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This clinical teaching plan provides guidelines for faculty and students in developing competencies for delivery room midwives during labor and delivery. It outlines the areas of exposure, duration, entry competencies, clinical activities and evaluation methods for students to properly assess, monitor, and care for mothers during labor, delivery, and the postpartum period while ensuring a safe environment and resources are available. The plan also describes the responsibilities of instructors in supervising and evaluating students to adhere to nursing standards, documentation requirements, and ethical practices.
This clinical teaching plan provides guidelines for faculty and students in developing competencies for delivery room midwives during labor and delivery. It outlines the areas of exposure, duration, entry competencies, clinical activities and evaluation methods for students to properly assess, monitor, and care for mothers during labor, delivery, and the postpartum period while ensuring a safe environment and resources are available. The plan also describes the responsibilities of instructors in supervising and evaluating students to adhere to nursing standards, documentation requirements, and ethical practices.
This clinical teaching plan provides guidelines for faculty and students in developing competencies for delivery room midwives during labor and delivery. It outlines the areas of exposure, duration, entry competencies, clinical activities and evaluation methods for students to properly assess, monitor, and care for mothers during labor, delivery, and the postpartum period while ensuring a safe environment and resources are available. The plan also describes the responsibilities of instructors in supervising and evaluating students to adhere to nursing standards, documentation requirements, and ethical practices.
Midwifey Depatment MID 103- RLE CLINICAL TEACHING PLAN ON CARE OF MOTHERS DURING LABOR AND DELIVERY (Intraparta Car!" De!"iption # T$i! "lini"al tea"$ing plan will !e%e a! a g&ide fo t$e fa"<y'Clini"al In!t&"to and !t&dent! in de%eloping t$e "oe "ompeten"ie! e(&ied of deli%ey oom midwife d&ing a"t&al la)o and deli%ey. Aea of E*po!&e # Deli%ey +oom' Lying In D&ation # ,- $o&! Enty Competen"ie! # .nowledge in MID /01 e!pe"ially in t$e "ae of mot$e d&ing la)o and deli%ey, 2&man Anatomy and 3$y!iology, A!epti" Te"$ni(&e and 3in"iple!, D+ In!t&ment, S&pplie! and E(&ipment, D&g! and Sol&tion!, Ane!t$e!ia, 3in"iple! of 4io5Et$i"!, S6ill! in doing t$e N&!ing po"e!! e!pe"ially a!!e!!ment !6ill! 7 Leopold8! Man&e%e, F2T detemination et". leaned d&ing penatal "ae, S&gi"al a!epti" te"$ni(&e, $and !"&), gowning and glo%ing, peineal "ae, po!itioning and daping, enema admini!tation, "at$etei9ation, !6ill! in doing +itgen8! man&e%e and Cede8! man&e%e, de"i!ion5 ma6ing !6ill!' "iti"al t$in6ing !6ill!, pope attit&de of p&den"e, patien"e, a""&a"y and gentlene!! in $andling "lient8! in !te!!:. D+ Oientation A"ti%itie! fo Clini"al In!t&"to # M&!t $a%e )een "ompleted pio to !t&dent! e*po!&e and done in "oodination wit$ t$e affiliating $o!pital taining offi"e o D+ $ead n&!e fo a wee6 depending on $o!pital poli"ie!. D+ Oientation a"ti%itie! fo !t&dent! 7done )efoe t$e a"t&al e*po!&e o on t$e / !t day of "lini"al e*peien"e: Oientation on t$e following# /. D+ pe!onnel'ogani9ational "$at 1. D+ !et5&p; !&pplie!, in!t&ment! and e(&ipment! <. D+ poto"ol!, poli"ie! and g&ideline! ,. D+ e"od! and fom! 7 fo do"&mentation, e(&i!ition! et": =. 3a"ti"e of !6ill!5 7 e.g. 2and !"&), gowning,. Glo%ing Setting &p of D+ ta)le, mayo ta)le >. Gading !y!tem and e(&iement!5 attendan"e, ?o&nal +epot!, Ca!e St&dy, D&g St&dy, pefoman"e E%al&ation C$e"6li!t on Intapatal Cae @. O)!e%ation of an a"t&al deli%ey 7 d&ing o)!e%ation, CI di!"&!!e! po"ed&e! and po"e!!e!: Daily 3oto"ol O)!e%ation# 3e5"onfeen"e A"t&al "lini"al e*peien"e A&i99e! 3o!t Confeen"e La!t Day of E*peien"e# Final e%al&ation of St&dent 3efoman"e t$o&g$ Compe$en!i%e e*am o !6ill! in%entoy. Int!r#!$%at! C&#p!t!n'%!( C%n%'a A't%)%t%!( M!t*&$ &+ E)a,at%&n Fa',t- St,$!nt I. Sa+! an$ /,a%t- N,r(%n0 Car! A. Utili9e! t$e n&!ing po"e!! in t$e "ae of D+ "lient! /. 3efom! "ompe$en!i%e and !y!temati" n&!ing a!!e!!ment
1. Implement! planned n&!ing "ae plan to a"$ie%e identified o&t"ome! 4. 3omote! !afety and "omfot of patient! in!ide t$e D+ A!!ign! !t&dent to a pati"&la patient in la)o S&pe%i!e! !t&dent! in a!!e!!ment of "lient!. A!!i!t! t$e !t&dent in %alidating "ompletene!! and %ea"ity of a!!e!!ment data. In!t&"t! !t&dent! to monito t$e poge!! of la)o. S&pe%i!e! !t&dent! a! t$ey pefom n&!ing inte%ention !afely Gi%e! appopiate feed)a"6 a! ne"e!!ay. +e"ei%e! a "lient fo "ae O)tain! o)!teti"al $i!toy in"l&ding paity, ga%ida !"oe, LM3, EDC, OG, 4OB on!et of t&e la)o O)tain! data fom t$e Client8! "$at C$e"6! %ital !ign! Cond&"t! 3$y!i"al E*amination C$e"6! Fetal 2eat +ate and F&ndi" $eig$t Monito! poge!! of la)o' &teine "onta"tion! a! to# Fe(&en"y D&ation Inten!ity Inte%al O)!e%e! fo t$e timely &pt&e De%elop! n&!ing "ae plan! 3efom! appopiate n&!ing inte%ention! )a!ed on identified po)lem' diagno!i! Tan!pot! "lient! !afely w$ile po%iding pi%a"y 3la"e! mot$e in lit$otomy po!ition 3efom! peineal "ae &!ing !teile te"$ni(&e "oe"tly 3efom! pope $and !"&) Bea! gown and glo%e! a""oding to $o!pital poli"y 3efom! +itgen8! mane&%e !afely Coa"$e! mot$e on )eat$ing and p&!$ing te"$ni(&e! Deli%e! )a)y and pla"enta "aef&lly C$e"6! and manage! "od e"oil "oe"tly E%al&ation of A!!e!!ment +e"od 3efoman"e E%al&ation C$e"6li!t A&i99e! C. 3o%ide! $ealt$ "ae t$eape&ti"ally and !afely. /. E%al&ate! poge!! towad e*pe"ted o&t"ome! II. Mana0!#!nt &+ R!(&,r'!(1 En)%r&n#!nt an$ E2,%p#!nt Or0an%3! 4&r5 &a$ t& +a'%%tat! Pat%!nt Car! A. Utili9e! ade(&ate and appopiate e!o&"e! to !&ppot patient "ae 4. En!&e! f&n"tioning of D+ e!o&"e! C. Maintain! a !afe en%ionment at t$e D+
Di!"&!! wit$ t$e !t&dent e!<! of e%al&ation and e%iew! data )efoe final e"oding +e%iew! wit$ t$e !t&dent! t$e "on"ept of management of e!o&"e! and en%ionment petaining to D+ g&ideline! Familiai9e! !t&dent! wit$ t$e diffeent in!t&ment!, !&pplie! and e(&ipment in t$e D+. A!!i!t! !t&dent! in pefoming !teili9ation po"ed&e and pepaation of !&pplie! needed S&pe%i!e! !t&dent! in pope wa!te di!po!al' di!"&!!e! ationale of po"ed&e! Clamp! and "&t! t$e "od "oe"tly Identifie! !ign! of pla"ental !epaation C$e"6! t$e "$aa"tei!ti"!' "ompletene!! of t$e pla"enta A!!e!!e! t$e amo&nt of )lood lo!! 7Nomal le!! t$an=00 "": Employ! inte%ention! to a"$ie%e and maintain a well "onta"ted &te&! to pe%ent' "ontol $emo$age Uteine ma!!age Coe"t admini!tation of o*yto"in Cold Compe!! A!!i!t! in epi!io$apy a! needed C$e"6! !i9e, "on!i!ten"y and lo"ation of &te&! 3efom! peineal "ae and applie! pad "oe"tly 3o%ide! emotional !&ppot to t$e mot$e t$o&g$o&t la)o and deli%ey O)!e%e! &ni%e!al pe"a&tion! in $andling )ody fl&id! E%al&ate! patient8! "ondition and e"od petinent data a""odingly 3epae! patient fo tan!fe to e"o%ey oom' wad 3epae! oom, in!t&ment! and e(&ipment needed Steile dape Steile in!t&ment! and e(&ipment 7fo"ep!, !"i!!o!, )&l) !yinge, ga&9e, !&t&e, needle $olde, "at$ete: .elly pad Di!infe"tant 3efom! !teili9ation po"ed&e Maintain! ade(&a"y of !&pplie! a! t$e deli%ey poge!!e! O)!e%e! pe"a&tionay mea!&e! elated to &!e of 3efoman"e E%al&ation C$e"6li!t III. H!at* E$,'at%&n I#p!#!nt( appr&pr%at! *!at* !$,'at%&n a't%)%t%!( t& '%!nt 6a(!$ &n t*! r!(,t &+ t*! a((!((#!nt IV. L!0a R!(p&n(%6%%t- A$*!r!( pra't%'!( %n a''&r$an'! 4%t* t*! n,r(%n0 a4 an$ &t*!r r!!)ant !0%(at%&n %n',$%n0 '&ntra't(1 %n+&r#!$ '&n(!nt A. Ad$ee! to ogani9ational poli"ie! and po"ed&e! 4. Do"&ment! "ae endeed to patient! V. Et*%'& M&ra R!(p&n(%6%%t- R!(p!'t t*! r%0*t( &+ DR '%!nt +e%iew! tea"$ing plan of !t&dent! S&pe%i!e! !t&dent! d&ing "oa"$ing in a"t&al la)o noting w$en to )ea down and w$en to ela* S&pe%i!e! !t&dent! w$en doing $ealt$ ed&"ation on )ea!tfeeding, )at$ing, diapeing and admini!tation of odeed medi"ation! A!!i!t! t$e !t&dent! in !e"&ing infomed "on!ent in all po"ed&e! Calidate! wit$ t$e !t&dent! a""&a"y of t$e data gat$eed. C$e"6! pope identifi"ation of mot$e and t$e new)on C$e"6! "oe"tne!! and "ompletene!! of do"&ment!. Se%e! a! a ole model fo !t&dent! in di!playing pofe!!ional attit&de! and %al&e! of a good D+ midwife ele"ti"al e(&ipment En!&e! a (&iet en%ionment U!e! !&pplie! diligently 3efom! afte "ae of mateial! and e(&ipment &!ed En!&e! pope di!po!al of $o!pital wa!te in"l&ding )lood and ot$e fl&id!. Tea"$e! "lient on )a!i" pepaation d&ing la)o and deli%ey Coa"$e! "lient on )eat$ing' )eaing down te"$ni(&e Gi%e! in!t&"tion! to patient and !ignifi"ant ot$e! a! to )at$ing, pope $ygiene and +OM e*e"i!e! Demon!tate! pope Dlat"$ E onF )ea!t feeding te"$ni(&e Gi%e! in!t&"tion! to paent! egading infant "ae )efoe di!"$age' 3o%ide! di!"$age in!t&"tion! a! to feeding, )at$ing, admini!tation of odeed medi"ation!, appointment date! fo po!t natal and well )a)y "$e"6 &p +e!pond! to (&e!tion! of "lient! and elati%e! egading e*pe"tation! Se"&e! infomed "on!ent in all po"ed&e! elated to la)o and deli%ey +epot! a""&ately and $one!tly t$e gende, time of deli%ey of t$e )a)y and pla"enta En!&e! pope identifi"ation of t$e mot$e and New)on Do"&ment! all petinent data "oe"tly and "ompletely E%al&ation of Tea"$ing 3lan Completene!! and A""&a"y of e"od! and do"&mentation A. A""ept! e!pon!i)ility and a""o&nta)ility fo own de"i!ion and a"tion! 4. Ad$ee! to t$e National and Intenational Code of Et$i"! fo N&!e! VI. P!r(&na an$ Pr&+!((%&na D!)!&p#!nt Pr&7!'t( 6!0%nn%n0 pr&+!((%&na%(# VII. /,a%t- I#pr&)!#!nt Part%'%pat! %n 2,a%t- %#pr&)!#!nt a't%)%t%!( r!at!$ t& 'ar! &+ pat%!nt( %n DR %n',$%n0 %n+!'t%&n '&ntr& an$ $&',#!ntat%&n Di!"&!!e! wit$ t$e !t&dent! !ignifi"an"e of et$i"o moal e!pon!i)ilitie! En"o&age !t&dent! to poGe"t )eginning pofe!!ionali!m. A!!i!t !t&dent! to a""ept "iti"i!m! and e"ommendation! fo impo%ement. Up$old! t$e $ig$e!t !tandad! of pa"ti"e Di!"&!!e! wit$ t$e !t&dent! t$e need fo pompt and a""&ate epoting of %aian"e!, fa"ilitate di!"&!!ion of wad a&dit d&ing po!t "onfeen"e! Coodinate wit$ pope a&t$oity egading %alidated epot! of %aian"e! Fa"ilitate! analyti"al di!"&!!ion of Go&nal epot! and e!ea"$e! pe!ented )y !t&dent!. +e!pe"t! t$e eligio&!, "<&al and et$ni" pa"ti"e! of t$e family of t$e woman in la)o and deli%ey 3omote! emotional !e"&ity )y !&ppoting need! En!&e! pi%a"y and "onfidentiality 3oGe"t! a pofe!!ional image of a deli%ey midwife A""ept! "iti"i!m! and e"ommendation! 3efom! f&n"tion! a""oding to !tandad! Identifie! de%iation of pa"ti"e fom !tandad! 3ati"ipate! in a&dit pa"ti"e! in t$e deli%ey oom' lying in Di!"&!!e! wit$ t$e "lini"al in!t&"to "oe"ti%e and pe%enti%e mea!&e! fo t$e identified de%iation!. S$ae! ele%ant e!ea"$ finding! fom Go&nal eading!' intenet, liteat&e !ea"$. Update! one!elf wit$ t$e late!t tend! and de%elopment in la)o and deli%ey Do"&ment! a""&ately ele%ant data a)o&t "lient e!pe"ially gende of )a)y, time and date of deli%ey 3opely a""ompli!$ all D+ fom! 7e.g. D+ !lip!, "a!e A"t&al O)!e%ation of St&dent 4e$a%io A"t&al O)!e%ation of St&dent 4e$a%io N&!ing A&dit +epot ?o&nal +epot! Ca!e St&dy +epot! D&g St&die! VIII. R!'&r$( Mana0!#!nt Ma%nta%n( !0%6!1 a'',rat! an$ ,p$at!$ $&',#!ntat%&n &+ pat%!nt 'ar! I8. C&##,n%'at%&n E(ta6%(*!( rapp&rt 4%t* '%!nt( (%0n%+%'ant &t*!r( an$ #!#6!r( &+ t*! *!at* t!a#. A. Li!ten attenti%ely to "lient8! (&eie! and e(&e!t. 4. U!e! appopiate infomation me"$ani!m to fa"ilitate "omm&ni"ation C. Identifie! %e)al and non %e)al "&e! 8. Colla)oation and Teamwo6 E!ta)li!$e! "olla)oati%e elation!$ip wit$ "olleag&e! and ot$e mem)e! of t$e $ealt$ team Colla)oate! plan of "ae wit$ ot$e mem)e! of t$e $ealt$ team Di!"&!!e! wit$ !t&dent! "&ent tend! on "ae of "lient! d&ing la)o and deli%ey S&pe%i!e! !t&dent! on pope do"&mentation at t$e D+ C$e"6! a""&ate do"&mentation in patient8! "$at and ot$e D+ e"od! A!!i!t t$e !t&dent! in "omm&ni"ating effe"ti%ely wit$ "lient! and mem)e! of t$e $ealt$ team. S&pe%i!e! !t&dent! d&ing endo!ement Fa"ilitate! "olla)oati%e elation!$ip wit$ mem)e! of t$e $ealt$ team. !lip!, la)oatoy e(&e!t: En!&e! "ompletene!! of "lient8! e"od! 7medi"ation!, IC !$eet, D+ !$eet et".: Do"&ment! a""&ately in t$e "$at' n&!e! note! ele%ant n&!ing o)!e%ation!' a"ti%itie! pefomed fo o&t"ome "ae Utili9e! appopiately all fom! of "omm&ni"ation; %e)al, non %e)al, ele"toni" Infom "lient8! !ignifi"ant ot$e! on t$e poge!! of la)o and deli%ey Li!ten attenti%ely to "lient! and familie! (&eie! and e(&e!t!. 3o%ide! a!!&an"e t$o&g$ t$eape&ti" to&"$, wamt$ and "omfoting wod! of en"o&agement. +e"ei%e! and gi%e! endo!ement appopiately F&n"tion! effe"ti%ely a! a team playe in t$e deli%ey oom' lying in Comm&ni"ate! t$e poge!! of la)o and deli%ey to !ignifi"ant ot$e! E!ta)li!$e! "olla)oati%e elation!$ip wit$ mem)e! of t$e $ealt$ team and family mem)e! A""&a"y of Do"&mentation Effe"ti%ene!! of "omm&ni"ation t$o&g$ e%al&ation of o&t"ome. 3efoman"e E%al&ation C$e"6li!t A"t&al o)!e%ation 3efoman"e E%al&ation C$e"6li!t D+ +otation +e(&iement!7%aia)le: Daily plan of a"ti%itie! ?o&nal +epot! Ca!e St&dy A&i99e! and Clini"al 3efoman"e E%al&ation Attendan"e and De"o&m DMC COLLEGE FOUNDATION Sta. Filomena, Dipolog City COLLEGE OF NU+SING MID /0<5 +LE CLINICAL TEAC2ING 3LAN ON IMMEDIATE CA+E OF T2E NEB4O+N De!"iption # T$i! "lini"al tea"$ing plan will !e%e a! a g&ide fo t$e fa"<y'Clini"al In!t&"to and !t&dent! in de%eloping t$e "oe "ompeten"ie! e(&ied of d&ing t$e immediate "ae of t$e new)on. Aea of E*po!&e # N&!ey'D+ "omple*'Lying In D&ation # ,- $o&! Enty Competen"ie! # .nowledge in MID /01 e!pe"ially t$e "on"ept of immediate "ae of new)on, 2&man Anatomy and 3$y!iology, N&!ing po"e!!, A!epti" te"$ni(&e and 3in"iple!, D+ In!t&ment, S&pplie! and E(&ipment, D&g! and Sol&tion!, Ane!t$e!ia, 3in"iple! of 4io5Et$i"! S6ill! in doing t$e N&!ing po"e!! e!pe"ially a!!e!!ment !6ill! S&gi"al a!epti" te"$ni(&e $and !"&), gowning and glo%ing S6ill! in gi%ing inGe"tion!, eye, ointment appli"ation. S6ill! in doing immediate "ae of new)on on !im&lation 7e*. 4a)y mani6in!: De"i!ion5 ma6ing !6ill!' "iti"al t$in6ing !6ill! 3ope attit&de of p&den"e, patien"e, a""&a"y and gentlene!! in $andling new)on Oientation A"ti%itie! fo Clini"al In!t&"to# M&!t $a%e )een "ompleted pio to !t&dent! e*po!&e and done in "oodination wit$ t$e affiliating $o!pital taining offi"e o D+ $ead n&!e fo a wee6 depending on $o!pital poli"ie!. Oientation a"ti%itie! fo St&dent! 7done )efoe a"t&al e*po!&e o on t$e / !t day of "lini"al e*peien"e: Oientation on t$e following# /. N&!ey pe!onnel'ogani9ational "$at 1. N&!ey !et5&p; !&pplie!, in!t&ment! and e(&ipment <. N&!ey poto"ol!, poli"ie! and g&ideline! ,. N&!ey e"od! and fom! 7fo do"&mentation. +e(&i!ition et".: =. 3a"ti"e of !6ill!5 e*. 2and !"&), gowning, glo%ing Setting &p mayo ta)le and aea fo immediate new)on "ae >. Gading !y!tem and e(&iement!5 attendan"e, NC38!, Ca!e !t&dy 3efoman"e E%al&ation C$e"6li!t! on Immediate Cae of t$e New)on @. O)!e%ation of an a"t&al "ae of t$e new)on 7d&ing o)!e%ation, C.I. di!"&!!e! po"ed&e! and po"e!!e!: Daily 3oto"ol Afte Oientation# 3e5"onfeen"e A"t&al "lini"al e*peien"e A&i99e! 3o!t Confeen"e La!t Day of E*peien"e# Final e%al&ation of St&dent 3efoman"e t$o&g$ Compe$en!i%e e*am o !6ill! in%entoy Intemediate Competen"ie! Clini"al A"ti%itie! Met$od of E%al&ation Fa"<y St&dent! I. Safe and A&ality N&!ing Cae Utili9e! t$e n&!ing po"e!! in t$e immediate "ae of t$e new)on a. 3efom! "ompe$en!i%e and !y!temati" n&!ing a!!e!!ment ). Fom&late! a plan of "ae ". Implement! planned n&!ing "ae plan to a"$ie%e identified o&t"ome! A!!ign! !t&dent to a pati"&la new)on S&pe%i!e! !t&dent! in a!!e!!ment of new)on A!!i!t t$e !t&dent in %alidating "ompletene!! and %ea"ity of a!!e!!ment data. C$e"6! n&!ing "ae plan S&pe%i!e! !t&dent! a! t$ey pefom n&!ing inte%ention !afely Gi%e! appopiate feed)a"6 a! ne"e!!ay. +e"ei%e! new)on fom deli%ey oom 3efom! and intepet A3GA+ !"oing "oe"tly Immediately afte deli%ey and = min&te! afte )it$ 3efom! "omplete p$y!i"al a!!e!!ment Ta6e! ant$opometi" mea!&ement! in"l&ding weig$t, $eig$t, $ead, "$e!t, a)dominal "i"&mfeen"e Ta6e! %ital !ign! C$e"6! paten"y of e"t&m &!ing e"tal t$emomete De%elop! n&!ing "ae plan! 3efom! appopiate n&!ing inte%ention! )a!ed on identified po)lem' diagno!i! E!ta)li!$e! and maintain! patent aiway )y wiping t$e Fa"e, no!e and mo&t$ wit$ !teile ga&9e 3&t! new)on on t$e mot$e8! a)domen fo / $o& Die! new)on8! )ody t$oo&g$ly )y wiping t$e )ody &!ing !teile "lot$ and 6eep wam 3efom! "od "ae Bait &ntil p&l!ation !top! 7few E%al&ation of A!!e!!ment +e"od 3efoman"e E%al&ation C$e"6li!t A&i99e! 3omote! !afety and "omfot of new)on 3o%ide $ealt$ "ae t$eape&ti"ally and !afely d. E%al&ate! poge!! towad e*pe"ted o&t"ome! II. Management of +e!o&"e!, En%ionment and E(&ipment Ogani9e wo6 load to fa"ilitate patient "ae Utili9e! ade(&ate and appopiate e!o&"e! to !&ppot patient "ae En!&e! f&n"tioning of e!o&"e! Maintain! a !afe en%ionment at t$e N&!ey' Lying 5 In
A!!i!t!' !&pe%i!e! t$e !t&dent! in "aying o&t do"to8! ode!. Di!"&!! wit$ t$e !t&dent e!<! of e%al&ation and e%iew! data )efoe final e"oding +e%iew! wit$ t$e !t&dent! t$e "on"ept of management of e!o&"e! and en%ionment petaining to g&ideline! Familiai9e !t&dent! wit$ t$e diffeent in!t&ment!, !&pplie! and e(&ipment in t$e n&!ey. A!!i!t! !t&dent! in pefoming !teili9ation po"ed&e and pepaation of !&pplie! needed min&te!: Clamp! and "&t! "od / in"$ fom t$e a)domen C$e"6! fo t$e pe!en"e of 1 ateie! and / %ein Lat"$e! new)on to t$e mot$e8! )ea!t immediately afte )it$ Applie! C+EDE8! pop$yla*i! on t$e new)on8! eye Admini!te Citamin . 7/mg' IM'Left t$ig$: and $epatiti! %a""ine 70.= ml'IM' +ig$t t$ig$: into t$e lateal anteio t$ig$ o %a!t&! lateali! O)!e%e! "ae gentlene!! and !afety in $andling new)on all t$o&g$o&t po"ed&e! +e"od! petinent o)!e%ation! and n&!ing "ae done +epot! any !ign! of de%iation' a)nomality to t$e pediati"ian 3epae! in!t&ment and e(&ipment needed S&"tion )&l), "od "lamp, ga&9e, "otton )all!, fo"ep, !"i!!o, tape mea!&e, )lan6et, Citamin ., 2epatiti! 4 %a""ine, antimi"o)ial op$t$almi" ointment En!&e! &!e of !teile e(&ipment d&ing immediate "ae of t$e new)on Maintain ade(&a"y of !&pplie! a! new)on "ae i! endeed Maintain! odeline!! of t$e wo6ing aea O)!e%e! pe"a&tionay mea!&e! elated to &!e of ele"ti"al e(&ipment En!&e! a wam and (&iet en%ionment U!e! !&pplie! diligently En!&e! pope di!po!al of $o!pital wa!te 3efoman"e E%al&ation C$e"6li!t E%al&ation of Tea"$ing 3lan III. 2ealt$ Ed&"ation Implement! appopiate $ealt$ ed&"ation a"ti%itie! to mot$e! )a!ed on need! a!!e!!ment IC. Legal +e!pon!i)ility Ad$ee! pa"ti"e! in a""odan"e wit$ t$e n&!ing law and ot$e ele%ant legi!lation in"l&ding "onta"t!, infomed "on!ent Ad$ee! to ogani9ational poli"ie! and po"ed&e! Do"&ment! "ae endeed to t$e mot$e and t$e new)on C. Et$i"o Moal +e!pon!i)ility +e!pe"t t$e ig$t! of t$e family and indi%id&al A""ept! e!pon!i)ility and a""o&nta)ility fo own de"i!ion and a"tion! Ad$ee! to t$e National and Intenational "ode of Et$i"! fo N&!e! CI. 3e!onal and 3ofe!!ional De%elopment 3oGe"t! )eginning pofe!!ionali!m +e%iew! tea"$ing plan of !t&dent! S&pe%i!e! !t&dent! d&ing a"t&al po%i!ion of $ealt$ ed&"ation to mot$e! Gi%e! appopiate feed)a"6 a! ne"e!!ay A!!i!t t$e !t&dent! in !e"&ing infomed "on!ent in all po"ed&e! Calidate! wit$ t$e !t&dent! a""&a"y of t$e data gat$eed. C$e"6! pope identifi"ation of mot$e and t$e new)on C$e"6! "oe"tne!! and "ompletene!! of do"&ment!. Se%e! a! a ole model fo !t&dent! in di!playing pofe!!ional attit&de! and %al&e! of a good n&!e Di!"&!!e! wit$ t$e !t&dent! !ignifi"an"e of et$i"o moal e!pon!i)ilitie! 3o%ide! in!t&"tion! to t$e mot$e on t$e daily "od "ae and pe%ention of "od infe"tion 3o%ide! di!"$age in!t&"tion! to t$e mot$e on w$en to e*pe"t "od to fall off o to epot !ign! of "od infe"tion 3o%ide! infomation egading new)on !"eening, imm&ni9ation, feeding, et". +e!pond! to (&e!tion! of mot$e and elati%e! egading e*pe"tation! Identifie! new)on )y "ompaing ID )and wit$ mot$e and wit$ data in t$e "$at Do"&ment! all petinent data "oe"tly and "ompletely +epot! a""&ately any de%iation!' a)nomal finding! and n&!ing inte%ention! endeed En!&e! t$at )it$ "etifi"ate and ot$e "i%il egi!tation fom! ae a""ompli!$ed' filled o&t a""oding to in!tit&tional poli"y En!&e! t$at paent! ae infomed of impotant data egading new)on +e!pe"t! t$e eligio&!, "<&al and et$ni" pa"ti"e! of t$e family of t$e new)on Maintain! pi%a"y and "onfidentiality of t$e finding! of a!!e!!ment! Update! one!elf wit$ t$e late!t tend! and de%elopment! in new)on "ae 3oGe"t! a pofe!!ional image of t$e pediati" n&!e A""ept! "iti"i!m! and e"ommendation! 3efom! f&n"tion! a""oding to !tandad! Completene!! and A""&a"y of Do"&mentation A"t&al O)!e%ation of St&dent 4e$a%io A"t&al O)!e%ation of St&dent 4e$a%io CII. A&ality Impo%ement 3ati"ipate in (&ality impo%ement a"ti%itie! elated to "ae of patient! in D+ in"l&ding infe"tion "ontol and do"&mentation CIII. +e!ea"$ Di!!eminate! e!<! of new)on elated e!ea"$ finding! to t$e "lini"al go&p 7ot$e !t&dent! and ot$e mem)e! of t$e $ealt$ team a! appopiate: IH. +e"od! Management Maintain! legi)le, a""&ate and &pdated do"&mentation of patient "ae H. Comm&ni"ation E!ta)li!$e! appot wit$ "lient! !ignifi"ant ot$e! and mem)e! of t$e $ealt$ En"o&age! !t&dent! to poGe"t )eginning pofe!!ionali!m. A!!i!t !t&dent! to a""ept "iti"i!m! and e"ommendation! fo impo%ement. Up$old! t$e $ig$e!t !tandad! of pa"ti"e Di!"&!!e! wit$ t$e !t&dent! t$e need fo pompt and a""&ate epoting of %aian"e!, fa"ilitate di!"&!!ion of wad a&dit d&ing po!t "onfeen"e Coodinate wit$ pope a&t$oity egading %alidated epot! of %aian"e! Fa"ilitate! analyti"al di!"&!!ion of Go&nal epot! and e!ea"$e! pe!ented )y !t&dent!. Di!"&!!e! wit$ !t&dent! "&ent tend! on "ae of "lient! S&pe%i!e! !t&dent! on pope do"&mentation at t$e n&!ey C$e"6! a""&ate do"&mentation in patient8! "$at and ot$e n&!ey e"od! Identifie! de%iation of pa"ti"e fom !tandad! 3ati"ipate! in a&dit pa"ti"e! in t$e n&!ey +e"ommend! to t$e "lini"al in!t&"to "oe"ti%e and pe%enti%e mea!&e! fo t$e identified de%iation! Identifie! e!ea"$a)le po)lem! elated to immediate "ae of new)on Initiate! a e!ea"$ !t&dy on an identified e!ea"$a)le po)lem 3ati"ipate! a! a mem)e of a e!ea"$ team in t$e "ond&"tion of a e!ea"$ !t&dy Utili9e! finding! of e!ea"$ !t&die! in t$e immediate "ae of t$e new)on Do"&ment! a""&ately ele%ant data a)o&t "lient 3opely a""ompli!$ all wad fom! 7e.g. la)oatoy e(&e!t: En!&e! "ompletene!! of "lient8! e"od! 7medi"ation!, IC !$eet, ot$e !$eet: Do"&ment! a""&ately in t$e "$at' n&!e! note! ele%ant n&!ing o)!e%ation!' a"ti%itie! pefomed fo o&t"ome "ae Utili9e! appopiately all fom! of "omm&ni"ation; %e)al, non %e)al, ele"toni" Infom "lient8! !ignifi"ant ot$e! on t$e poge!! of N&!ing A&dit +epot ?o&nal +epot! Ca!e St&dy +epot! D&g St&die! A""&a"y of Do"&mentation Effe"ti%ene!! of "omm&ni"ation t$o&g$ e%al&ation of o&t"ome. 3efoman"e E%al&ation C$e"6li!t team. Li!ten attenti%ely to "lient8! (&eie! and e(&e!t. U!e! appopiate infomation me"$ani!m! to fa"ilitate "omm&ni"ation Identifie! %e)al and non %e)al "&e! HI. Colla)oation and Teamwo6 E!ta)li!$e! "olla)oati%e elation!$ip wit$ "olleag&e! and ot$e mem)e! of t$e $ealt$ team Colla)oate! plan of "ae wit$ ot$e mem)e! of t$e $ealt$ team A!!i!t t$e !t&dent! in "omm&ni"ating effe"ti%ely wit$ "lient! and mem)e! of t$e $ealt$ team. S&pe%i!e! !t&dent! d&ing endo!ement
Fa"ilitate! "olla)oati%e elation!$ip wit$ mem)e! of t$e $ealt$ team. la)o and deli%ey Li!ten attenti%ely to "lient! and familie! (&eie! and e(&e!t!. 3o%ide! a!!&an"e t$o&g$ t$eape&ti" to&"$, wamt$ and "omfoting wod! of en"o&agement. +e"ei%e! and gi%e! endo!ement appopiately F&n"tion! effe"ti%ely a! a team playe in t$e n&!ey
Comm&ni"ate! finding! of a!!e!!ment to all "on"ened E!ta)li!$e! "olla)oati%e elation!$ip wit$ mem)e! of t$e $ealt$ team and family mem)e! A"t&al o)!e%ation 3efoman"e E%al&ation C$e"6li!t Immediate Cae of t$e New)on +otation +e(&iement!# N&!ing Cae plan ?o&nal +epot! Ca!e St&dy A&i99e! and Clini"al 3efoman"e E%al&ation Attendan"e and De"o&m DMC COLLEGE FOUNDATION Sta. Filomena, Dipolog City Midwifey Depatment MID /0<5 +LE CLINICAL TEAC2ING 3LAN ON CA+ING OF A 3EDIAT+IC 3ATIENT De!"iption # T$i! "lini"al tea"$ing plan will !e%e a! a g&ide fo t$e fa"<y' "lini"al in!t&"to! and !t&dent! in de%eloping t$e "oe "ompeten"ie! e(&ied in 3ediati" Bad Aea of E*po!&e # 3ediati" Bad D&ation # 1, 2o&! Enty Competen"ie! # /. .nowledge in F&ndamental! of Midwifey 3a"ti"e 7MID /01:, 2&man Anatomy and 3$y!iology and Li)eal At! !&)Ge"t. 1. S6ill! in doing t$e n&!ing 3o"ed&e! to )e pefomed in MID /01 <. 3ope attit&de of p&den"e, patien"e, a""&a"y and "ompa!!ion in pefoming )a!i" n&!ing po"ed&e!. Oientation A"ti%itie! fo Clini"al In!t&"to!# M&!t $a%e )een "ompleted pio to !t&dent e*po!&e Oientation A"ti%itie! fo St&dent!# Oientation on t$e following# /. 3e!onnel' ogani9ational "$at of IANO+TE Medi"al Cente 1. 3$y!i"al !et5&p; !&pplie!, in!t&ment! and e(&ipment! !pe"ifi"ally in 3ediati" Bad <. 3ediati" Bad poto"ol!, poli"ie! and g&ideline! ,. 3ediati" Bad fom! and e"od! 7fo do"&mentation and e(&i!ition: =. 3a"ti"e of !6ill! >. Gading !y!tem and e(&iement! @. O)!e%ation of an a"t&al "ae of patient in 3ediati" Bad 7D&ing o)!e%ation, C.I. di!"&!!e! po"ed&e! and po"e!!e!: Daily poto"ol afte Oientation# 3e5"onfeen"e A"t&al Clini"al E*peien"e Bad Cla!! 3o!t "onfeen"e La!t day of E*peien"e# Final E%al&ation of St&dent 3efoman"e t$o&g$ Compe$en!i%e e*amination. Intemediate Competen"ie! Clini"al A"ti%itie! Met$od of E%al&ation Fa"<y St&dent! I. Safe and A&ality N&!ing Cae /. Utili9e! t$e n&!ing po"e!! in t$e "ae of "lient! in 3ediati" Bad a. 3efom! "ompe$en!i%e and !y!temati" n&!ing a!!e!!ment ). Fom&late! a plan of "ae ". Implement! planned n&!ing "ae plan to a"$ie%e identified o&t"ome! d. E%al&ate! poge!! towad e*pe"ted o&t"ome! 1. 3o%ide $ealt$ "ae t$eape&ti"ally and !afely A!!ign! !t&dent to a pati"&la patient in 3ediati"" Bad. S&pe%i!e! !t&dent! in a!!e!!ment of "lient!. A!!i!t t$e !t&dent in %alidating "ompletene!! and %ea"ity of a!!e!!ment data. O)!e%e! !t&dent "lo!ely d&ing e*amination' inte%iew C$e"6! n&!ing "ae plan S&pe%i!e! !t&dent! a! t$ey pefom n&!ing inte%ention !afely Di!"&!! wit$ t$e !t&dent e!<! of e%al&ation and e%iew! data )efoe final e"oding +e"ei%e! a "lient fo "ae 4&ilding midwife5"lient elation!$ip - T$eape&ti" &!e of !elf - T$eape&ti" "omm&ni"ation 7"$aa"tei!ti"!, te"$ni(&e!: O)tain data fom t$e Client8! "$at C$e"6 and monito %ital !ign! Cond&"t! t$oo&g$ p$y!i"al e*amination A!!e!! "$ild8! gowt$ and de%elopment. C$e"6 e!<! and impli"ation! of diagno!ti"'la)oatoy e*amination! 3efom! appopiate n&!ing inte%ention! )a!ed on identified po)lem. Indi%id&al 4ed!ide Confeen"e 3efom !pe"ial n&!ing po"ed&e! a! odeed One5 on 5one $ealt$ tea"$ing wit$ pioiti9ed patient E%al&ate! patient8! "ondition and e"od petinent data a""odingly E%al&ation of A!!e!!ment +e"od 3efoman"e E%al&ation C$e"6li!t A&i99e! <. 3omote! !afety and "omfot of patient! &nde $e'$i! "ae II. Management of +e!o&"e!, En%ionment and E(&ipment /. Ogani9e wo6 load to fa"ilitate patient "ae 1. Utili9e! ade(&ate and appopiate e!o&"e! to !&ppot patient "ae III. 2ealt$ Ed&"ation /. Implement! appopiate $ealt$ ed&"ation a"ti%itie! to "lient )a!ed on need! a!!e!!ment +e%iew! wit$ t$e !t&dent! t$e "on"ept of management of e!o&"e! and en%ionment petaining to pediati" wad g&ideline! Familiai9e !t&dent! wit$ t$e diffeent in!t&ment!, !&pplie! and e(&ipment &!e in t$e pediati" wad A!!i!t! !t&dent! in pefoming diffeent n&!ing po"ed&e! S&pe%i!e! !t&dent! in pope wa!te di!po!al' di!"&!!e! ationale of po"ed&e! +e%iew! tea"$ing plan of a"ti%itie! S&pe%i!e! !t&dent! w$en "ond&"ting $ealt$ ed&"ation !&"$ a! pope $ygiene, +OM e*e"i!e!, feeding and pope n&tition A!!i!t t$e !t&dent! in "$e"6ing ' !e"&ing infomed "on!ent in any 3epae! oom, in!t&ment! and e(&ipment needed Maintain ade(&a"y of !&pplie! a! t$e teatment poge!!e! O)!e%e! pe"a&tionay mea!&e! elated to &!e of ele"ti"al e(&ipment En!&e! a (&iet en%ionment U!e! !&pplie! diligently'p&dently 3efom! afte "ae of mateial! and e(&ipment &!ed En!&e! pope di!po!al of $o!pital wa!te Tea"$e! "lient and !ignifi"ant ot$e! on )a!i" pepaation pio to t$e any n&!ing po"ed&e! Gi%e! in!t&"tion! to patient and !ignifi"ant ot$e! a! to )at$ing, pope $ygiene +OM e*e"i!e!, feeding and pope n&tition +e!pond to (&e!tion! of "lient! and !ignifi"ant ot$e! egading appopiate e*pe"tation! C$e"6 t$e a%aila)ility of infomed "on!ent in all in%a!i%e po"ed&e! En!&e! pope identifi"ation of patient Do"&ment all petinent data and o)!e%ation! "oe"tly and "ompletely +e!pe"t! t$e eligio&!, "<&al and et$ni" pa"ti"e! of t$e family and of t$e "lient 3omote! emotional !e"&ity )y !&ppoting need! En!&e! pi%a"y and "onfidentiality 3efoman"e E%al&ation C$e"6li!t Tea"$ing 3lan IC. Legal +e!pon!i)ility /. Ad$ee! pa"ti"e! in a""odan"e wit$ t$e n&!ing law and ot$e ele%ant legi!lation in"l&ding "onta"t!, and infomed "on!ent. 1. Ad$ee! to ogani9ational poli"ie! and po"ed&e! <. Do"&ment! "ae endeed to patient! C. Et$i"o Moal +e!pon!i)ility /. +e!pe"t t$e ig$t! of t$e "lient 1. A""ept! e!pon!i)ility and a""o&nta)ility fo own de"i!ion and a"tion! <. Ad$ee! to t$e National and Intenational "ode of Et$i"! fo midwi%e! CI. 3e!onal and 3ofe!!ional De%elopment /. 3oGe"t! )eginning pofe!!ionali!m in%a!i%e po"ed&e! Calidate! wit$ t$e !t&dent! a""&a"y of data gat$eed. C$e"6! pope identifi"ation of patient. C$e"6! "oe"tne!! and "ompletene!! of do"&ment!. Se%e! a! a ole model fo !t&dent! in di!playing pofe!!ional attit&de! and %al&e! Di!"&!!e! wit$ t$e !t&dent! !ignifi"an"e of et$i"o moal e!pon!i)ilitie! En"o&age !t&dent! to poGe"t )eginning pofe!!ionali!m. A!!i!t !t&dent! to a""ept "iti"i!m! and e"ommendation! fo impo%ement. Up$old! t$e $ig$e!t !tandad! of pa"ti"e 3oGe"t! a pofe!!ional image of a pediati" wad midwife A""ept! "iti"i!m! and e"ommendation! 3efom! f&n"tion! a""oding to !tandad! Identifie! de%iation of pa"ti"e fom !tandad! 3ati"ipate! in a&dit pa"ti"e! in pediati" wad Di!"&!!e! wit$ t$e "lini"al in!t&"to "oe"ti%e and pe%enti%e mea!&e! fo t$e identified de%iation!. S$ae! ele%ant finding! fom Go&nal eading!' intenet, liteat&e !ea"$. Update! one!elf wit$ t$e late!t tend! and de%elopment in "aing of patient wit$ po)lem! in pe"eption and "oodination pefomed fo o&t"ome "ae Attend! "a!e !t&dy and "a!e pe!entation Utili9e! appopiately all fom! of "omm&ni"ation; %e)al, non %e)al. Infom "lient8! !ignifi"ant ot$e! on t$e poge!! of "ae Completene!! and A""&a"y of Do"&mentation A"t&al O)!e%ation of St&dent 4e$a%io& A"t&al O)!e%ation of St&dent 4e$a%io& CIII. A&ality Impo%ement /. 3ati"ipate in (&ality Impo%ement a"ti%itie! elated to "ae of patient! in pediati" wad in"l&ding do"&mentation IH. . Di!!eminate! e!<! of elated e!ea"$ finding! to t$e "lini"al go&p H. +e"od! Management /.Maintain! legi)le, a""&ate and &pdated do"&mentation of patient "ae Di!"&!!e! wit$ t$e !t&dent! t$e need fo pompt and a""&ate epoting of %aian"e!, fa"ilitate di!"&!!ion of wad a&dit d&ing po!t "onfeen"e! Coodinate wit$ pope a&t$oity egading %alidated epot! of %aian"e! Fa"ilitate! analyti"al di!"&!!ion of Go&nal epot! and e!ea"$e! pe!ented )y !t&dent!. Di!"&!!e! wit$ !t&dent! "&ent tend! on "ae of "lient! wit$ po)lem! in pe"eption and "oodination S&pe%i!e! !t&dent! on pope do"&mentation C$e"6! a""&ate do"&mentation in patient8! "$at and ot$e wad e"od! 3o%ide! a good ole model fo intepe!onal elation!$ip wit$ patient! Do"&ment! a""&ately ele%ant data a)o&t "lient 3opely a""ompli!$ all wad fom! 7e.g. La)oatoy e(&e!t: En!&e! "ompletene!! of "lient8! e"od! 7 T3+ !$eet : Do"&ment! a""&ately in t$e "$at' ele%ant n&!ing o)!e%ation!' a"ti%itie! Li!ten attenti%ely to "lient! and familie! (&eie! and e(&e!t! Comm&ni"ate! t$e poge!! of "ae to !ignifi"ant ot$e! +e"ei%e! and gi%e! endo!ement appopiately 3o%ide a!!&an"e t$o&g$ t$eape&ti" to&"$, wamt$ and "omfoting wod! of En"o&agement. E!ta)li!$e! "olla)oati%e elation!$ip wit$ mem)e! of t$e $ealt$ team and family mem)e! F&n"tion! effe"ti%ely a! a team playe in t$e "ae of "lient! in pediati" wad N&!ing A&dit +epot ?o&nal +epot! Ca!e St&dy +epot! D&g St&die! A""&a"y of Do"&mentation 3efoman"e E%al&ation C$e"6li!t A""&a"y of do"&mentation HI. Comm&ni"ation /. E!ta)li!$e! appot wit$ "lient! !ignifi"ant ot$e! and mem)e! of t$e $ealt$ team. 1. Li!ten attenti%ely to "lient8! A&eie! and e(&e!t. <. U!e! appopiate infomation me"$ani!m to fa"ilitate "omm&ni"ation ,. Identifie! %e)al and non %e)al "&e! HII. Colla)oation and Teamwo6 /. E!ta)li!$e! "olla)oati%e elation!$ip wit$ "olleag&e! and ot$e mem)e! of t$e $ealt$ team 1. Colla)oate! plan of "ae wit$ ot$e mem)e! of t$e $ealt$ team A!!i!t'g&ide t$e !t&dent! in "omm&ni"ating effe"ti%ely wit$ "lient! and mem)e! of t$e $ealt$ team. S&pe%i!e! !t&dent! d&ing endo!ement Fa"ilitate! "olla)oati%e elation!$ip wit$ mem)e! of t$e $ealt$ team. Effe"ti%ene!! of "omm&ni"ation t$o&g$ e%al&ation of o&t"ome. 3efoman"e E%al&ation C$e"6li!t A"t&al o)!e%ation 3efoman"e E%al&ation C$e"6li!t 3ediati" Bad +otation +e(&iement!# 3atient8! 3ofile 3$y!i"al A!!e!!ment C$ild8! Gowt$ and De%elopment 7 De%elopmental T$eoie!: La)oatoy +e!<! D&g St&dy +eading! wit$ S&mmay and +ea"tion A&i99e! and "lini"al pefoman"e E%al&ation Attendan"e and De"o&m S&)mitted )y# Fe C. Gala&a +M.+N. Clini"al In!t&"to DMC COLLEGE FOUNDATION Sta. Filomena, Dipolog City MID 10- !LE CLINICAL TEACHING PLAN ON CARING OF AN OBSTETRICAL PATIENT Description: T"i# $lini$al tea$"ing plan %ill #e&'e a# a g(i)e *o& t"e *a$(lty+ $lini$al in#t&($to&# an) #t()ent# in )e'eloping t"e $o&e $ompeten$ie# &e,(i&e) in O-#tet&i$al .a&) Area of Exposure / O-#tet&i$al .a&) Duration / 01 2o(&# Entr Co!petencies /3no%le)ge in F(n)amental# in Mi)%i*e&y 4MID 105, 2(man Anatomy an) 6"y#iology an) Li-e&al A&t# #(-7e$t. S8ill# in )oing t"e n(&#ing p&o$e## e#pe$ially 46&o$e)(&e# to -e pe&*o&me) in MID 105 6&ope& attit()e o* p&()en$e, patien$e, a$$(&a$y an) gentlene## in pe&*o&ming -a#i$ n(&#ing p&o$e)(&e#. Orientation Acti"ities for C#inica# Instructors: M(#t "a'e -een $omplete) p&io& to #t()ent e9po#(&e Orientation Acti"ities for Stu$ents: O&ientation on t"e *ollo%ing/ 1. 6e&#onnel+ o&gani:ational $"a&t o* ;ANO!TE Me)i$al Cente& . 6"y#i$al #et-(p< #(pplie#, in#t&(ment# an) e,(ipment# #pe$i*i$ally in O-#tet&i$al .a&) =. O-#tet&i$al .a&) p&oto$ol#, poli$ie# an) g(i)eline# 0. O-#tet&i$al .a&) *o&m# an) &e$o&)# 4*o& )o$(mentation an) &e,(i#ition5 >. 6&a$ti$e o* #8ill# ?. G&a)ing #y#tem an) &e,(i&ement# @. O-#e&'ation o* an a$t(al $a&e o* patient in O-#tet&i$al .a&) 4D(&ing o-#e&'ation, C.I. )i#$(##e# p&o$e)(&e# an) p&o$e##e#5 Dai# protoco# after Orientation: 6&e-$on*e&en$e A$t(al Clini$al E9pe&ien$e .A .a&) Cla## 6o#t $on*e&en$e Last $a of Experience: Final E'al(ation o* St()ent 6e&*o&man$e t"&o(g" Comp&e"en#i'e e9amination. Inter!e$iate Co!petencies C#inica# Acti"ities %et&o$ of E"a#uation Facu#t Stu$ents I' Safe an$ (ua#it Nursin) Care Utili:e# t"e n(&#ing p&o$e## in t"e $a&e o* $lient# in OB .a&) a. 6e&*o&m# $omp&e"en#i'e an) #y#temati$ n(&#ing a##e##ment 6&o'i)e "ealt" $a&e t"e&ape(ti$ally an) #a*ely 6&omote# #a*ety an) $om*o&t o* patient# in#i)e t"e %a&) ).E'al(ate# p&og&e## to%a&) e9pe$te) o(t$ome# II' %ana)e!ent of Resources* En"iron!ent an$ E+uip!ent O&gani:e %o&8 loa) to *a$ilitate patient $a&e Utili:e# a)e,(ate an) app&op&iate &e#o(&$e# to #(ppo&t patient $a&e A##ign# #t()ent to a pa&ti$(la& patient in OB .a&). S(pe&'i#e# #t()ent# in a##e##ment o* $lient#. A##i#t t"e #t()ent in 'ali)ating $ompletene## an) 'e&a$ity o* a##e##ment )ata. S(pe&'i#e# #t()ent# a# t"ey pe&*o&m n(&#ing inte&'ention #a*ely Di#$(## %it" t"e #t()ent &e#(lt# o* e'al(ation an) &e'ie%# )ata -e*o&e *inal &e$o&)ing !e'ie%# %it" t"e #t()ent# t"e $on$ept o* !e$ei'e# a $lient *o& $a&e B(il)ing mi)%i*e-$lient &elation#"ip - T"e&ape(ti$ (#e o* #el* - T"e&ape(ti$ $omm(ni$ation 4$"a&a$te&i#ti$#, te$"ni,(e#5 O-tain )ata *&om t"e $lientC# $"a&t C"e$8 'ital #ign# Con)($t# 6"y#i$al E9amination t"o&o(g"ly 6e&*o&m# app&op&iate n(&#ing inte&'ention# -a#e) on i)enti*ie) p&o-lem. In)i'i)(al Be)#i)e Con*e&en$e 6e&*o&m #pe$ial n(&#ing p&o$e)(&e# a# o&)e&e) One- on -one "ealt" tea$"ing %it" p&io&iti:e) patient E'al(ate# patientC# $on)ition an) &e$o&) pe&tinent )ata a$$o&)ingly E'al(ation o* A##e##ment !e$o&) 6e&*o&man$e E'al(ation C"e$8li#t D(i::e# III' Hea#t& E$ucation Implement# app&op&iate "ealt" e)($ation a$ti'itie# to $lient -a#e) on nee)# a##e##ment I,' Le)a# Responsi-i#it A)"e&e# p&a$ti$e# in a$$o&)an$e %it" t"e n(&#ing la% an) ot"e& &ele'ant legi#lation in$l()ing $ont&a$t#, in*o&me) $on#ent A)"e&e# to o&gani:ational poli$ie# an) p&o$e)(&e# Do$(ment# $a&e &en)e&e) to patient# ,' Et&ico %ora# Responsi-i#it !e#pe$t t"e &ig"t# o* t"e $lient A$$ept# &e#pon#i-ility an) a$$o(nta-ility *o& o%n )e$i#ion an) a$tion# A)"e&e# to t"e National an) Inte&national $o)e o* Et"i$# *o& mi)%i'e# ,I' Persona# an$ Professiona# De"e#op!ent 6&o7e$t# -eginning p&o*e##ionali#m management o* &e#o(&$e# an) en'i&onment pe&taining to o-#tet&i$al %a&) g(i)eline# Familia&i:e #t()ent# %it" t"e )i**e&ent in#t&(ment#, #(pplie# an) e,(ipment in t"e o-#tet&i$al %a&) A##i#t# #t()ent# in pe&*o&ming )i**e&ent n(&#ing p&o$e)(&e# S(pe&'i#e# #t()ent# in p&ope& %a#te )i#po#al+ )i#$(##e# &ationale o* p&o$e)(&e# !e'ie%# tea$"ing plan o* a$ti'itie# S(pe&'i#e# #t()ent# %"en )oing "ealt" e)($ation li8e p&ope& "ygiene, !OM e9e&$i#e# an) p&ope& n(t&ition A##i#t t"e #t()ent# in #e$(&ing in*o&me) $on#ent in any in'a#i'e p&o$e)(&e# Eali)ate# %it" t"e #t()ent# a$$(&a$y o* )ata gat"e&e). C"e$8# p&ope& i)enti*i$ation o* patient. C"e$8# $o&&e$tne## an) $ompletene## o* )o$(ment#. Se&'e# a# a &ole mo)el *o& #t()ent# in 6&epa&e# &oom, in#t&(ment# an) e,(ipment nee)e) Maintain a)e,(a$y o* #(pplie# a# t"e t&eatment p&og&e##e# O-#e&'e# p&e$a(tiona&y mea#(&e# &elate) to (#e o* ele$t&i$al e,(ipment En#(&e# a ,(iet en'i&onment U#e# #(pplie# )iligently 6e&*o&m# a*te& $a&e o* mate&ial# an) e,(ipment (#e) En#(&e# p&ope& )i#po#al o* "o#pital %a#te Tea$"e# $lient an) #igni*i$ant ot"e&# on -a#i$ p&epa&ation p&io& to t"e any n(&#ing p&o$e)(&e# Gi'e# in#t&($tion# to patient an) #igni*i$ant ot"e&# a# to -at"ing, p&ope& "ygiene !OM e9e&$i#e# an) p&ope& n(t&ition !e#pon#e to ,(e#tion# o* $lient# an) #igni*i$ant ot"e&# &ega&)ing app&op&iate e9pe$tation# Se$(&e# in*o&me) $on#ent in all in'a#i'e p&o$e)(&e# En#(&e# p&ope& i)enti*i$ation o* patient Do$(ment all pe&tinent )ata an) o-#e&'ation# 6e&*o&man$e E'al(ation C"e$8li#t Tea$"ing 6lan Completene## an) A$$(&a$y o* Do$(mentation ,II' (ua#it I!pro"e!ent 6a&ti$ipate in ,(ality imp&o'ement a$ti'itie# &elate) to $a&e o* patient# in o-#tet&i$al %a&) in$l()ing )o$(mentation ,III' Researc& Di##eminate# &e#(lt# o* &elate) &e#ea&$" *in)ing# to t"e $lini$al g&o(p I.' Recor$s %ana)e!ent Maintain# legi-le, a$$(&ate an) (p)ate) )o$(mentation o* patient $a&e )i#playing p&o*e##ional attit()e# an) 'al(e# Di#$(##e# %it" t"e #t()ent# #igni*i$an$e o* et"i$o mo&al &e#pon#i-ilitie# En$o(&age #t()ent# to p&o7e$t -eginning p&o*e##ionali#m. A##i#t #t()ent# to a$$ept $&iti$i#m# an) &e$ommen)ation# *o& imp&o'ement. Up"ol)# t"e "ig"e#t #tan)a&)# o* p&a$ti$e Di#$(##e# %it" t"e #t()ent# t"e nee) *o& p&ompt an) a$$(&ate &epo&ting o* 'a&ian$e#, *a$ilitate )i#$(##ion o* %a&) a()it )(&ing po#t $on*e&en$e# Coo&)inate %it" p&ope& a(t"o&ity &ega&)ing 'ali)ate) &epo&t# o* 'a&ian$e# Fa$ilitate# analyti$al )i#$(##ion o* 7o(&nal &epo&t# an) &e#ea&$"e# p&e#ente) -y #t()ent#. Di#$(##e# %it" #t()ent# $(&&ent t&en)# on $a&e o* $lient# %it" p&o-lem# in pe&$eption an) $oo&)ination S(pe&'i#e# #t()ent# on p&ope& )o$(mentation C"e$8# a$$(&ate )o$(mentation in patientC# $"a&t an) ot"e& %a&) &e$o&)# $o&&e$tly an) $ompletely !e#pe$t# t"e &eligio(#, $(lt(&al an) et"ni$ p&a$ti$e# o* t"e *amily an) o* t"e $lient 6&omote# emotional #e$(&ity -y #(ppo&ting nee)# En#(&e# p&i'a$y an) $on*i)entiality 6&o7e$t# a p&o*e##ional image o* OB %a&) mi)%i*e A$$ept# $&iti$i#m# an) &e$ommen)ation# 6e&*o&m# *(n$tion# a$$o&)ing to #tan)a&)# I)enti*ie# )e'iation o* p&a$ti$e *&om #tan)a&)# 6a&ti$ipate# in a()it p&a$ti$e# in o-#tet&i$al %a&) Di#$(##e# %it" t"e $lini$al in#t&($to& $o&&e$ti'e an) p&e'enti'e mea#(&e# *o& t"e i)enti*ie) )e'iation#. S"a&e# &ele'ant *in)ing# *&om 7o(&nal &ea)ing#+ inte&net, lite&at(&e #ea&$". Up)ate# one#el* %it" t"e late#t t&en)# an) )e'elopment in $a&ing o* patient %it" p&o-lem# in pe&$eption an) $oo&)ination A$t(al O-#e&'ation o* St()ent Be"a'io& A$t(al O-#e&'ation o* St()ent Be"a'io& N(&#ing A()it !epo&t .' Co!!unication E#ta-li#"e# &appo&t %it" $lient# #igni*i$ant ot"e&# an) mem-e&# o* t"e "ealt" team. Li#ten attenti'ely to $lientC# ,(e&ie# an) &e,(e#t. U#e# app&op&iate in*o&mation me$"ani#m to *a$ilitate $omm(ni$ation I)enti*ie# 'e&-al an) non 'e&-al $(e# .I' Co##a-oration an$ Tea!/or0 E#ta-li#"e# $olla-o&ati'e &elation#"ip %it" $olleag(e# an) ot"e& mem-e&# o* t"e "ealt" team Colla-o&ate# plan o* $a&e %it" ot"e& mem-e&# o* t"e "ealt" team A##i#t t"e #t()ent# in $omm(ni$ating e**e$ti'ely %it" $lient# an) mem-e&# o* t"e "ealt" team. S(pe&'i#e# #t()ent# )(&ing en)o&#ement Fa$ilitate# $olla-o&ati'e &elation#"ip %it" mem-e&# o* t"e "ealt" team. Do$(ment# a$$(&ately &ele'ant )ata a-o(t $lient 6&ope&ly a$$ompli#" all %a&) *o&m# 4e.g. La-o&ato&y &e,(e#t5 En#(&e# $ompletene## o* $lientC# &e$o&)# 4me)i$ation#, IE #"eet, T6! #"eet an) n(&#e# note#5 Do$(ment# a$$(&ately in t"e $"a&t+ n(&#e# note# &ele'ant n(&#ing o-#e&'ation#+ a$ti'itie# pe&*o&me) *o& o(t$ome $a&e Utili:e# app&op&iately all *o&m# o* $omm(ni$ation< 'e&-al, non 'e&-al. In*o&m $lientC# #igni*i$ant ot"e&# on t"e p&og&e## o* $a&e Li#ten attenti'ely to $lient# an) *amilie# ,(e&ie# an) &e,(e#t# 6&o'i)e a##(&an$e t"&o(g" t"e&ape(ti$ to($", %a&mt" an) $om*o&ting %o&)# o* en$o(&agement. !e$ei'e# an) gi'e# en)o&#ement app&op&iately F(n$tion# e**e$ti'ely a# a team playe& in t"e $a&e o* $lient# in o-#tet&i$al %a&) Comm(ni$ate# t"e p&og&e## o* $a&e to #igni*i$ant ot"e&# E#ta-li#"e# $olla-o&ati'e &elation#"ip %it" mem-e&# Fo(&nal !epo&t# Ca#e St()y !epo&t# D&(g St()ie# A$$(&a$y o* Do$(mentation E**e$ti'ene## o* $omm(ni$ation t"&o(g" e'al(ation o* o(t$ome. 6e&*o&man$e E'al(ation C"e$8li#t A$t(al o-#e&'ation 6e&*o&man$e E'al(ation C"e$8li#t o* t"e "ealt" team an) *amily mem-e&# OB 1ar$ Rotation Re+uire!ents: Patient2s profi#e 3 Case Stu$ P&sica# Assess!ent 3 Rea$in)s /it& Su!!ar an$ Reaction (ui44es an$ C#inica# Perfor!ance E"a#uation La-orator Resu#ts /it& 5ustification 3 Atten$ance an$ Decoru! Dru) Stu$ Su-!itte$ -: