PERPETUAL COLLEGE OF MANILA 1240 V. Conception St.
Sampaloc Manila Jonelta System College Of Nursing School Year 2012-13 Second Semester Clinical Focus : Description of the Learner: Clinical Setting: Placement: Time allotment: Entry Competency Intensive Nursing Practice at Post Anesthesia Care Unit Fourth year nursing student who passed all major subjects in nursing from N101 to N107 Post Anesthesia Care Unit at Jose Reyes Memorial Medical Center. Level IV second semester 6 days/ 8hours/day Student should have background knowledge in Care of Clients with problems in oxygenation, fluids and electrolyte balance, nutrition and metabolism and endocrine: pre/intra/post operative care and all other concepts in professional subject in Nursing. Performance Evaluation Tool (PET) 40% ; Knowledge ( Quizzes, NCP, Drug Study, Case Presentation) 30 % Attendance and Attitude 30%
Grading System:
Key Areas of Responsibilities/ Core Competencies Safe and effective Environment Core Competency 1. Demonstratesknowledge base onthe health /illnessstatus of individual 2. Provides sound decision making in the care of individuals /families/groups considering their beliefs and values,
Preceptors Activity . Assess knowledge regarding related entry competency and present concepts by pre-test in immediate post surgical care.. Assign students to particular patient in PACU
Students Activity
Methods of Evaluation
Shows theoretical knowledge by passing pre test prior to exposure. Identifies the health needs of the clients and explains the health status of clients/groups. 1. Actual care and assessment immediately after operation -V/S every 15 mins -Neurological assessment (GLASGOW COMA SCALE) -Airway, Breathing and circulation. Perform comfort measures and pain management approaches.
Paper and pencil test
Written output of Physical examination Oral validation of assessment data gathered
3. Promotes safety and comfort and privacy of clients 4. Sets priorities innursing care based onclients needs
Supervise decision making of students in relation tom comfort measure like TSB, pain management etc.
Observation of performance through PET
5. Ensures continuity of care
Supervises students as they perform nursing interventions safely
Performs appropriate nursing interventions based on identified problems and continuous monitoring of clints condition
Observation of performance through PET
Key Areas of Responsibilities/ Core Competencies 6. Administersmedications and otherhealth therapeutics 7. Utilizes the nursingprocess as framework for nursing
Preceptors Activity Do actual demonstration of procedures and explain rationale of specific actions. Supervise drug preparation of post operative medication and its administration. Check priority setting and Nursing Care Plan prior to implementation
Students Activity Recite drug analysis Compute appropriate dosage and check the 10 rights of drug administration. Administer post operative medications under supervision of CI Perform Physical examination utilizing systems approach to identify immediate needs and probles necessary for prompt attention Explain and rationalize plan of actions (chosen nursing care and priority setting) to CI.
Methods of Evaluation Submit drug study and recitation Actual skills of drug administration Actual performance, skills
Performs comprehensive and systematic nursing assessment
Formulates a plan of care in collaboration withclients and othermembers of the health team Implements planned nursing Care to achieve identified outcomes Evaluates progress toward expected outcomes
Supervises actual implementation of care.
Written output (NCP) and oral defense. No NCP no duty.
Supervise implementation of care.
Explain procedures to client and assess acceptance to the procedure.
Actual performance, skills using evaluation tools
Guide the student to evaluate short term goals and clients response to intervention rendered
Evaluate through outcome criteria. Uses the participatory approach to enhance clientpartners empowering potential for healthy life style/wellness Revises care plan based on expected outcomes
Actual performance, skills using evaluation tools
Actual observation of behavior Able to discuss parameters/outcome criteria for evaluation and its significance to actual result of care rendered
Key Areas of Responsibilities/ Core Competencies .Communication Core Competency 1. Establishes rapportwith client, significantothers and membersof the health team 2. Identifies verbal andnon-verbal cues
Preceptors Activity
Students Activity
Methods of Evaluation
Assist the student how to utilize therapeutic communication for pain management.
Revises care plan based on expected outcomes
Actual observation of attitude and skills through Performance evaluation Tools
3. Utilizes formal and informal channels 4. Responds to needs ofindividuals, family,group and community
Instruct student to be at clients bedside most of the time to identify needs and problem. Ask students to assess facial expressions and Supervise referral of problems to the staff nurses.
Identify need and problems even in an unconscious clients. Must show skills to identify non verbal cues for appropriate plan of care. Refer appropriately and accurately to the staff nurses. Spends time with the client/significant others and members of the health team to facilitate interaction Listens actively to clients concerns/significant others and members of the health team Establishes rapport reassurance through therapeutic touch, warmth and comforting words of encouragement Actual performance evaluation
5. Uses appropriate information of Observe the students communication technology to facilitate process utilizing verbal and noncommunication verbal approach.
Key Areas of Responsibilities/ Core Competencies Collaboration and Teamwork Core Competency 1. Establishes collaborative relationship with colleagues and other members of the health team 2. Collaborates plan ofcare with othermembers of the health team Health Education
Preceptors Activity Allow student to transport patient to other unit and supervise endorsement of clients Supervise delegation of responsibilities
Students Activity Methods of Evaluation Transport patient to other unit and supervise endorsement of clients Observation using evaluation tools
Practice effective delegation of responsibilities.
Observation using evaluation tools
Supervise accurate documentation, carry out doctors order. Preparing diagnostic and laboratory request accurately.
Performs accurate documentation, carry out doctors order. Preparing diagnostic and laboratory request accurately.
Observation using evaluation tools
1. Assesses the learningneeds of the client/partner 2. Develops healtheducation plan basedon assessed andanticipated needs
Supervise the student to identify learning needs on behavior change for wellness, healthy lifestyle or management of health problems
Obtains learning information through interview, observation and validation Analyzes relevant information Completes assessment records appropriately Identifies priority needs Formulates a comprehensive health education plan with the following components: objectives, content, time allotment, teachinglearning resources and evaluation parameters Provides for feedback to finalize the plan
Observation using evaluation tools
Key Areas of Responsibilities/ Core Competencies Develops learning materials for health
Preceptors Activity
Students Activity
Methods of Evaluation
Require the student to develop teaching plan based on the learning needs of the client and family. Check plan prior to implementation
Prepare written teaching plan based on the learning needs of the client and family. Formulate visual aids appropriate ly.
Written output of the teaching plan
Implements the health education plan
Supervise student actual health teaching
Provides for a conducive learning situation in terms of time and place Considers client and familys preparedness Utilizes appropriate strategies that maximize opportunities for behavior change for wellness/healthy life style Provides reassuring presence through active listening, touch, facial expression and gestures Monitors client and familys responses to health education
Performance during health education
Key Areas of Responsibilities/ Core Competencies Ethico-moral Responsibility
Preceptors Activity
Students Activity
Methods of Evaluation
Reminds Client regarding Clients bill of rights Checks attendance and observe attitude of student. Observe proper decorum. Orient the student regarding hospital SOP.
Respects the rights of individual / groups Accepts responsibility
Renders nursing care consistent with the clients bill of rights: (i.e. confidentiality of information, privacy, etc.)
Observation using evaluation tool
Submit nursing requirement on time.
Adheres to the national and international code of ethics for nurses Legal Responsibility
Adheres to practices in accordance with the nursing law and other relevant legislation including contracts, informed consent. Adheres to organizational policies and procedures, local and national
Discuss hospital standard operating procedures
Acts in accordance with the established norms of conduct of the institution /organization/legal
Actual observation
Key Areas of Responsibilities/ Core Competencies Documents care rendered to clients Personal and Professional Development
Preceptors Activity
Students Activity
Methods of Evaluation
Check the following and ensure adherence to the following responsibilities. Sample charting prior to actual documentation. Document V/S, urine output promptly in PACU Complete and honest documentation at all times.
Accomplishes accurate documentation in all matters concerning client care in accordance to the standards of nursing practice.
Output- charting .
Identifies own learning needs Management of Resources and Environment Organizes work load to facilitate client care
Submit and discuss articles regarding Submit articles topics related to concept of oxygenation, fluids and electrolyte and metabolism. Receives endorsements with the clinical instructors. Performs nurses rounds and performs initial assessment and give initial instructions. Read clients charts Check doctors orders, medication sheet, monitoring sheet and all recent document that will give initial overview about clients condition. Observation of actual performance
Ask student to submit articles regarding topics related to concept of oxygenation, fluids and electrolyte and metabolism
Conduct preconference prior to daily activity Discuss goals and specific objective for the day. Check paraphernalia prior to duty Check availability of nursing diagnosis and drug handbook. Assign students to clients based on level of competency Discuss schedules of activities
Key Areas of Responsibilities/ Core Competencies Utilizes financial resources to support client care
Preceptors Activity
Students Activity
Methods of Evaluation
Receives endorsements to the staff on duty prior to start of the duty. Performs nurses round with the students and staff to determine that can be safely formed by the students.
Evaluates existing resources needed for efficient delivery of care. Gather data, analyse to identify problems in the delivery of care and formulate measure for a cost effective means of utilization of resources.
Performance evaluation
Research Gather data using different methodologies Assist the students for existing resources needed for efficient delivery of care. Require the students to gather data, analyse to identify problems in the delivery of care and formulate measure for a cost effective means of utilization of resources. Supervise in gathering data. To identify problem for research Gather data Submit related literature. Submit assessment result with interpretation and analysis
Analyzes and interprets data gathered
Recommends practical solutions appropriate to the problem based on the interpretation of significant findings
Submit assessment result with interpretation and analysis
Prepared by Maria. Criselda Celon RN MAN
