sigh ctp final

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UNIVERSITY OF LA SALETTECollege of Nursing

Santiago City, Philippines

SOUTHERN ISABELA GENERAL HOSPITAL

CLINICAL FOCUSThe Individual Client with Problems in Oxygenation,

Fluid and Electrolyte Balance, Nutrition andMetabolism and Endocrine Function

A. HOSPITAL PROFILE

ABOUT SOUTHERN ISABELA GENERAL HOSPITAL

Southern Isabela General Hospital is the lone DOH-HOSPITAL in Isabela.In 1986 by virtue of Circular No. 10, the Southern Isabela District Hospitalwas integrated with the rural health units. TheSIDH continued with its operation as a nationally administered entity until1993. In that year, the SIDH was devolved to the Provincial Government ofIsabela by virtue of the Local Government Code. It maintained its status as adistrict hospital under the direct supervisionand fiscal control of the Provincial Government of Isabela.

In 1996, Santiago City was chartered as an independent City,altering the official address of the Hospital as SIDH Santiago City. For

eight (8) years, the hospital operated under the Provincial Government ofIsabela. In August 1997, Republic Act 8338 An Act Upgrading the SIDH to a50-bed Tertiary Hospital was promulgated. The SIDH was re-named SouthernIsabela General Hospital. In January 1, 2002, the SIGH became a DOH-Retained Hospital. It boasts of a staff of competent highly qualified and fullytrained medical specialist utilizing state of the art technology andequipment.

SIGH within the formula 1 framework is aimed at achieving criticalreforms with speed, precision and effective coordination directed at improvingthe quality, efficiency, effectiveness and equality of the Philippine health

system in a manner that is felt and appreciated by Filipinos, especially thepoor.

B. DESCRIPTION OF LEARNERS


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The learners are in Level III specifically the BSN 3-A which areheterogeneous group in terms of their ages, family income and educationalbackground.

They will be focusing on complex nursing care of individuals, familiesand/or groups in various stages of development who are experiencingalterations related to their bio-psychosocial needs. Uses all components of the

nursing process with increasing degrees of skill. Includes math computationskills, basic computer instruction related to the delivery of nursing care withpatients having fluid & electrolyte imbalance related to inflammatory boweldisease, intestinal obstruction, peptic ulcer disease and cirrhosis; alteredregulatory hormonal mechanism related to endocrine disorders; alteredinflammatory process. All of them will be rotating in 3 other affiliating areasincluding Manango Hospital, Cagayan Valley Adventist Hospital and onecommunity health setting which is Gulac Immersion.

C. CLINICAL HOURS

The clinical practicum hours of BSN level III students are 24 hours aweek from 7 to 3 pm. Students are required to complete 96 hours per rotation.

Typically, student nurses will work either in an 8-hour shift from 7 to3PM. 24 hours should be completed in a week so they will be having theirduties from Monday to Wednesday.

STUDENTS RESPONSIBILITIES:

1. Responsible for practicing at their level of knowledge and experience;perform only those tasks/procedures for which they have had previous

instruction.2. Familiarizes self with policies/procedures of Elliot Hospital and thenursing organization.3. Participates in direct patient care under the supervision of the clinicalinstructor in conjunction with the RN assigned to the patient.4. Documents on patients permanent record after collaborating with theinstructor and RN assigned to the patient. Documentation must include thestudent's name, title, and name of school.5. Responsible for knowing who the staff nurse assigned to their patient is.6. Prepares to complete patient assignment and articulate basic,pertinent, theoretical knowledge prior to participating in direct nursing care.

7. Identifies and verbalizes learning needs to instructor or staff nurse.8. Informs the staff nurse of the hours he/she will be on the unit, includingwhen leaving the unit for break, lunch, or alternate learning experience.9. Notifies the instructor when unable to report to duty due to illness orother emergency. Provides name, school, unit assigned to and instructor'sname. (If a family member is attempting to locate a student, follow the sameprocedure).


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10. Informs the staff nurse of the patient care procedures, medications,documentation, flow sheets, etc., that he/she will or will not be using.11. Maintains patient confidentiality.12. Upon identification of any medication variance/occurrence, procedure ortreatment error, or patient fall, informs the staff nurse assigned to the patientand reports the variance to the instructor and completes the appropriate

documentation.13. Must be knowledgeable about medications prior to theiradministration.14. Notifies instructor when supervision is required prior totasks/procedures, etc.15. Communicates location of patient chart to staff nurse prior to takingchart from desk area; chart should be returned to place from where it wasremoved.16. Wears ID tag and complete uniform as prescribed.17. Students are not permitted to:

a. Draw arterial or venous blood

b. Start IVsc. Hang blood or blood productsd. Administer Chemotherapy drugs

18. All IV Medications must be given in the presence of the Instructorknowledgeable of thepatient, and in accordance with nursing organization'spolicies/procedures/protocols.

D. FOCUS OF CLINICAL EXPERIENCE

Objectives: At the end of the 4-week rotation at SIGH, the studentshould be able to:

1. Utilize the nursing process in the care of the individuals and families inthe hospital setting such as:

a. Assess with clients their condition/health status through interview,physical examination, interpretation of laboratory findings;

b. Identify actual and at-risk nursing diagnosis;c. Plan appropriate nursing interventions with clients for identified

nursing diagnosis;d. Implement plan of care with clients and families;

e. Evaluate the progress of their clients condition and outcomes ofcare

2. Ensure a well-organized and accurate documentation system.3. Relate with clients and their families and with the health team

appropriately.4. Observe bioethical concepts/principles, core values and nursing

standards in the care of the client5. Promote personal and professional growth of self and others.


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COURSE IN THE WARD

Schedule of Activities

6:45 - 7:00 AM Checking of Attendance and paraphernalia

Receive change of shift report/ Attendendorsements

7:00 - 11:00AM Morning Care: Giving Medication

Ward Rounds, V/S taking, IVF monitoringQuiz, NPI, Chart Reading and RecordingPreparation of Medicines, regulation of IVF

11:00 - 12:00NN Lunch Break12:00 - 1:00

PM

Case conference: Checking of Charting,

Case discussion

1:00 - 3:00 PMCharting and Documentation:EndorsementAfternoon Shift

2:45 - 3:00 PM Summing up.

F. GRADING SYSTEM

60% A.K.S.

40% REQUIREMENTSDrug StudiesJournalsQuizzesNCPsCharting/Progress NotesIndividual Case StudiesPhysical Assessment Checklist

Learning feedback evaluation: learning experience, comments andsuggestions to improve/enhance learning.

a. Quizes and Post-Testb. Skills: Case Presentationc. Skills: Observationd. Reportings


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NOTE:

A minimum of 5 quizzes will be given every rotation but mayexceed to 1 quiz per duty.

In their last week of rotation, probably on the 2nd day, students willbe having an evaluation exam to sum up all their learned activities

throughout their related learning experience at CGH. On the third day of their fourth week, a case presentation will be

held at the university campus to share their knowledge andexperience of the case they handled to their classmates.

Student checklist should be accomplished and signed by theclinical instructor within the rotation period.

PREPARED BY:

MS. SUSAN LOIDA SANTIAGO-SORIANO, MSNCLINICAL INSTRUCTOR

UNIVERSITY OF LA SALETTECOLLEGE OF NURSING


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SANTIAGO CITY, PHILIPPINES

1st SEMESTER SY 2012-2013LEVEL III

CLINICAL FOCUSSOUTHERN ISABELA GENERAL

HOSPITAL

SUBMITTED BY:MS. SUSAN LOIDA SANTIAGO-SORIANO, MSN

CLINICAL INSTRUCTOR

SUBMITTED TO:MS. MARIA THERESA G. SANTOS, MSN

CLINICAL COORDINATOR