UNIVERSITY of SAINT LOUIS Tuguegarao City, 3500 Philippines College of Health and Allied Sciences Graduate School

PRACTICUM EXPERIENCE MATRIX and PROPOSAL

In partial fulfillment of the requirement in Critical Thinking and Clinical Teaching

Presented to: Eladio Martin S. Gumabay, RN, MSN Practicum Adviser

Prepared by: Jerome A. Caducoy, RN Master of Science in Nursing Major in Adult Health Nursing Batch 2013

OBJECTIVES During the duration of the practicum experience, the affiliate is able to: 1. Demonstrate proficiency in the utilization of the nursing process in managing care with simple and complex health care needs Orientation a. Identify the policies, rules and regulations, objectives of the hospital, nursing division and unit staff b. Orientation of the organizational structure emphasizing lines of authority and

AFFILIATE

TIME FRAME

RESOURCES/ MATERIALS

EVALUATION

Identify and explains policies, rules and regulations, objectives of the hospital, nursing division and unit staff

1st day of the practicum

Notebook, pen, handouts (Guidelines/ Standard Operating Procedures of the Affiliating Agency.

The affiliates will be informed of the policies, rules, guidelines, visionmission, standards of practice of the hospital and extent of practice of the students.

Identify and explains the organizational structure of the institution

responsibility c. Familiarize the different areas of the hospital and be familiar with the different routine in the ward. d. Get acquainted with the ethics/bioethics committee, its members and their functions in the organization 2. Familiarize with the policies, procedures, and tasks of the respective areas they are assigned to.
Tours the student in the different areas of the hospital

Enumerates the members of the committee and explains their individual functions

Orientation at the areaof-assignment - The daily routine or tasks of the staff nurses - The procedures being performed - Rounds with the doctors Charting - Drug preparation and administration

2nd day of the practicum

Notebook, pen, handouts (Guidelines/ Standard Operating Procedures of the Affiliating Agency.

The affiliates will be informed of the policies, procedures, tasks of the areas they will be assigned to, and they will be able to observe and infer the rationale of such procedures.

3. To cover a experience Assist and observed the of the performance of nursing staff in the activities in the ward

3rd- 5th day of the Notebook, pen practicum

The affiliate will be able to satisfactorily

nursing tasks and procedures as an assistant to a staff nurse.

accomplish the tasks that are assigned to him or her.

4. Exposure to areas of specialization of the health care agency ( Intensive Care Unit, Medical, Orthopaedics and Surgery Wards)

Assessing the patients health care, nursing needs and problems

Patient Care Handling 6th 23rd day of the practicum Design, initiate and evaluate individualized systems of care using multiple data sources that include: Physical assessments Problem identification Application of acute and chronic care/ management models, theories, and concepts Communicates care plans to interdisciplinary team members Application of care plans Interviews, performs physical assessment,

Notebook, pen, NANDA, appropriate hospital equipment, chart

Case finding on different Health Disorders.

a. Interviews/obser collaborates with the ves patient/s and client/SO and members significant others of the health care team using therapeutic communication skills b. Performs physical assessment. Formulate appropriate nursing diagnosis basing from the assessment Implementation of the nursing care plan using holistic nursing model a. demonstrate ability to perform skills b. set-up/how to operate apparatus needed for advance practice Application of a critical thinking in the care of each patient Develops concise Formulates appropriate nursing diagnosis for patients handled Check nursing diagnosis based on clinical assessment

Rendering a competent and holistic nursing care and service to his clients. Correctly demonstrate appropriate skills Operates Equipment and apparatus correctly and with grace and smartness.

Imparts knowledge on specific treatment regimens to the client

client education on: a. maintaining healthy lifestyle b. management of pain c. procedures client undergoes Evaluating appropriate treatment/care rendered to patients Documenting data done to patients 24th day of practicum

Observe proper documentation of nursing care

The affiliates will be assessed by the evaluation tool required by the University of Saint Louis and by the methods of evaluation of the National Kidney and Transplant Institute

5.To

assess the Post evaluation performance and program/activities the learning of the students

25th day of practicum

The affiliate will be issued a grade, which is based from the outcome of the institutions evaluation of each student, by the training officer of NKTI and a

certificate which proves the affiliation of the affiliate in NKTI.

6.To complete the final requirements of Advanced MSN Practicum Experience

Processing of Grades and Certificates Completion of documentation and learning feedbacks

DESCRIPTION OF THE LEARNERS: The learners are graduating students of the University of Saint Louis in their last semester and have a good standing in the College of Health and Allied Sciences. They are all Registered Nurses working in the academe and different hospitals with in the province. Majority of the students are single aging from 22-25 years of age with a few of them of older age. Most of them come from the middle class families. The students have strong personalities and determination to finish their course for they have the ambition to have a permanent job here or abroad The students come from within the province of Cagayan and the nearby provinces of the region in which they have different dialect but still there is camaraderie in them. Majority of the students have their own personal interest and motivation in taking up the course in order to gain higher level of nursing education for personal and professional growth and development. The students believe that success is greatly affected by their own performance, effort and established habits of studying and learning. FOCUS OF THE PRACTICUM: This practicum is focused on enhancing the acceptable/proper attitude, skills and knowledge of students in their chosen field of specialization- Adult Nursing based services with emphasis on the promotion and maintenance of health as well as the prevention of illness utilizing the nursing process in the holistic care of the client. It includes the terminal competencies needed in the care of a healthy/well and at-risk/with problem individual client. TIME FRAME: The MSN students will be exposed for twenty five (25) days in the hospital with an exposure of eight (8) hours a day equivalent to 200 hours of practicum experience to be completed within one (1) month.

AFFILIATION AGENCY: NATIONAL KIDNEY AND TRANSPLANT INSTITUTE PROFILE Name of the Hospital: Legal Basis: Licensure Category: Classification: Authorized Capacity: National Kidney and Transplant Institute Section 1 Presidential Decree 1832 Tertiary Medical Specialty Center Tertiary Teaching, Training and Research 250 Beds

The National Kidney and Transplant Institute is a tertiary medical specialty center with a significant history relevant to the medical profession in the Philippines. It is the center for referral of kidney patients from various regional hospitals in the nation and is recognized as the lead agency in voluntary blood services. In its 22-year existence and operations, the Institutes medical achievements and milestones are comparable to any specialty hospital in the world. Formerly known as the National Kidney Foundation of the Philippines (NKFP) , the Institute has a three-fold mission : Service, Training and Research primarily for the benefit of the Filipino people afflicted with kidney and allied diseases and to secure the well-being of the people by providing them with the specialized health and medical services. LOCATION AND STRUCTURE OF AFFILIATION National Kidney and Transplant Institute sits in the center of a 58,899 square-meter lot, along East Avenue in Quezon City, bordered by greenery screening the main building structures from the surrounding bustling avenues. This gives the patients and visitors the ease of commute and travel and also ensuring tranquility amidst the bustle of the city. This area is very accessible to all types of land transportation. ( Maps and Directions ) The Institute itself is 2-storey structure with three buildings (Main, Annex and Dialysis Center) connected to each other. The Main Building houses most of the Cost Centers and where the Administrative offices can be found. The Annex Building encloses the recently opened Marcos Wing and the Radiology Dept (MRI and CT Scan centers), Center for Special Services and also the ER Dept. In the Dialysis Center, you can find the Out-Patient Dept., Hemodialysis and CAPD centers, HOPE office, Medical Records office and the clinics (third floor) of all our Medical Specialists. TARGET COMPETENCIES: This Practicum Course aims to make available the MSN students the chance to expose in a qualified training hospital which will provide adequate learning experience handle cases found in the Hospital Set-up, augment the level of awareness of the Clients, and provide necessary interventions to the clients to help them attain optimum level of wellness. At the end of the rotation: 1. The students will have improved nursing competencies in health promotion, disease/illness prevention, identification of risk factors, and clients at risk, and the management of potential/actual health problems, 2. The students experience of utilizing the nursing process and formulating nursing care plans will be reinforced. 3. The student shall have acquired the holistic understanding of the human person as a bio-psychocultural being focusing on the concept of health and illness as it is related to the care of the client 4. The student shall be able to demonstrate the core competencies in the eleven (11) key areas of responsibility.

COMPETENCIES DEVELOPED AND REINFORCED: 1. Work and professional ethics, skills in communication, leadership, interpersonal relations, and behavior and attitude becoming a conscientious, efficient and compassionate nurse. 2. Tools of Nursing History taking and Physical 3. Assessment, Gordons Functional Health Pattern, Vital Signs Taking 4. Tools of critical thinking and prioritization of needs i.e. Airway, Breathing, Circulation (ABC), Maslows Hierarchy of needs, etc., and knowledge on laboratory procedures and normal values 5. Theories in formulating nursing diagnoses based on the North American Nursing Diagnosis Association (NANDA) list 6. Tools of Nursing Care Plan, Clinical Pathway or Care Path and SMART Plan, Categorizing Independent and Dependent Nursing Actions 7. Values in leadership, teamwork, coordination and cooperation and protocols in delegation of responsibilities and values of accountability 8. Community organizing and health education strategies 9. Steps/Protocols in carrying out doctors orders, Preparing and Administering Oral and Parenteral Medications and Intravenous Fluids, Requesting and Preparing Patients for Laboratory Procedures, Invasive and Non-invasive procedures and treatment 10. Nursing Care Planning implementation and recording, legal issues in documentation, vital signs monitoring, intake and output taking 11. Tools in evaluating patients response, vital signs and intake and output monitoring, laboratory procedures, health assessment, comparison of expected outcomes to actual outcome, maintaining nursing process viability 12. Enhancement of knowledge on various basic medical-surgical problems, their treatment and prevention, diagnosis and other salient points