ORGANIZATION OF CLINICAL EXPERIENCE: CLINICAL ROTATION PLAN

Organization of clinical experience in the curriculum is done on the basis of the syllabus and regulations laid down by the statutory bodies. Organization of the clinical experience is the responsibility of the faculty.

Clinical Experience related to the nursing course should be planned according to the objectives so that the students will get enough opportunities for developing the desired nursing skills and attitudes.

 Clinical rotation plan is the statement which explains the order of the clinical posting of various groups of nursing students. A well planned clinical rotation plan will help students to gain maximum experience from the clinical area and community settings.
In nursing education rotation refers to regular successive and recurrent posting of various groups of nursing students belonging to different classes in different nursing fields

 The school should select the clinical fields for the purpose of providing clinical outset of the programme. The learning situations, where the nursing students undertake the nursing activities, will provide interactions thereby providing the required clinical experience.

Types of Rotation Plan: Master Rotation Plan

an overall plan of the rotation of all students in a particular educational institution

Individual Rotation Plan

is made to make sure that each student in a particular block posting undergoes experience in each area

Principles in planning a clinical rotation plan It must be in accordance with the total curriculum plan Theoretical instructions should precede as closely as possible the clinical experience The supervisory faculty members are well prepared and be available with the students to provide adequate guidance Selection of areas of experience should proceed from simple to complex The clinical teaching staff should be involved whenever, feasible and must be familiar with the rotation plan.

Principles in planning a clinical rotation plan First year students should be given the maximum supervision by the clinical supervisors and qualified nursing staff Each student should be rotated in all the areas without missing any area. If for any reason, if she misses any of the areas, it should be compensated by planning separately for her Overcrowding in any clinical area with different groups or student should be avoided All the students should complete the assignments and the requirements of particular clinical area within that area.

Principles in planning a clinical rotation plan The rotation plan should made in advance Continuity of service, where considered essential must be maintained Factors to be considered for providing clinical facilities

The plan should be based on the philosophy and the objectives of the programme The number of students to be posted in each clinical area to be taken into consideration. The number of wards or departments or clinical areas to be considered

Factors to be considered for providing clinical facilities The size of the department, bed occupancy, work load of the particular area The duration of the clinical experience in each area is taken into account, number of supervisory faculty members available in each area Consider the University requirements in relation to clinical experience Health care delivery system Equipments and supplies Budget Field visits

Advantages of a Clinical Rotation Plan: Every student should be exposed to all experiences Supervision will be easy Overcrowding can be avoided Reduce confusion among teachers and students Easy for evaluation Students can fulfil all the objectives

Formula for a Rotation Plan (for 3-2 day format) Number of unit hours / Number of weeks/semester = Duty hours per week Number of Duty hours/week X 2 weeks of duty __________ = Number of hours per area Number of unit hours / Number of hours/area = Number of RLE areas/semester

Example:

Level IV= 40 students NUR 038 Laboratory 8 Units (408 hours) 408 Number of unit ofhours unit hours / / 18 Number of weeks/semester of weeks/semester = = Duty 22.67 hours or 24 hours per week per week
Number 24 Duty of Duty hours/week hours/week X 2 weeks X 2 weeks of duty of duty __________ ___ = Number = 48 hours of hours per area per area Number 408 unit ofhours unit hours / /Number 48 hours/area of hours/area == Number 8.5 or 9of RLE RLE areas/semester areas/semester

Formula for RLE Fee Computation

Number of Clinical Instructors Number of hours per rotation X RLE areas per semester CI rate @ Pxxx.xx per RLE hour = Clinical Instructors RLE Fee Clinical Instructors RLE Fee + Administrative Expenses = Total RLE Fee

Total RLE Fee / Number of Students = RLE Fee per Student

/ =

RLE Fee per Student RLE Hours RLE Fee of a student per hour

Example:

3 Clinical Instructors/ 1 Section of 40 students Administrative Expense = P 75,000.00 CI rate @ P 200.00 per RLE hour

Number of Clinical Instructors Number of hours per rotation Clinical Instructors RLE Fee X RLE areas per semester + Administrative Expenses CI rate @ Pxxx.xx per RLE hour = Total RLE Fee = Clinical Instructors RLE Fee
3 Clinical Instructors 48 hours per rotation + X 9 RLE areas per semester = CI rate @ P200.00 per RLE hour = P 259,200.00 P 259,200.00 75,000.00 P 334,200.00

Total RLE Fee / Number of Students = RLE Fee per Student

RLE Fee per Student / RLE Hours = RLE Fee of a student per hour

P 334,200.00 / 40 students = P 8,355.00

P 8,355.00 / 408 hours = P 20.48