FAR EASTERN UNIVERSITY MANILA

INSTITUTE OF NURSING GRADUATE STUDIES

Course: Clinical Teaching

Placement: Second Semester, SY 2013-2014
Final Requirement of the Course:

Title: Clinical Teaching Two-week Rotation (First rotation)

Total Number of hours/day:
8hrs/day
Number of days: 6days (3 days per week)
Time of Rotation: 6am-2pm
Level of Students: third year- first semester
Number: 10 students
Area: Specify: Female Medical Ward, Jose Reyes Memorial Medical Center
o Type: Tertiary hospital
o Total bed capacity: 450; the female medical ward is 50 bed capacity.
o Average occupancy rate: 85%
o How many schools are affiliating with the hospital: the estimate schools affiliating is 10 per year. (this depends
on the renewal of contract of schools per year)

Submitted by:
Name: Marjorie Mae R. Herrera, RN
Grade: __________

Date: March 22, 2014

Faculty Signature: ROSALINDA

PARADO SALUSTIANO

CLINICAL TEACHING TWO-WEEK ROTATION PLAN

LEARNINGOBJEC
TIVES

CONCEPT

At the end of the

session,
the
students will be
able to exhibit
comprehension on
the
guidelines
/protocols
for
nursing students
with a great deal
of attention

Female Medical Ward

Orientation

TIME TABLE
(In hours)

B. Safekeeping of Personal
Belongings

EVALUATION

VALUE(S)

Day 1
1.5hr

A. Hospital Expectations,
Ward Orientation and
ward Tour

METHODOLOGY/STRA
TEGY

10mins

30mins

Lecture
Discussion
Individual
Assignment
Posters showing
for the hospital
infection control

FA: question and

answer, feedback
from students

Integrity and
Courtesy
Accountability
Social Justice

C. Grading system

1hr

Integrity

D. Rules and Regulations on

duty

1hr

Aspiration
(A strong or
persistent desire
for high
achievement)

E. Requirements (guidelines
on individual nursing care
plan, evidenced base
nursing and group case
study)
F. Hospital Infection Control
Protocol (Hand washing,
personal protective
Equipment, Waste
disposal)
G. Overview of the anatomy
and physiology of

1hr

1.5hr

Cleanliness and
Conscientiousne
ss
(The trait of
being
painstaking and
careful)
Selfcompetence

LEARNING
Outcome
The students were
able to comply on
the
guidelines/protocol
s of the hospital as
evidenced by their
professional
behaviour.

systems involve in
medical disorders
At the end of the Nursing Assessment on
session,
the Medical Disorders
students will be
able to display
A. Physical Assessment
competence
in
(general)
assessing clients
B. Respiratory Assessment
suffering
from
C. Neurological
medical disorders
with a high level
Assessment
of
satisfaction
D. Cardiovascular
rate
Assessment
E. Abdominal Assessment
F. Nutritional Assessment
G. Pain Assessment
H. Fluid Balance
Assessment
At the end of the Diagnostic/laboratory
session,
the Procedure and Results
students will be
able
to
A. Complete blood count
demonstrate skills
B. Urinalysis
in carrying out
C. Fecalysis
diagnostic
and
D. Arterial blood gas
laboratory
E. 12- lead ECG
procedures
in
F. Chest x-ray
keeping
with
scientific
principles

Day 2

First 4 hours
of the duty

Short Lecture
-discussion on the
techniques of
assessment
Actual
Demonstration on
patient
Individual Patient
Assignment
Peer Observation
Teacher assisted
performance
Patients Chart
reviews

FA: Question and

Answer, direct
observation

Awareness,
honesty,
truthfulness

SE: reflective
journal, physical
assessment as
part of case
presentation at the
end of rotation

Day 2
Last 4 hours
of duty
*this
activities can
be repeated
on the other
day of the
rotation, but
the students
will perform
by

Individual Patient
Assignment
Exposure to the
procedure
Peer Observation
Teacher assisted
performance
actual laboratory
results review
Discussion of
results of

FA: Direct
observation,
Question and
Answer
SE: reflective
journal

Openmindedness

The students were

able
to
assess
different
patients
with mastery as
evidenced by their
high
clinical
performance
skill
score.

The students were

able
to
master
carrying
out
diagnostic
and
laboratory
procedures
as
evidenced by their
ability to correctly
answer questions.

themselves
with mastery

At the end of the

session,
the
students will be
able to establish
critical
thinking
skills
when
preparing,
implementing,
and
evaluating
the nursing care
for
patients
suffering
from
different medical
disorders
with
satisfactory
performance

Understanding
Medical
disorders,
its
etiology,
pathophysiology,
clinical manifestation,
diagnosis,
treatment
modalities
and medical, dietetics
and nursing management
A. Respiratory
Disorders(pneumonia,
pleural effusion,
bronchial asthma in
acute exacerbation)
B. Endocrine, metabolic
and digestive disorders
(Diabetes Mellitus, acute
pancreatitis, gastritis,
ulcers, upper and lower
gastrointestinal
bleeding)

Day 3-6

Within 2
weeks of
rotation, the
students will
be rotated on
handling
different
patients with
medical
disorders per
day
(every day
different
cases)

C. Neurologic disorders
(aneurysm, meningitis,
seizure, stroke,
encephalitis)
D. Renal Disorder(kidney
failure)

diagnostic
procedures
Small group
discussion on ABG
interpretation

Individual Patient
Assignment
Short lectureDiscussion
Chart review
Sample charting
Nursing care
plan(per day)
Case
Presentation(at
the last day of the
rotation)
Health teaching of
students to
patients/relatives(
for the last day,
the student will
choose a case,
and do a teaching
with the use of
visual aids)
Post-Conference:

FA: Question and

answer, direct
observation
SE: Post- test,
rubrics on case
presentation and
individual nursing
care plan

Flexibility,
professionalism,
confidentiality,
discipline

The students were

able
to
use
principles
of
scientific
inquiry
and
professional
processes,
including problem
solving,
decision
making, and critical
thinking
in
providing
health
care to patients
suffering
from
medical disorders
as evidenced by
their
post
test
result.

E. Cardiovascular
disorders(Congestive
heart failure,
hypertension)

Student will
analyze,
synthesize and
evaluate nursing
care provided to
selected patients.

F. Hematologic disorders
(anaemia)
G. Oncologic
Disorders(nasopharynge
al, breast and lung
cancer)
At the end of the
session,
the
students will be
able to develop
confidence
in
monitoring clients
having
medical
disorders
with
satisfactory
performance

Monitoring

At the end of the

session,
the
students will be
able to display
competence
in
giving
medications
on
clients
suffering
from
medical
disorders with a

Medications,
intravenous
therapy
and
blood
products

A.
B.
C.
D.

Day 3-6

Pulse Oximetry
Blood Glucose
Vital Signs
Intake and Output

Per shift
Per shift
Every 4
hours
Per shift

A.
Safe
checking,
administration,
documentation
and
disposal of medications
B.

Medication

and

fluid

Individual Patient
Assignment
Discussion
Peer Observation
Teacher assisted
performance
Actual
documentation of
results on
patients chart

FA: direct
observation,
question and
answer

Assertiveness,
responsibility,
accuracy

Day 3-6
The time will
depend on
the
medication
of the
assigned
patient

Individual Patient
Assignment
Doctors order
sheet review
Medication sheet
review

FA: Question and

answer, direct
observation
SE: Sample Drug
Study, reflective
journal, Post-test

Accuracy, safety,
independence,
accountability

The students were

able to monitor
different
patients
and relay the result
as evidenced by
their
ability
to
collaborate
with
other health care
member.

The students were

able
to
master
giving medications
in a responsible,
accountable,
and
respectful manner.

high consideration
on patients right.

calculations
C.
medications

Non-parental

E.
Intramuscular,
Subcutaneous
and
oral
medication administration

F. Intravenous therapy and

Intravenous injections
At the end of the
session,
the
students will be
able
to
demonstrate
appropriate
nursing
interventions and
recognize
appropriate
medical treatment
for patients with
medical
conditions with an
emphasis
on
patient safety and
comfort.

G. Blood Transfusion
Common
Nursing
Procedures
and
management on the ward
A. Client
with
altered
oxygen needs
A.1. Oxygen Therapy
A.2.
Chest
Physiotherapy
A.3. Suctioning
A.4. Nebulization
A.5. Chest drainage
B. Clients with alteration in
fluids and electrolytes
B.1. Catheterization
C. Clients with Deviations
in metabolism
C.1. Nasogastric tube
insertion
C.2. Nasogastric tube
feeding

Discussion
Peer Observation
Teacher assisted
performance
Documentation
on medication
sheet
Lecturediscussion of
informed consent

on drug
computations

Day 3-6
Within 2
weeks of
rotation, all
the students
will be given
the chance
to perform
the
procedures
individually
or by pair.

Individual Patient
Assignment
Exposure to the
procedure
Sample
Demonstration of
the Clinical
Instructor to the
patient
Supervised
clinical practice
Teacher assisted
performance
Peer Observation
Sample charting
Evidence- Based
Nursing related to
the procedures
Pre and post

FA: Nursing
Procedure
Checklist, question
and answer, direct
observation
SE: Rubrics for
evidence-based
nursing and
clinical skills
performance

Collaboration,
teamwork,
mastery,
efficiency and
competence

The students were

able to perform
psychomotor skills
competently
with
the ability to adapt
to a variety of
settings
and
technologies
as
evidenced by high
skills rating.

conferences

REFERENCES:
1. American Nurses Association. Guide to the Code of Ethics for Nurses: Interpretation and Application. Silver spring, MD; Nursesbooks.org; 2008.
2. Black JM, Hawks Jh, Medical- Surgical Nursing: Clinical Management for Positive Outcomes. 8th ed. St Louis, MO: Saunders; 2009.
3. Clayton, B. & Stock Y. (2010). Basic Pharmacology for Nurses, 15 th Edition. St. Louis, MO: Mosby
4. Deglin, J.P. & VaLlerard, A. (2013). Davis Drug Guide for Nurses, 13 th Edition Philadelphia, PA: F.A. Davis
5. Herdman, T. H., & North American Nursing Diagnosis Association. (2008). NANDA-I nursing diagnoses: Definitions & classification, 2009-2011.
Oxford: Wiley-Blackwell.
6. Kozier et al (2004). Fundamentals of nursing: Concepts process and practices (7 th Ed.)Singapore: Pearson
7. Smeltzer S. et.al (2006) Brunner and Suddarth's textbook of Medical-Surgical Nursing (11th Ed.) Philadelphia: Lippincott
8. EBSCOHOST website: You are encouraged to make use of this website to access study materials related to the subject matter that we will be
covering in rotation. http://search.ebscohost.com/login.aspx
9. Elsevier website: You are encouraged to make use of this website to access the latest information on the subject matter that we will be covering in
the rotation. http://evolve.elsevier.com/Lewis/medsurg

Requirement/ Grading System:

1. Attendance and attitude

15%

2. Individual Assignment (20%)

Nursing Care Plan
Evidence Based Nursing

10%
10%

3. Group Case Presentation

20%

4. Quiz

15%

5. Skills/ performance

30%

100%