Course Title CARE OF CLIENTS WITH PROBLEMS IN INFLAMMATORY AND IMMUNOLOGIC RESPONSE AND PERCEPTION AND

COORDINATION
Course Description : This course deals with the concepts, principles and theories of human behavior and the care of the sick client across the lifespan with emphasis
on the adult and the older person, population group experiencing alterations in Inflammatory and Immunologic Response and perception and
coordination in varied settings.
Contact hours :
Course Objectives : At the end of the course and given actual clients, population group, with problems in inflammatory and immunologic response and perception
and coordination, the student should be able to:
A. Utilize the nursing process in the care of individuals, families in community and hospital settings.
Name of the Institution :
Unit/Area Assigned :
Description of the Learners : The students belong to the Level 4 of their nursing education who had finished their concepts in Nursing Care Management (NCM) 100,
101, 102, 103, 105 and have successfully passed the necessary requirements in the level.
Description of the Setting : The clinical exposure will take place at the St. Joseph Unit of St. Paul Hospital Tuguegarao situated at the 2nd floor, east wing of the
new building of the hospital.

Length of Exposure : The students will be exposed for 2 weeks in St. Joseph Unit of St. Paul Hospital Tuguegarao

Method of Evaluation:
(THIS IS JUST A SAMPLE. YOU MAY WANT TO HAVE YOUR OWN CRITERIA, BASED ON YOUR OBJECTIVES)
Knowledge (33.33%)
- RLE exam 40%
- Bedside Conference 30%
- Case Study 10%
- Case Presentation 20%

Skills (33.33%)
- Delivery of Care 60%
- OSCE 40%

Attitude (33.33%)
- Attendance 20%
- Decorum 80%

Matrix:

OBJECTIVES BEHAVIORAL SIGNS MENTORING PROCESS ASSESSMENT

(STUDENTS) (CLINICAL INSTRUCTOR) STRATEGIES
At the end of the
rotation in the area, the
student will be able to:

1. discuss the vision- - Articulates the vision, mission Orientation/Briefing

mission of the of the institution - The Clinical Instructor together Patients Assignment
institution, the policies, - Acts in accordance with the with the Clinical Coordinator
procedures and established norms of conduct conducts a general orientation Tasking
protocols in the area. of the institution. program for the students. The (1-acting charge nurse, 1-
Training Officer and/or the medication nurse, others
Nurse Supervisor of the hospital bedside nurse)
will be asked to discuss the
policies, Standard Operation, Learning Plan
unit activities, and procedures
during the activity.

2. discuss the course Pre-conference

objectives, the duty - Identifies own strength, - The clinical instructor discusses Reflective Learning
schedule and tasking, weaknesses/limitation the course objectives, the duty Journal
requirements and - Determines personal and schedule, tasking, requirements
evaluation procedures professional goals and and evaluation procedure How do you promote safe
for the clinical duty aspirations - The clinical instructor asks the environment and safe
a. set goals for the - Sets attainable objectives to students to make a learning plan and quality nursing care
clinical experience enhance nursing knowledge,
b. agree on the roles skills and attitude
and expectations - Assesses own performance
against standards of practice
3. describe the learning - Adheres to policies,
environment for the procedures and protocols on
clinical experience prevention and control of
infection
- Observes protocols on
pollution-control (water, air
and noise)
- Observes proper disposal of
wastes
- Defines steps to follow in case
of fire, earthquake and other
emergency situations
every week (3 days). The of the patient?
learning plan serves as a basis
for the clinical instructor in
making the patients assignment.
It is important to stress to the
students the focus of the course.
Incidental learning may occur
and the clinical instructor
should be able to identify these.
Tour in the Area ARFA (Reflective
- The clinical instructor presents Journal)
to the students the different
areas in the unit. These include
the nurses station, endorsement
area, medication area, working
area, handwashing area,
draining/waste disposal area,
utility room, supply room,
equipment room and restroom.
- The clinical instructor shall also
present to the students the safety
devices such as fire extinguisher,
smoke detector device, buzzer,
and fire exits.
- Moreover, the clinical instructor
shall discuss the DOs and
DONTs in the area while
performing the clinical duty.
4. Promote safe and Identifies the health needs of the
quality nursing care to child
the child at risk/with
problems Explains the health status of the
(KRA: Safe and child
Quality Nursing Care)
Identifies wellness potential
and/or health problems of the
child
Gathers data related to the health
condition of the child
Analyzes the data gathered
Selects appropriate action to
support/enhance wellness
response of a child
Monitors the progress of the
action taken to the child
Performs safety measures in all
aspects of care to the child
Performs comfort measures in all
aspects of care to the child
Development of a Health
Education Plan Health Education Plan or
The clinical instructor asks the Session design for the
student to carefully examine the Health Education
child and identify his/her health
needs at the moment. From the
data, the clinical instructor asks the
student to develop a health
education plan to explain the health
status of the Adult.
SIDE-BY-SIDE TEACHING Bedside Questioning
The clinical instructor may act as a
role model when he/she is
performing an assessment as
needed.
The clinical instructor observes the
student while obtaining information
from the adult or family member
and identify and address
challenges.
The clinical instructor may
alternate with the student duties of
examining the patient, writing
relevant information to
countercheck students outputs.
DIRECT OBSERVATION Actual Student
Evaluation
The clinical instructor observes the
student in the performance of
safety measures, comfort measures
and measures to ensure privacy.
Performs measures to ensure
privacy in all aspects of care to
the child
Identifies the priority needs of
the child
Analyzes the needs of the child
Determines appropriate nursing
care to address priority
needs/problems
Refers identified problem to the
clinical instructor, staff nurse or
any appropriate individual
Establishes means of providing
continuous care to the child
Conforms to the 10 Golden
Rules in medication
administration and health
therapeutics
Give emphasis on these measures
during the skills laboratory
These measures must be
emphasized during the skills
laboratory of the student. In all
procedures, these must be observed
always
The clinical instructor must be Bedside Conference
present during the assessment of Asks the students how to
the student and identify with the prioritize the needs of the
student the priority needs of the patients?
adult.
Asks the student the
Assists the student in the analysis model he/she may utilize
of the data gathered. (e.g. ABC, Maslow
Hierarchy)
The clinical instructor gives the Nursing Care Plans
patients assignment to the charge
nurse-on-duty.
The clinical instructor must see to
it that the student is assigned to the
same patient as of the duty (except
if the patient is already discharged)
DIRECT OBSERVATION
OSCE
Initially, the clinical instructor
reviews with the student the 10
golden rules in medication
administration and health
therapeutics The clinical instructor
directly observes the student in the
preparation of medications until the
student has already been given the

Obtains informed consent from
the significant others if not from
a child
Completes appropriate
assessment forms
Performs appropriate assessment
techniques for a child
Obtains comprehensive
information from the
child/significant others
Maintains privacy and
confidentiality
Identifies health needs of the
child
Includes the child and family in
care planning
Collaborates with other members
of the health team
States expected outcomes of
nursing intervention maximizing
the childs competencies
medication to the patient.
SIDE-BY-SIDE TEACHING Bedside Conference
- The clinical instructor may act as
a role model when he/she is
performing an assessment as
needed.
- The clinical instructor observes
the student while obtaining
information from the client and
identify and address challenges.
- The clinical instructor may
alternate with the student duties
of examining the patient, writing
relevant information to
countercheck students outputs.
Development of Nursing Care
Plan (NCP) Submission of Nursing
Care Plans
The clinical instructor assists the
students in the development of
NCP
The NCP is submitted by the
student everyday (except the first
day) and checked by the clinical
Develops comprehensive care
plan for the child maximizing
opportunities for prevention of
problems and/or enhancing
wellness response
Accomplishes a patient-centered
discharge plan
Explains interventions to the
child and family before carrying
them out to achieve identified
outcomes
Implements nursing intervention
that is safe and comfortable
Acts to improve the health
condition or human response of
the chid
Performs nursing activities
effectively and in a timely
manner
Uses the participatory approach
to enhance patient-partners
empowering potential for healthy
lifestyle and wellness
instructor
The NCP is evaluated by the
student and the CI guides the
students in the evaluation of
patients outcomes
BEDSIDE TEACHING Bedside
(defined as teaching and Conference/questioning
reinforcing skills at patients
bedside)
The clinical instructor can watch
the student interact with patients
and family
The clinical instructor guides and
supervises the student in the actual
performance of nursing activity.
The clinical instructor can
experience what the student does
and how he/she act with patient
firsthand.
The clinical instructor models
important clinical skills, attitudes,
and communication in the context
of patient care as well as observes
students performance.
 Monitors effectiveness of nursing
intervention
Revises care plan based on
expected outcomes
PLEASE INCLUDE THE SCHEDULE OF ACTIVITES THAT YOU ARE GOING TO CONDUCT DAILY, FROM THE ORIENTATION UNTIL THE LAST
DAY OF THE EXPOSURE.
The clinical instructor guides the Nursing Care Plans
students in the evaluation of patient
care
During evaluation of patient care,
the clinical instructor must be
present at the bedside to ensure
validity of the clinical evaluation
made by the student
A revised care plan may be asked
as needed