COLLEGE OF NURSING
First Semester A.Y. 2023-2024
COMPREHENSIVE CLINICAL EXPOSURE FOR NURSING STUDENTS
RELATED LEARNING EXPERIENCE
Area of Assignment: QUIRINO PROVINCE MEDICAL CENTER – INTENSIVE CARE UNIT
NAME Date Started September 13, 2023
Year, Block & Date Ended
4S A – Group 2 September 22, 2023
Group
Schedule of Signature
W Th F (7:00 am – 2:30 pm)
Duty
DAY 1: ORIENTATION
ACTIVITIES OBJECTIVE PERSONS
INVOLVED
Prayer Every Start of Clinical Duty
Physical Set- Up
Requirements
o Case Abstract
o Learning Feedback Diary
o Case Study/ Presentation To orient nursing students Students and Clinical
o HEPA-B Screening and with various information Instructor
Vaccination Record pertaining clinical duties at
o Pregnancy Test Kits (for hospital.
females only)
Grading System
Basic Nursing Protocols and
Processes
Basic IPC Protocols
Chart Contents
Paraphernalia Contents
Demerit Guidelines
Medication Computation
IVF Computation
FDAR Charting
Quiz
Actual Observation/ Shadowing
DAYS OF EXPOSURE: HANDLING OF PATIENT/ FAMILIARIZATION OF NURSING ROUTINE
ACTIVITIES OBJECTIVE PERSONS INVOLVED
Debriefing
Patient Assignment
Endorsement
Receiving of Patient
o Self and School Introduction
o Basic Assessment/ Reminders
o Chart Reading
o Kardex Familiarization
Bedside Care To handle patient/s under Students and Clinical
o Vital Signs and I&O Monitoring supervision of Clinical Instructor Instructor
o Periodic Rounds and familiarize the nursing routine
o Medication Administration (if at clinical area
permitted)
o IVF Regulation (Manual)
o Observation of Basic Nursing
Procedures (may assist with
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
COLLEGE OF NURSING
First Semester A.Y. 2023-2024
supervision)
Doctor’s Rounds
o Accompanying Doctor
o Carrying Doctor’s Order (if
permitted & with supervision)
Documentation
o Completion of Flowsheet (TPR,
MAR, Nurses’ Monitoring Sheet, etc.)
o FDAR Charting (Long Bond Paper)
End-shift Turn-over (Endorsement with in-
coming Year/Group, with the use of Practice
KARDEX Sheet)
LAST 2 DAYS OF EXPOSURE: CASE PRESENTATION AND DEFENSE
ACTIVITIES OBJECTIVE PERSONS
INVOLVED
Case Presentation To deliver and defend a case Students and Clinical
(School) presentation or to present Instructors
health education to patients at
ward.
SUMMARY OF ACTIVITIES
COVERAGE
OF ACTIVITIES
EXPOSURE
Day 1 Orientation and Clinical Unit Simulation / Quiz
Days of Handling of Patient
Exposure in Handling of Patient/ Quiz/ Submission of Case Abstract , NCP, Drug Study & LFD
the Area (Week 1)
Handling of Patient
Handling of Patient/ Quiz/ Submission of Case Abstract, NCP, Drug Study & LFD
(Week 2)
Last Day/s Case Presentation per Group/ Evaluation Exam/ LFD (Week 3)
*Daily Checking of Paraphernalia, Grooming (Head-to-Toe)
CASE ABSTRACT COMPONENTS (Weekly)
Front Page/ Title Page
o Submitted by and Submitted to
Patient’s Profile
o Name, Age, Gender, Birthday, Address, Occupation, Date of Admission, Time of
Admission, Chief Complaint, Admitting Diagnosis/ Working Diagnosis
Patient Medical History
o Past Medical (Allergies: Food & Drug/Childhood Illnesses/Adult Illnesses/Previous
Injuries & Surgeries/Hospitalizations/Immunizations/Medications)
o Present Medical History (Chief Complaints prior Admission: Days and Few Hours)
o OB History (if available)
o Social History (Vices/Lifestyle)
o Family History (the use of GENOGRAM)
Overview of the Disease
o Definition
o Signs and Symptoms
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
COLLEGE OF NURSING
First Semester A.Y. 2023-2024
o Diagnostics
o Treatment
o Prevention
Pathophysiology (Basis in Making: Problem-Risk factors-Etiology:S/SX)
Nursing Care Plan (Nursing Diagnosis: Problem-Risk factors-Etiology:S/SX)
o At least 2
Drug Study
LEARNING FEEDBACK DIARY (Weekly)
Objectives (General, Specific)
Narrative Report
Generalization
Area of Exposure
Groupmates
Clinical Instructor
NOTE: LONG Bond Paper, Encoded, Font Style: ARIAL, Font Size: 11, with NC Heading &
Logos (NC & CON)
CLINICAL PARAPHERNALIAS
Wrist Watch with Second Hand (Digital is NOT Allowed/Accepted Colors: Black, White,
Gold & Silver)
Small Bag for Paraphernalias…. Note: NO USE of OB Bag…
BP Apparatus with Stethoscope
Digital Thermometer
(Note: No Portable Pulse Oximeter, d/t students don’t know how to count manual re: heart
rate)
Pocket Notebook
Small Calculator
Pencil Case with ball pens (Red, Blue, Black) Eraser, Pencil, Sharpener, Ruler and Marking
Pen (permanent ink)
Penlight with battery
Plaster (Micropore) size 2 inches
Sterile Gloves (as per size of your Hands) 2 Pairs
Clean Gloves (per GROUP)
Bandage Scissor
Hand Towels (4pcs: Hand Washing and TSB)
Liquid Soap
Medication Tray
Medication Cup
Dry & Wet Cotton Balls with Labels
Alcohol 70%
Kidney Basin
Tape Measure
NANDA & Drug Handbook (Individual)
MS/MCN/Funda Vol. 1 & 2 (per GROUP)
Clip Board (individual)
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
COLLEGE OF NURSING
First Semester A.Y. 2023-2024
Nail Cutter
Torniquet
Betadine (30ml)
Sterile Gauze Pad at least 2 pcs
Hydrogen Peroxide (30ml)
Small Basin for TSB purposes (2pcs)
Tongue Depressors (2pcs)
Cotton Applicator
Syringes (10cc, 5cc, 3cc, 1cc, and Insulin)
DEMERIT GUIDELINES
Demerit Grades in Quizzes/Exam
Deduction of 0.5
GENERAL
Paraphernalia (for every lacking)
Requirements
Late Submission
Incomplete Requirement
CONDUCT AND BEHAVIOR
For every Discourteous Act
Grave Violation
Moderate Violation
Light Offense
OTHER POLICIES
Error in Charting
Leaving the Area without proper permission or beyond the time allotted
Going on off-duty without proper endorsement
Entertaining Visitors during Duty hours
Loitering
Reading Magazines or books not related to nursing
Texting or receiving calls while on duty
Confiscation of Cellphone
Sleeping during duty hours
Vandalism, gambling, smoking while duty
Late
CASE PRESENTATION CONTENTS
o Objectives (General and Specific)
o Overview of the Disease
o Patient’s Profile
o Medical History (Past, Present, Family History, Psychological, Social History)
o Physical Assessment
o Gordon’s Eleven Functional Health Pattern
Health Perception and Management
Nutrition/ Metabolic Pattern
Elimination Pattern
Exercise and Activity Pattern
Sleep/ Rest Pattern
Cognitive Perception Pattern
Self- Perception and Self- Concept Pattern
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
COLLEGE OF NURSING
First Semester A.Y. 2023-2024
Role Relationship Pattern
Sexuality and Reproductive Pattern
Coping and Stress Tolerance Pattern
Values and Belief Pattern
o Course in the Ward
o Laboratory and other Diagnostics Results
o Anatomy and Physiology
o Pathophysiology and Disease Management
o Nursing Care Plan (at least 3)
o Drug Study
Drug Name (Generic, Brand, Actual Dosage, Route, Frequency)
Classification (Therapeutic Class, Pharmacologic Class)
Mechanism of Action
Indication and Contraindications
Adverse Reactions
Nursing Responsibilities
o Discharge Planning (METHODS)
Medication
Education
Teaching
Hygiene
Outpatient
Diet
Spiritual/ Sexual
CRITERIA FOR CASE PRESENTATION
CRITERIA SPECIFICS
COMPREHENSIVENESS Present significant data 12%
(24%) Mastery of entire case 12%
ACCURACY Observe proper documentation 2%
(24%) Utilize acceptable format 2%
Present valid and reliable data 10%
Correlate data with other information about the case 10%
ORGANIZATION Plan, coordinate with other members of the group 6%
(20%) Present data logically and clearly 10%
Use appropriate and effective visual aids 4%
DELIVERY Able to express ideas well 7%
(22%) Project self well 5%
Able to give satisfactory answer to questions 10%
PERSONAL Wear complete, proper uniform 5%
RESPONSIBILITIES Maintain proper decorum all throughout the presentation 5%
(10%)
TOTAL 100%
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
COLLEGE OF NURSING
First Semester A.Y. 2023-2024
STUDENT NURSE MONITORING
DAY DATE STAFF NURSE (RN) ON DUTY CLINICAL INSTRUCTOR
1 13 September 2023
2 14 September 2023
3 15 September 2023
4 20 September 2023
5 21 September 2023 CASE PRESENTATION
6 22 September 2023 CASE PRESENTATION
QUIRINO PROVINCE MEDICAL CENTER – Intensive Care Unit
