MPN 3010 - Clinical III for CMA
Clock Hours: 225
Student Learning Outcomes: CLINICAL/LAB/SIMULATION COMPETENCIES:
Upon completion of the nursing of children clinical rotation, the student under the supervision of the clinical instructor will be able to accomplish the following objectives. The student must receive a satisfactory clinical rotation evaluation for progression. An unsatisfactory clinical rotation evaluation will result in the student not being able to progress regardless of the academic average.
- Safely and effectively apply scientific principles of nursing to the care of the pediatric patient.
- Obtain and record vital signs following facility protocol according to the patient’s growth and development.
- Observe safety measures appropriate for growth and development.
- Assist in assessment of nutritional status and dietary needs specific to the developmental stage.
- Demonstrate the ability to perform treatments/procedures specific to pediatric patients, including but not limited to:
- Specimen collection
- Height/weight and plot on growth chart
- Administration of medications
- Intake and Output
- Feedings
- Play Therapy
- Utilize drug information sources to identify correct pediatric dosage, dosage forms, expected local and systemic actions of drugs, and drug side effects.
- Incorporate developmental and age appropriate play therapy into daily care regimen.
- Observe and document child/parent interactions.
- Adapt patient teaching to meet the developmental stage and needs of the child and caregivers.
CLINICAL/LAB/SIMULATION COMPETENCIES:
Upon completion of this course, the student under the supervision of the instructor will be able to accomplish the following objectives. The student must receive a satisfactory evaluation during med-cart rotation for progression. An unsatisfactory evaluation will result in the student not being able to progress regardless of the academic average.
- Utilize drug information sources and be able to identify the generic/trade names, dosage forms of pharmaceutical preparations, the expected local and systemic actions of the drugs special considerations and, side effects/ interactions. Suggested activity: student will complete a drug card on each drug administered.
- Administer medications per the “Rights” of administration.
- Document accurately the administration of medications given, including controlled substances, according to the procedure of the facility and program guidelines.
- Safely calculates and/or converts dosages according to prescribed standards.
- Evaluate the effectiveness of drugs administered and utilize pain scale when indicated.
- Implements appropriate safety measures.
- Selects and demonstrates appropriate use of equipment/supplies for administration of medications.
- Demonstrate ability to interpret and transcribe the drug order accurately.
- Demonstrate correct use of the medication administration record, controlled substance record or other records required for the safe administration of medications.
- Apply critical thinking to the principles of administration of medications.
- Demonstrate effective use of the time management skills with administration of medications.
- Assess patients for conditions and factors that are likely to influence drug effects, including age, weight, health status, and lifestyle.
- Obtain a medication history about the patient’s use of prescription, over-the-counter (OTC), and social drugs as well as herbal and dietary supplements.
- Identify nondrug interventions to prevent or decrease the need for drug therapy.
- Observe patients for therapeutic and adverse responses to drug therapy.
- Teach patients and family members how to use prescription and OTC drugs safely and effectively.
- When indicated, teach patients about the potential effects of herbal and dietary supplements.
- For patients who use herbal and dietary supplements, provide-or assist them in obtaining-reliable information.
- Apply evidence-based data about patients and therapeutic drugs in all steps of the nursing process.
- Student will demonstrate proper hand washing technique prior to medication preparation and before and after patient contact.
- Student will demonstrate proper handling of medication to prevent contamination.
- Student will look up the action and side effects of a new drug prior to administration.
- Student will calculate correct drug dosage.
- Student will identify the patient correctly (according to facility policy).
- Student will administer the correct drug, correct dosage, via correct route, at the correct time.
- Student will identify correct landmarks and use correct technique in administering medication.
- Student will demonstrate accurate and timely documentation according to facility policy.
- Assess level of consciousness and respiratory status before and after administering opioids.
- Teach patients about safe, effective use of opioid analgesics.
- Teach patients interventions to prevent or decrease adverse effects of aspirin, other NSAIDs, and acetaminophen.
- Teach patients guidelines for rational, safe use of antianxiety and sedative-hypnotic drugs.
- Teach the patient about safe, effective use of adrenergic drugs.
- Teach patients about safe, effective use of antiadrenergic drugs.
- Assist patients or caregivers in learning how to manage diabetes care, including administration of medication agents used to manage diabetes mellitus.
- Collaborate with nurse diabetes educators, dietitians, pharmacists, and others in teaching self-care activities to patients with diabetes.
- Assess and monitor patients’ conditions in relation to diabetes mellitus and their compliance with prescribed management strategies.
- Teach parents about recommended immunizations and record keeping.
- Assist patients/caregivers in preventing or managing symptoms associated with chemotherapy regimens
CLINICAL/LAB/SIMULATION COMPETENCIES:
Upon completion of the Medical-Surgical clinical rotation, the student under the supervision of the clinical instructor will be able to accomplish the following objectives. The student must receive a satisfactory clinical rotation evaluation for progression. An unsatisfactory clinical rotation evaluation will result in the student not being able to progress regardless of the academic average.
- Accept the role of the beginning Practical Nurse by:
- Demonstrating knowledge of legal and ethical responsibility and limitations when administering patient care
- Demonstrating confidences by initiating patient care and by performing tasks with minimal supervision.
- Consulting clinical instructor regarding learning needs.
- Utilizes constructive criticism to improve clinical performances.
- Demonstrate successful time management skills in delivering patient care.
- Utilizes appropriate verbal and nonverbal skills while participating in the communication process with patients and colleagues by:
- Identifying barriers to communication and adapt to changing needs of the patient.
- Recording information obtained from a head to toe assessment on the patient’s chart legibly and concisely.
- Relating pertinent information to colleagues and discussing appropriate nursing action.
- Establish therapeutic nurse/client relationship.
- Respond to culturally specific requests/needs according to facility policy.
- Demonstrates professional, empathetic and therapeutic communication skills in all learning situations.
- Demonstrate effective and appropriate interactive/communication skills with other members of the healthcare team, as well as the patient and family.
- Utilize the nursing process in providing care for individuals by:
- Performing a head to toe assessment.
- Developing a nursing care plan with the client, family and interdisciplinary healthcare team members, including assessment, short and long term goals, nursing interventions, implementation, and evaluation.
- Applies the nursing process as a basis for clinical decision-making in classroom activities and in clinical experiences.
- Constructs and implements safe, effective, patient-centered nursing care using nursing knowledge, information technologies and research evidence.
- Assists with the admission of a patient: obtaining and recording data on appropriate forms.
- Taking client history using a structured assessment tool.
- Applies the nursing process to patient learning needs.
- Assists the Registered Nurse (RN) in formulating nursing diagnosis.
- Demonstrate a personal/professional attitude by:
- Participating in clinical experience by attending, reporting promptly, and staying the entire assigned time.
- Utilizing appropriate hygienic measures to present a professional appearance.
- Demonstrating a desire to learn by actively interacting with colleagues.
- Observe HIPPA guidelines at all times.
- Applies principles of collaboration and advocacy to safely provide and manage patient care.
- Emulates professional behavior in all clinical settings.
- Demonstrate knowledge of the leadership role and personal attributes of the PN.
- Consider appropriate delegation of duties to non-licensed personnel.
- Applies ethical and legal principles and professional standards to nursing practice.
- Demonstrate scientific principles when caring for individuals in various states of the life cycle by: Utilizing principles of microbiology and anatomy to contrast between normal body function and disease process.
- Plan and perform nursing care on assigned clients recognizing physical, psychosocial, multicultural diversity, and developmental needs.
- Utilizing basic concepts of nutrition to assist patients to comply with and understand their dietary regime.
- Utilizing principles of normal growth and development to appropriately care for individuals in various states of the life cycle.
- Complete an assessment on a geriatric client’s cognitive processes (memory, communication, orientation, problem solving).
- Assist with activities of daily living (ADL’s) of the geriatric client.
- Use observational, assessment, and communication skills with the geriatric client.
- Incorporate patient teaching and reinforcement as needs indicate.
- Assist with a complete physiological assessment on a geriatric client’s common clinical problems including:
- Impaired Mobility
- Alteration in Elimination
- Risk for Impaired Skin Integrity
- Risk for Fall or Injury
- Sleep Pattern Disturbances
- Altered Nutritional Status
- Demonstrate ability to:
- Identify conflicts between the nursing plan of care and the plan of interdisciplinary health team members.
- Participate in discussing the plan of care with interdisciplinary healthcare team members.
- Implement the plan of care taking into consideration ethical and legal parameters including scope of education with the client and interdisciplinary healthcare team.
- Assist in discharge planning for assigned clients.
- Identify health related learning needs.
- Displays organizational skills by planning and completing patient care in a reasonable time.
- Implement a teaching plan for clients with common health problems and well- defined learning needs.
- Implement nursing measures, psychosocial concepts, and assists with diagnostic studies as indicated in the care of patients with health alterations.
- Document and report care and treatments given and other pertinent observations accurately and completely according to facility policy and clinical procedure.
- Assist in promoting a safe effective care environment conducive to optimal health and dignity.
- Implement plans of care to meet basic needs including circulation, activity, elimination, comfort, pain management, rest and sleep.
- Implement nursing interventions to promote health and rehabilitation.
- Applies sound nursing judgment to nursing situations using standards of care, critical thinking, clinical reasoning, and evidence-based practice.
- Applies a range of knowledge to promote health and well-being and prevent complications in adults experiencing illness and disease.
- Initiate basic emergency interventions as needed.
- Initiate basic nursing interventions to foster client’s social well-being and effective coping mechanisms.
- Demonstrating appropriate care and teaching to meet patient’s safety needs.
- Utilize basic therapeutic communication.
- Assist interdisciplinary healthcare team members with exams and procedures.
- Observe and communicate Patient’s Bill of Rights.
- Report unsafe practices.
- Utilize current technology to enhance client care.
- Integrate previous nursing knowledge and skills in the prevention and treatment of diseases, including but not limited to:
- Anatomy and Physiology
- Nutrition/Diet Therapy
- Pharmacology
- Nursing Fundamentals
- Mental Health
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