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UNIVERSITY OF LA SALETTERELATED LEARNING EXPERIENCE LEVEL IIISOUTHERN ISABELA GENERAL HOSPITAL

CLINICAL FOCUS

RLE CONCEPT: Nursing Care Management 103

CORE CONCEPTS: Care of Clients with Problems in Oxygenation, Fluid & Electrolyte Balance,Metabolism and Endocrine Function

PLACEMENT: 3rdYear, 1st Semester SY 2012-2013

AREA OF EXPERIENCE: Medical- Surgical Ward

OBJECTIVES: At the end of the course, and given actual clients with problems in oxygenation,fluid and electrolyte balance, nutrition and

metabolism, and endocrine function, the student should be able to:

1. Utilize the nursing process in the care of individuals and families in the hospital setting.- Assess with client/s his/her/their condition/health status through interview, physicalexamination, interpretation of laboratory findings- Identify actual and at-risk nursing diagnosis- Plan appropriate nursing interventions with client/s and family for identified nursing

diagnosis-Implement plan of care with client/s and family

- Evaluate the progress of his/her/their clients condition and outcomes of care2. Ensure a well-organized and accurate documentation system;3. Relate with client/s and their family and the health team appropriately;


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4. Observe bioethical concepts/ principles, core values and nursing standards in the care ofclients; and,

5. Promote personal and professional growth of self and others.

TERMINAL COMPETENCIES CONCEPTS LEARNING ACTIVITIES

Within 4 weeks of the 8 hour duty,the students will be able to acquireknowledge, skills, orientation andattitude, as well asdemonstratingeffectiveness and efficiency in theprinciples and techniques of nursingcare management of sick clientsacross lifespan in any setting withAlterations/problems inoxygenation, fluid and electrolytebalance, nutrition and metabolism

and endocrine function to becomemore competent with theimplementation of the interventionsthat are needed for proper patientmanagement.

Specifically:

A. SAFE AND QUALITYNURSING CARE

1. Provide safe and quality nursingcare by:> utilizing nursing process asframework for nursing care

Nursing Process: vital signs, nursing healthhistory, physical assessment, safety andcomfort measures

1. Formulation and carrying out ofindividualized nursing care plans,assessing vital signs (including pulseoximetry), conducting complete headtoe physical assessment, instituting aspecific safety and comfort measurestransferring of patients, Completeappropriate assessment forms, Perfoeffective assessment techniques, Obcomprehensive client information,Maintains privacy and confidentiality


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>promote safety and comfort ofpatients> Demonstrate knowledge basedon health/illness status ofindividual/ groups

B. MANAGEMENT OFRESOURCES AND ENVIRONMENT

2. Maintain effective management

of resources and environment

by maintaining it safe and

sterile

> Ensures the functioning of

resources

C. HEALTH EDUCATION

3. Render health education:

>assessing needs of the patient

and family

>developing health education plan

based on assessed and anticipated

needs

>implementing health education

plan

Safety and Asepsis

Teaching and learning

RA 9173; Informed Consent, Hospitalsorganizational policies and procedures,documentation system

2. Practicing aseptic techniques; orientaand compliance to hospital infectioncontrol, waste management and firesafety protocol, Check proper functio

of the equipment

3. Prepare health information materialsregarding the prevention andidentification of risk factors amongclients that contribute to thedevelopment of

problems in the following:

a. Oxygenation cardiovascular risk factors(modifiable and non- modifiableb. Fluid and electrolyte potential factors fexceeding renalreserve capacity, dietary habits to include sintake,hypertension, infection, diabetesc. Nutrition and metabolism - risk factorsrelated to malnutrition,obesityd. Endocrine function - risk factors related tendocrine hypo orhyper-functioning


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>evaluating the outcome

D. LEGAL RESPONSIBILITIES

4. abide to legal responsibilities by:

> adhering to practices in

accordance with the nursing law

and other relevant legislation

including informed consent

>adhering to organizational policies

and procedures

> documenting care rendered topatients

E. ETHICO MORAL

RESPONSIBILITIES

5. Portray ethico moral

responsibilities by:

>rendering nursing care consistent

with the patients Bill of Rights

>projecting a positive image ofnursing profession

Patients Bill of Rights, Code of Ethics forNurses, Incident Report

Self-awareness , RLE rules and regulations

4. Observe bioethical concepts/ principlcore values and nursing standards in care of clients; and,

5. Promote personal and professionalgrowth of self and others

6. Review on relevant topics of RA 9173proper securing of informed consent,review on hospitals organizational

policies and procedures, and generalguidelines in documenting and charti

7. Review of Patients Bill of Rights and for Nurses, accomplishing of IR,Articulates the vision and mission of tinstitution where one belongs, acts inaccordance with the established norm


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>reporting unethical and immoral

incidents to proper authorities

F. PERSONAL AND

PROFESSIONAL

RESPONSIBILITIES

6. Demonstrate personal and

professional development by:

>verbalizing strengths,

weaknesses, limitations

>dressing appropriately

>behaving appropriately at all

times

>demonstrating congruence ofwords and actions

G. QUALITY IMPROVEMENT

7. Contribute to quality

improvement by:

>detecting variation in vital signs of

the patient

>maintaining aseptic technique

Vital signs monitoring and reporting

Evidence based nursing practice

Documentation system, charting, ethical andlegal consideration

and conduct of the institution/organization

8. Conducting self-awareness activity thwill facilitate verbalization of strength

weaknesses and limitations., orientatto RLE rules and regulations

9. Identifies significant subjective data fthe client history related to problemsoxygenation, fluid electrolyte, nutritio

and metabolism and endocrine functThis also includes a variety ofnursing/medical management whichincludes but not limited to: hydrationdrug therapy, and dietary managemeprevention of infection and complicatand rehabilitation.

10. Encourage students to conductresearches on unusual trends and


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H. RESEARCH

8. Apply research findings in

nursing practice by:

> making use of evidence based

nursing to enhance nursing practice

I. RECORD MANAGEMENT

9. Establish accurate records

management by:

>completing updated

documentation of patient care

> observing legal imperatives in

record keeping

J. COMMUNICATION

10. Communicate effectively by:

>establishing rapport with patients,

significant others, and members of

the health care team

>identifying verbal and nonverbal

Communication, nurse client relationship,documenting and reporting

Communication, nurse client relationship,documenting and

reporting; client advocacy

updates in the management of problerelated to their RLE concepts.

11.Monitoring vital signs variations andreporting it immediately, participatingchange-of-shifts report.

12. Performing critical appraisal ofresearch works, journals, publishedworks, and internet based informatio

13.Orientation to hospitals documentatsystem, observes legal imperatives inrecording keeping, observesconfidentially and privacy of patientsrecords

14. Review on dynamics of communication, including therapeuticnurse client relationship, orientationhospitals documentation system,charting, participating in change of s


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cues

K. COLLABORATION AND

TEAMWORK

11. Establishing collaboration and

teamwork by:

>maintaining good interpersonal

relationship with patients and

members of the health team

>acting as patient advocate

reports

15. Maintains good interpersonalrelationships with patients, colleagueand other members of the health tea

PREPARED BY:


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SUSAN LOIDA SANTIAGO-SORIANO, MSNCLINICAL INSTRUCTOR

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