You are on page 1of 10

GRAND CASE PRESENTATION GUIDELINES

Document Code: Issue/Revision: Effectivity date: Page:


COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

I. Purpose of the policy:

COH aims to execute an organize Grand Case Presentation which will foster quality Teaching –
Learning output.

II. Detailed policy statement:

1. It is the Authors’ intent to provide the COH a comprehensive guidelines in planning,


implementing, and evaluating its Grand Case Presentation Activity
2. Methodical study and wide-ranging presentation of concepts and principles in the nursing
care 0f Medical Surgical
Patient / client across the lifespan.

III. Applicability/Intention/Placement:
• All Level II, III, and IV Students
• To enable the student acquire knowledge, attitudes and skills in the nursing care of Medical-
Surgical patient/client across the lifespan. Exercise CRITICAL THINKING supported by
Analysis, Theoretical and Concepts integration, Logic and Reasoning.
• Performing students and enrolled

IV. Setting:
• Amphitheater; Classroom

V. Cognizant office(s) /Getting help:


For interpretations, resolution of problems, and special situations concerning this guidelines you may
contact the following :

1. OIC/Acting Dean’s Office


2. Level Coordinators

VI. Policy authority:


1. Joy Surtido
2. Lui Gascon
3. Jei Isip

VII. Related policies/Documents/ References for more information:

1. Grand Case presentation Evaluative Tool


2. Timeline (To be created by the Grand Case presentation Chair)
Issuing date: Policy Title:
08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

3. Peer Evaluation Tool


4. ADPCN Manual
5. UP Nursing Manual
6. CHED Nursing Curriculum Guidelines

VIII. Specific Guidelines Details:

Requirements Prior to Selection of Target Case

1. Continuous 3 – 6 days of duty to a selected client


2. Case in line with NCM 102 Concepts

Resources

1. Full Time Faculty


2. Clinical Instructors
3. Audio – Visual Aids
4. HQ Courseware
5. Hospital Duty

Specific Objectives

Given a 3 – day duty to a client in various set – up (MS, CCES, PERIOPS, MCN, PSYCH) in actual
setting, the student will be able to:

1. Utilize the Nursing Process in the care of clients various set – up (MS, CCES, PERIOPS, MCN,
PSYCH), across the lifespan in any setting.
1.1 Assess with the client or next of kin his / her health status and risk factors affecting health.
1.2 Determines the actual and potential nursing diagnoses
1.3 Formulates with the client and or significant others an appropriate plan of care
1.4 Implements the plan of care utilizing appropriate interventions for wellness and chronic
illness.
1.5 Evaluates with the client and significant others the health progress / status and outcomes of
Care

2. Obtain complete Biographic data, Patient History, Patterns of function and Gordon’s ADL and
correlates data collected to present status of patient / client.
3. Perform Learn, Analyze, Evaluate and Document Comprehensive Physical Assessment
comparing the norms from deviation to normal results.
4. Analyze the significance of Diagnostic and Laboratory results by rationalizing and linking with
the actual patient condition.
5. Learn Analyze, Evaluate and Document significance of Medications Treatments, Intravenous
Fluid and Blood Transfusion to patient / client case.
6. Enhance Knowledge in Anatomy and Physiology based on client’s case, body system
Issuing date: Policy Title:
08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

involvement.
7. Gain Knowledge on Pathophysiology Pathway of the client’s case.
8. Become Knowledgeable and skilled at formulating Nursing Care Plans and Discharge Plan
following the standards on creating an NCP.

Given 1 hour and 30 minutes of formal presentation and Interactive Q & A of the case selected,
the student/s will be able to:

1. Develop self esteem during presentation of assigned report; Public Speaking Skills
2. Exercise Critical thinking in answering to critical questions.
3. Become skilled in planning an activity.
4. Perform as a Team – player during group working phase
5. Build up camaraderie among group mates
6. Be Trained on Time Management.
7. Attain values such as patients, perseverance, inventiveness, accountability, honesty, and
diligence.

STANDARDIZED CASE PRESENTATION LAYOUT

I. Title Page
II. Table of Contents
III. Introduction (include Reliability percentage)
IV. Objectives
V. Biographic Data
a. Name
b. Address
c. Age
d. Gender
e. Religious Affiliation
f. Occupation
g. Marital Status
h. Room & Bed Number
i. Chief Complaint
j. Provisional diagnosis / Operation to be performed
k. Anesthesia to be used
l. Attending Physician / Surgeon and Anesthesiologist
(Co-management or for consultation / evaluation)
m. Hospital / Medical Center

VI. Nursing History


a. Past Health History
• Childhood Illness
• Immunizations
Issuing date: Policy Title:
08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

• Allergies
• Accidents
• Hospitalizations
• Medications used or currently taken
• Foreign Travel (when , length of stay)
b. History of present Illness
c. Family History
d. Obstetric History (for OB cases only)
e. Developmental History (for Pediatric cases only)

VII. Patterns of functioning


a. Psychological Health
• Coping patterns
• Interaction patterns
• Cognitive patterns
• Self Concept
• Emotional patterns
• Sexuality – Psychosexual theory
• Family coping patterns
• Psychosocial theory

Note : Each must have individual interpretation and analysis

b. Socio- cultural patterns


• Cultural patterns
• Significant relationships
• Recreation patterns
• Environment
• Economic

Note : Each must have individual interpretation and analysis

c. Spiritual patterns
• Religious beliefs and practices
• Values and Valuing

Note : Each must have individual interpretation and analysis

VIII. Gordon’s Pattern of Healthcare / Activities of daily living

Format:

Issuing date: Policy Title:


08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

Before During Interpretation &


ADL Hospitalization Hospitalization Analysis
1. Nutrition
2. Elimination
3. Exercise
4. Hygiene
5. Substance Use
6. Sleep & Rest
7. Sexual Activity

IX. Physical Assessment

Format :
Body Part Inspecti I.A. Palpati I.A. Percussi I.A. Auscultati I.A.
system on on on on
General Norms:
Appearance Actual
Findings

Measureme
nts

Legend: I.A. = Interpretation & Analysis

X. Diagnostic Studies

Format:

DATE PROCEDURE NORMS RESULT Interpretation


& Analysis

XI. Laboratory Studies

Format:

DATE PROCEDURE NORMS RESULT Interpretation


& Analysis

Issuing date: Policy Title:


08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

XII. Medications / Treatments given

Format:

Generic Dosage/Frequenc Classificatio Indicatio Contraindicatio Side Nursing


Brand/Nam y n n n Effect Responsibili
e s ties

XIII. Intravenous Fluids (Central Line & Peripheral Lines )/TPN/Blood Transfusion
Format:

IVF/Blood Runnin Classification Indication Contraindicatio Side Nursing


Product/TP g Rate n Effects Responsibili
N (Time ties
started- Care of IV
due lines etc.
time)

XIV. Anatomy & Physiology


XV. Pathophysiology (Narrative)
XVI. Path physiology (Schematic Diagram)
NOTE: Actual symptoms of patient must be color filled box (yellow), indicate legend;
example “yellow fill box are actual symptoms of patient”
XVII. Instrumentation (for O.R. Case Presentation)
XVIII. Anesthesia Study (for O.R. Case Presentation)
XIX. Skin Preparation / procedure ( for O.R. Case Presentation)
XX. Draping (for O.R. Case Presentation)
XXI. Position (for O.R. Case Presentation)
XXII. Incision Site (for O.R. Case Presentation)
XXIII. Prioritized List of Nursing Problems
Format:
Date Nursing Problems Cues Justification
Identified
3rd Priority
2nd Priority
1st Priority

Issuing date: Policy Title:


08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

XXIV. Nursing Care Plan

Format:
ASSESSMEN DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATIO
T N
S: NANDA S.M.A.R.T SHORT TERM S.M.A.R.T
“WELLNESS
Dx” LONG TERM:
To include
dependent and
Collaborative
Interventions

UTILIZE:
M-medications
E-Exercise
T- Treatments
H- Health,
Teachings/Hygi
ene
O-Out patitent
follow-up
D- Diet
S- Sexual
Activity/
Spirituality

XXV. Recommendations / Clinical Pathways


XXVI. Evaluation of Case Presentation (Refer to the Objectives)
XXVII. Acknowledgements
XXIX. Bibliography, to include website if being utilized.

GRAND CASE PRESENTATION ADDITIONAL GUIDELINES

PURPOSE: The Grand Case Presentation shall be considered as the culminating bustle for the NCM
101 and 104 subjects; henceforth this guideline was shaped to make certain that conveyance of the
Grand Case Presentation will be structured and or systematic as possible.

I. Presenters are required to wear their complete clinical uniform, including their nurse’s
caps and pins.
Issuing date: Policy Title:
08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

II. Presenter’s shall report 30 minutes before the call – time


III. Group leader shall ensure that hard copy (4 copies) of their report was submitted in the
Level Adviser on the expected date projected in their time line.
IV. Over – all Student Chairman shall ensure that Invitation and Reservation Letters,
Programs, Approval of Lay-outs (Tarpaulin, Invitation, Stage Lay-out, Certificates and
Usher/Usherettes I.D.) were submitted on time. Follow-up / coordination are expected
function. The Student Chairman shall initiate directions and or instructions of the whole
batch as approved by the Level III Coordinator on the status of the activity.
V. Each Group shall have final consultation day with their respective coaches’ prior printing
of final output.
VI. Presenter’s are expected to present their report in English and answers questions raised
by critics, audiences and panelists in English, each colloquial speech or vernacular word
will mean deduction from the total group grade. Presenters must introduce self before
presenting.
VII. Unanswered or incorrectly answered questions raised by the critic group, audiences and
panelists will automatically be considered as a “point taken” or a 2 point deduction from
the 100 starting points.
VIII. Group leader shall acknowledge the deduction by saying the phrase “point taken” once
said; the principal panelist shall deduct 2 points from the score.
IX. Actual presentation of report should last for forty five (45) minutes and Interactive Q & A
has thirty minutes (30) time allocation. Beyond the required hours for actual presentation
of report would suggest deduction based from minute/s extended to the group starting
points.

Example: Extended for 11 minutes


100 pts – 11 = 89

X. The Group Coach shall assume the role as the Emcee and Facilitator/Moderator during
his/her group presentation period. The Group Coach shall screen questions coming from
the audience.\

XI. Interactive Q & A particulars:

A. Maximum of 5 questions from the audience, 5 questions from the critic group and 10
from the panelists.
B. Questions shall be raised according to the succession of presentation.
Example:
If the question being posted is for Pathophysiology, critic should not post questions for
Physical Examinations; given that it was way behind, nor post a question for NCP since
it is not yet the topic of the discussion. The moderator will state “Are there any
pending queries for pathophysiology? If none, let’s proceed with…”
C. Recommendations/Suggestions from the Panelists and Critic will not be considered
as a “point taken” the Group Leader’s response should be
“Recommendations/Suggestions Noted, Thank you”
D. Questions that are posted must be answered within 30 seconds and maximum of 60
Issuing date: Policy Title:
08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

seconds, for questions that requires computations and citation of book-based response
or evidences to shore up answer.
E. After the given time allowance the group must post a correct response, unable to do
so means a point taken.
F. Presenter’s are expected to report and addressed the questions politely.
Sportsmanship is required!

XII. Documentation Details

A. Correct report shall be submitted 1 week (7 working days including Saturday &
Sunday) after the Grand Case Presentation.
B. Recommended Font: TAHOMA, Font size 12, Paper size A4, Placed onn a standard 2
hole black binder.
C. Attached Soft Copy of Report (CDR)
D. Include Standard Cover Page, Table of Contents (paging is important), Foreword and
Acknowledgements.
E. Unable to submit the corrected report and documentation (Pictures, Evaluation, report
etc. ) on the projected date will forward an Incomplete GRADE for all the Group
members for the Finals.

XIII. Grading & Evaluating the Grand Case Presentation

A. The panelist shall accomplished the Grand Case Presentation Evaluative Tool and
be submitted to the principal panelist every end of each presentation for collation and
computation.
B. The principal panelist shall average the grades given by the other panelists and will
get its 50%, point taken score will be transmuted to percentage and will get its 50 %.
The sum of the 50 % of panelist’s grade and 50% of the point taken transmuted grade
will be the Group Case Presentation Grade.

Example :

Step 1:
Panelist 1-80%
Panelist 2-80%
Panelist 3-80%
Panelist 4-80%
____________
Average=80%
X .50
_____________
= 40

Step 2:
Starting score -100
Issuing date: Policy Title:
08/13/09
GRAND CASE PRESENTATION GUIDELINES
GRAND CASE PRESENTATION GUIDELINES
Document Code: Issue/Revision: Effectivity date: Page:
COH – GUI – ACA - 01 01/01 01/01/2009

Authored by: Revised by: Reviewed by: Endorsed by:

JEI ISIP, RN LUI GASCON, RPh, JOY SURTIDO, RN ENGR. ANALISA


RN CABACCAN

Level III and IV Level I and II OIC/Acting Dean, College of Academic Head
Coordinator Coordinator Healthcare

Actual Pts. Taken


Score - 70
Transmute to % Actual pts. Taken score x 50 + 50
Starting score

= 85
x .50
____________
42.5
Step 3:

50% of the panelist’s grade + 50% of the points taken grade is equals to GROUP CASE
PRESENTATION GRADE

40 + 42.5 = 82.5 or 83

Issuing date: Policy Title:


08/13/09
GRAND CASE PRESENTATION GUIDELINES