribute to an atmosphere of mutual trust, acceptance and respect among

health team members.

- Collaborate with other health team members when plan ning patient care

and meeting own learning objectives.

- Evaluate own striates and areas for improvement realistically.

- Demonstrate initiative and enthusiasm in keeping with the role of a student nurse

and leadership style.

- Maintain high standards of performance.

- Demonstrate self-confidence.

- Accept and use constructive criticism.

- Display generally positive attitudes.

- Report on time and submit reports/assignments on time.

- Is accountable for own actions.

III. Research:-

- Utilize time for gathering pertinent data concerning care of children and their

Families.

- Incorporate new research findings into care giving and goal setting where

appropriate.

- Share research finding with staff and classmates.

Al Israa University

Faculty of Nursing

Pediatric (Nur 901338)

Psychomotor Checklist

Student Name: __________________

I.D.: ___________________ Date: / /

Name of Skills Achieved Not

Achieved

Not

Relevant

Comment &

Recommendation

Providing hygiene

a. oral

b. bathing

c. diaper change

d. IV care

V/S

a. Temp

- orally

- rectally

- auxiliary. Pulse (Apical)

c. Respiration

d. Blood - pressure

Physical exam

- Skin & (hydration)

- ENT & eyes

- Resp

Cardiovascular

- Abdomen

- CNS

- Musculoskeletal.

- History fatting assessment

Documentation

Physical growth (Nursery)

a. HT

b. WT

c. H.C

d. C.C

Intake & output

( IV preparation

(types/regulation)

Urine sampling (urine bag)

Stool specimen

General medication

a. oral

- dropper

- nipple

- capsule & chewable tab

b. injection (HC)

- I.M

- S.C

- I.D

c. I..V medication

d. topical medication

Chest - Physio therapy

- vibration

- percussion & postural

drainage

O2 therapy & Ventolin N/v

a. pre operative care

b. post operative care

Pain assessment

a. new born

b. infant

Dressing

Endo tracheal tube

Tracheotomy care

NGT

a. insertion

b. gavage

c. lavage

d. care & monitoring

e. removal

Enema

C.P.R

Cast care

Kidney dialysis

a. peritoneal

Blood extraction

Blood transfusion

ISRA University /Faculty of Nursing

Child Health Nursing/ Clinical

Nursing Care Plan

Student Name:____________________________ Student #: ___________

Date Received:________ Total Grade = 50

Final Grade =

Biographical Data:

Patient Name:-------------- Patient Age:-------------- Patient Sex:-------------

Patient birth weight:-------------- ward:-------------- Medical Diagnosis:-------------

Reason fr seeking care: (2 Marks)

Health History:

History of present illness

(3 Marks)

History of past illness (2 Marks)

Family History: (3 Marks)

Assessment of growth and development according to chronological age

(5 Marks)

* Complete physical Examination: (5 points)

Lab Investigation: (5 Marks)

Test Indications Patient

Value

Unit Normal

Value

Explanation

Medications & Solutions: (5 Marks)

Drug Name Dose and

Frequency

Rout Classification Action Side effect Nursing considerations

Nursing care plan: (20 Marks)

(If there are other relative NDX list them on the back of the paper:)

Nursing Diagnosis Nursing

goal

Objective Planned intervention Rationale Evaluation

1.

Nursing Diagnosis Nursing

goal

Objective Planned intervention Rationale Evaluation

2.

Nursing

Diagnosis

Nursing

goal

Objective Planned intervention Rationale Evaluation

3.

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Child Health Nursing

Schedule of clinical presentation

Presentation title Date of

presentation

Name of student

Lumpur puncture

Sweat test and VCUG

Blood transfusion

Bone marrow aspiration

Oxygen therapy & Chest physiotherapy

Infant CPR, Chocking

Gastroenteritis

Reading ABGs

Biliary atresia

Kawasaki disease

Hydrocephalus

Jaundice

Premature babies

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Isra University

Pediatric health nursing

Criteria for grading presentation

Student name: Date:

Evaluator name: Topic:

Item 1 2 3 4 5

i. Written Part

Outline & Objectives

Introduction

Definition of terms

Content is relevant to the topic presented

Information is concise, logically organized, and demonstrates

analysis of the topics.

Information is accurate and comprehensive.

Content presented includes nursing implications

Conclusion

ii. Resources

Minimum of three different resources /references.

Integrate minimum of three journal articles into subject.

iii. Delivery

Audible speaking volume and tone.

Use own wards not depends on reading directly from the

power points.

professional appearance &confidence

eye contact & body language

facilitate active discussion

Adherence to time frame.

Answer students' questions

Control group

iv. Teaching materials

Power point slides are clear and concise.

Utilization of other teaching materials to support presentation.

Total 100%

-Instructor comments :……………………………………………………………..

………………………………………………………………………signature…

-Student comments :………………………………………………………………..

………………………………………………………………………signature…

1. = weak

2. = moderately weak

3. = average

4. = moderate

5. = strong

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Al-Isra private university

Nursing faculty

Developmental Sheet

Student Name: -----------------------------------------------------

Child Name: -------------------------------------------------------

Age: -----------------------------------------------------------

Stage: ------------------------------------------ Developmental

Physical Parameters:

Vital Sign:

Pulse----------------------------------------------

Respiration------------------------------------------

Temperature-------------------------------------------

Wt-------------------------------------------------------------

Ht---------------------------------------------------------------

Hc--------------------------------------------------------------

Ht & Wt ---------------------------------- Percentile

Teeth Number-----------------------------------------

Erikson psychosocial development at stage :

Motor Development:--------------------------------------------------------------------------

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Cognitive Development-----------------------------------------------------------------------

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Language---------------------------------------------------------------------------------------

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Play----------------------------------------------------------------------------------------------

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Nutrition----------------------------------------------------------------------------------------

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Safety concern---------------------------------------------------------------------------------

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------------------------------------------------------------------------------------ Suggestions---------------------------------------------------------------------------------------------

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