far eastern universityinstitute of nursinggraduate studiesPsychiatric Ward Clinical Teaching PlanSAMPLE CLINICAL TEACHING PLAN ON CARE OF CLIENTS WITH MALADAPTIVE PATTERN OF BEHAVIORIn partial fulfillment for the requirements in MAN 207 Advance Clinical Teaching

Submitted to:Dr. Alita R. Conde, RN, MANInstructor/AdviserSubmitted by:Aldrin L. Reyes, RNGraduateDate Submitted:September 8, 2011

CLINICAL TEACHING PLAN ON NCM-105 PSYHCIATRIC NURSING

Course Code:NCM 105Course Name:Care of Clients with Maladaptive Patterns of BehaviorCourse Description:The course id designed to focus on health and illness across the lifespan of clients, population groups with acute or chronic psychosocial difficulties and psychiatric illnesses.Area of Exposure:St. Mary of Assisi Rehabilitation Center (Mandaluyong City)Contact Hours:102 hoursCourse Credit:2 units Related Learning Experience

General Objectives:After the course and given actual clients with maladaptive patterns of functioning, the student should be able to:1. Utilize the nursing process in the care of individuals, families in community and hospital settings.a. Assess with client/s his/her/their condition through mental status examination, physical examination, and interpretation of laboratory procedures.b. Identify actual or at risk nursing diagnosis.c. Plan appropriate nursing intervention with client/s and family for identified nursing diagnosis.d. Implement plan of care with client/s and family.e. Evaluation the progress of clients condition and outcomes of care.2. Apply knowledge and understanding of maladaptive patterns of behavior in providing safe and quality care to clients.3. Increase self-awareness and therapeutic use of self in the care of clients.4. Ensure a well organized and accurate documentation system.5. Relate with client/s and their family and the health team appropriately.6. Observe bioethical concepts and principles, core values and nursing standards in the care of clients.7. Promote a personal and professional growth of self and others.

Entry Competencies:1. Knowledge in the overview of Psychiatric nursingEvolution of mental health-psychiatric nursing practiceRoles and essential qualities of a mental health nurseEffectiveness of the interdisciplinary team in mental health continuum2. Skill in doing the Nursing Process especially assessment and intervention skillsAssessment of mental status, psychopharmacologyInterpretation of psychiatric diagnostic examinationTherapeutic communication and therapeutic use of selfApplication of Joharis window to self and to clientsApplication of different psychotherapy interventions (ECT, individual and group therapy, grieving therapy)Decision making skills/critical thinking skills

3. Proper attitude of prudence, patience, accuracy, and gentleness in handling clients and his/her relatives/significant others in stress and panic

ER Orientation Activities for Clinical Instructor:Must have been completed prior to student exposure and done in coordination with the affiliating hospital training officer or ER head nurse for a week depending on hospital policies

ER Orientation Activities for Students: (done on the 1st day of clinical exposure)Orientation on the following: Expectations, rules and regulation Facility personnel/organization chart Facility set-up, supplies, instruments, equipments, and psycho drugs Facility protocols, policies and guidelines Facility records and forms (for documentation, requisition, referrals, etc.) Practice of skills Grading system and requirements attendance, NCPs, EBNs, case study, return demonstrations, evaluation checklist

Daily Protocol after Orientation:1. Pre-Conference2. Actual clinical experience3. Post conferenceLast Day of Experience:Final evaluation of student performance through comprehensive case presentation and enhancement group activity for the clients

Clinical Experience Requirements: Case Presentation Manuscript of the RLE rotation EBN journals Performance Evaluation and Peer ToolsGrading System:Knowledge 30%Skills 50%Attitude 20%TOTAL 100%

OBJECTIVES & OUTCOMESINTERMEDIATE COMPETENCIESCLINICAL ACTIVITIESMETHODOLOGYMETHODS OF EVALUATION

FACULTYSTUDENTS

After the clinical exposure, the students will be able:

1. To recognize the different concepts and terminologies used in psychiatric nursing.

2. To classify the different theories involving care for clients with mental health alterations

3. To accomplish a sound competency on this specialty in nursing study.

4. To attain confidence in the practice of psychiatric nursing.

5. To develop a sense of commitment in the practice of mental health nursing.

6. To demonstrate a professionally responsible caregiver to patients suffering from mental health alterations.

7. To build a working environment conducive for mental health rehabilitation.

8. To ensure a safe clinical practice in mental health institution through upholding ethico-moral decision making throughout the care.The nurse must be competent in the following Key Areas of Responsibility and its respective core competency standards and indicators:

1. Safe and Quality Nursing Carea. Performs comprehensive and systematic nursing assessment

b. Promotes safety and comfort and privacy of clients

c. Sets priorities in nursing care based on clients needs

d. Administers psycho drugs and other health therapeutics

e. Formulates plan of care in collaboration with clients and other members of the health team

f. Implements planned nursing care to achieve identified outcomes

g. Evaluates progress towards expected outcomes

Supervises the student in assessment of clients

Assist students in developing a safe environment for the patient

Evaluates students in setting different health problems based on sought problems from the client

Assist students in giving patient- & family-focused interventions Assists/supervises the students in carrying out doctors orders

Assist students in creating care plan appropriate for the client and family

Provides necessary feedback in the implementation of the care Supports students throughout the process

Facilitates with the students the result of the program and provide additional changes before recording

Identifies wellness potential and mental health problems of the client Gathers data related to health condition through thorough mental status assessment from clients SOs

Performs mental condition-specific safety and comfort measures in all aspects of client mental health care Carry out mental condition-specific measures to ensure privacy in all aspects of care interventions

Identifies and analyzes the priority needs of client Determines appropriate nursing care to address priority needs or problems

Conforms to the 10 golden rules in psycho medication administration and health

Includes family in plan of care for the patient Develops comprehensive client care plan maximizing opportunities for rehabilitation of problems and enhancing wellness response Accomplishes client-centered discharge plan

Explains interventions to client and family Implements nursing interventions that are safe and comfortable Acts to improve clients mental status Performs nursing activities effectively and time-manner Uses the participatory approach to enhance client-family empowering potential for mental health improvement and wellness

Monitors effectiveness of nursing interventions Revises care plan based on expected outcomes

Direct observation on patient assistive intervention

Performance checklistQuizzes

2. Management of Resources and Managementa. Organizes work load to facilitate client care

b. Maintains a safe environment

Reviews with the students the concept of management of resources and environment pertaining to the institutional guidelines

Supervises students in maintaining a safe environment for better communication and therapeutic care

Identifies tasks or activities that need to be accomplished Plans the performance of tasks or activities based on priorities Finishes work assignment on time

Complies with standards and safety codes prescribed by law and by the institution Adheres to policies, procedures and protocols of the institutionOrientation to the institutional tools and equipmentsPerformance Checklist

3. Health Educationa. Assesses the learning needs of the client and the SOs

b. Develops learning materials for health education

c. Implements the health education plan

d. Evaluates the outcome of health education Guides the students in developing effective teaching plan Assist in giving appropriate teaching strategies Supervises students in giving health education to the clients, groups and families Obtains learning information through mental status assessment Analyzes relevant information Completes assessment records appropriately Identify priority of needs

Develops information educational materials appropriate to the level of the client

Applied health education principles in the development of information education materials

Provides a conduciveness learning situation in terms of time and place Considers clients and familys preparedness Utilizes appropriate strategies that maximize opportunities for behavior change for wellness and healthy mental status Provides reassuring presence through active listening, therapeutic use of self and effective communication Monitors clients and familys responses to health education

Utilizes evaluation parameters Documents outcome of care Revises health education plan based on client and family responsesDirect observation on patient assistive interventionHealth teaching paraphernalia

4. Legal Responsibilitiesa. Adheres to organizational policies and procedures, local and international

b. Documents care rendered to clients

Assists in proper documentation and reporting

Articulates the visions and mission of the institution where one belongs Acts in accordance with the established norms of conduct of the institution and regulatory requirements

Utilizes appropriate client care records and reports Accomplishes accurate documentation in all matters concerning client care in accordance to the standards Discussion of the different protocols within the institution

Direct observationDirect observation on students behavior and attitude towards care

5. Ethico-Moral Responsibilitya. Respects the rights of individual or family or group

b. Accepts responsibility and accountability for own decisions and actions

c. Adheres to the national and international codes of ethics

Serves as role model for students in displaying professional attitudes and values of a good psychiatric nurse Discusses with the students the significance of ethico-moral responsibilities

Renders nursing care consistent with the clients bill of rights

Justifies basis for nursing actions and judgment Projects a positive image of the profession

Adheres to the Code of Ethics for Nurses and abides by its provisions Reports unethical and immoral incidents to proper authoritiesDirect observation to the students when performing care to clients, groups and familiesDirect observation on students behavior and attitude towards care

6. Personal and Professional Developmenta. Projects a professional image of a nurse

b. Possesses positive attitude towards change and criticism

Encourages students to project beginning professionalism

Assist students to accept criticisms and recommendations for improvement

Demonstrate good manners and right conduct at all times Dresses appropriately Demonstrates congruence of words and actions Behaves appropriately at all times

Listens to suggestions and recommendations Tries new strategies or approaches Adapts to changes willinglyRole modelingDirect observation on students behavior and attitude towards care

7. Quality Improvementa. Participates in quality improvement activities related to care of patients in the ER including sepsis control and documentation

Discusses with the students the need for prompt and accurate reporting of variances, facilitate discussion of ward audit during a post conference Coordinates with proper authority regarding validated reports of variances

Reports significant changes in clients condition or environment to improve stay in the institution Shares with the team relevant information regarding clients condition and significant changes in clients environment Encourages the client to verbalize relevant changes in his/her condition Provides appropriate suggestions on corrective and rehabilitative measures Communicates solution to appropriate group/sOrientation on the quality assurance protocols and activitiesDirect observation on students behavior and attitude towards care

8. Researcha. Disseminates results of research findings

b. Applies research findings in nursing practice Observes analytical discussion of journal reports and researches presented by the student Discusses with students current issues and trends regarding health care services rendered in the institution Shares or presents results of findings with colleagues, clients and family

Utilizes findings in research in the provision of nursing care for individuals, groups, family and community Makes use of evidence-based nursing to enhance nursing practiceInvolvement in EBN discussion and samplingEBN case presentation

9. Records Managementa. Maintains updates and accurate documentation of client care

b. Records outcome of care

c. Observes legal imperatives in record keeping

Supervises students on proper documentation at the ER Observes accurate documentation in patients chart and other ER records

Completes updated documentation of client care Makes record readily available and accessible to facilitate client care

Utilizes records system Uses data in decision and policy making activities

Maintains confidential in record keeping Maintains an organized system of filling and keeping clients records in a designated area Follows protocol in releasing records and other informationAssistive coaching on recording and documentation pertinent to careAccuracy of documentation and reporting

Performance checklist

10. Communicationa. Establishes rapport with clients, significant others and members of the health team

b. Identifies verbal and non-verbal cues

c. Responds to needs of individuals, family, group and community Assists the students in communicating effectively with clients and members of the health team Supervises students during endorsement Creates trust and confidence Spends time with the client and SOs and members of the health care team Listens actively to patients concerns and SOs and members of the health care team

Interprets and validates clients body language and facial expressions

Provides reassurance through therapeutic, touch, warmth and comforting words of encouragement Readily smiles

Orientation on different means of communication across the institutionPerformance Checklist

11. Collaboration and Teamworka. Establishes collaborative relationship with colleagues and other members of the health team

b. Collaborates plan of care with other members of the health team

Facilitates collaborative relationship with members of the health team

Contributes to decision making regarding patients needs and concerns Participates actively in patient care management including audit Respect the role of other members of the health team Maintains good interpersonal relationship with patients, colleagues and other members of the health team Refers patients to allied health team partners Prepares accurate documentation for efficient communication of servicesAssistive involvement of the students in the collaboration of care especially endorsementDirect Observation on students behavior