PA00JX5H

LOGBOOK FOR GENERAL
NURSING PROGRAMME
LESOTHO
MAY 2014
STUDENT DETAILS
PHOTO
NAME ……………………………………………………………………
SURNAME ……………………………………………………………………
STUDENT NUMBER ……………………………………………………………………
INSTITUTION ……………………………………………………………………
1
Contents
Foreword ......................................................................................................................................... 3
Acronyms ........................................................................................................................................ 4
Acknowledgements ......................................................................................................................... 5
Purpose of the Logbook .................................................................................................................. 6
Aim of the Log Book ...................................................................................................................... 6
Specific Objectives ......................................................................................................................... 6
Practice Assessment Guidelines ..................................................................................................... 7
General Nursing Procedures ........................................................................................................... 8
FIRST LEVEL ............................................................................................................................ 8
SECOND LEVEL ..................................................................................................................... 37
THIRD LEVEL......................................................................................................................... 52
2
Foreword
Nursing is an art and science. A nursing student is expected to master both theory and practical
skills. The skills that are mastered to date must continuously be practiced to remain proficient.
This logbook forms part of the requirements for successful completion of the general nursing
programme. It provides evidence of skills acquisition for registration with Lesotho Nursing
Council. It is the student’s responsibility to keep the logbook safe, as it will be needed for the
each year of training in the programme. The student shall remind the assessor/preceptor to
complete the logbook. After the student clinical placement, the logbook shall be presented to the
clinical supervisor. The assessor/preceptor shall supervise and ensure that students achieve the
skill required for proficiency and registration. The assessor/preceptor will also comment and sign
the appropriate sections of the logbook.
3
Acronyms
STD/N Student Nurse
NE Nurse Educator
RN/M Registered Nurse Midwife
NUL National University of Lesotho
NHTC National Health Training College
4
Acknowledgements
We sincerely thank Jhpiego for technical and financial assistance throughout the process of
developing this log book, especially Ms. Lastina Lwatula and Ms. Rosemary Kamunya for their
encouragement and support, as well as Pre-service Education Advisor, Ms. Maleshoane
Monethi-Seeiso, Programme Assistant, Ms. Melida Lepheane. We would also like to thankthe
management of nursing education institutions namely National University of Lesotho (NUL),
National Health Training College (NHTC), Roma College of Nursing, Scott School of Nursing,
Paray School of Nursing and Maluti Adventist College of Nursing for releasing the Nurse
Educators for participating in this endeavor. Lastly many thanks to all Nurse Educators for their
contributions and commitment.
5
Purpose of the Logbook
The Student Practicum Logbook is a document that will be:
1. Presented to the Clinical Preceptor/Assessor for recording activities each time the student
observes, assists or performs a procedure.
2. It will be incumbent upon each student to present the logbook to the clinical
preceptor/assessor each time a student observes, assists or performs a procedure.
3. The Logbook should be completely filled in and signed by both student and Clinical
Preceptor/Assessor prior to student taking the final examination.
4. This logbook will determine how often each procedure will be observed, assisted or
performed.
5. This logbook will determine how often the Clinical Supervisor will check the log book.
Aim of the Log Book
The aim of the logbook is to keep a record of student’s learning experiences and practice toward
attainment of competencies and skills required to meet prescribed registered nurse scope of
practice.
Specific Objectives
By the end of the clinical placement, the student should be able to:
1. Apply basic biomedical sciences, applied medical sciences, research, ethics and professionalism
in provision of care;
2. Attain skills in practical procedures, diagnosis, therapeutics and management of patients in
various clinical settings;
3. Demonstrate attitude on awareness of own limits and willingness to refer clients at appropriate
times;
4. Demonstrate ethical practice, empathy, respect for high quality care; and
5. Exhibit a desire for continued professional development.
6
Practice Assessment Guidelines
1. When a student has performed a procedure, she or he will ask the assessor/preceptor to
comment, sign and date the logbook.
2. The student is allowed to have two (2) observations on a procedure, one in the skill’s lab
on a manikin and the other on the real patient in clinical area.
3. The learner is to do three (3) return demonstrations on a procedure, in which the first two
are to be signed either by assessor/preceptor and the last one by assessor (Nurse
Educator).
4. At the end of each placement the logbook should be submitted to the clinical supervisor
for review and as deemed necessary and on completion of the programme the logbook
will remain the student’s personel file.
5. The student is expected to perform all prescribed procedures in the relevant year.
6. If a skill cannot be obtained during current clinical placement, the student will initiate a
mutually agreeable plan with the assessor/preceptor for return demonstration.
7
General Nursing Procedures
FIRST LEVEL
Guide: Observations: …… Assisting: …., Perform under Supervision: …….
Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Diagnosis Remarks &department Signature assessor
Signature
PATIENT HYGIENE AND COMFORT
Bed Making
Basic Bed Student observing procedure
1
Preceptor/assessor observing Student
Tent Bed Student observing procedure
Student Observing Procedure

Post-Op
bed
8
1
2
Preceptor/ assessor observing Student
2
3

Signature
Occupied Student observing procedure
Bed
Divided Student observing procedure

Bed
9
Orthopedic Student Observing Procedure
Bed
1
2
2
3

Signature
Mouth Care Student observing procedure
Bed Bath Student observing procedure

1
Student observing procedure
10
POSITIONS AND COMFORT
Prone Position
1
2
2
3

Signature
Lateral Student observing procedure
Semi Student observing procedure

Fowler’s
11
High
Fowler’s
1
2
2
3

Signature
Trendelenburg Student observing procedure
1
Pressure Student observing procedure

Care
12
3
Getting the Student Observing Procedure

patient out
of bed
1
2
2
3

Signature
Giving Student observing procedure
bedpan and
urinal
OBSERVATIONS AND RECORDING
TPR Student observing procedure

Adult
13

TRP Baby
1
2
2
3

Signature
Blood Student observing procedure
pressure
Intake and Student observing procedure

output
1
14

RECORDING AND REPORTING
Verbal report
1
2
2
3
Written Student observing procedure
report
1
Height Student observing procedure

taking
15
2
Weight Student observing procedure

taking
1

1
Record Student Observing Procedure

keeping
1
2
2
3

Signature
NUTRITION AND HYDRATION
Feeding patients
1
16
1
NG Tube Student observing procedure

Feeding
1
Preparation Student Observing Procedure

and
collection of
infants
feeds
1
2
2
3

Signature
Preparation Student observing procedure
of IV Tray
17
2
Care of Student observing procedure

pts. on IV

PATIENT SPECIMENS COLLECTION
Midstream Urine
1
2
2
3

18
Signature
24 Hour
urine
1
Urine Student observing procedure

Collection
in Infants
Sputum Student Observing Procedure

Collection
1
2
2
3
19
Signature
Collection Student observing procedure
of Stools
Observation Student observing procedure

of
Vomitus
1

PREVENTION OF INFECTION
Isolation
1
2
20
3

Signature
Disposal of
waste
material
1

Cleaning
and
Disinfection
utensils
1

Hand wash
1
2
21
1
2
3

Signature
Surgical
Hand Wash
1
Damp Student observing procedure

Dusting
1
RULES OF MEDICATION ADMINISTRATION

Intra Dermal
injections
1
22
2
2
3
Sub Student observing procedure
cutaneous
injections
1
2

Signature
IM Student observing procedure
injections
Oral Student observing procedure

medication
23
1

1
Night duty
orientation
Prep of Student observing procedure

patient for
night
1

Night
routine
1
2
2
3
24
Signature
Local Student observing procedure
applications
hot
fomentations
1
Therapeutic Student observing procedure

baths
-tepid
sponging
-sitz bath
-soaking
Bowel Student Observing Procedure

washout
1
2
25
2
3

Signature
Enema Student observing procedure
1

for
insertion of
flatus tube
Admission Student Observing Procedure

of patient
1
2
26
1
2
3
Signature
Discharge Student observing procedure
of patients
1
Transfer Student observing procedure

of patients
Care of Student Observing Procedure

patients
belonging
1
2
27
2
3

Signature
Terminal Student observing procedure
disinfection
1

1
Care of an Preceptor/assessor observing Student

incontinent
patient
1

paralyzed
patients
1
2
28
2
3

Signature
ROM Student observing procedure
exercises
1
Care of the Student observing procedure

unconscious
patient
1
Bandaging Student Observing Procedure
1
2
29
2
3

Signature
Dressing Student observing procedure
1
Oxygen Student observing procedure

therapy
1
Prep of Student Observing Procedure

patient for
x-ray
1
2
30
1
2
3

Signature
Prep for Student observing procedure
rectal
exam
1
Pre-op Student observing procedure

care
1
Post - op Student Observing Procedure

care
1
31
2
2
3

Signature
Health Student observing procedure
education
1
Care of the Student observing procedure

dying
1
32
Baby bath Student Observing Procedure
1
2
2
3

Signature
Physical Student observing procedure
examination
Head and
Neck
1
Respiratory Student Observing Procedure

system
1
2
33
2
3

Signature
Cardiovas- Student observing procedure
cular
system
1
Nursing Student observing procedure

care plan
1
CPR Student Observing Procedure
34
2
2
3

Signature
Glasgow Student observing procedure
coma
scaling
1
Gowning Student observing procedure

1
Sterilization Student Observing Procedure

of
equipment
1
35
2
2
3

Signature
of theatre
equipment
1
1
2
2
3
36
SECOND LEVEL

Signature
Venipunct- Student observing procedure
ure
1
Removal Student observing procedure

of sutures
1
Catheteriz Student Observing Procedure

-ation
(female)
1
37
1
2
3

Signature
Catheter Student observing procedure
Care
1
Nebulization Student observing procedure

1
Care of pt. Student Observing Procedure

with under
seal
drainage
1
38
2
2
3

Signature
Ostomy Student observing procedure
care
1
Modified Student observing procedure

dressing
(Drains)
1
39
Eye care Student Observing Procedure
1
2
2
3

Signature
Exam of
the breast
1

Exam of
abdomen
1
40
1
Musculosk Student Observing Procedure

-eletal
system
examinatio
n
1
2
2
3

Signature
Nervous Student observing procedure
system
examination
1
Vulvar Student observing procedure

swabbing
1
41
2

Signature
Insertion Student observing procedure
of
pessaries
1
Initiation Student observing procedure

of IV
therapy
1
42
3

patient on
POP
1
2
2
3

Signature
Blood Student observing procedure
transfusion
1
Use of Student observing procedure

glucometer
1
43
2
IV Student Observing Procedure

medication
1
2
2
3

Signature
NG tube Student observing procedure
insertion
1
Emergency Student observing procedure

trolley
checking
1
44
1

patient on
traction
1
2
2
3

Signature
Wound Student observing procedure
irrigation
1
Shortening Student observing procedure

of drain
1
45
Wound Student Observing Procedure

plugging
1
2
2
3

Signature
Bladder Student observing procedure
irrigation
1
Removal Student observing procedure

of vaginal
plug
1
46
Vaginal Student Observing Procedure

douche
1
2
2
3

Signature
Postural Student observing procedure
drainage
1
Nasal Student observing procedure

Suctioning
1
47
1
Tracheosto Student Observing Procedure

-my care
1
2
2
3

Signature
Use of Student observing procedure
restraints
in
pediatrics
1
Gastric Student observing procedure

suctioning
1
48
2
Stomach Student Observing Procedure

wash out
1
2
2
3

Signature
Eye Student observing procedure
irrigation
1
49
1
PREPARATION AND ASSISSTING
Lumbar puncture
1
2
2
3
Chest Student observing procedure

aspiration
1
50
Abdominal Student Observing Procedure

paracentes
-is
abdominis
1
2
2
3

Signature
Sigmodois- Student observing procedure
copy
1
Application Student observing procedure

of cast
1
51
THIRD LEVEL

Signature
Simple Student observing procedure
wound
suturing
1
Ward Student observing procedure

allocation
1
52
Ward Student Observing Procedure
management
1
2
2
3

Signature
Nursing Student observing procedure
care plan
1
Case Student observing procedure

presentation
1
53
Initial Student Observing Procedure
Baby bath
1
2
2
3

Signature
assessment
1
Admission Student observing procedure

process
1
54
Reporting Student Observing Procedure
1
2
2
3

Signature
Prep for Student observing procedure
assisting
with bone
marrow
biopsy
1
Prep for Student Observing Procedure

assisting
with liver
biopsy
1
2
55
3

Signature
Male Student observing procedure
catheteriza
-tion
1
Infant Student observing procedure

cauterizati
-on
1
Preparation Student Observing Procedure

for skin
traction
1
2
56
2
3

Signature
Care of Student observing procedure
patient on
skin
traction
1
Removing Student observing procedure

a POP
casting
1
57
Complete Student Observing Procedure
physical
assessment
1
2
2
3

Signature
CPR Student observing procedure
1
Emergency Student observing procedure

procedures
and care
1
58
1
2
2
3
59

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LOGBOOK FOR GENERAL

STUDENT NUMBER ……………………………………………………………………

Aim of the Log Book

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

PATIENT HYGIENE AND COMFORT

Preceptor/assessor observing Student

Tent Bed Student observing procedure

Preceptor/assessor observing Student

Student Observing Procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Divided Student observing procedure

Preceptor/assessor observing Student

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Bed Bath Student observing procedure

Preceptor/assessor observing Student

Student observing procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Semi Student observing procedure

Preceptor/assessor observing Student

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Pressure Student observing procedure

Preceptor/assessor observing Student

Getting the Student Observing Procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

OBSERVATIONS AND RECORDING

TPR Student observing procedure

Student Observing Procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Intake and Student observing procedure

Student Observing Procedure

Preceptor/assessor observing Student

Height Student observing procedure

Preceptor/assessor observing Student

Weight Student observing procedure

Preceptor/ assessor observing Student

Record Student Observing Procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

NG Tube Student observing procedure

Preceptor/assessor observing Student

Preparation Student Observing Procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Care of Student observing procedure

Preceptor/assessor observing Student

Student Observing Procedure

Guide: Observations: …… Assisting: …., Perform under Supervision: …….

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/

Preceptor/assessor observing Student

Urine Student observing procedure

Preceptor/assessor observing Student

Sputum Student Observing Procedure

Preceptor/assessor observing Student

Observation Student observing procedure

Preceptor/assessor observing Student

Student Observing Procedure

Procedure Date Provisional Preceptor/assessor Institution Student Preceptor/