General Objectives

GENERAL OBJECTIVES: At the end of 3-day duty at Dr. Uy Hospital Inc., the student nurse shall, under the supervision of practicing clinical instructors, acquire comprehensive knowledge regarding the various disease process of their respective patients, perform the basic nursing skills and procedures with ease and competence, and manifest positive and desirable attitudes necessary in the promotion of optimal health and prevention of illness on DUHI Station 1.

SPECIFIC OBJECTIVES: At the end of 8 hours of duty, the practicing clinical instructors shall:       

Provide clear instructions during pre-conference and check the student’s attendance and paraphernalia on time Monitor the overall activities of the students nurse during the shift and observe if the students are able to perform the usual nursing routine (i.e VS monitoring, I & O, monitoring ad regulating IVF) Ensure that the students will be able to pass the needed requirements on time and monitor the activities of charge nurses, medication nurses and team leader. Supervise the students on the performance of basic nursing skills together with the assigned clinical instructor. Check the students’ requirements and evaluate the students’ knowledge on the assigned patient through oral/written quiz. Provide feedbacks regarding the student’s performance during the dry run of client teaching plan. Gather the students after the duty for post-conference and provide feedbacks about the overall performance of the duty (the students will also provide feedbacks to the performance of the PCIs, charge nurses and medication nurses).

At the end of 8 hours of duty, the student nurse shall:      

Monitor the VS (temp, PR, RR and BP) at least every 2 hours or depending on hospital protocol and doctor’s order Carefully listen during the endorsement and take down important notes as a guide/reference and assist the staff nurses in monitoring IVF during nurse’s rounds Continue assessing for the patient’s health needs and deficits and formulate FDAR based on patient’s priority needs Provide bedside care to the patient(i.e maintenance of hygiene, arranging the bedlinens) Implement appropriate interventions and evaluate the effectiveness based on patient’s verbal and physiologic responses Answer the 3 questions specific to the patient’s case with accuracy and precision

MINDANAO-STATE UNIVERSITY ILIGAN INSTITUTE OF TECHNOLOGY COLLEGE OF NURSING DR. UY HOSPITAL INCORPORATED, STATION 1, 3-11 SHIFT, SEPTEMBER 2-4, 2013 Clinical Instructor: Ma’am Karen Veloso, RN, MAN Practicing Clinical Instructors: Basjare Bastasa; Lady Aizahlyn Angod Charge Nurses (student): Karla Ligunas; Danica Rose Macaraya Team Leader: Natasha Inna Go PRIMARY NURSES

NAME OF PATIENT 1. GOLIAT

ROOM # FM2

AGE 44/F

CHIEF COMPLAINT NUMBNESS OF UPPER EXTREMITIES

ADM. DIAGNOSIS HPN 1

SPECIAL ENDORSEMENTS TPR q4, follow up U/A, lipid profile tom in AM 09/3

NAME OF STUDENT H.SALIC, NOREEN

2. MORAL

FM3

77/F

BODY MALAISE & POOR APPETITE

TYPE 2 DM

Refer to Dr. Naval x co-mgt, low fat, no salt

LISONDRA, TAISHA

3.MONTEBON

FM4

36/F

SORE THROAT, CHILLS & FEVER

ACUTE TONSILITIS

High back rest, NPO temporarily

GOMEZ, PAUL

4. ETAC

114 A

71/F

PARTIAL INTESTINAL OBSTRUCTION

#21PNSS @20, full diabetic diet, MIO q shft

PRINCIPE, STACEY

5. SISON

115 B

22/M

VOMITING 2x, SEVERE LUMBAR PAIN

PYELONEPHRITIS

DAT

ADIL, MARYAM

NPO, #5 D5LR @30, x UTZ, TPR q4 6. BULATAO

115 C

24/M

URTI

7. MACAPIL

113 A

2/M

FEVER & SEIZURE

BENIGN FEBRILE SEIZURE 2 URTI

Seizure prec, 02 inh @2LPM, turn to sides, diazepam as ordered, TSB x fever, MGH, MIO, TPR q4 w/o IVF

LUY, ALIZA

8. BAISAC

113 B

8/F

FEVER

ACUTE GASTRITIS, URTI

X CXR, TPRq4

PULMONES, PAOLA

TIME AND MOTION 2:00PM- CALL TIME OF CHARGE NURSES, MEDICATION NURSES, TEAM LEADER AND PCIS 2:00-2:30- CHECKING OF ATTENDANCE AND PREPARATION FOR PRECON 2:30- 3:00- PRECON, PRAYER, CHECKING OF PARAPHERNALIAS & COLLECTION OF THE REQUIREMENTS

5:30-6:00- SUBMISSION & CHECKING OF FDAR 6:00-6:30- DINNER FOR THE FIRST GROUP 6:30-7:00- DINNER FOR THE SECOND GROUP 7:00-8:30- ONE-ON-ONE Q &A, CTP DRY RUN 8:30-9:30- BEDSIDE CARE

3:00- 3:30 -ENDROSEMENT BY THE CHARGE NURSES

9:30-10:30- POST-CON, EVALUATION OF THE DUTY

3:30-4:30- GO TO THE ASSIGNED PATIENT AND PROVIDE HEALTH CARE

10:30-11:00- FINAL INSTRUCTIONS FROM THE CLINICAL INSTRUCTOR

4:30-5:30- MAKING OF FDAR, CHECKING OF REQUIREMENTS

11:00PM- END OF DUTY

Name of Student PRIMARY NURSES

SO, DIARY T&M(10)

COMPLETE ROS (20)

COMPLETE DRUG STUDY (10 each)

ANAPHY (15)

SO, T&M (10)

DIARY

MASTERLIST

VS, IVF MONITORING

Q&A

SO, T&M (10)

DIARY

MASTERLIST

Q&A

SO, T&M (10)

DIARY

MASTERLIST

Q&A

1. Adil, Maryam 2. Gomez, Paul 3. Luy, Aliza Jane 4. Lisondra, Taisha Rose 5. H.salic, Noreen 6. Principe, Stacey 7. Pulmones, Paola TEAM LEADER 8. Natasha Go CHARGE NURSES 9. Ligunas, Karla 10. Macaraya, Danica MEDICATION NURSES 11. Echavez, Fiel 12. Sialana, Lea Lynn

PATHOPHYSIOLOGY (20)

NCPS (40)

Q& A(15)

CTP

Name of Student Extension day 123 NA1- 15 POINTS NA2- 20 POINTS ROS- 20 POINTS DIAGNOSTIC & LABORATORY RESULTS- 20 POINTS SUMMARY OF MEDS- 5 POINTS SUMMARY OF IVF- 5 POINTS DRUG STUDY- 10 POINTS ANATOMY & PHYSIO- 15 POINTS PATHOPHYSIO- 20 POINTS NURSING INTERVENTION- 5 POINTS IDEAL MEDICAL MGT- 5 POINTS IDEAL SURGICAL MGT- 5 POINTS ACTUAL MEDICAL MGT- 5 POINTS ACTUAL SURGICAL MGT- 5 POINTS DISCHARGE PLAN- 5 POINTS NCP 2 per day- 20 POINTS EACH