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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:)
24
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
26
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
27
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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