Weekly outline
N105 Clinical Rotation
Make sure to submit the following on or before SEPTEMBER 17, 2024 8:00AM.
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Clinical Orientation
Evaluation Tools
Instructions:
- Print and bring a copy of Form 2A, B and ODC Form __
- Guidelines for filling out the form:
- Use BLACK ink
- Date Performed: Use MM/DD/YYYY format;
- Time started: Based on the introp record, this is the CUTTING TIME not anesthesia time
- Surgical procedure: NO ABBREVIATIONS in the procedure and site (e.g. write 'Left' in full no 'L')
- OR nurse on duty: Self-inking pad of nurse-in-charge then signature
- If you are doing a procedure as a scrub, NIC signature needed is scrub nurse; if as circulating, NIC signature needed is that of the circulating nurse
- Special circumstance: If NIC assigned is an affiliate (ie. not an employee of PGH, e.g. those rotating in PGH for added experience), let the circulating PGH nurse sign this portion
- Supervised by: Self-inking pad and signature of PRECEPTOR (ie. Ms. Elena Dizon - OPD OR; Mr. Emil Geronimo - Main OR)
- This should be done DAILY. You are NOT allowed to go inside the ORs AFTER your rotations so make sure that you have the correct details.
- Print and fill up the SUMMARY PERFORMANCE EVALUATION ACHIEVING INTRA-OPERATIVE CARE COMPETENCY form.
- This is for SELF-RATING
- Use BLACK ink
- 1st RLE (1st rotation, either OPD or Main OR)
- 2nd RLE (2nd rotation, either OPD or Main OR)
- 3rd RLE (leave blank)
- Last day of duty: Submit then let PRECEPTOR sign under the total score
- If it is your LAST OR schedule, let the PRECEPTOR sign under the total score AND on the Clinical Instructor (page 6, left hand side)
- These should be submitted to A/P Banayat's pigeonhole on Monday following your LAST assigned OR schedules
ACHIEVEMENT EXAM
Medicine Ward
- Opened: Tuesday, 8 October 2024, 10:30 AMClosed: Tuesday, 8 October 2024, 11:15 AM
- Opened: Monday, 14 October 2024, 1:00 PMClosed: Monday, 14 October 2024, 1:45 PM
- Opened: Saturday, 26 October 2024, 6:00 PMClosed: Saturday, 26 October 2024, 6:45 PM
Pediatric Ward
- Opened: Friday, 29 November 2024, 5:30 PMClosed: Friday, 29 November 2024, 7:30 PM
- Opened: Friday, 29 November 2024, 5:30 PM
- Opened: Wednesday, 27 November 2024, 6:00 PMClosed: Wednesday, 27 November 2024, 8:00 PM
- Opened: Wednesday, 27 November 2024, 6:00 PM
- Opened: Saturday, 19 October 2024, 5:00 PMClosed: Saturday, 19 October 2024, 7:00 PM
- Opened: Saturday, 19 October 2024, 5:00 PM
- Opened: Saturday, 19 October 2024, 1:00 PMClosed: Saturday, 19 October 2024, 3:00 PM
- Opened: Saturday, 19 October 2024, 1:00 PM
- Opened: Thursday, 12 December 2024, 11:00 AMClosed: Thursday, 12 December 2024, 3:00 PM
- Opened: Thursday, 12 December 2024, 11:00 AM
- Opened: Tuesday, 29 October 2024, 5:00 PMClosed: Tuesday, 29 October 2024, 7:00 PM
- Opened: Tuesday, 29 October 2024, 5:00 PM
- Opened: Tuesday, 29 October 2024, 2:00 PMClosed: Tuesday, 29 October 2024, 4:00 PM
- Opened: Tuesday, 29 October 2024, 2:00 PM
CASE REPORT
ADDITIONAL GUIDELINES:
- Guidelines on the use of Artificial Intelligence (AI). For this submission, we highly suggest for you to focus on original content rather than using generative AI. If used, declare and properly cite AI-generated content. Avoid plagiarism when using AI. Disclose the AI application used, and how it was used in your case report.
- Similarity Index. A similarity index report should be done by the student (via Turnitin), and submit the results together with the case study manuscript. Only a maximum of 30% similarity index is allowed, according to the University guidelines.
- Intellectual dishonesty and/or misconduct. Institutional guidelines shall also apply on issues of intellectual/academic dishonesty, cheating, or misconduct.
Submission Reminders
- Submit one (1) spring bound copy to the pigeonhole (Admin Office 3F) of your assigned faculty on or before 4PM of deadline date. All submissions should be timestamped by the admin staff (Ask Ma'am Joy).
- Digital copies should be saved in PDF format then submitted on or before 4PM of the deadline date in designated submission bins. Only one (1) file will be accepted for this requirement.
- Opened: Monday, 21 October 2024, 12:00 AMDue: Friday, 29 November 2024, 4:00 PM
- Opened: Monday, 21 October 2024, 12:00 AMDue: Friday, 29 November 2024, 4:00 PM
- Opened: Monday, 21 October 2024, 12:00 AMDue: Friday, 15 November 2024, 4:00 PM
- Opened: Monday, 21 October 2024, 12:00 AMDue: Friday, 15 November 2024, 4:00 PM
- Opened: Monday, 21 October 2024, 12:00 AMDue: Friday, 15 November 2024, 4:00 PM
- Opened: Monday, 21 October 2024, 12:00 AMDue: Thursday, 19 December 2024, 4:00 PM
- Opened: Monday, 21 October 2024, 12:00 AMDue: Friday, 6 December 2024, 4:00 PM
Review of Foundational Concepts
Stress, Coping, and Illness Response
The individual’s response to stress, illness, and disease varies and requires an individualized approach to ensure quality care. Reviewing these concepts frame our succeeding discussions across the courses.
Learning Outcomes
- Explain the components of care in acute and chronic illness.
- Describe the nursing responsibilities in caring for clients with acute and chronic illness and their families.
- Discuss the issues among clients with acute and chronic illnesses.
- Recognize the need for lifelong learning in improving nursing practice.
- Appreciate nursing care as a venue for service and learning.
- Value responsible citizenship, love of country, and pride in being a Filipino.
Watch the 15-minute video lecture: ‘Stress, Coping, and Illness Response’
Spiritual & Psychosocial Issues in Care
Nurses spend the most time with patients at the bedside. This places us in a key position to identify and address the psychosocial and spiritual needs of patients and their families. Moreover, although our patients' spiritual and psychosocial needs are not as easily detectable compared to physiologic parameters, addressing these needs is equally important.
Learning Outcomes
- Discuss bio-behavioral interventions for holistic care.
- Recognize the need for lifelong learning in improving nursing practice.
- Appreciate nursing care as a venue for service and learning.
- Value responsible citizenship, love of country, and pride in being a Filipino.
Go through the Optional reading:
- Soriano & Calong (2020). Religiosity, Spirituality, and Death Anxiety Among Filipino Older Adults: A Correlational Study.
Watch the 15-minute video lecture: ‘Spiritual & Psychosocial Issues in Care.’
Gender Sensitivity and Issues in Sexuality
Gender and gender-based differences are important health determinants. Beyond physiologic differences, a person’s gender and their access to healthcare services are shaped by the societal norms, culture, socioeconomic, and political landscape. Due to these variations, gender inequalities predispose individuals and groups to health risks and poorer health outcomes.
Learning Outcomes
- Explain Gender and its related concepts
- Explain the effects of gender discrimination on the right to exist, on health, and especially on reproductive health
- Appraise health indicators from a gender perspective.
- Show a respectful attitude towards gender and gender equity.
- Provide reproductive health services – at all levels of health service – by considering gender and gender equity
- Recognize the need for lifelong learning in improving nursing practice.
- Appreciate nursing care as a venue for service and learning.
- Value responsible citizenship, love of country, and pride in being a Filipino.
Read the following:
- Mauvais-jarvis et al. (2020). Sex and gender: modifiers of health, disease, and medicine. The Lancet 396: 565-582.
- Shannon et al. (2019). Gender equality in science, medicine, and global health: where are we at and why does it matter? The Lancet 393: 560-569.
- Concept overview on Sexuality (pp. 4120-4123) and Care of Transgender Patients (pp. 4318-4329) in Ignatavicius, Workman, Blair, Rebar, & Winkelman (2016)
- Morgan et al. (2018). Gendered health systems: evidence from low- and middle-income countries. Health Research Policy and Systems 16:58. Accessible through https://doi.org/10.1186/s12961-018-0338-5
- Factsheet Adding It Up: Investing in Sexual and Reproductive Health (E. Sully, 2020) based on the full text of the research Sully, EA et al. (2019).
- Website: Resource from HealthyPeople.gov on LGBT health accessible through https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health
Watch the 15-minute video lecture: ‘Gender Sensitivity and Issues in Sexuality’
Watch the quick SOGIE explainer first: Part 1 and Part 2.
You may also watch the Ethical Care of Transgender and Intersex from the Center for Practical Bioethics.
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Bioethical Principles and Considerations
Ethical dilemmas are encountered by the nurse daily. As such, ethical values are essential in practice to allow us to advocate for our patients in finding balance between their needs and our code of ethics, nursing law, hospital guidelines, and personal beliefs. This session will review the five main principles of ethics - truthfulness and confidentiality, Autonomy and informed consent, Beneficence, Non-maleficence, and Justice, and their implications in practice. Likewise, we will try to integrate policies, standards, and ethical principles in planning for care.
Learning Outcomes
- Apply concepts of Patient Safety in planning for nursing care.
- Plan for mechanisms to collaborate with the client, family, and health team members in implementing the plan of care.
- Practice effective communication techniques for patient safety, teamwork, and collaboration.
- Recognize the need for lifelong learning in improving nursing practice.
- Appreciate nursing care as a venue for service and learning.
- Value responsible citizenship, love of country, and pride in being a Filipino
Read the following:
1. Philippines Board of Nursing. (2017). The Philippine Professional Nursing Practice Standards (PPNPS). Board Resolution No. 22 Series of 2017
2. The section on Ethical Decision Making under Chapter 3 of Brunner and Suddarth’s Textbook of Medical Surgical Nursing (Brunner, Suddarth, & Smeltzer, 2008). If you do not have this book, you may review the same section in any standard MS Nursing book available to you.
3. Philippines Board of Nursing. (2004). Code of Ethics for Registered Nurses. Board Resolution No. 220 Series of 2004
Optional reading:
- The Health Management, Ethics and Research Session: 7. Principles of Healthcare Ethics by The Open University (www.open.edu). Please access the session here: https://www.open.edu/openlearncreate/mod/oucontent/view.php?id=225&printable=1 (Open University, 2017)
Watch the following:
1. 10-minute video lecture: ‘Bioethical Principles and Considerations’
Collaborating with healthcare team towards Patient Safety: Teamwork and Communication
Nurses work with the healthcare team and partner with patients and their families for optimum care. During your rotations, you are expected and encouraged to collaborate with other nurses, physicians, pharmacists, therapists, and other auxiliary staff. This collaboration entails teamwork behaviors that promote professional autonomy while working within complement to a multi-disciplinary team. Likewise, timely and accurate communication is essential to advocate for patients and promote safe care. This session underscores teamwork and communication strategies that will aid you in your clinical rotation.
Learning Outcomes
- Apply concepts of Patient Safety in planning for nursing care.
- Plan for mechanisms to collaborate with the client, family, and health team members in implementing the plan of care.
- Practice effective communication techniques for patient safety, teamwork, and collaboration.
- Recognize the need for lifelong learning in improving nursing practice.
- Appreciate nursing care as a venue for service and learning.
- Value responsible citizenship, love of country, and pride in being a Filipino.
Additional Resources: AHRQ TeamSTEPPS YouTube Channel containing all the communication tools discussed
[SLIDE DECK] TeamSTEPPS Class Discussion
Nursing Care of Clients with Problems in Oxygenation
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Nursing Care of Pediatric Clients with Problems in Oxygenation
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[GROUP WORK OUTPUT] Nursing Care of Pediatric Clients with Problems in Oxygenation
Nursing Care of Clients with Imbalances in Fluid & Electrolyte and Acid-base
Note: This is for clarifications and questions only. This is not a required activity for those who are vying for exemption for the final exams.
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Nursing Care of Pediatric Clients with Fluid & Electrolyte and Acid-base Imbalance
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Please disregard the pre-session activities
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Nursing Care of Clients with Disturbances in Reproduction and Sexuality
REVIEW the following principles and concepts. The video links are optional and you can just browse any Medical-Surgical Nursing book that you have:
In addition, browse your notes in N3, N4, and N13 to review the physiology and pathophysiology of common problems in reproduction and sexuality; and basic nursing skills in relation to sexuality and reproduction.
Nursing Care of High Risk Mothers and Neonates
Nursing Care of High Risk Mothers
REVIEW the following principles and concepts. The video links are optional and you can just browse any Medical-Surgical Nursing book that you have:- Conception to birth
- Leopold’s maneuver
- Computing for the age of gestation
In addition, browse your notes in N3, N4, and N13 to review the physiology and pathophysiology of high-risk pregnancy; and basic nursing skills in relation to perinatal care.
- Conception to birth
Nursing Care of High Risk Neonates
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Skills & Simulation Laboratory Clinic Visits
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August 28, 2024 Materials
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Other materials for Review and Reference
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