COLEGIO DE DAGUPAN Arellano Street, Dagupan City SCHOOL OF HEALTH SCIENCES DEPARTMENT OF NURSING EMERGENCY ROOM CLINICAL FOCUS

1nd Semester, 2013-2014 NCM 103 Medical Surgical Nursing Course Description: This course deals with the principles and techniques of nursing care management of sick clients across lifespan with emphasis on the adult and the older person, population group in any setting with alterations/problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism and endocrine function. Placement: 3rd Year, 1st Semester Total No. of Hours: 306 RLE Hours General Objectives: Provide opportunities to demonstrate the procedures given actual clients with problems in oxygenation, fluid and electrolyte balance, nutrition and metabolism, and endocrine function. In the event that the required intra-operative competencies in NCM 103 are not achieved within the allotted hours/weeks; the nursing student/s shall be made to complete the competencies in this course; To standardize documentation, a prescribed form shall be completed right after the related clinical experience; Provide opportunities for actual clinical hospital and community experiences to ensure competencies are developed.
WEEK / OBJECTIVES Day 1 1. Familiarize the students to the General Ward physical set-up, activities, SOPs, and personnel. 2. Incorporate core values based on the mission/vision of the college/university. ACTIVITIES > Orientation to RLE course: a. Expectations b. Requirements c. Evaluation > Observation of Endorsement > Patient assignment > Initial Physical Assessment and History Taking > Vital Signs taking with supervision > Observe nursing procedures done in the ward (carry out doctors order, utilization of patients chart) > Prepare sample charting > Endorsement > Post conference Pre-conference Endorsement Identification and Prioritization of Nursing Problems Patient charting I & O Monitoring Health Teaching Perform morning care Participation in Doctors Rounds TIME ALLOTMENT/ REFERENCES 11:00 2:00AM EXPECTED OUTPUT

2:00 7:00AM

75% passing on a 25-item quiz on Emergency Room SOPs, CDD PVMO and CON MGO 11:00PM 12:00AM 12:00 AM 2:00AM 2:00-4:00AM 4:00-7:00AM Accomplished basic skills integrating core values, using the Nursing Skills Appraisal. Initial draft of formulated Nursing Care Concept Map based on identified problems.

Day 2 1. Apply basic Nursing skills. 2. Formulate Nursing Care Concept Map based on the identified problems 3. Develop a well-organized and accurate recording. 4. Demonstrate values based on the mission/vision of the

college/university.

Day 3 1. Relate nursing theories and concepts in the actual clinical practice. 2. Implement effective Nursing interventions based on identified problems. 3. Demonstrate values based on the mission/vision of the college/university. Day 4-9 1. Relate nursing theories and concepts in the actual clinical practice. 2. Implement effective Nursing interventions based on identified problems. 3. Demonstrate values based on the mission/vision of the college/university. -Surgical Scrubbing -Gowning -Gloving -Instrumentation -medication preparation & administration Day 10 1. Relate nursing theories and concepts in the actual clinical practice. 2. Implement effective Nursing interventions based on identified problems. 3. Demonstrate values based on the mission/vision of the college/university. 4. Appraise overall student performance. -evaluation exam Prepared by:

Supervise in carrying out Doctors Orders Endorsement Post Conference Pre-conference Endorsement Implementation of NCP Patient charting I & O Monitoring Health Teaching Performing morning care Participation in Doctors Rounds Carrying out Doctors Orders with supervision Bedside Conference Endorsement Post Conference Pre-conference Endorsement Perform morning care Perform nursing care guided by values Patient charting I & O Monitoring Health Teaching Participation in Doctors Rounds Carrying out Doctors Orders with supervision Bedside conference Endorsement Post Conference

11:00PM 12:00AM 12:00 AM 2:00AM 2:00-4:00AM 4:00-7:00AM

Applied nursing theories and concepts and evaluation of its outcome to the clients in general ward.

11:00PM 12:00AM 12:00 AM 2:00AM 2:00-4:00AM 4:00-7:00AM

Improved competency of students in performing skills with integrated core values.

Pre-conference Endorsement Perform morning care Evaluation of Nursing Care Plan Patient charting I & O Monitoring Health Teaching Doctors Rounds Observation of carrying out Doctors Orders Bedside conference Evaluation Exam Submit reflection paper Endorsement Post Conference

11:00PM 12:00AM 12:00 AM 2:00AM 2:00-4:00AM 4:00-7:00AM

Acquisition of knowledge, skills, attitude and values of students which are competency and outcome based

Christopher R. Baez, RN, RM, USRN, RPT, MSN, PhDc Principal/Clinical Professor RIMC Emergency Room