BACHELOR OF SCIENCE IN NURSING:

INTENSIVE NURSING PRACTICUM

RLE LCP MODULE RLE LCP UNIT WEEK
3 1 1

BANDAGING

 Read course and laboratory unit objectives

 Read study guide prior to class attendance
 Read required learning resources; refer to course unit terminologies
for jargons
 Participate in weekly discussion board (Canvas)
 Answer and submit course unit tasks

At the end of this unit, the students are expected to:

1. Apply the nursing process in the care of groups of clients across the lifespan with
conditions and/or in situations needing bandaging:
a. Assess the client’s total health condition and resources.
b. Formulate nursing diagnoses based on the given scenario.
c. Develop a plan of care for individuals with conditions and/or in situations needing
bandaging.
d. Implement a plan of care applying the appropriate principles, guidelines, and steps in
administering bandaging to client(s).
e. Evaluate the outcomes(s) of care post bandaging administration.
2. Demonstrate competencies of a beginning staff nurse, nurse leader, and researcher.
3. Promote personal and professional growth by showing independence in performing varied
tasks and responsibilities.
Skills laboratory equipment and materials
To facilitate the practice of students’ nursing skills, the following rules must be implemented:
1. The use of the Nursing Skills laboratory equipment and materials appropriate of the given
case scenario are allowed.
2. Use resources from the required readings. (Bandage and dressings, if any)
3. Students must perform the tasks in the worksheet at a given period.
Key Areas of
Competency
Responsibility
1. Safe and Demonstrates knowledge
Quality about the clients’ health status
Nursing Care and set priorities in nursing
care based on clients’ needs
Provides sound decision
making in the care of
individual/ family considering
their beliefs and Values
Promotes safety, comfort, and
privacy
Administers medications and
other health therapeutics
safely (accurately and
correctly)
2. Management Organizes workload to
of Resources facilitate client care.
Utilizes resources to support
client care by ensuring proper
functioning of equipment
3. Health Develops health education
Education plan based on assessed
learning needs
4. Legal Adheres to practices in
Responsibility accordance with the nursing
law, institutional policies and
Expected Performance and Criteria
Identifies the client’s health status in
determining the need for bandaging.
Gathers and analyzes data relevant to the
client’s health condition perform the correct
bandaging procedure.
Maintains a safe environment and performs
age-specific bandaging procedures and
protocols safely ensuring privacy in all aspects
of care.
Conforms to the 10Rs of medication
administration and health therapeutics
Identifies nursing tasks and performs them
based on priorities.
Finishes tasks on time.
Observes appropriate protocols and
institutional policies.
Ensures availability, completeness, and
functionality of equipment and nurse’s
paraphernalia relevant to the performance of
bandaging procedures.
Implements applicable age-appropriate health
education activities to the client based on
needs assessment
Acts and performs nursing tasks related to
bandaging procedures in accordance with
established norms of conduct expected of a
 Key Areas of
Competency Expected Performance and Criteria
Responsibility
protocols, and other relevant nurse and an OLFU student as well as with the
legislation. other relevant legislation.
5. Ethico-moral Adheres to Code of Ethics of Maintain the privacy and confidentiality of
responsibility Nurses and respect rights of client’s information.
the client and other individuals Accepts responsibility and accountability on the
involved in the care of the decisions made relating to the client’s care.
client.
6. Personal and Project a professional image of Performs nursing tasks according to
Professional the nurse professional standards.
Development Demonstrates good manners and right conduct
at all times.
Observes proper grooming and hygiene.
Adapts to changes willingly by being open to
new strategies or approaches relevant to the
performance of bandaging.
7. Quality Identifies and reports Identifies and reports inadequacies and
Improvement variances and recommends problem(s) encountered in the provision of
appropriate solutions. bandaging procedures and processes.
Recommends practical and appropriate
solutions.
8. Research Enhances competency level in Specifies researchable problems related to
the utilization of different forms bandaging procedures and related client care.
of data gathering and Gather, analyze, and interpret relevant data.
principles of assessment and
nursing care.
Analyzes and interprets data, Utilizes findings in research in the provision of
disseminate findings and apply bandaging -related measures and client care.
recommend actions.
9. Records Maintains accurate and Records outcome of client care.
Management updated documentation of Submits legible, accurate and updated
client care observing legal documentation and/or information regarding the
imperatives in documentation client care.
and record keeping.
10. Communicatio Identifies verbal and non- Interprets and validates client’s body language
n verbal cues and facial expressions
Uses appropriate information Utilizes appropriate means and/or channels of
technology to facilitate communication to support the delivery of care
communication. to clients with conditions needing bandaging.
11. Collaboration Collaborates plan of care with Respects the role of other members of the
and Teamwork the other health care team health care team in administering bandaging
members. measures to the client.
Refers the client to the appropriate allied health
team partners.

The Mock OSCE scenario part is made up of three stations: Ongoing Assessment, Implementing Care
and Ongoing Care. The instructions and available resources are provided for each station, along with
the specific timing.
SCENARIO: THE CASE OF CARDO

A 30-year-old motorcycle rider, was seen in the roadside enduring

injuries from an accident. He is sitting still and says that he is just driving
down the road when somebody turned left and pulled out in front. He lost
control and had no time to react. In addition, he admitted that he had two
shots of liquor and that he is about to grab more bottles for the family
celebration. He insisted that he was very careful on the road. Suddenly,
he stopped narrating and tried to gather himself up. Realizing that he
couldn’t move with ease, he now assumes a comfortable position and
tries to assess his own condition. After a quick scan of himself, he now complains of pain.

Another witness on the scene is already contacting an EMS but announced that she is having
difficulty reaching the hotline. “Poor signal reception”, she exclaims.

Good thing the patient is conscious and able to respond to questions. While waiting, it was an
opportunity to further assess the patient’s condition. One cannot miss that he has road rashes in
the upper and lower extremities after sliding across the pavement. Along with it, it is also evident
that he will need stitches for the deep laceration located in the anterior aspect, middle third of his
left thigh. The same happened on his right leg. Apart from other parts have abrasions, these are
the areas with deep affectation. Moving on with other possible injury, he was asked to move both
arms upwards. Upon attempt, he shouts in pain and cannot proceed. Limitation of movement was
observed on the right shoulder and arm. He now expresses his concern on possible infection,
problems in mobilization and healing.

***You will be asked to complete the following activities to provide high quality, individualized care for
the patient.

STATION TASKS RESOURCES

Ongoing Assessment  You will collect, organize and  Assessment overview and
– 10 minutes document information about the documentation which you will
patient. be asked to complete
 Observations chart

Implementing Care  You will perform necessary  An overview and Medication

–15minutes bandaging techniques in this Administration Record (MAR)
station
Ongoing Care  You will document the care that  An overview and Ongoing
– 15 minutes has been provided using an Care letter for the person you
SBAR tool – (Situation, have been caring for
Background, Assessment and
Recommendation) so that this is
communicated with other
healthcare professionals.
Station 1: Ongoing Assessment

TASKS: Assume that it is 9:00am. You have been asked to assess the patient. Complete the
assessment data to provide high quality, individualized care for the patient.

Patient: ______________________________________________________ Age :____________

Case: _________________________________________________________________________

NURSES NOTES
Date F> D>

Time

Verified by: _______________________________________________

REMARKS:
Station 2: Implementing Care
TASKS: Perform necessary nursing care such as bandaging. Specify bandaging technique/s
used and document.

Patient: ______________________________________________________ Age :____________

Case: _________________________________________________________________________

NURSES NOTES
Date F> D>

Time

Verified by: _______________________________________________

REMARKS:
Station 3: Ongoing Care
TASKS: Prepare a plan for continuity of care. Specify your recommendations,

Patient: ______________________________________________________ Age :____________

Case: _________________________________________________________________________

NURSES NOTES
Date F> D>

Time

Verified by: _______________________________________________

REMARKS:
 PERFORMANCE CHECKLIST FOR
BANDAGING

NAME: ______________________________________________ SCORE: _____________

GRP NO: ______________ CONCEPT: ___________________ DATE: _____________

3 2 1
CRITERIA Very Satisfactory Non-
Satisfactory Satisfactory

1. Make sure the scene is free from hazard (to ensure

safety).
2. Identify the patient (to have an initial grasp of
neurological status)

3. Introduce self (to promote trust)

4. Verify if there are other victim/s with the patient (to

help manage resources)
5. Explain the procedure (to set expectations and gain
cooperation)
6. Let the victim lie down or sitting position (to
facilitate ease in application)

7. Ask the victim to support the affected limb while

you perform procedure (to promote participation in
care)

8. Apply correct application of bandage technique.

9. Neat and snugly fit.

10. Proper square knot.
11. Finish on time.

12. Evaluate patient’s condition including distal

extremity (to ensure comfort and good circulation)

Final
Actual Score/ Total score x 100
Grade::

_________________________________ ____________________________
Signature of Student Signature of Faculty
Hinkle, J. and Cheever, K. (2017). Brunner & Suddharth’s Textbook of Medical-Surgical Nursing,
14th ed. USA: Wolters Kluwer

ncems.org (n.d). PreMIS Preliminary Report (Rrevision2) https://www.ncems.org/pdf/PreMIS

PreliminaryReport.pdf

Wacht, O. (August 2015). Case study: Combative cardiac patient, EMS World Print Online Expo.
Retrieved from https://www.emsworld.com/article/12087677/case-study-combative-cardiac-
patient

WHO (May 2019). Fact sheet: Emergency medical teams (EMTs). Retrieved from
https://reliefweb.int/sites/reliefweb.int/files/resources/WHO%20Fact%20Sheet%20-
%20Emergency%20Medical%20Teams.pdf