Clinical Section Outine Fall 2013

7/27/2019 Clinical Section Outine Fall 2013

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SOUTH TEXAS COLLEGE

Associate Degree in Nursing Program

RNSG 2260: Care of Children and Families-Clinical Syllabus

Fall 2013

Institutional Information:

1. Name of Institution: South Texas College

2. Name of Department: Associate Degree Nursing3. Section Outline

4. Fall 2013

Instructor Information

1. Instructor's Name: Viola Ramirez, RN, MSN, FNP-BC

2. Office/Building/Campus Location: NAH 229

3. Office Telephone Number: 872-3063

4. FAX Number: 872-3138

5. E-mail Address:[email protected]. Office Hours: Monday 10:30am-12:30pm, Tuesday 10:30am-12:30pm & 4:00pm-5:00pm

1. Instructor's Name: Patricia Gresham, MSN, RN, ANP-BC, CCRN

2. Office/Building/Campus Location: NAH 216

3. Office Telephone Number: 872-3064

4. FAX Number: 872-3138

5. E-mail Address:[email protected]

6. Office Hour: Monday 12:00am-1:00pm Tuesday 9:00am-13:00pm

Course Information:

1. Care of Children and Families, Clinical

2. Course Number: RNSG 2260

3. Classroom Location/ Days and Time Class Meets

Clinical Prep at designated hospitals Tuesday 4:30 pm to 6:20 pm

Edinburg Childrens Hospital Wednesday & Thursday 8:00 am to 4:00 pm

Doctors Hospital at RenaissanceWednesday & Thursday 8:00 am to 4:00 pm

4. Catalog Course Description

This course is the study of concepts related to the provision of nursing care for children and their families,

emphasizing judgment, and professional values within a legal/ethical framework.

5. Prerequisites:BIOL 2402, RNSG 2213, RNSG 1341, RNSG2262, RNSG 2263, and RNSG 1244.

6. Program Learning Outcomes

Upon completion of the Associate Degree Nursing Program, the graduates should be able to:
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Provider of Patient-Centered Care:

a. Determine the holistic needs of patients and their families based upon interpretation of comprehensive healthassessment findings in comparison with evidence-based practice health data.

b. Analyze assessment data to identify problems, formulate outcomes and develop concept map of patients and

their families using information from evidence-based practice in collaboration with patients, their families and

interdisciplinary health care team.c. Apply the use of clinical reasoning to analyze clinical data evidence-based practice as basis for decision

making in nursing practice.

d. Implement concept map for patients and their families within legal, ethical and regulatory parameters.e. Demonstrate safe, compassionate, culturally competent nursing care to patients and their families.

f. Evaluate patient outcomes and responses to therapeutic interventions and plan for follow up nursing care.

g. Develop, implement and evaluate individualized teaching plan for patient and their families to addressdisease prevention, health promotion, maintenance and restoration.

Patient Safety Advocate:

a. Demonstrate knowledge and clinical behaviors of Texas Nursing Practice Act and standards of care that

emphasize patients safety.b. Apply measures to promote quality and safe environment for patients, self and others.

c. Formulate outcomes using evidence-based data to address disease prevention, patient risks, health

promotion, maintenance and restoration.

d. Obtain instruction, supervision and training as needed when implementing nursing procedures.e. Accept, formulate assignments and delegate tasks that take into consideration patients safety and

organizational policy.

Member of the Health Care Team:a. Coordinate, collaborate and communicate in a timely manner with patients, their families and the

interdisciplinary health care team to plan, implement and evaluate patient-centered care.

b. Function as health care advocate in monitoring and promoting quality access to health care for patients andtheir families.

c. Refer patients and their families to health care services to promote continuity of care.

d. Communicate and manage information using technology and ensure confidentiality to support decision

making to improve nursing care.

Member of the Profession:a. Demonstrate responsibility and accountability for the quality of nursing care provided to patient and their

families and for continued competence in nursing practice through reflection, self analysis and life-longlearning,

b. Function within the nurses legal scope of practice and in accordance with the agency/organizational

policies and procedures.

c. Participate in activities that promote the development and practice of professional nursing.

7. Course Learning Outcomes

Course Competencies/Learning Objectives: By the end of this semester the student will demonstrate competence by

applying nursing knowledge, clinical judgments and behaviors as a member of the profession, provider of patient-

centered care, patient safety advocate and member of the health care team to pediatric and obstetric patients and theirfamilies:

I. Member of the Profession Suggested Learning Activity Evaluation Method

a. Examine the nurses legal scope of practice and

in accordance with the policies and procedures of

the employing health care institution or practice

setting provided for pediatric patients and their

families.

Clinical Related Learning

Experience, Group Discussions,

Case Study, Open-Lab, Simulation

(Mid to High Fidelity), Clinical

Paperwork, Patient Care Revisions

Based on Evidence-Based Practices,

Research Articles in Electronic Data

Clinical Performance

Evaluation (Formative

& Summative), Safety

and Clinical Reasoning

Indicators Evaluation

Return Demonstration

Quizzes, Pee


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Base/Journals, Concept/Care

Mapping, Community Projects; Pre

and Post Conferences

Evaluation, Self

Evaluation, Reflective

Journaling

b. Analyze the responsibility and accountability for

the quality of nursing care provided to pediatric

patients and their families.






Based on Evidence-Based Practices,Research Articles in Electronic Data









Return DemonstrationQuizzes, Pee

Evaluation, Self


Journaling

c. Utilize activities that promote the development

and practice of professional nursing.










and Post Conferences, Sim Chart







Quizzes, Pee

Evaluation, Self


Journaling, Sim Chart

d. Analyze the responsibility for continued

competence in nursing practice, and develop

insight through reflection, self-analysis, self-care,

and lifelong learning.









Mapping, Community Projects; Preand Post Conferences







Quizzes, Pee

Evaluation, Self

Evaluation, ReflectiveJournaling

II. Provider of Patient-Centered Care Suggested Learning Activities Evaluation Methods

a. Develop and implement a clinical reasoning and

knowledge based on associate degree nursing

program of study and evidence-based practice

outcomes as a basis for decision making in

providing nursing care for pediatric patients and

their families.








Base/Journals, Concept/CareMapping, Community Projects; Pre








Quizzes, Pee

Evaluation, SelfEvaluation, Reflective

Journaling

b. Develop goals/outcomes and communicate the

physical and mental health status, needs, and

preferences of culturally, ethnically, and socially

diverse pediatric patients and their families based

upon interpretation of comprehensive health

assessment findings compared with evidence-

based health data derived from the associate















Quizzes, Pee

Evaluation, Self


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degree nursing program of study. Mapping, Community Projects; Preand Post Conferences


Journaling

c. Examine assessment data to identify problems,

formulate goals/ outcomes, and develop plan of

care for pediatric patients and their families using

information from evidence-based practice in

collaboration with patients, their families, and the

interdisciplinary health care team.







Research Articles in Electronic DataBase/Journals, Concept/Care









Quizzes, PeeEvaluation, Self


Journaling

d. Provide safe, compassionate, individualized

nursing care to pediatric patients and their families

through direct supervised care.

















Quizzes, Pee

Evaluation, Self


Journaling

e. Apply the plan of care for pediatric patients and

their families within legal, ethical, and regulatory

parameters and in consideration of disease

prevention, wellness, and promotion of healthy

lifestyles.

















Quizzes, Pee

Evaluation, Self


Journaling

f. Analyze and report patient outcomes and

responses to therapeutic interventions in

comparison to benchmarks from evidence-based

practice, and plan follow-up nursing care.

















Quizzes, Pee

Evaluation, Self


Journaling

g. Develop, implement, and evaluate learningneeds, teaching plans for pediatric patients and

their families to address health promotion,

maintenance, and restoration.

Clinical Related LearningExperience, Group Discussions,









Clinical PerformanceEvaluation (Formative





Quizzes, Pee

Evaluation, Self


Journaling

h. Refer human, information, and material Clinical Related Learning Clinical Performance


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resources in providing care for pediatric patients

and their families.















Quizzes, Pee

Evaluation, Self



III. Patient Safety Advocate Suggested Learning Activities Evaluation Methods

a. Analyze of the Texas Nursing Practice Act and

the Texas Board of Nursing Rules that emphasize

safety, as well as all federal, state, and local

government and accreditation organization safety

requirements and standards.

















Quizzes, Pee

Evaluation, Self


Journaling

b. Prepare measures to promote quality and a safe

environment for pediatric patients, self, and

others.

















Quizzes, Pee

Evaluation, Self


Journaling

c. Distinguish goals and outcomes using evidence-

based data to reduce patient risks

















Quizzes, Pee

Evaluation, Self


Journaling

d. Obtain instruction, supervision, or training as

needed when implementing nursing procedures orpractices.


Experience, Group Discussions,Case Study, Open-Lab, Simulation









Evaluation (Formative& Summative), Safety




Quizzes, Pee

Evaluation, Self


Journaling

e. Classify and conform to mandatory reporting

requirements of the Texas Nursing Practice Act.






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Quizzes, Pee

Evaluation, Self


Journaling

f. Analyze nursing tasks that take intoconsideration patient safety and

organizational policy.

Clinical Related LearningExperience, Group Discussions,









Clinical PerformanceEvaluation (Formative





Quizzes, Pee

Evaluation, Self


Journaling

IV. Member of the Health Care Team Suggested Learning Activities Evaluation Methods

a. Utilize, collaborate, and communicate with

pediatric patients, their families, and the

interdisciplinary health care team to plan, deliver,

and evaluate patient-centered care.

















Quizzes, Pee

Evaluation, Self


Journaling

b. Implement the health care advocate role in

monitoring and promoting quality and access to

health care for pediatric patients and their families.

















Quizzes, Pee

Evaluation, Self


Journaling

c. Classify resources that facilitate continuity of

care; health promotion, maintenance, and

restoration; and ensure confidentiality to pediatricpatients and their families.



Case Study, Open-Lab, Simulation(Mid to High Fidelity), Clinical









& Summative), Safetyand Clinical Reasoning



Quizzes, Pee

Evaluation, Self


Journaling

d. Examine the importance of communication and

collaboration in a timely manner with members of

the interdisciplinary health care team to promote








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and maintain optimal health status of pediatric

patients and their families.











Quizzes, Pee

Evaluation, Self


Journaling

e. Utilize and manage information using technology

to support decision making to improve patientcare.


Experience, Group Discussions,Case Study, Open-Lab, Simulation









Evaluation (Formative& Summative), Safety




Quizzes, Pee

Evaluation, Self



f. Explain nursing care to other members of the

health care team based upon an analysis of

pediatric patients or unit need.

















Quizzes, Pee

Evaluation, Self


Journaling

g. Analyze nursing care provided by others for

whom the nurse is responsible by using evidence-

based nursing practice.





Paperwork, Patient Care RevisionsBased on Evidence-Based Practices,









Indicators EvaluationReturn Demonstration

Quizzes, Pee

Evaluation, Self


Journaling

8. Departmental Course Requirements, Evaluation Methods, and Grading Criteria:

A. METHOD OF EVALUATION:

Course grades will be based upon the following percentages:Clinical Performance 75%

3 Math Dosage Calculation Tests 25%=100%

Students must achieve a minimum grade of a C in order to pass RNSG 2260.

The clinical grade is based on weekly clinical performance, portfolio of supporting documentation, pediatric

dosage calculation quizzes (3), concept maps weekly and a group health promotion project. The weekly clinicalperformance will be evaluated on 4 clinical indicators as follows:

1. PROVIDER OF PATIENT CENTERED CARE2. PATIENT SAFETY ADVOCATE3. MEMBER OF THE HEALTH CARE TEAM


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4. MEMBER OF THE PROFESSION

A score is assigned for each clinical indicator based on the following scale:

CM = COMPETENCY MET (2) NI = NEEDS IMPROVEMENT (1) CNT =COMPETENCY

NOT MET (0) NA = NOT APPLICABLE

Each student is expected to achieve a minimum of 78 or a C to pass the clinical course by the end of the

rotation. A remediation plan will be initiated, if possible, for any score of 0-1 during the rotation toassist the student in attaining course competencies. The final course grade is calculated by averaging thegrades from each element.

If the instructor determines that a student has not had the opportunity to earn points for a given clinical

indicator by no fault of the student, the item will be graded on the information gathered or the item willnot be applicable for that week. For example, if the student is not given an opportunity to administer

medications, the students preparation and knowledge regarding the medication will be assessed and

graded.

Weekly Clinical Care Maps will be required during the rotation and will be evaluated according to the

followingcriteria:

Satisfactory Concept Map

CRITERIA INDICATIONS

Documentation of Data Includes pertinent patient data, pathophysiology, etiology, and

incidence of medical diagnosis. Reflects knowledge base,

includes relevant lab data and nursing assessment data.

Evidence of Critical

Thinking

Individualized prioritized nursing diagnoses for the clients

needs. Appropriate nursing interventions based on nursing

assessment, including medications and teaching, with time-

specific measurable goals and expected outcomes.Rationale and evaluation Logical decision-making, evaluation of client response tointerventions.

Completeness andAccuracy

Easy to follow, clear and useful. Complete, accurate data.

References At least 3 relevant references in APA format, including at

least one appropriate nursing journal or internet resource.

An example of an unsatisfactory concept map:

Unsatisfactory Concept Map

CRITERIA INDICATIONS

Documentation of Data Missing critical factors to clients care, missing criticalassessment data, incomplete, or no effort made

Evidence of Critical

Thinking

Little effort made, irrelevant nursing diagnoses or

interventions, lack of measurable goals and expected

outcomes. Incorrectly prioritized.

Rationale and evaluation Unclear reasons for decision making, disorganized. Lack of

evaluation of client response.

Completeness andAccuracy

Incomplete, inaccurate data. Missing important components.

References No references, or inappropriate references. Must be from anursing or medical journal or internet resource, not a lay


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resource. Must be in APA format.

The clinical instructor will document the reasons for a letter grade of C in students clinical performance and for

every unsatisfactory concept map in the clinical evaluation tool and/or clinical warning form.

B. Program Progression:Student must achieve a grade 78% or better in the following courses RNSG 2331, RNSG 2121 and

RNSG 2163 to progress to RNSG 2363 (Capstone) in clinical V.

C. Student Program Policies:Students must review the Student Handbook and sign the attached sheet stating they have read and

understand the policies such as Nursing Allied Health Safe Clinical Practice Standard, Scholastic Honesty.

Standards, guidelines and requirements of the course as stated in the course syllabus, the associatedegree nursing student handbook and the statements regarding Texas Board of Nursing regulations for

license eligibility policies (Nurse Practice Act, Article 4519a and 4525 policy, found on the Texas Board of

Nursing website atwww.bon.texas.gov. A copy of the NAH student handbook is available on the STC college

web site at www.nah.southtexascollege.edu/programs/adn.html.

Students must follow dress guidelines as described in the ADN Student Handbook which is available at

http://www.nah.southtexascollege.edu/programs/adn.html. Students not in compliance with the dressguidelines eitherin class or clinical will be sent home and given an absent day and a 0 grade. Students

must wear STC ID at all times.

South Texas College expects all students to exhibit appropriate behavior in the classroom, clinical, or other

academic setting. Inappropriate behavior, including cheating and plagiarism, may result in disciplinary

action against the student, including expulsion from the class or the College. Detailed information

regarding South Texas Colleges expectations for student behavior is presented in the Student Code ofConduct which is available in the Student Handbook, online at

http://www.nah.southtexascollege.edu/programs/adn.htmlor by contacting the Office of the Ombudsperson

at 956-872-2180.

D. Attendance:

Students are expected to attend clinical regularly and to be prepared for their assignment. A maximum of10% of total clinical hours may be missed. The learning activities require student attendance and

participation. When the student is absent from clinical, there is no way to determine a grade for that

assigned clinical experience. Therefore, a 0 grade will be assigned. Every student who is absent from

clinical will be given an outside assignment by their clinical instructor. The grade for this assignment will bethe grade for that clinical day on the evaluation tool. See theADNStudent Handbookat STC website

www.nah.southtexascollege.edu/programs/adn.html. See Appendix F: Clinical Addendum for assignment

information.

Absences which total more than 10% of the scheduled clinical hours may result in dismissal from the

program.

E. Late Paperwork/Clinical AssignmentsAssigned paper work is required to be on time. The student is required to submit a Late Course Form

(found in the student handbook) for any paperwork that is not submitted by due date and time. Ten (10)

points will be deducted for each day late. See the ADN Student Handbook for policy and procedure. Theseforms will be placed in the students personal file.

F. Grading/Clinical Evaluation
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Students will be evaluated every day while in the clinical setting based on the clinical evaluation tool included in the syllabus.

The daily clinical performance grade is determined by the sum of all points in each category. If the

instructor determines that a student has not had the opportunity to earn points for a given criteria by no faultof the student, for example, he/she is not given an opportunity to administer medications, the item will be

graded on the information gathered and students knowledge regarding the medication. After reviewing the

daily evaluation form, students will sign the designated area of the evaluation sheet.The daily written clinical preparation forms, medication sheet, diagnostic sheet, assessment form,

references, and any other written work assigned by the clinical instructor will be graded based on

completeness, accuracy, and individual effort. The clinical assignments may need to be submitted by SimChart as designated by the instructor.A Pediatric Health Promotion Project will be presented by clinical groups on assigned day and will count as

the clinical performance grade for the day.

Clinical care maps and any written reports assigned must be typewritten in APA format with references asdesignated by the instructor.

Schedule an appointment with your clinical instructor if you have any questions about your grade.

G. Clinical Performance Deficiencies and Unsafe Practice:Students must satisfactorily demonstrate all critical indicators located in the clinical evaluation tool

consistently throughout the course. The clinical instructor will document the reasons for an unsatisfactory

clinical performance in the clinical evaluation tool and/or clinical warning form.

Unsafe practice is defined as:

1. Failure to carry out the requirements, including nursing plans.2. Engaging in activities judged to be unsafe for students level and clinical assignment based on course

objectives.

3. Engaging in any activity that has the potential to place the client in physical or emotional jeopardy.4. Violation of any critical element identified in the evaluation tool.

An instructor has the right and responsibility to dismiss students from the clinical area at any time client care

is jeopardized. FAILURE OF THE ENTIRE CLINICAL COURSE CAN OCCUR BASED ON

UNSAFE PRACTICE.

H. Student Policies:

Students must read the Student Handbookpolicies and sign the attached form stating that they have read andunderstand the program policies, especially those relating to professional appearance, confidentiality, unsafeclinical practice, and State Board Regulation Article 4519a and 4525. Students must wear STC ID at all

times.

Attendance:Clinical attendance is required for the completion of clinical learning objectives. The students are required to

attend clinical at the assigned time and location. Absences which total more than 10% of the scheduled

clinical hours may result in dismissal from the program. See the Student Handbookat STC website

www.nah.southtexascollege.edu/programs/adn.html.

Tardiness of 30 minutes or more will be counted as an absence. No half-day absences are allowed. Students

are expected to contact the instructor at least one hour prior to the scheduled clinical experience if case of

absence or tardiness. Fail ur e to do so may resul t in dismissal f rom the course. If unable to contact yourinstructor, contact the agency and/or the ADN program office and leave a message with your name and

phone number. Special circumstances will be considered on an individual basis at the discretion of the

clinical instructor. See the Student Handbookat STC websitewww.nah.southtexascollege.edu/programs/adn.html.
http://www.nah.southtexascollege.edu/programs/adn.htmlhttp://www.nah.southtexascollege.edu/programs/adn.htmlhttp://www.nah.southtexascollege.edu/programs/adn.htmlhttp://www.nah.southtexascollege.edu/programs/adn.htmlhttp://www.nah.southtexascollege.edu/programs/adn.html


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Students may rotate through several clinical areas which may include med/surg units, intensive care units,

emergency departments, surgery, schools, and/or private health agencies. Assignments will be made byfaculty and are subject to change throughout the semester.

9. Required Textbooks & Resources:

Bindler, R., & Howry, L. (2005). Pediatric drug guide. Upper Saddle River, N. J.: Pearson Prentice Hall.

OR:

Wilson, B. A., et al. (2008). Prentice Hall nurses drug guide. Upper Saddle River, N. J.: Prentice Hall.Hockenberry, M. J. (2009). Wongs essentials of pediatric nursing(8

thed.). St. Louis, MO: Elsevier

Mosby.

Murphy, A. C. (2009). Study guide to accompany Wongs essentials of pediatric nursing(8th

ed.). St.Louis, MO: Elsevier Mosby.

Pagana, K., & Pagana, T. (2003). Mosbys manual of diagnostic and laboratory tests. (2nd

ed.). St. Louis,

MO: Elsevier Mosby.

OR:Kee, J. L. (2006). Laboratory and diagnostic tests and nursing implications. (7

thed.). Upper Saddle River,

New Jersey: Pearson Prentice Hall.

Pediatric facts made incredibly quick! ( 2006). Philadelphia, PA: Lippincott Williams & Wilkins.

Pickar, G. D. (2004). Dosage calculations. (7th

ed.) Clifton Park: Delmar Learning.OR:Kee, J. L., & Marshall, S. (2008). Clinical calculations with applications to general and specialty areas. (6

th

ed.). St. Louis: Saunders.Sparks, S. & Taylor, C. M. (2008). Nursing diagnosis reference manual. (7th ed.).Springhouse, PA:

Springhouse.

Recommended resource:Hockenberry, M.J. (2005). Wongs clinical manual of pediatric nursing. (6

thed.). St. Louis, MO: Elsevier

Mosby.

10. Developmental Studies Policy Statement:The Colleges Developmental Education Plan requires students who have not met the college-level placement standard on an

approved assessment instrument in reading, writing, and/or mathematics to enroll in Developmental Studies courses including College

Success. Failure to attend these required classes may result in the student's withdrawal from ALL college courses.

Statement of Equal Opportunity: No person shall be excluded from participation in, denied the benefits of, or be subject todiscrimination under any program or activity sponsored or conducted by South Texas College on the basis of race, color, nationalorigin, religion, sex, age, veteran status or disability.

Alternative Format Statement: This document is available in an alternative format upon request by calling (insert phone number of thedepartment contact person who maintains the syllabus and can provide a copy upon a student request).

ADA Statement:Individuals with disabilities requiring assistance or access to receive services should contact disABILITY SupportServices at ( 956 ) 872-2173.


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South Texas College

ADN Program

PediatricsRNSG 2260

Emergency Department Clinical Objectives

Write up your observations/interpretations of your ER nursing experience on a separate sheet of paper by answering

ollowing questions:

1. Discuss the triage process for children in the ER and assist with that process.

2. Check the pediatric Braselow crash cart; explain Braselow & describe its contents and how it is utilized.

3. Document complete care of one ER pediatric patient as if you were the primary nurse. Attach note. Use the nurses notes to document care.

4. Describe what elements of the nursing process you utilized today and how.

5. Identify and evaluate the nursing interventions you performed today.

6. Identify developmental considerations that you applied in caring for a child in the ER.

7. What suggestions would you make for improving the nursing process as it applies to children in the ER?


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South Texas College

ADN Program

PediatricsRNSG 2260

Operating Room Clinical Objectives

Write up your observations/interpretations of your OR nursing experience on a separate sheet of paper by answering

ollowing questions:

1. Discuss the informed consent and assent elements and pre-op teaching done for child/parents by anesthesia,surgeon, and the nurses.

2. Describe the donning of sterile shoe covers, mask, gown, and glove and explain standard precautions in the O

3. Assist the circulating nurse in instrument & sponge counts & explain the process and describe the mandatorytime out procedure.

4. Describe the type of anesthesia delivery for a selected pediatric client.

5. List and describe the potential complications of general anesthesia in children.

6. Identify anatomical/developmental differences in the airway of children and adults.

7. What is the difference between general anesthesia and moderate sedation?

8. Describe special safety considerations for children in the OR.

9. Discuss the roles and responsibilities of the RN (1) on the surgical team, (2) in outpatient surgery, (3) in postanesthesia care unit, and (4) the caregivers in the peri-operative period.

10. Describe how the nursing process was applied to one patient in the OR or PACU.


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South Texas College

ADN Program

PediatricsRNSG 2260

Vannie Cook, Jr., Oncology/Hematology Clinic

Clinical Objectives

Write up your observations/interpretations of your oncology nursing experience on a separate sheet of paper bynswering the following questions:

1. What additional education is needed to become a certified oncology nurse?

2. Describe the care of and teaching related to the Vascular Access Device (VAD).

3. Discuss the nursing management of common side effects of treatment modalities.

4. Identify the emotional and educational needs of families who have a child with cancer.

5. Apply the nursing process and culturally competent critical thinking skills through the care of one client.


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South Texas College

ADN Program

PediatricsRNSG 2260

School Nursing Clinical Objectives

Write up your observations/interpretations of your school nursing experience on a separate sheet of paper by answer

he following questions:

1. List and describe the many roles and functions performed by school nurses.

2. Assist the school nurse in at least two, preferably more, teaching activities, either in the classroom or withindividual student visit. Document age of student(s), situation, and outline of activity.

Suggestions:

Need for physical activity

Nutrition teaching

Medication, proper administration

Conflict resolution

Injury prevention

Communicable disease Handwashing, hygiene

Other

3. Apply the nursing process and culturally competent critical thinking skills in at least one clinical situation incollaboration with the school nurse.

4. Write up an instance of problem-solving with a high-risk student or family.

5. List what specific laws are applicable to school health.


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PEDIATRIC HEALTH PROMOTION PROJECT

tudents in clinical groups will develop and present a health promotion project to preschool or school-age children in

ther a hospital, clinical, or school setting.resentation groups should be 4-6 students each (1-2 groups per clinical class).

resentations should last 2030 minutes and allow additional 10-15 minutes for questions and evaluation of learnin

tudents are to arrange the site for their presentation and inform their clinical instructor of the location, the contact

erson, address, and phone number. The presentation should be given during the last week of the course on a regula

inical day at a time mutually agreeable with the students, the clinical instructor, and the presentation site. Presenta

te, date, and time may be assigned by instructors.

ime may be allowed in clinical for groups to work on the preparation at the instructors discretion.

opics for the presentation should target a Healthy People 2020 goal approved by the instructor, or another topic

equested by the presentation site if approved by the instructor.

ssignments:

1. The topic and purpose proposal should be submitted to the clinical instructor on the date assigned in the cocalendar. The proposal should include:

a. The title of the projectb. Topic to be presented and purpose of the presentationc. Names of the presentersd. Anticipated audience

2. An outline of the objectives of the presentation should be submitted to the clinical instructor by the dateassigned in the course calendar. The outline should include:

a. Review of literature: What does medical/nursing literature teach about the topic? You need to have tsupport of experts and correct information to teach. Rememberevidence-based practice.

b. Provide at least 3 references in APA format. References must be no older than 5 years, must be fromnursing or medical sources (not lay sources), and include at least one journal or online resource.

c. Learner objectives for the presentation: What do you want to the learner to learn? You should have aleast 3 objectives. They should be specific and measurable.

d. Outline of the planned presentation: How are you going to present the material? What teaching methwill you use? Are you going to use puppets? What other materials will you use?

e. Evaluation: How are you going to evaluate what the students have learned? Did they learn the objectyou planned?

3. Health promotion presentation will be evaluated on the day of the presentation by the clinical instructor usthe criteria in the following table.


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Pediatric Health Promotion Project Grading Criteria

he health promotion project will be graded on the following criteria:

Criteria Possible Points Achieved Points

ssignment #1 Topic & purpose

roposal appropriate and on time

10

ssignment #2 Learner objectives

ge-appropriate and on time

10

iterature review and References

n APA format

10

rganization of presentation 10

eaching methodsappropriate

nd effective

10

reativity and originality 10

roup member participation inresentation

10

earner participation and

njoyment

10

earner evaluation 10

eer evaluation 10

otal 100

he grade for the project will count as clinical performance grade for that day.


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Peer Evaluation

eer evaluation will be completed by each student for each member of his/her group based on the following criteria:

tudent Name PreparationResearch, reading,

completedassignments

AttendanceOn-time and

stayed forduration

ParticipationContributed best

academic ability

Interpersonal

RelationsPositive &

productive

CommunicationInitiated & responded

appropriatelybetween meetings

Total

he peer evaluation will count as 10% of the students final grade for the healthpromotion presentation.


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ATE ____________________________________ NAME________________________________________

PEDIATRIC CLINICAL DATA

ate of Admission: _________________________ Patient Initials: ___________________________________

m # __________ Age: __________ DOB: __________ M / F Allergies: _________________________

dmitting/ Current Diagnosis: _________________________________________________________________

urgical Procedure: __________________________________________ Surgical Day: ___________________

istory of Present Illness: _____________________________________________________________________

_________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________

Document what parent says, not only chart)

ast medical history (birth history, developmental delays, co-morbid conditions, past illness/ injuries, hospitalization_________________________________________________________________________________________

_________________________________________________________________________________________

__________________________________________________________________________________________________________________________________________________________________________________

Document what parent says, not only chart)

rimary Caregiver: __________________________________________ (for instance - Mom, grandparent, CPS)

amily size/structure/birth order: _________________________Immunizations_________________________

ultural / language/ religious factors: ___________________________________________________________

evelopmental Stage: (Piaget & Erickson): _______________________________________________________

aycare or School: __________________________________________________________________________

eight & Percentile: ____________________________ Weight & Percentile: ___________________________

nfants only: FOC & Percentile: ___________________ Chest: _______________ Abd. Girth: ______________

iet: _______________________ VS Freq: _______________________ Monitors: _______________________

aloric intake/day: __________________________________________________________________________

V Fluids/rate/volume per hr/day: _______________________________________________________________

ressings, Irrigations, Drains: __________________________________________________________________

espiratory Treatments: ______________________________________________________________________

ctivity/Play/Diversion: (list age-appropriate activities) _____________________________________________


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ATE ____________________________________ NAME _______________________________________

PHYSICAL ASSESSMENT

eneral Survey

cluding Vital Signs

kin, Hair, Nails

ead & Neck

eart & Peripheral

ascular System

hest & Lungs

reasts & Axillae

bdomen

Musculoskeletal

ystem

eurological system

xternal Genitalia

ursing Notes_______________________________________________________________________________

__________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________

____________________________________________________________________________________________________________________________________________________________________________________

__________________________________________________________________________________________


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__________________________________________________________________________________________

Date: _____________ Daily Weight: ________ Height: __________Patient Progress Documentation Form

TIME 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 01 02 03 04 05

10 . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . Pain

Intensity5

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . .

0 . . . . . . . . . . . . . . . . . . . . . .

ReliefAcceptable

(Y/N)

atient Progress Documentation Student Name :____________________________PATIENT IDENTIFICATION

ital Signs :

M PM

TUBE FEEDING RECORD

Time Strength/Type Rate Pump ResidualTube

Checkedplacement

Bag &TubingChange

0700-1500

1500 24 HrTotal OUTPUT

0700-1500

1500 24 HourTotal

Diet Breakfast LunchNTAKE 0700 0700

Oral Urine CODE N-NPO C-Clear liquid R-Regular O-Other

GT Emesis TYPE :

VPBGastricSuction

Code:R-Refused P-Poor F-Fair G-Good E-Excellent

V FluidsDrainageTube APPETITE Breakfast Lunch

Hyperal Stool %

TOTAL TOTAL

V Time IV# IV Solu AMT Rate Pump Tube/Filter Site Care Needle Site

I.V. SITE CHECKS* CODE: O-NO, ABSENT - YES PRESENT Hygiene / Safety0700-1500

1500070

Time 0700 0900 1100 1500 Am Care - BB/SH

Site # Pm Care - BB/SH

Redness Partial Bath

Drainage Oral Care/ # teeth

Edema Back Care

Tenderness Sitz Bath

Heat Patient Resting Or Sleeping

IV Dressing

Dry & Intact Foley Care / Diaper area

Restarted Turn Q 2 hours

IV Checked Q2Hours Bed locked Y or N

Initials Call light within reach


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South Texas College

ADN Program RNSG 2260

Pediatrics

Pre-Clinical Preparation

ge:

OB:

ender:

iagnosis:

ospital day:

What are you alert for today with this patient?

What are the important assessments to make?

What complications may occur?

What interventions will prevent the possible complications?


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DIAGNOSTIC TESTS

TYPE DATE NORMAL

VALUE

CLIENTS

VALUE

REASON(S) FOR ABNORMALITIES

SPECIFIC TO YOUR CLIENT


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Pt.s Initials:________ Name:

MEDICATIONSPt.s Wt.:

MEDICATION

Brand/Generic

Dosage

Route

SAFE RANGE

(Calculate)

FREQ/

TIME

CLASSIFICATION

PHYSIOLOGIC

ACTION

ADVERSE DRUGREACTIONS

NURSING IMPLICATIONS

(Individualized to patient)


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South Texas College

ADN Program RNSG 2260

Pediatrics

14 Things to do/observe when going into the pts. room for first time

1. Wash hands.

2. Re-introduce self & greet patient & parents.

3. Safety issues: ID band, bedrails?

4. Ask how the night went: sleep well, temperature, difficulty breathing, mood etc.

5. Check amount of and label on IV fluid in bag, check IV site & patency, check change date for IV tubing,

pump - ml/hr? set for two hr.

6. If Respiratory Pt.Observe color, respiratory rate & rhythm; O2 sat

7. If post- surgical, obtain temperature; check wound for drainage, signs of infection, N/G drainage,. etc.

8. If GI Dx., any n/v/d, how many times, color, urine out put.etc.

9. Assess nutritional status; how well did child eat last night & this AM

10. Assess for pain

11. Observe what the patients needs are: bed making, bath, formula, fresh water, & ice, call light within

reach,

12. Ask patient &/or parents if they need anything.

13. Return with linens, water, etc.

14. Round every 2 hours

5/19/08;6/9/09.sg


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Documents

Clinical Section Outine Fall 2013