Professional Documents
Culture Documents
This course deals with the application of concepts, principles and theories, and methods of developing the essential knowledge, skills,
and attitude in the care and management of sick clients across the lifespan with emphasis on the adult and older persons with
alterations/problems in nutrition, metabolic and endocrine functions.
Provide opportunities to demonstrate procedures needed and for actual experience to ensure competencies in caring for clients with
alterations/problems in oxygenation are developed
Area of Exposure:
Duration:
24 hours/week 8 hours/day
Focus:
Metabolism
Equipments:
Weighing scale, tape measure, special diet lists, nasogastric or gastrostomy tube, colostomy, ileostomy, hot sitz bath, TPN set, blood
glucose monitoring set, insulin injection.
Entry Competencies:
Completed RLE 103 skills laboratory return demonstration
Knowledge in Fundamentals of Nursing, Anatomy and Physiology
Skills in the nursing process
Decision making skills and critical thinking skills
Orientation of clinical instructors regarding the policies and guidelines of the institution which must have been completed prior to student
exposure and in coordination with affiliating institutions training officer for a week or depending on the institutions policy.
Orientation of activities for students which is usually done before actual exposure or on the first day of clinical experience.
Orientation on the following:
Intermediate
Competencies
Clinical Activities
Faculty
Method of Evaluation
Student
I.
Safe
and
Quality Nursing
Practice
o
Help the student identify health
a. Identifies
the needs of patients based on patient
health needs of classification system. Emphasis is to
the patient
give care to patients with the following
conditions:
a)
Alteration in nutrition less than
body requirement.
b)
Alteration in nutrition more than
body requirement
c)
Alteration
in
oral
mucous
membrane integrity
d)
Alteration in comfort; epigastric or
abdominal pain
e)
Fluid volume deficit
f)
Activity intolerance
b. Provides
sound
decision making
in
care
of
individual/groups
considering their
o
o
a.
b.
c.
d.
e.
f.
g.
o
Assists
students
in
problem
identification, gathering of data
related to the problem, and selection
of appropriate action.
o
o Observation
o Quiz
o Case presentation
o Concept mapping
o One on one conference
o Client feedback
o Performance evaluation checklist
beliefs, values.
c. Promotes patient
safety
and
comfort.
d. Priority setting in
nursing
care
based
on
patients need.
e. Administers
medications and
other
health
therapeutics.
f.
Utilizes
nursing
process
as
framework
for
o
o
nursing. Performs
comprehensive,
systematic
nursing
assessment.
a. Determination
and
management of cause
b. Hydration
c. Drug therapy
d. Tube feeding
e. Dietary management
f. Total
parenteral
nutrition
o
administration
g. CBG monitoring
h. Insulin administration
i. Oral care
o
o
g. Formulates care
plan
in
collaboration with
patients,
other
health
team
members.
Emphasize
obtaining
procedures.
the
importance
of
consent
during
o
o
Emphasize
the
importance
of
maintaining
privacy
and
confidentiality of patient.
o
h. Implements NCP
to
achieve
identified
outcomes.
i.
Responds
urgency
patients
condition.
to
of
o
II.
Accomplishes
discharge plan.
Communication
a. Establishes rapport
with patients,
significant others
and members of
the health team.
b. Identifies verbal
and non-verbal
cues.
c. Responds to
needs of
individuals,
family, group and
community.
d. Uses appropriate
information
technology to
facilitate
Discusses
the
importance
responding properly.
of o
o
patient
centered
o
Creates an atmosphere of trust and o
confidence.
o
Listens attentively to patients queries o
and requests.
Spends time with patients to facilitate
conversation and allows expression of
concerns.
Discern,
interpret,
and
validate
patients body language and facial
expression.
Provides
reassurance
through
therapeutic,
touch,
warmth
and
comforting words of encouragement.
Readily smiles.
Utilizes telephone, mobile phone, email
and internet, and informatics.
Identifies a significant other so that
follow up care can be obtained.
Provides holding or emergency
Observation
One on one conference
Client feedback
Performance evaluation checklist
communication.
e. Utilizes formal
and informal
channels.
III.
Health
Education
a. Assesses the
learning needs of
the patient and
the family.
b. Develops Health
Education plan
based on
assessed and
anticipated
needs.
c. Develops learning
material for
health education.
numbers of services.
o
o
o
d. Implements the
Health Education
Plan.
Supervises
students
in
the
implementation
of
the
health o
education plan using the appropriate
o
strategies and techniques.
o
e. Evaluates the
outcome of health
Education
o
o
Provides
a
conducive
learning
environment for the patient and the
significant others.
Considers the patient and familys
preparedness.
Uses
the
appropriate
teaching
strategies suited to the needs of the
patient and family.
Provides reassuring presence through
active listening, touch and facial
expressions
and
gestures,
and
therapeutic communication.
Monitors
patient
and
familys
responses to health education.
Uses correct evaluation parameters.
o
o
Observation
Performance evaluation checklist
documentation of outcome.
IV.
Legal
Responsibility
a. Adheres to
practices in
accordance with
the nursing law
and other
relevant
legislation
including contract
and informed
consent.
o
o
o
o
b. Adheres to
organizational
policies and
procedures, local
and national.
o
o
c. Document care
rendered to
patients.
V.
Ethico-moral
Responsibility
a. Respects the
rights of
individual/ groups
b. Accepts
responsibility &
accountability for
own decisions
o
o
.
o
Observation
Checking of documentation
Observation
o
o
and actions.
c. Adheres to the
national and
international code
of ethics for
nurses
VI.
Personal and
professional
Development
a. Identifies own
learning needs.
b. Pursues
continuing
education.
c. Gets involved in
professional
organizations and
civic activities.
d. Projects a
professional
image of nurse.
e. Possesses
positive attitude
towards change
and criticism.
f.
Performs function
o
o
o
o
o
o
o
o
o
o
o
o
o
o
o
Observation
One on one conference
Attitude evaluation checklist
according to
professional
standards.
o
o
g. Application of
learned
information
Management of
Resources and
Environment
a. Organizes
workload to
facilitate patient
care.
o
o
VII.
b. Utilizes resources
to support patient
care
c. Ensures the
functioning of
resources.
d. Maintains safe
Environment
o
o
o
o
o
Records
Management
a. Maintains
Emphasizes
the
importance
of
organizing
workload
and
time
management.
Assign patients to students based on
their capabilities.
Helps
in
determining
enough
resources needed to deliver patient
care.
Reminds
students
about
importance of proper use
maintenance of equipment.
the
and
Ensure
adherence
to
policies,
procedures
and
protocols
on
prevention and control of infection.
Show to the students the emergency
exit to be used in cases of fire or
earthquake
o
o
o
o
o
o
o
Observation
One on one conference
VIII.
accurate
and
patient care is completely updated.
updated
o
documentation of
patient care and
outcome.
o Discusses the legal implications of
b. Observes
legal
keeping records.
o
imperatives
in
recording
o
keeping.
IX.
Quality
Improvement
o Supervise students in identifying o
a. Gathers data for
variations
in
nursing
care
or
quality
standards by different methods such
improvement.
as ward rounds, audits, patient o
b. Participates
in
feedback form, etc.
nursing
audits
and rounds.
o
o
o
c. Identifies and
reports variances.
d. Recommends
solutions to
identified
problems.
o
Supervises and assists students in
making recommendations about
solution for identified problems.
o
o
X.
Research
a. Gathers
data
using
different
methodologies
patient care.
Utilizes appropriate record system o
based on the institutions policies and
guidelines.
documentation.
Allow students to chart in the nurses
notes
Observation
One on one conference
Identifies
actual
and
potential
variances to patient care.
Makes
proper
documentation
of
variances observed.
Reports
variances
identified
to
appropriate group.
Enumerate appropriate suggestions
about
corrective
and
preventive
measures for problems identified.
Communicates
and
discusses
suggestions with appropriate groups.
Enumerate
problems.
possible
researchable o
o
Journal sharing
Observation
in data gathering.
b. Recommends
actions
for
implementation.
c. Applies research
findings
in
nursing practice.
o
o
o
o
o
o
Defining Qualities
Empowering Qualities
Enabling Qualities
Enhancing Qualities
Prepared by:
Identify
appropriate
methods
of
research based on the problem
identified.
Analyzes data gathered
Make
recommendations
about
practical
solutions
to
identified
problems.
Recognize the importance of applying
research findings and solutions for the
improvement of nursing care.
Update self to recently conducted
research studies
Checked by:
Approved by:
RLE, Coordinator