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California State University Bakersfield
Department of Nursing
Nursing 356 Expanded Syllabus 2010
Amy Zlomek Hedden
NURSING 356 EXPANDED SYLLABUS – 2010 – Guidelines and Forms
CALIFORNIA STATE UNIVERSITY, BAKERSFIELD
Department of Nursing
Nursing 356
GUIDELINES AND FORMS
This booklet contains guidelines for Nursing 356 course assignments and the forms to use in completing these assignments.
TABLE OF CONTENTS
Topic: Page
1. Student Information Sheet 3
2. Community Rotation Data Form 4
3. Pediatric Scavenger Hunt 5
4. Instructor/Student Responsibility Form 6
5. Required Pediatric Clinical Skills 7
6. Information About the Community Rotation 8
7. Teaching Project Guidelines 12
8. Denver Developmental Screening Test (DDST) 17
9. Writing Nursing Diagnostic Statements 18
10. Special Considerations with Pediatric Medication, Calculation of IV
Drip Rate, Calculation of Maintenance IV Fluids 21
11. Interpreting Blood Gases 22
12. Concepts in Fluid and Electrolytes for Pediatrics 24
13. Laboratory Diagnostic Tests: (Short form -> Long Form) 25
14. Pediatric Neurologic Assessment 28
15. Medication Administration Practice Test 29
16. Perioperative & Operative Learning Objectives & Assignment 32
17. What To Do In the NICU 33
18. Directions for Pediatric Process Plans with Functional Health Patterns 34
19. Medication Worksheet: Instructions for Use 37
Forms:
22. Community Rotation Log 38
23. Pediatric Long Nursing Process Plan 39
24. Pediatric Short Nursing Process Plan 49
25. Team Nursing Forms 54
26. Mini Care Plan Form 56
27. Ethical Dilemmas Log 57
28. Basic Needs Assessment for Immunizations 59
29. Clinical Performance Evaluation 63
30. Mid-Term Evaluation Form 70
CALIFORNIA STATE UNIVERSITY, BAKERSFIELD
Department of Nursing
Nursing 356
Student Information Sheet
Name:
Phone #______Message Phone #
Address:______
E-Mail Address:______
How many units are you enrolled in this quarter?______
Classes other than Nursing:
Are you employed?______How many hours a week do you work:
What languages do you speak besides English?
What experiences have you had working with children?
What do you feel are your strengths?
What do you feel are your weaknesses?
What can I do to facilitate your learning?
What are your expectations for this clinical rotation?
CSUB Department of Nursing
Nursing 356
COMMUNITY ROTATION
To help in arranging the Community Rotation assignments for this quarter more information is needed about your schedules and location. Because of limitations on the number of students who can be accommodated at the various agencies, it isn’t possible for students to select their assignments, and it is difficult to place two students together. Input from students will be taken into consideration as much as possible.
Please complete the following information and return to the team leader by this afternoon, if possible.
Student Name:
Phone Number:
N356 Section # Clinical Faculty:
1. Please list Tuesday and Wednesday class or work hours that would interfere with scheduled community hours:
2. Would you be able to take a Friday assignment instead of Tuesday or Wednesday for one of your community rotations?
Yes No
3. Some of the school experiences will be outside of Bakersfield. Which of the following Kern County School Districts would be most convenient for you?
4. Comments, concerns, transportation problems:
“The Scavenger Hunt”
CODE USED TO ENTER THE UNIT______
Please locate the following items on your unit:
____ Dressings____ ABD
____ 4x4’s 2x2’s
____ Tape
____ Incentive Spirometer
____ IV Poles
____ IV Solutions & Supplies
____ Wheelchairs & Gurneys
____ Bottles & Formula
____ Vital Sign Equipment
____ Drinking Glasses
____ Oxygen Equipment
____ Syringes, Needles
____ Band-Aids
____ Playroom
____ Video Tapes/ DVD’s/ Video Games
____ Chux, Underpads
____ Feeding Tubes
____ Chart Forms
____ Crash Cart
____ Ambu Bab
____ Defibrillator
Phone Number to call a Code Blue ______
____ Medication Carts
____ Narcotics
____ Refrigerated Medications
____ Pixis
____ Bulb Suction
____ Syringe Disposal Containers
____ Disposable Gloves
____ Sterile Gloves
____ Tub Room
____ Treatment Room
____ Baby Scale
____ Swings & Highchairs / ____ Nurse Manager’s Name
Emergency Codes:
Purple= ______Pink=______
White= ______Blue=______
Silver=______Gray=______
Yellow=______Green=______
____ Dirty Utility Room
____ Linen Chart
____ Linen Chute/Bags
____ Clean Utility Room
____ Nurse Report Room
____ Kitchen
____ Patient Charts
____ Patient Charge System
____ Ice Machine
____ Bed Pans/Urinals
____ Glucose Monitor
____ Client Assignment Sheet
____ Addressograph
____ Alcohol Wipes
____ Urine Measuring Containers
____ Bags - Patient & Trash
____ Isolation Supplies/Masks
____ Reference Books
____ Policy & Procedure Information
____ MSDS Information
____ Oxygen Shut Off Valve
____ Evacuation Route
____ Fire Extinguisher
____ Disposable Tape Measures
____ Growth Charts
____ Discharge Forms
____ Admission Forms
____ Incident Report Policy
Revised jan10
CALIFORNIA STATE UNIVERSITY, BAKERSFIELD
Nursing Department
(FOR EACH NURSING CLINICAL COURSE)
THE INSTRUCTOR IS RESPONSIBLE FOR:
Orientation to Clinical Sites Introduction of Nursing Personnel
Instruction on charting procedure Demonstrations of use and care of
and forms commonly used equipment
Tour of clinical agency Introduction of each student to safety
and clinical care policies and
Med test as required procedures
Other
Students are responsible for knowing and/or locating in the work area the following:
Policy and Procedure Manuals Fire Extinguisher
MSDS Manual Universal Precaution Policy
Fire Safety Policy Infection Control Policy
Evacuation Route Emergency Preparedness Policy
Incident Report Policy
Student Signature ______Date______
Clinical Facility ______
CALIFORNIA STATE UNIVERSITY, BAKERSFIELD
Department of Nursing
Pediatric Rotation
REQUIRED CLINICAL SKILLS
In order to complete the requirements of Nursing 356 (pediatrics), it is each students responsibility to have reviewed and be prepared to complete the following:
Required Skills: Date(s) Completed Instructor Initial’s
1. IV Push Medication
2. IVPB Medication
3. Administer medication via syringe pump
4. PO medication
5. IV Fluid Therapy Maintenance
6. Denver Developmental Screening: 1.
Test 3 children/ different ages. 2.
Analyze & attach results 3.
7. Give feeding via gavage or gastrostomy tube ______
8. Collect or participate in obtaining one lab test:
dextrosix; urine; stool; sputum; etc.
9. Child on C/R or apnea monitor
10. Oximeter Reading
11. Evaluate for Immunization 1.
Deficiency on 2 children 2.
12. Assist with Admission
Recommended Skills:
1. Parenteral medication (IM, SQ, or ID)
2. Topical Medication
3. O2 therapy or Ohio Tent
4. Dressing change or wound care
5. Suctioning
6. Other(s)
AZH/jan10
CSUB Department of Nursing
Nursing 356
INFORMATION ABOUT THE
COMMUNITY ROTATION
Guidelines for Students When in the Community Agencies:
1. Professional behavior:
Students must follow the Nurse Practice Act and policies of the specific agency they are assigned to in regard to interactions with clients, client confidentiality, etc. Students are to remain under the direct supervision of their assigned community facilitator during their rotation. Students are expected to dress appropriately for the setting they are assigned to. In most settings, this does not include jeans, shorts and sneakers. Some agencies may request students to wear lab coats or a uniform. Specific instructions will be given when assignments are made. ALL sites require students to wear their student name tags. A student who is not appropriately attired may be dismissed from the site by the facilitator, and the faculty contact person will be notified.
There will not be an instructor assigned specifically to the community rotation. Agency staff will have numbers to call in case any problems arise. Students who need to talk to a faculty member while on a community assignment should call their clinical instructor at the hospital.
2. Attendance:
Assignment schedules will be set up in advance, and students must notify both their instructor and their community contact person if they are going to be absent from an assigned clinical experience. It is essential for the community facilitator to know, at the beginning of the business day, if a student is going to be late or absent, so they will not delay their schedule unnecessarily by waiting for the student to arrive. Students are expected to remain in the clinical setting for the specified time, unless specific exceptions are made. If, for any reason, the student decides she/he cannot complete the day at the agency, the clinical instructor should be contacted before the student leaves the agency. Attendance policies as written in the Nursing 356 syllabus and the Nursing Student Policy Handbook also apply in the community rotation.
3. Assignments:
School Nursing: write a three to four page report using the "General Objectives" and the “School Agencies Report”.
Caring Corner or Darlyn’s Darlings: write a three to four page report using the “General Objectives” and “Prescribed Pediatric Care Clinics”.
Be sure to title each report (ex: “General Objectives”) and to NUMBER EACH OBJECTIVE as you write about it. DO NOT mix/combine reports/ objectives or credit will be deducted. These reports will be due on the Friday immediately following the community experience. They are to be turned in to your clinical instructor, just as your other clinical assignments are.
CSUB Department of Nursing
Nursing 356
COMMUNITY ROTATION
Introduction to the Community Rotation:
The current trend in pediatrics is to keep hospital stays for acute illness to a minimum period of time. Assessing and interacting with well children, as well as those with chronic, long-term, and common health problems that do not require hospitalization, is also important in pediatric nursing. For all of these reasons, community experiences are integrated into the pediatric nursing clinical rotation.
Experiences in various community agencies give the student the opportunity to become familiar with chronic, long-term and common health problems of children seen outside of the hospital setting as well as to observe the growth and development of well children and the impact of illness. Through observation of nursing care in community-based settings, the student will be able to apply knowledge system stability and instability to specific pediatric populations and their families. Emphasis is given to health assessment, health promotion and education as part of the nursing plan of care.
Students from each clinical group will be assigned to community agencies each week. Each student will be in the community for a minimum of 16 hours (time equivalent to 2 clinical days).
General Objectives:
1. Give an overview of your community experience. (How did it go? Did you like it?)
2. Describe the purposes and services of the community agency.
3. Describe the funding of the agency, (i.e., public, private, fees, grants, special funds).
4. Describe the types of clients served/ observed/ cared for during your time at the agency, including age, cultural-ethnic background, socioeconomic status, type of need/problem. (If there is a website available, include this data. For schools try: www.greatschools.net, or the school’s name)
5. Discuss two clients you observed during your community experience. State their needs, problems, developmental level (actual -vs- expected for age), and the top 3 (prioritized) nursing diagnosis during your care.
6. Identify observed health care teaching provided by the agency during your assignment.
7. Rate this community experience on a scale from 1 to 10. Give justification for your rating.
8. Rate and justify your performance in this community setting on a scale of 1 to 10.
School Agencies Report:
Under the direct supervision of the designated school nurse, the student will meet the General Objectives (p. 8) plus participate in as many of the following activities as possible in the specific assigned setting. Be sure to identify if/ how each objective was met. If not met, state the objective number and that it was “not met”. Number 10 must be completed (use references).
1. Attend multi-disciplinary team conferences determining the educational and health care needs of the school-aged child. Discuss.
2. Identify and observe the referral process used to determine the child's eligibility for special programs.
3. Assist the community resource nurse in gathering a health/ developmental history on a pediatric client.
4. Perform a complete review of a selected child's health file, including nursing assessment, health and developmental history and nursing plan of care.
5. Interact directly, in the classroom setting, with children attending the assigned school/agency.
6. Participate in home visits when possible.
7. Assist with vision, hearing or other screening procedures when possible.
8. Observe the school nurse or other staff members perform nursing tasks related to the care of children in the assigned school settings.
9. Make observations related to growth and development of specific students in the assigned school settings and identify the impact of developmental level on health practices.
10. Sharpen your developmental assessment skills! Each school agency presents endless opportunities to observe children of different developmental levels in the school environment and this assignment utilizes those opportunities to enable the student to more fully observe and assess developmental behavior.
a. Choose a child representative of the client population your agency serves to observe during your rotation.
b. Before observing your client, prepare a comprehensive list of developmental milestones you would expect for the child's age and grade level. Include cognitive, social, physical, gross/fine motor skills, etc. Reference your sources.
c. Next, arrange a time in which you may observe the child in the classroom setting. Document the observed skills, tasks and milestones of the child both in the classroom and at play. Take notes!
d. Contrast expected with observed milestones and write a short summary of your findings and conclusions.
Homeless Shelter, Outpatient Pediatric Clinics. Offices
Under the direct supervision of the community facilitator, the student will meet the General Objectives plus participate in as many of the following activities as possible in the specific assigned setting:
1. Review agency policies and protocols related to pediatric visits.
2. Describe intra-agency coordination of health services and benefits and methods of referral.