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TRINITY UNIVERSITY OF ASIA

ST. LUKE’S COLLEGE OF NURSING

VISION:
St. Luke’s College of Nursing envisions itself as an institution perpetuating a culture of excellence through God – centered Nursing
Education, Service and Volunteerism.

MISSION:
 Develop a faculty highly competent and wholly committed Christian Nursing Educators
 Design a curriculum that will meet the needs of its students with the state –of – the art health care delivery system
 Nurture the students within Christian atmosphere and values that will develop their optimum level of competency and leadership
 A friendly and democratic environment to serve God, country and fellowmen.

CORE VALUES:

 Integrity – We uphold , honesty, accountability and fairness towards the development of social responsibility.
 Excellence – We are guided by the highest standards in performing our endeavours in instruction, research and community service
 Innovation – We courageously explore avenues to develop new programs and processes
 Teamwork – We move as one in the spirit of trust, loyalty and solidarity in achieving our common goals.
CLINICAL TEACHING PLAN IN PEDIATRIC HEALTH NURSING (Level 2)

COURSE TITLE: NCM 107 and NCM 109


(Related Learning Experience in Pediatric Health Nursing )

DESCRIPTION: This clinical teaching plan will serve as a guide for the clinical instructor in developing the core competency
required for the students in caring for pediatric patients.

AREA OF EXPOSURE: hospital

DURATION: 48 hours of duty per rotation

Program Outcomes:
KNOWLEDGE: Focus on providing holistic care to newborn, infants and children and adolescents and their families across
the health continuum, including health promotion, illness management and health restoration. It requires
knowledge of child development . A family centered care.

SKILLS: Pediatric nurses attempts to provide atraumatic care that is therapeutic care that utilizes interventions
that eliminate or minimize the physiologic and physical distress experienced by children and families in the
health care system. Pediatric nurses function to support the family by providing nursing care that the family
cannot perform, educating and supporting them to maintain their normal caring activities and actively viewing
the parents as partners in the care process.

ATTITUDE: Proper attitude of prudence, patience, accuracy, and gentleness in handling patients. Shows awareness of the
need to recognize cultural differences among families and clients. Explain the role of significant others in patient
care.
PROGRAM OUTCOMES PERFORMANCE INDICATOR
1. Apply knowledge of physical , social, natural and health 1.Ensures a working relationship with the client and or support system based on
sciences and humanities in practice of nursing. trust, respect and shared decision making (2.1p2)
2. Establishes rapport with the client and or support system ensuring adequate
information about each other as partners in a working relationship.(2.1.1 p3)
3. Formulates with the client-partner the objectives and expectations of the nurse-
client working relationship (2.1.2 p3)
2. Provide safe, appropriate and holistic care to individuals, 1.Assesses the client (individual, family, population group and or community)
families, population group and community utilizing nursing one’s health status competence.(2.2 p3)
process. 2. Develops the data gathering plan with the client specifying methods and
tools.(2.2.1 p4)
3. Obtains assessment data utilizing appropriate data gathering methods and tools
guided by type of client and work setting requisites.(2.2.2 p4)
4. Analyzes data gathered(2.2.3 p4)
5.Synthesizes data gathered (2.2.4.p4)
3. Apply guidelines and principles of evidenced-based practice in 1. Provides appropriate evidenced based nursing care using participatory
the delivery of care. approach based;
a. variety of theories and standards to health and healing
b. research
c. clinical practice
d. clinical preferences
e. client staff safety
f. customer care standards (2.4.2 p6)
2. Applies safety principles, evidenced based practice infection control measures
and appropriate protective devices consistent when proving nursing care and
preventing injury to client, self and other health care workers and the
public.(2.4.3 p7)
3. Implements safe, adequate evidenced based care of client during the pre, intra
and post diagnostic and treatment procedures.(2.4.6 p7-8)
4. Practice nursing in accordance with existing laws, legal, 1.Adheres to ethico-legal considerations when providing safe, quality and
ethical and moral principles. professional nursing care.(1.1 p1)
2. Applies ethical reason and decision making to address
situations of ethical distress and moral dilemma.(1.2p1)
3. Adheres to established norms based on the Philippine Nursing law and other
legal regulatory and institutional requirements relevant to safe nursing
practice.(1.3 p1-2)
4. Protects clients rights based on the “Patient Bill of Rights and obligations”
(1.4 p2)
5. Communicate effectively in speaking, writing and presenting 1. Ensures intra-agency, inter-agency multi-disciplinary and sectoral collaboration
using culturally – appropriate language. in the delivery of health care. (4.1 p14)
2.Implements strategies/approaches to enhance/support the capability of the client
and care providers to participate in decision making by the inter-professional
team.(4.2 p14-15)
6. Document to include reporting up to date client accurately and 1. Documents client’s response/ nursing care services rendered and processes/
Daily Activities in the Ward
Orientation Activities for the Students:
1st Day of Exposure
Orientation on the Following:
1. Description of the affiliating agency and its services; organization’s vision, mission and values, protocols, policies and guidelines, organizational chart
2. Physical set up of the facility, supplies, instrument and equipment
3. Unit’s protocols, policies and guidelines
4. Hospital Forms
5. Proper Documentation
6. Workflow in the Area
7. Expected Competencies, skills and attitude of students towards patient
8. Review of skills (as necessary)
Second Day to Fifth:
Duty
1. Pre –conference
2. Assigning of patient
3. Endorsement
2. Actual Clinical Experience
4. Bed side conference / nursing rounds
3. Post Conference
Last Day of Duty :
1 Half day duty.
2.Post Conference
3. Case Presentation,
4. Submission of Requirements
5. Post-Test, Evaluation
LEARNING OUTCOME ACTIVITIES ASSESSMENT
At the end of the rotation in the pediatric
ward the students will be able to: Receive endorsement
1. Identify specific nursing care for the Assign patient/s for each student Supervise students’ performance
Pediatric patient at all stages. Establish rapport with parents/SO Observation ( allow student to use a tool
2. Perform comprehensive and systematic Obtain pertinent clinical history /form)
nursing assessment based on the (i.e.Past,Birth, Maternal,etc) Check students’ worksheet
developmental stage of the child. Perform cephalo-caudal assessment Check the NCP
3. Formulate the nursing care plan including PE
4. Implement the NCP Take patient’s vital signs Feed backing (Formative Assessment)
GENERAL Perform appropriate nursing care / Nurses’s Notes (FDAR/PDAR)
OBLECTIVES OF procedure for pediatric patients THE
ROTATION: At the end of the
rotation the students 5. Maintain safety and comfort of the Check for side rails properly secured Supervise Students will be
able to acquire Pediatric patients Bathe the patient observing the safety Observation (use evaluation tool for the
appropriate measures procedure performed)
knowledge, skills Change linen, clothes, diaper and
attitude Wrap the newborn / patient
on Keep temperature regulation nursing
care of the pediatric 6. Demonstrate clients.
a. oral medication administration Prepare the medication and the materials Supervise
needed. Observation
Compute for the dosage and solution
Prepare the materials needed for feeding
Feeding
b, proper feeding
(thru breast feeding ,OGT
bottle feeding as needed)

7. Measure the intake /output of the patient Note for the patient’s intake, including Supervise
special diet and those that are NPO
Weigh the patients diaper as per
institution’s policy
Weigh patient
Report and Document the data taken.
Regulate the IV

8.Implement appropriate heath teaching to Give proper health teaching, including Observe
the patient, relatives and significant explaining the discharge instruction and Supervise
others follow up
9. Organizes workload (?) Students should work/ do nursing care and Observe
procedures in a systematic / logical Supervise
manner
Learn to prioritize work
St. Luke’s College of Nursing
1st / Second Semester

AREA: Pediatric ward - Hospital

PLAN OF DAILY ACTIVITIES IN THE CLINICAL AREA


DAY/S ACTIVITIES EVALUATION
Day 1 Prayer
6AM-10AM Check COM
Getting to know the students /CI
Open Forum / Expectation
Pre-test with Rationale
Orientation
Pre-conference
Hospital Policy
Hospital /Ward Personnel
Hospital Forms
Physical Set –up
Hospital tour

10AM-11AM BREAKTIME Return Demonstration


Teacher demonstrating nursing procedures
11AM-2PM Start of Duty
Nursing Rounds Take Home Assignment: Make NCP for your
Assigning of Patient Assignment patient
Vital signs taking, NPI
Chart Reading
Plotting
Day 2
6AM-8AM Duty
Endorsement, Nursing Rounds
Vital Signs
CI demonstrating procedure Students doing the procedure (supervised)
To validate skills
Chart Reading (case to case )
8AM-10AM Bathing, Diapering ,Dressing/ wrapping
the baby
Feeding the baby
Nursing Procedures Take Home: Make a reaction of your first
Day of duty / read about the disorders
10AM-11AM BREAK TIME handled on that day

11AM-2PM Vital Signs


Assignment: Report on the different cases
I& O
handled
Plotting

Day 3 / Day 4 Duty


Endorsement, Nursing Rounds
6AM-8AM Chart Reading
Vital Signs
8AM-10AM Bathing, Changing diaper ,Dressing/
wrapping the baby
Feeding the baby
Nursing procedure
10AM-11AM
BREAK TIME
11AM-2PM
Nurses’ Notes (FDAR) Utilizing the student’s
Vital Signs worksheet
Knowing the Medications,
administration of meds / Computation Reporting on the different cases handled
I& O
Plotting
Day 5 Same with Day 2,3,4
10AM -2PM Includes Nursing Conference
(Individual, team, bedside nursing/rounds)
Reporting (case/disorder)
Case Analysis Nursing Rounds
Q&A about the cases
Nurses’ Notes (FDAR)
Day 6
6AM-10AM Duty

10AM-2PM Case Presentation


Post Test with Rationalization
(Summative) Culminating
Journal Discussion Evaluation Day
Submission of Requirements
Feed backing
Prepared by: Reviewed by: Approved by:
Remedios H. Fernando,RN MAN Sedfey Keith Espina Dr. John Michael O. Lorena, RN
Clinical Instructor Edna U. Robles, RN MAN Dean
Clinical Head

TRINITY UNIVERSITY OF ASIA


St. Luke’s College of Nursing

THINGS TO BRING / PARAPHERNALIA REQUIREMENTS


(You can use a Tackle box/duty bag to put your 1.Pre-test / Post Test
paraphernalia) 2. Case presentation – 1 for each group
1. Liquid hand soap (for the whole group) - should be of different cases
2. Cotton Ball Canister (2 = 1 for dry /1 with alcohol) 3. NCP – will be passed on Day 2
3. Syringes of Different Sizes/Gauges - 3 problems for 1 patient
4. Thermometer ,Stethoscope, BP app, Bandage Scissor - on top of the coupon bond write:
5. Pulse Oximeter (optional) Patient’s name , Age , Date of Admission
5. Tape measure, Micropore,Penlight (optional) Diagnosis
6. Tricolor pen, pencil, small ruler, Tickler,Clip Board 4. Journal Update ( Pedia Update w/ reactions)
7. Clean gloves, face mask (group) 5. Diary /Process Recording (to be written in green booklet)
8. White square towel 6. Documentation – Nurses’s Notes using student’s worksheet
9. Liquid Baby bath soap (group) Physical Assessment
10. Cotton Buds (group) 7. Student profile
11. Basin, small bottle of chlorox,powdered soap,pad
(optional)
12. Water heater (optional)
13. Nail cutter (optional)

NCP FORMAT

Name of Patient: Age: Gender: Address:


Diagnosis: Admitting / Final Date of Admission:

Assessment Diagnosis Planning Implementation Rationale Expected outcome


(Nursing Diagnosis (SMART)
Use NANDA )
1.Subjective Cues
(optional)
Objective
2.Subjective cues
Objective
3.Subjective
Objectives

STUDENT PROFILE:
Student’s Name Day1:Date Day 2: Date Day3:Date Day4:Date Day5: Date Day6:Date
Student’s Picture
CP No.
Parent’s Name
CP/Land line
Student’s Name Day1:Date Day2:Date Day3:Date Day4:Date Day5:Date Day6:Date
Student’s Picture
CP No.
Parent’s Name
CP/Land line
Student’s Name Day1: Date Day2: Date Day3:Date Day4:Date Day5:Date Day6:Date
Student’s Picture
CP No.
Parent’s Name
CP/Landline
Student’s Name Day1:Date Day2:Date Day3: Date Day4 :Date Day5:Date Day6:Date
Student’s Picture
CP No.
Parent’s Name
CP/Landline
Student’s Name Day1:Date Day2:Date Day3:Date Day4: Date Day5:Date Day6: Date
Student’s Picture
CP No.
Parent’s Name
CP/Land line

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