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    College of Nursing

    City of San Fernando, La Union

    S.Y. 2014-2015

    Clinical Teaching Plan

    Lorma Medical Center: Operating Room

    Prepared By:

    Gaerlan, John Matthew R.

    Labiano, Regina Grace S.Lictaoa, Ed Tennyson C.

    Sabanal, Rayamark G.

    Timbreza, Korina Candle S.

    Checked by:

    Nisperos, Fe

    Head, Level III

    Noted by:

    Teresita A. Ferrer, MAN

    Head, Level IV

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    Approved by:

    Araceli F. Surat, MAN

    Clinical Coordinator

    Marites C. Pagdilao, MANActing Dean

    College of Nursing

    City of San Fernando, La Union

    Clinical Teaching Plan

    SY 2014-2015

    VISION of LORMA COLLEGES:

    We envision Lorma Colleges as an excellent Christian educational Institution with an international scope and reputation whose

    graduates reflect Christian values, professional competence and leadership skills relevant to national development.

    MISSION of LORMA COLLEGES:

    To provide quality and Christian education relevant to current and future needs, developing the total person reaching students

    in the Philippines and other countries through the use of modern technology.

    VISION of the COLLEGE of NURSING

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    Setting:

    Intensive Care Unit is located at the 2ndfloor Lorma Medical Center,Carlatan, City of San Fernando , La Union and Ground floor

    of Ilocos Training Regional Medical Center, City of San Fernando, La Union, whose personnels attends to all critically ill patients

    experiencing various health problems.

    General Objectives:

    After one month of exposure, the 4thyear nursing students will be able to:

    1. Familiarize themselves with the hospital policies, health personnel and ICU set-up, and the SOPs of the institution.

    2. Apply nursing theories, principles and the nursing procedures in the care of critically ill patients.

    3. Continue to care effectively through communication between the clinical instructor, student nurses and coworkers.

    4. Identify and assess the manifestations of the different diseases that afflict the patient in the ICU

    5. Utilize the nursing process to provide preventive, curative and promotive health needs of the critical patients.

    REQUIREMENTS: Grading System:Evaluation Tool Form

    Nursing Health History & Physical Assessment Core Competencies = 50%

    Learning Feedback Diary Requirements = 20%

    Journal reading with summary & Handwritten reaction with nursing theories Quizzes/Exams = 30%

    NCP & Drug Study Total = 100%

    Mini Case Study

    Case Analysis

    Essay

    Sample Criteria for case study:

    Content 40%Completeness 30%

    Organization and presentation 20%

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    Punctuality 10%

    Total 100

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    0A" # 1 2 7. 2pply the theories, concepts, principles,skills and attitude on the care of critically illpatients onthe care of critically ill patients, to facilitate

    a more effective application and studentperformance in the unit.

    'ecture "iscussion:

    a. Review the student%sprinciples, concepts onthe care of critically ill

    patients8 facilitate amore effectiveapplication on studentperformance in theintensive care units

    Supervise students on the

    actual performance ofdifferent nursing procedures

    2ctual application of the

    theories, principles on theperformance of nursingprocedures in handling

    patients at the C4.

    5ui9 on :

    a. theories of the care ofcritically ill patients

    b. Return demo on the

    different nursingprocedures.

    ). 2ssess ! plan for the care of critically illpatients.

    *uide students on the

    assessment process.Supervise students on theperformance of the actualprocedures such as

    admission and dischargecare,

    *uide students in carrying

    out doctor%s orders andupdating the patient%skarde ! documentation.

    Supervise students on the

    proper preparation !administration of drugs, &and 0;, oygen inhalationand nebuli9ation..

    .

    2ctual participation on the

    following routine activities:a. Receiving endorsement

    !

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    .EE/ #321&

    0A" %1#

    >. 2ble to implement effectively the plan ofcare of a critically ill patient

    ?. "emonstrate effectively the skills,competence needed in rendering a 3ualitynursing care of critically ill client.

    .

    *uidance in the

    performance of actualnursing procedures done tothe patient,

    (mphasis on the skills !

    competence needed in thecare of critically ill patient.

    *uide students in the actualperformance of propersuctioning procedure andthe =*; gavage ! lavage#P(*.

    2ctual performance of

    nursing interventions#caredone in the C4.

    Perform morning !

    bedside care

    @onitor S#=S ! *CS

    @onitor the & ! 0; if any

    Perform the followingnursing procedures such assuctioning,=*; *avage !'avage# P(*

    $ral drills on basic concepts

    regarding the care of criticallyill patients.

    Checking student%s output

    5ui9 on Suctioning ! =*; gavageand lavage# P(*

    *iving feedbacks to students

    .ee4 &0A" 2

    A. Provide health teachings on the care of

    patients . at the C4.

    $bserve and listen while

    they interact to patientsand significant others

    Bealth teachings on the

    different cases# anddiseases of the patients.

    *iving feedbacks to students.

    . Share and discuss to group membersand patient%s significant others the newinformation about diseases# C4 cases

    that are ac3uired from the internet orother resources

    Supplement knowledge or

    information to the group

    2ctive listening to the

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    9:00-9:15am/

    10:00-

    10:15am

    9:15-9:30am/

    10:15-

    10:30am

    9:30-12:00/10:30-1:00

    12:00-12:30/

    12:30-1:00pm

    1:00-1:55pm/

    2:00-2:55pm

    1:55-2:00pm/

    2:55-3:00pm

    d.Updating patients individual

    folder

    e.Giving oral/ parenteral meds

    or treatment

    f.Endorsing patient in the

    respective area

    Send 1stbatch for snackbreak

    Send 2ndbatch for snack

    break

    Continue supervising

    students in providing

    nursing care to different

    patient with different cases.

    Send 1stbatch for lunch

    Send 2nd batch for lunch

    Continue supervising

    students in providing care todifferent clients and

    checking of sample charting.

    Post conference

    performing procedures.

    Knowing more about

    the disease, Myocardial

    Infarction /CVA

    through a simple

    discussion and theGlasgow Coma Scale

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    7:00-7:15am/

    8:00-8:15am

    7:15-9:00am/

    8:15-10:00am

    9:00-9:15am/

    10:00-10:15am

    9:15-9:30am/

    10:15-10:30am

    9:30-12:00/

    10:30-1:00

    12:00-12:30/

    12:30-1:00pm

    o Schedule of

    break time.

    Supervise students in:

    a. Dealing with clients

    b. Taking vital signs

    c. Complying doctors order.

    d.Updating patients individualfolder

    e.Giving oral/ parenteral meds

    or treatment

    f.Endorsing patient in the

    respective area.

    Send 1stbatch for snack.

    Break Send 2ndbatch for

    snack break.

    Continue supervising

    students in providing nursing

    care to different patient with

    different cases.

    Send 1stbatch for lunch

    Send 2nd batch for lunch

    up.

    Being acquainted with

    the institutions

    personnel.

    Knowing the

    importance of building

    rapport to clients. Giving due respect to

    clients in all aspects.

    Assessing correctly the

    clients condition and

    documenting

    important data.

    Observing the basic

    rights of the client in

    performing

    procedures.

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    1:00-1:55pm/

    2:00-2:55pm

    1:55-2:00pm/

    2:55-3:00pm

    Continue supervising

    students in providing care to

    different clients.

    Post conference

    Closing prayer

    Day 3

    Time Table Specific Activities Specific Objectives Methodology/Strategies/

    Techniques

    Evaluation

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    9:00-9:15am/

    10:00-10:15am9:15-9:30am/

    10:15-10:30am

    9:30-12:00/

    10:30-1:00

    12:00-12:30/

    12:30-1:00pm

    1:00-1:55pm/

    2:00-2:55pm

    1:55-2:00pm/

    2:55-3:00pm

    meds or treatment

    f. Endorsing patient in

    the respective area.

    Send first batch for

    snack break

    Send 2ndbatch for

    snack break Continue supervising

    students in providing

    nursing care to

    different patient with

    different cases.

    Send 1stbatch for

    lunch

    Send 2nd batch for

    lunch

    Continue supervising

    students in providingcare to different

    clients.

    Post conference

    aspects.

    Assessing

    correctly the

    clients

    condition and

    documenting

    important data. Observing the

    basic rights of

    the client in

    performing

    procedures.

    Knowing more

    about the

    recent trends in

    emergency

    nursing

    through journalsharing

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    WEEK 2, 3 & 4 Day 1

    Time Table Specific Activities Specific Objectives Methodology/Strategies/

    Techniques

    Evaluation

    5:45-6:15am/

    6:45-7:15am

    6:15-7:00am/

    7:15- 8:00am

    7:00-7:15am/

    8:00-8:15am

    7:15-9:00am/

    Devotion

    Checking of

    attendance

    Checking of

    paraphernalia

    Pre-conference

    Giving individual tasks

    o Distribute the

    patients per

    student to

    handle within

    the shift.

    oJoin the

    endorsement

    and rounds.

    o Schedule of

    break time

    At the end of the

    shift, the students

    will gain

    independence in

    performing

    different nursing

    procedures in a

    correct manner as

    well as develop

    their self

    confidence.

    Specifically:

    The students

    will be able to

    enhance their

    spiritual beliefs

    as they go along

    with their

    different clinical

    duties.

    Individual Checking

    Individual and Group Sharing

    Performance Observation

    Lecture and discussions

    Brain storming of the

    concepts learned.

    Students are assigned to their

    responsibilities.

    Major Exam

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    8:15-10:00am

    9:00-9:15am/

    10:00-10:15am

    9:15-9:30am/

    10:15-10:30am

    9:30-12:00/

    10:30-1:00

    12:00-12:30/

    12:30-1:00pm

    1:00-1:55pm/2:00-2:55pm

    Supervise students

    in:

    a. Dealing with clients

    b.Taking vital signs

    c.Complying doctors

    order.

    d.Updating patientsindividual folder

    e.Giving oral/

    parenteral meds or

    treatment

    f. Endorsing patient in

    the respective area.

    Send 1stbatch for

    snack break

    Send 2ndbatch for

    snack break

    Continuesupervising students

    in providing nursing

    care to different

    patient with different

    cases.

    Send 1stbatch for

    lunch

    Send 2nd batch for

    lunch

    Continuesupervising students

    in providing care to

    The students

    will develop self

    discipline when

    it comes to

    proper

    grooming.

    The studentsability to

    compute

    dosages of

    drugs will be

    enhance letting

    them to avoid

    mistakes while

    preparing the

    medications.

    The students

    will be able toprepare on their

    corresponding

    area.

    To guide the

    students as

    they deal with

    their patients.

    The students

    will be able to

    render the care

    needed by eachclient.

    The students

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    1:55-2:00pm/

    2:55-3:00pm

    different clients.

    Post conference

    will be able to

    enhance their

    abilities more

    when

    performing the

    different

    nursingprocedures.

    Day 2

    Time Table Specific Activities Specific Objectives Methodology/Strategies/

    Techniques

    Evaluation

    5:45-6:15am/

    6:45-7:15am

    6:15-7:00am/

    7:15- 8:00am

    7:00-7:15am/

    8:00-8:15am

    Devotion

    Checking of

    attendance

    Checking of

    paraphernalia

    Pre-conference

    Giving individual

    taskso Distribute the

    patients per

    The students

    belief will be

    strengthened

    making them

    able to render

    holistic care to

    their clients.

    The students

    will develop self

    discipline

    allowing them

    Individual Checking

    Individual and Group Sharing

    Performance Observation

    Journal Sharing

    Brain storming of the concepts

    learned.

    Students are assigned to their

    responsibilities.

    Complete the dat

    patient for the ca

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    7:15-9:00am/

    8:15-10:00am

    9:00-9:15am/

    10:00-10:15am

    9:15-9:30am/

    10:15-10:30am

    9:30-12:00/

    10:30-1:00

    student to

    handle within

    the shift.

    oJoin the

    endorsement

    and rounds

    o Schedule ofbreak time

    Supervise students

    in:

    a. Dealing with clients

    b.Taking vital signs

    c.Complying doctors

    order.

    d.Updating patients

    individual folder

    e.Giving oral/

    parenteral meds ortreatment

    f. Endorsing patient in

    the respective area.

    Send first batch for

    snack break

    Send 2ndbatch for

    snack break

    Continue

    supervising students

    in providing nursing

    care to differentpatient with different

    cases.

    to become

    effective

    professionals in

    the future.

    The students

    will be able to

    prepare on theirassigned area.

    Assessing

    correctly the

    clients

    condition and

    documenting

    important data.

    Observing the

    basic rights of

    the client in

    performingprocedures.

    The students

    will be guided

    in all the

    nursing

    procedures to

    be done. This

    will enablethem to learn

    new clinical

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    5:45-6:15am/

    6:45-7:15am

    6:15-7:00am/

    7:15- 8:00am

    7:00-7:15am/

    8:00-8:15am

    7:15-9:00am/8:15-10:00am

    Devotion

    Checking of

    attendance

    Checking of

    paraphernalia

    Giving individual

    taskso Distribute the

    patients per

    student to

    handle within

    the shift.

    oJoin the

    endorsement

    and rounds.

    o Schedule of

    break time

    Supervise students

    in:

    a. Dealing with clients

    b.Taking vital signs

    c.Complying doctors

    order.

    d.Updating patients

    individual folder

    e.Giving oral/

    parenteral meds or

    treatmentf.Endorsing patient in

    the respective area.

    The students

    faith will be

    strengthened

    enabling them

    to perform their

    duties

    effectively.The students

    will develop the

    attitude of being

    a professional

    by being self

    disciplined in

    terms of

    grooming and

    time of arriving

    on their duties.

    Giving duerespect to

    clients in all

    aspects.

    Assessing

    correctly the

    clients

    condition and

    documenting

    important data.

    Observing the

    basic rights of

    the client in

    performing

    Individual Checking

    Individual and Group Sharing

    Performance Observation

    Journal Sharing

    Brain storming of the

    concepts learned. Students are assigned to their

    responsibilities.

    Evaluation of student

    asking feedbacks and

    comments.

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    9:00-9:15am/

    10:00-10:15am

    9:15-9:30am/

    10:15-10:30am

    9:30-12:00/

    10:30-1:00

    12:00-12:30/

    12:30-1:00pm

    1:00-1:55pm/

    2:00-2:55pm

    1:55-2:00pm/

    2:55-3:00pm

    Send 1stbatch for

    snack break

    Send 2ndbatch for

    snack break

    Continue

    supervising studentsin providing nursing

    care to different

    patient with different

    cases.

    Case presentation

    Send 1stbatch for

    lunch

    Send 2nd batch for

    lunch Continue

    supervising students

    in providing care to

    different clients.

    Post conference

    Giving and Signing of

    Grades

    procedures.

    This will help

    the students for

    they will be

    assisted whenproblems in the

    area occurs.

    To know their

    comments and

    feedbacks about

    the clinical

    head nursing.

    The students

    feelings

    regarding their

    two-week dutywill be

    expressed.

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    ATTENDANCE: Date -

    Week 1 Day 1 Snack time = 15 minutes Meal time = 30 minut

    NAMES /Year & Section Time in for duty /Signature Time out /signature Time in /signature Time out /signature Time in

    1.

    2.

    3.

    4.

    5.

    6.

    7.

    8.

    9.

    10.

    ATTENDANCE: Date -

    Week 1 Day 2 Snack time = 15 minutes Meal time = 30 minut

    NAMES /Year & Section Time in for duty /Signature Time out /signature Time in /signature Time out /signature Time in

    1.2.

    3.

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    4.

    5.

    6.

    7.

    8.

    9.

    10.

    ATTENDANCE: Date -

    Week 1 Day 3 Snack time = 15 minutes Meal time = 30 minut

    NAMES /Year & Section Time in for duty /Signature Time out /signature Time in /signature Time out /signature Time in

    1.

    2.

    3.4.

    5.

    6.

    7.

    8.

    9.

    10.

    ATTENDANCE: Date -

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