COLLEGE OF NURSING

College of Nursing

CLINICAL FOCUS
Hospital: DR. PAULINO J. GARCIA MEMORIAL RESEARCH AND MEDICAL CENTER Area: Intensive Care Unit Students: Level IV Time Allotment: Two Weeks (32 Hours)

GENERAL OBJECTIVE: At the end of 32 hours of clinical exposure in the Intensive Care Unit, the students will acquire Knowledge, Skills and Attitude in rendering quality nursing care to critically ill patient with utmost application of the Nursing Process thereby acquiring competency.

SPECIFIC OBJECTIVES For the students to: 1. Become oriented and familiarized with the units; Personnel, Physical Set-up and location of the machines, equipments and supplies as well as the Protocols and Policies.

CONTENT Orientation with: I. Personnel A. Medical Team a.1 Consultants a.2 Residents B. Nursing b.1 Nurse Supervisor b.2 Head Nurse b.3 Staff Nurse b.4 Nurse Trainee b.5 Nursing Attendant b.6 Housekeeping II. Physical Set-up A. Nurse Station B. Medication Room C. Lavatory Area D. Bed and its No. E. Emergency Drugs F. Different Equipment and Supplies G. Intubation Set H. Manual Resuscitator I. Tubings (Mechanical Ventilator, Oxygen, Nebulizer) J. Syringes, gloves, cotton balls, gauze etc. K. Hygiene Supplies,

ACTIVITIES

TIME ALLOTMENT

RESOURCES

EVALUATION Student were able to:

Introduction of 15 mins. / 1st Personnel thru day of duty Organizational Flow Chart posted in the unit and personally introduce those duty and in the area.

Clinical Know and give respect Instructor, Staff / courtesy to the Nurse, Head members of the health Nurse team.

Conduct a unit hour

15 mins. / 1st Clinical Know the workplace day of duty Instructor, Staff and location of Nurse, Head important machine, Nurse equipment and supplies. Receiving during 1st to last week arrival in the area of duty

supplies for Elimination (urinals and bed pans) L. Disinfecting and decontaminating solution III. Protocols and Policies 30 mins. / 1st Clinical Know the Protocols day of duty Instructor, Staff and Policies of ICU Nurse, Head Nurse Demonstration and 1st to last week Clinical Know the machines Return-Demonstration of duty Instructor, Staff and equipment and of equipment and how Nurse, Head how it is being used. the machine operates. Nurse

2. To enable students to Individual identification of machines know how to operate the and equipment and their uses: different machines and - Cardiac Monitor equipment available for - Pulse Oximeter patient use. - Mechanical Ventilator - ECG Machine - Suction machine - Defibrillator - Nebulizer - Blood Glucose Meter - Oxygen - Infusion Pump 3. To enable students gain competency in carrying out or assisting in the different Nursing Procedure. Monitoring and Recording Vital Signs Proper patient assessment and referrals Practice of Asepsis (hand washing and use of Personal Protective Equipments) Providing Safety for patients (use of side rails and restraints)

Supervision during 1st to last week Clinical Execute the Nursing demonstration and of duty Instructor, Staff Procedures properly discussion of Nurse, Head with confidence. procedure. Nurse

 Promoting hygiene (bed bath, oral care, hair care, perineal care) Bed Making (Occupied and Unoccupied Bed) Oxygen Administration (nasal cannula, face mask, manual resuscitator bag, mechanical ventilator) Endotracheal Tube insertion Nebulization Suctioning (oral, endotracheal, tracheostomy) NGT insertion and removal (Foley, Condom Cathether) Collecting urine specimen (via Retention Catheter / Obtaining midstream Urine) Obtaining Capillary Blood Glucose Monitoring Intake and Output Moving, turning, and positioning patients Application of Cardio-Pulmonary Resuscitator Health Teaching and Discharge Instruction Post-Mortem Care Drug study prior to Administration , observation of 7 Rights in Medication Administration

4. To enable students to execute proper Documentation.

A. Different flow sheets used in Show and discuss each 1st to last week Clinical Know proper the area: flow sheet. of duty Instructor, Staff Documentation using - Blood Glucose Monitoring Nurse, Head different flow sheets. - IV Fluid Monitoring sheet Drug review and Nurse - Medication Sheet making of Medication - I and O Monitoring sheet Card - Vital Signs sheet - Physicians Order sheet - Nurses Remark - Transfer / Notice Slip - Discharge Slip - Laboratory Request B. Making Endorsements updating Nurse Care Plan and Discussion during pre 1st to last week Clinical Know the value of and post conferences of duty Instructor, Staff Patients Right. Application during Nurse, Head procedure Nurse

5. For students to learn the Maintaining Confidentiality thru: value of respecting the a. Keeping patients condition Patient Rights. confidential. b. Application of proper draping for nursing procedures.

Clinical 6. For Students to become Proper Housekeeping of Area Proper Discussion during pre- 1st to last week Instructor, Staff Kept a safe working aware in keeping safe Management & Disposal of Infectious conference of duty Nurse, Head environment. working environment. waste. Nurse

7. For students evaluation with the knowledge & skills acquired in their clinical performance.

Quizzes and Recitation

Oral Last day every week

of Clinical Instructor

Prepared by:

Checked by:

JAN RAINIER C. BALARIA, RN, RM, MAN Principal, School of Midwifery Clinical Instructor, College of Nursing Approved by:

ADHALIA T. BASCO, RN, MAN RLE Coordinator

REYNALDO M. SAMONTE, RN, PhD OIC Dean, College of Nursing and Allied Medical Sciences