COLLEGE OF NURSING

First Semester A.Y. 2023-2024

COMPREHENSIVE CLINICAL EXPOSURE FOR NURSING STUDENTS
RELATED LEARNING EXPERIENCE
Area of Assignment: QUIRINO PROVINCE MEDICAL CENTER – INTENSIVE CARE UNIT

NAME Date Started September 13, 2023

Year, Block & Date Ended
4S A – Group 2 September 22, 2023
Group
Schedule of Signature
W Th F (7:00 am – 2:30 pm)
Duty

DAY 1: ORIENTATION
ACTIVITIES OBJECTIVE PERSONS
INVOLVED
 Prayer Every Start of Clinical Duty
 Physical Set- Up
 Requirements
o Case Abstract
o Learning Feedback Diary
o Case Study/ Presentation To orient nursing students Students and Clinical
o HEPA-B Screening and with various information Instructor
Vaccination Record pertaining clinical duties at
o Pregnancy Test Kits (for hospital.
females only)
 Grading System
 Basic Nursing Protocols and
Processes
 Basic IPC Protocols
 Chart Contents
 Paraphernalia Contents
 Demerit Guidelines
 Medication Computation
 IVF Computation
 FDAR Charting
 Quiz
 Actual Observation/ Shadowing

DAYS OF EXPOSURE: HANDLING OF PATIENT/ FAMILIARIZATION OF NURSING ROUTINE

ACTIVITIES OBJECTIVE PERSONS INVOLVED
 Debriefing
 Patient Assignment
 Endorsement
 Receiving of Patient
o Self and School Introduction
o Basic Assessment/ Reminders
o Chart Reading
o Kardex Familiarization
 Bedside Care To handle patient/s under Students and Clinical
o Vital Signs and I&O Monitoring supervision of Clinical Instructor Instructor
o Periodic Rounds and familiarize the nursing routine
o Medication Administration (if at clinical area
permitted)
o IVF Regulation (Manual)
o Observation of Basic Nursing
Procedures (may assist with
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
 COLLEGE OF NURSING
First Semester A.Y. 2023-2024
supervision)
 Doctor’s Rounds
o Accompanying Doctor
o Carrying Doctor’s Order (if
permitted & with supervision)
 Documentation
o Completion of Flowsheet (TPR,
MAR, Nurses’ Monitoring Sheet, etc.)
o FDAR Charting (Long Bond Paper)
 End-shift Turn-over (Endorsement with in-
coming Year/Group, with the use of Practice
KARDEX Sheet)

LAST 2 DAYS OF EXPOSURE: CASE PRESENTATION AND DEFENSE

ACTIVITIES OBJECTIVE PERSONS
INVOLVED
 Case Presentation To deliver and defend a case Students and Clinical
(School) presentation or to present Instructors
health education to patients at
ward.

SUMMARY OF ACTIVITIES

COVERAGE
OF ACTIVITIES
EXPOSURE
Day 1 Orientation and Clinical Unit Simulation / Quiz
Days of Handling of Patient
Exposure in Handling of Patient/ Quiz/ Submission of Case Abstract , NCP, Drug Study & LFD
the Area (Week 1)
Handling of Patient
Handling of Patient/ Quiz/ Submission of Case Abstract, NCP, Drug Study & LFD
(Week 2)
Last Day/s Case Presentation per Group/ Evaluation Exam/ LFD (Week 3)
*Daily Checking of Paraphernalia, Grooming (Head-to-Toe)

CASE ABSTRACT COMPONENTS (Weekly)

 Front Page/ Title Page

o Submitted by and Submitted to
 Patient’s Profile
o Name, Age, Gender, Birthday, Address, Occupation, Date of Admission, Time of
Admission, Chief Complaint, Admitting Diagnosis/ Working Diagnosis
 Patient Medical History
o Past Medical (Allergies: Food & Drug/Childhood Illnesses/Adult Illnesses/Previous
Injuries & Surgeries/Hospitalizations/Immunizations/Medications)
o Present Medical History (Chief Complaints prior Admission: Days and Few Hours)
o OB History (if available)
o Social History (Vices/Lifestyle)
o Family History (the use of GENOGRAM)
 Overview of the Disease
o Definition
o Signs and Symptoms

QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit

 COLLEGE OF NURSING
First Semester A.Y. 2023-2024
o Diagnostics
o Treatment
o Prevention
 Pathophysiology (Basis in Making: Problem-Risk factors-Etiology:S/SX)
 Nursing Care Plan (Nursing Diagnosis: Problem-Risk factors-Etiology:S/SX)
o At least 2
 Drug Study

LEARNING FEEDBACK DIARY (Weekly)

 Objectives (General, Specific)

 Narrative Report
 Generalization
 Area of Exposure
 Groupmates
 Clinical Instructor

NOTE: LONG Bond Paper, Encoded, Font Style: ARIAL, Font Size: 11, with NC Heading &
Logos (NC & CON)

CLINICAL PARAPHERNALIAS
 Wrist Watch with Second Hand (Digital is NOT Allowed/Accepted Colors: Black, White,
Gold & Silver)
 Small Bag for Paraphernalias…. Note: NO USE of OB Bag…
 BP Apparatus with Stethoscope
 Digital Thermometer
(Note: No Portable Pulse Oximeter, d/t students don’t know how to count manual re: heart
rate)
 Pocket Notebook
 Small Calculator
 Pencil Case with ball pens (Red, Blue, Black) Eraser, Pencil, Sharpener, Ruler and Marking
Pen (permanent ink)
 Penlight with battery
 Plaster (Micropore) size 2 inches
 Sterile Gloves (as per size of your Hands) 2 Pairs
 Clean Gloves (per GROUP)
 Bandage Scissor
 Hand Towels (4pcs: Hand Washing and TSB)
 Liquid Soap
 Medication Tray
 Medication Cup
 Dry & Wet Cotton Balls with Labels
 Alcohol 70%
 Kidney Basin
 Tape Measure
 NANDA & Drug Handbook (Individual)
 MS/MCN/Funda Vol. 1 & 2 (per GROUP)
 Clip Board (individual)

QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit

 COLLEGE OF NURSING
First Semester A.Y. 2023-2024
 Nail Cutter
 Torniquet
 Betadine (30ml)
 Sterile Gauze Pad at least 2 pcs
 Hydrogen Peroxide (30ml)
 Small Basin for TSB purposes (2pcs)
 Tongue Depressors (2pcs)
 Cotton Applicator
 Syringes (10cc, 5cc, 3cc, 1cc, and Insulin)
DEMERIT GUIDELINES

Demerit Grades in Quizzes/Exam

Deduction of 0.5
GENERAL
Paraphernalia (for every lacking)
Requirements
Late Submission
Incomplete Requirement
CONDUCT AND BEHAVIOR
For every Discourteous Act
Grave Violation
Moderate Violation
Light Offense
OTHER POLICIES
Error in Charting
Leaving the Area without proper permission or beyond the time allotted
Going on off-duty without proper endorsement
Entertaining Visitors during Duty hours
Loitering
Reading Magazines or books not related to nursing
Texting or receiving calls while on duty
Confiscation of Cellphone
Sleeping during duty hours
Vandalism, gambling, smoking while duty
Late

CASE PRESENTATION CONTENTS

o Objectives (General and Specific)
o Overview of the Disease
o Patient’s Profile
o Medical History (Past, Present, Family History, Psychological, Social History)
o Physical Assessment
o Gordon’s Eleven Functional Health Pattern
 Health Perception and Management
 Nutrition/ Metabolic Pattern
 Elimination Pattern
 Exercise and Activity Pattern
 Sleep/ Rest Pattern
 Cognitive Perception Pattern
 Self- Perception and Self- Concept Pattern

QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit

 COLLEGE OF NURSING
First Semester A.Y. 2023-2024
 Role Relationship Pattern
 Sexuality and Reproductive Pattern
 Coping and Stress Tolerance Pattern
 Values and Belief Pattern
o Course in the Ward
o Laboratory and other Diagnostics Results
o Anatomy and Physiology
o Pathophysiology and Disease Management
o Nursing Care Plan (at least 3)
o Drug Study
 Drug Name (Generic, Brand, Actual Dosage, Route, Frequency)
 Classification (Therapeutic Class, Pharmacologic Class)
 Mechanism of Action
 Indication and Contraindications
 Adverse Reactions
 Nursing Responsibilities
o Discharge Planning (METHODS)
 Medication
 Education
 Teaching
 Hygiene
 Outpatient
 Diet
 Spiritual/ Sexual

CRITERIA FOR CASE PRESENTATION

CRITERIA SPECIFICS
COMPREHENSIVENESS Present significant data 12%
(24%) Mastery of entire case 12%
ACCURACY Observe proper documentation 2%
(24%) Utilize acceptable format 2%
Present valid and reliable data 10%
Correlate data with other information about the case 10%
ORGANIZATION Plan, coordinate with other members of the group 6%
(20%) Present data logically and clearly 10%
Use appropriate and effective visual aids 4%
DELIVERY Able to express ideas well 7%
(22%) Project self well 5%
Able to give satisfactory answer to questions 10%
PERSONAL Wear complete, proper uniform 5%
RESPONSIBILITIES Maintain proper decorum all throughout the presentation 5%
(10%)
TOTAL 100%

QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit

 COLLEGE OF NURSING
First Semester A.Y. 2023-2024

STUDENT NURSE MONITORING

DAY DATE STAFF NURSE (RN) ON DUTY CLINICAL INSTRUCTOR

1 13 September 2023

2 14 September 2023

3 15 September 2023

4 20 September 2023

5 21 September 2023 CASE PRESENTATION

6 22 September 2023 CASE PRESENTATION

QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit