clinical teaching plan

DMC COLLEGE FOUNDATIONSta. Filomena, Dipolog City

Midwifery DepartmentMID 103- RLE

CLINICAL TEACHING PLAN ON CARE OF MOTHERS DURING LABOR AND DELIVERY (Intrapartal Care)

Description : This clinical teaching plan will serve as a guide for the faculty/Clinical Instructor and students in developing the core competencies required of delivery room midwife during actual labor and delivery.

Area of Exposure : Delivery Room/ Lying InDuration : 48 hours

Entry Competencies : Knowledge in MID 102 especially in the care of mother during labor and delivery, Human Anatomy and Physiology, Aseptic Technique and Principles, DR Instrument, Supplies and Equipment, Drugs and Solutions, Anesthesia, Principles of Bio-Ethics, Skills in doing the Nursing process

especially assessment skills ( Leopold’s Manuever, FHT determination etc. learned during prenatal care, Surgical aseptic technique, hand scrub, gowning and gloving, perineal care, positioning and draping, enema administration, catheterization, skills in doing Ritgen’s manuever and Crede’s manuever, decision- making skills/ critical thinking skills, proper attitude of prudence, patience, accuracy and gentleness in handling client’s in stress).DR Orientation Activities for Clinical Instructor : Must have been completed prior to students exposure and done in coordination with the affiliating hospital training officer or DR head nurse for a week depending on hospital policies.DR Orientation activities for students (done before the actual exposure or on the 1st day of clinical experience)

Orientation on the following:1. DR personnel/organizational chart2. DR set-up; supplies, instruments and equipments3. DR protocols, policies and guidelines4. DR records and forms ( for documentation, requisitions etc)5. Practice of skills- ( e.g. Hand scrub, gowning,. Gloving

Setting up of DR table, mayo table6. Grading system and requirements- attendance, Journal Reports, Case Study, Drug Study, performance Evaluation Checklist on Intrapartal Care7. Observation of an actual delivery ( during observation, CI discusses procedures and processes)

Daily Protocol Observation: Pre-conference Actual clinical experience Quizzes Post Conference

Last Day of Experience: Final evaluation of Student Performance through Comprehensive exam or skills inventory.

Intermediate CompetenciesClinical Activities

Method of EvaluationFaculty Student

I. Safe and Quality Nursing CareA. Utilizes the nursing process in the care of DR clients

1. Performs comprehensive and systematic nursing assessment

2. Implements planned nursing care plan to achieve identified outcomes

B. Promotes safety and comfort of patients inside the DR

Assigns student to a particular patient in labor

Supervises students in assessment of clients.

Assists the student in validating completeness and veracity of assessment data.

Instructs students to monitor the progress of labor.

Supervises students as they perform nursing intervention safely

Gives appropriate feedback as necessary.

Receives a client for careObtains obstetrical history including parity, gravida score, LMP, EDC, OG, BOW onset of true laborObtains data from the Client’s chartChecks vital signsConducts Physical ExaminationChecks Fetal Heart Rate and Fundic heightMonitors progress of labor/ uterine contractions as to:

Frequency Duration Intensity Interval

Observes for the timely rupture

Develops nursing care plans

Performs appropriate nursing interventions based on identified problem/ diagnosis

Transports clients safely while providing privacy

Places mother in lithotomy position Performs perineal care using sterile

technique correctly Performs proper hand scrub Wears gown and gloves according to

hospital policy Performs Ritgen’s maneuver safely Coaches mother on breathing and pushing

techniques Delivers baby and placenta carefully Checks and manages cord recoil correctly Clamps and cuts the cord correctly Identifies signs of placental separation

Evaluation of Assessment Record

Performance Evaluation Checklist

Quizzes

C. Provides health care therapeutically and safely.

1. Evaluates progress toward expected outcomes

II. Management of Resources, Environment and Equipment

Organize work load to facilitate Patient Care

A. Utilizes adequate and appropriate resources to support patient care

B. Ensures functioning of DR resources

C. Maintains a safe environment at the DR

Discuss with the student results of evaluation and reviews data before final recording

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

Familiarizes students with the different instruments, supplies and equipment in the DR.

Assists students in performing sterilization procedure and preparation of supplies needed

Supervises students in proper waste disposal/ discusses rationale of procedures

Checks the characteristics/ completeness of the placenta

Assesses the amount of blood loss (Normal less than500 cc)

Employs interventions to achieve and maintain a well contracted uterus to prevent/ control hemorrhage

Uterine massage Correct administration of

oxytocin Cold Compress

Assists in episiorrhapy as neededChecks size, consistency and location of uterusPerforms perineal care and applies pad correctlyProvides emotional support to the mother throughout labor and deliveryObserves universal precautions in handling body fluids

Evaluates patient’s condition and record pertinent data accordingly

Prepares patient for transfer to recovery room/ wardPrepares room, instruments and equipment needed

Sterile drape Sterile instruments and equipment

(forceps, scissors, bulb syringe, gauze, suture, needle holder, catheter)

Kelly pad Disinfectant

Performs sterilization procedureMaintains adequacy of supplies as the delivery progressesObserves precautionary measures related to use of electrical equipmentEnsures a quiet environmentUses supplies diligently


III. Health Education Implements appropriate health education

activities to client based on the result of the assessment

IV. Legal Responsibility Adheres practices in accordance with the nursing law and other relevant

legislation including contracts, informed consent

A. Adheres to organizational policies and procedures

B. Documents care rendered to patients

V. Ethico Moral Responsibility Respect the rights of DR client

A. Accepts responsibility and

Reviews teaching plan of students

Supervises students during coaching in actual labor noting when to bear down and when to relax

Supervises students when doing health education on breastfeeding, bathing, diapering and administration of ordered medications

Assists the students in securing informed consent in all procedures

Validates with the students accuracy of the data gathered.

Checks proper identification of mother and the newborn

Checks correctness and completeness of documents.

Serves as a role model for students in displaying professional attitudes and values of a good DR midwife

Performs after care of materials and equipment usedEnsures proper disposal of hospital waste including blood and other fluids.

Teaches client on basic preparation during labor and deliveryCoaches client on breathing/ bearing down technique

Gives instructions to patient and significant others as to bathing, proper hygiene and ROM exercisesDemonstrates proper “latch – on” breast feeding techniqueGives instructions to parents regarding infant care before discharge/Provides discharge instructions as to feeding, bathing, administration of ordered medications, appointment dates for post natal and well baby check upResponds to questions of clients and relatives regarding expectations

Secures informed consent in all procedures related to labor and delivery

Reports accurately and honestly the gender, time of delivery of the baby and placenta

Ensures proper identification of the mother and Newborn

Documents all pertinent data correctly and completely

Evaluation of Teaching Plan

Completeness and Accuracy of records and documentation

accountability for own decision and actions

B. Adheres to the National and International Code of Ethics for Nurses

VI. Personal and Professional Development Projects beginning professionalism

VII. Quality ImprovementParticipate in quality improvement activities related to care of patients in DR including infection control and documentation

VIII. Records Management

Discusses with the students significance of ethico moral responsibilities

Encourage students to project beginning professionalism.

Assist students to accept criticisms and recommendations for improvement.

Upholds the highest standards of practice

Discusses with the students the need for prompt and accurate reporting of variances, facilitate discussion of ward audit during post conferences

Coordinate with proper authority regarding validated reports of variances

Facilitates analytical discussion of journal reports and researches presented by students.

Discusses with students current trends on

Respects the religious, cultural and ethnic practices of the family of the woman in labor and delivery

Promotes emotional security by supporting needs

Ensures privacy and confidentiality

Projects a professional image of a delivery midwife

Accepts criticisms and recommendations

Performs functions according to standards

Identifies deviation of practice from standards

Participates in audit practices in the delivery room/ lying in

Discusses with the clinical instructor corrective and preventive measures for the identified deviations.

Shares relevant research findings from journal readings/ internet, literature search.

Updates oneself with the latest trends and development in labor and delivery

Documents accurately relevant data about client especially gender of baby, time and date of delivery

Properly accomplish all DR forms (e.g. DR slips, case slips, laboratory request)

Ensures completeness of client’s records (medications,

Actual Observation of Student Behavior


Nursing Audit Report

Journal Reports

Case Study Reports

Drug Studies

Maintains legible, accurate and updated documentation of patient care

IX. CommunicationEstablishes rapport with clients significant others and members of the health team.

A. Listen attentively to client’s queries and request.

B. Uses appropriate information mechanism to facilitate communication

C. Identifies verbal and non verbal cues

X. Collaboration and TeamworkEstablishes collaborative relationship with colleagues and other members of the health team

Collaborates plan of care with other members of the health team

care of clients during labor and delivery

Supervises students on proper documentation at the DR

Checks accurate documentation in patient’s chart and other DR records

Assist the students in communicating effectively with clients and members of the health team.

Supervises students during endorsement

Facilitates collaborative relationship with members of the health team.

IV sheet, DR sheet etc.)

Documents accurately in the chart/ nurses notes relevant nursing observations/ activities performed for outcome care

Utilizes appropriately all forms of communication; verbal, non verbal, electronic

Inform client’s significant others on the progress of labor and delivery

Listen attentively to clients and families queries and requests.

Provides assurance through therapeutic touch, warmth and comforting words of encouragement.

Receives and gives endorsement appropriatelyFunctions effectively as a team player in the delivery room/ lying in

Communicates the progress of labor and delivery to significant others

Establishes collaborative relationship with members of the health team and family members

Accuracy of Documentation

Effectiveness of communication through evaluation of outcome.


Actual observationPerformance Evaluation Checklist

DR Rotation Requirements(variable) Daily plan of activities Journal Reports Case Study Quizzes and Clinical Performance Evaluation Attendance and Decorum

DMC COLLEGE FOUNDATIONSta. Filomena, Dipolog CityCOLLEGE OF NURSING

MID 103- RLE

CLINICAL TEACHING PLAN ON IMMEDIATE CARE OF THE NEWBORN

Description : This clinical teaching plan will serve as a guide for the faculty/Clinical Instructor and students in developing the core competencies required of during the immediate care of the newborn.

Area of Exposure : Nursery/DR complex/Lying In

Duration : 48 hours

Entry Competencies :

Knowledge in MID 102 especially the concept of immediate care of newborn, Human Anatomy and Physiology, Nursing process, Aseptic technique and Principles, DR Instrument, Supplies and Equipment, Drugs and Solutions, Anesthesia, Principles of Bio-Ethics

Skills in doing the Nursing process especially assessment skills Surgical aseptic technique hand scrub, gowning and gloving Skills in giving injections, eye, ointment application.Skills in doing immediate care of newborn on simulation (ex. Baby manikins)Decision- making skills/ critical thinking skills

Proper attitude of prudence, patience, accuracy and gentleness in handling newborn

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

Orientation activities for Students (done before actual exposure or on the 1st day of clinical experience)Orientation on the following:

1. Nursery personnel/organizational chart2. Nursery set-up; supplies, instruments and equipment3. Nursery protocols, policies and guidelines4. Nursery records and forms (for documentation. Requisition etc.)5. Practice of skills- ex. Hand scrub, gowning, gloving

Setting up mayo table and area for immediate newborn care6. Grading system and requirements- attendance, NCP’s, Case study

Performance Evaluation Checklists on Immediate Care of the Newborn7. Observation of an actual care of the newborn (during observation, C.I. discusses procedures and processes)

Daily Protocol After Orientation: Pre-conference Actual clinical experience Quizzes Post Conference

Last Day of Experience: Final evaluation of Student Performance through Comprehensive exam or skills inventory


Method of EvaluationFaculty Students

I. Safe and Quality Nursing Care

Utilizes the nursing process in the immediate care of the newborn

a. Performs comprehensive and systematic nursing assessment

b. Formulates a plan of care

c. Implements planned nursing care plan to achieve identified outcomes

Promotes safety and comfort of newborn

Assigns student to a particular newborn

Supervises students in assessment of newborn

Assist the student in validating completeness and veracity of assessment data.

Checks nursing care plan


Gives appropriate feedback as necessary.

Receives newborn from delivery roomPerforms and interpret APGAR scoring correctly

Immediately after delivery and 5 minutes after birth

Performs complete physical assessmentTakes anthropometric measurements including weight, height, head, chest, abdominal circumferenceTakes vital signsChecks patency of rectum using rectal thermometer

Develops nursing care plans

Performs appropriate nursing interventions based on identified problem/ diagnosisEstablishes and maintains patent airway by wiping the Face, nose and mouth with sterile gauzePuts newborn on the mother’s abdomen for 1 hourDries newborn’s body thoroughly by wiping the body using sterile cloth and keep warmPerforms cord care

Wait until pulsation stops (few minutes)

Clamps and cuts cord 1 inch from the abdomen

Checks for the presence of 2 arteries

Evaluation of Assessment RecordPerformance Evaluation ChecklistQuizzes

Provide health care therapeutically and safely

d. Evaluates progress toward expected outcomes

II. Management of Resources, Environment and Equipment

Organize work load to facilitate patient care

Utilizes adequate and appropriate resources to support patient care

Ensures functioning of resources

Maintains a safe environment at the Nursery/ Lying - In

III. Health EducationImplements appropriate health education activities to mothers based on needs

Assists/ supervises the students in carrying out doctor’s orders.


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

Familiarize students with the different instruments, supplies and equipment in the nursery.

Assists students in performing sterilization procedure and preparation of supplies needed

and 1 veinLatches newborn to the mother’s breast immediately after birthApplies CREDE’s prophylaxis on the newborn’s eyeAdminister Vitamin K (1mg/ IM/Left thigh) and hepatitis vaccine (0.5 ml/IM/ Right thigh) into the lateral anterior thigh or vastus lateralisObserves care gentleness and safety in handling newborn all throughout procedures

Records pertinent observations and nursing care done

Reports any signs of deviation/ abnormality to the pediatrician

Prepares instrument and equipment needed Suction bulb, cord clamp, gauze,

cotton balls, forcep, scissor, tape measure, blanket, Vitamin K, Hepatitis B vaccine, antimicrobial ophthalmic ointment

Ensures use of sterile equipment during immediate care of the newbornMaintain adequacy of supplies as newborn care is renderedMaintains orderliness of the working areaObserves precautionary measures related to use of electrical equipment Ensures a warm and quiet environmentUses supplies diligentlyEnsures proper disposal of hospital waste

Provides instructions to the mother on the daily cord care and prevention of cord infectionProvides discharge instructions to the mother on when to expect cord to fall off or to report signs of cord


Evaluation of Teaching Plan

assessment

IV. Legal ResponsibilityAdheres practices in accordance with the nursing law and other relevant legislation including contracts, informed consent

Adheres to organizational policies and procedures

Documents care rendered to the mother and the newborn

V. Ethico Moral ResponsibilityRespect the rights of the family and individual

Accepts responsibility and accountability for own decision and actions

Adheres to the National and International code of Ethics for Nurses

VI. Personal and Professional Development

Projects beginning professionalism

VII. Quality Improvement

Reviews teaching plan of students

Supervises students during actual provision of health education to mothers

Gives appropriate feedback as necessary

Assist the students in securing informed consent in all procedures

Validates with the students accuracy of the data gathered.

Checks proper identification of mother and the newborn


Serves as a role model for students in displaying professional attitudes and values of a good nurse


Encourages students to project beginning professionalism.

infectionProvides information regarding newborn screening, immunization, feeding, etc.Responds to questions of mother and relatives regarding expectations

Identifies newborn by comparing ID band with mother and with data in the chart

Documents all pertinent data correctly and completelyReports accurately any deviations/ abnormal findings and nursing interventions rendered Ensures that birth certificate and other civil registration forms are accomplished/ filled out according to institutional policyEnsures that parents are informed of important data regarding newborn

Respects the religious, cultural and ethnic practices of the family of the newborn

Maintains privacy and confidentiality of the findings of assessments

Updates oneself with the latest trends and developments in newborn careProjects a professional image of the pediatric nurseAccepts criticisms and recommendations



Completeness and Accuracy of Documentation




Participate in quality improvement activities related to care of patients in DR including infection control and documentation

VIII. ResearchDisseminates results of newborn related research findings to the clinical group (other students and other members of the health team as appropriate)

IX. Records ManagementMaintains legible, accurate and updated documentation of patient care

X. CommunicationEstablishes rapport with clients significant others and members of the health team.

Listen attentively to client’s queries and request.



Discusses with the students the need for prompt and accurate reporting of variances, facilitate discussion of ward audit during post conference



Discusses with students current trends on care of clients

Supervises students on proper documentation at the nursery

Checks accurate documentation in patient’s chart and other nursery records

Participates in audit practices in the nursery

Recommends to the clinical instructor corrective and preventive measures for the identified deviations

Identifies researchable problems related to immediate care of newbornInitiates a research study on an identified researchable problemParticipates as a member of a research team in the conduction of a research studyUtilizes findings of research studies in the immediate care of the newborn

Documents accurately relevant data about client

Properly accomplish all ward forms (e.g. laboratory request)

Ensures completeness of client’s records (medications, IV sheet, other sheet)


Utilizes appropriately all forms of communication; verbal, non verbal, electronic

Inform client’s significant others on the progress of labor and delivery

Listen attentively to clients and families queries and requests.

Journal ReportsCase Study ReportsDrug Studies


Effectiveness of communication through evaluation of outcome.Performance Evaluation Checklist

Uses appropriate information mechanisms to facilitate communication

Identifies verbal and non verbal cues

XI. Collaboration and TeamworkEstablishes collaborative relationship with colleagues and other members of the health team





Provides assurance through therapeutic touch, warmth and comforting words of encouragement.

Receives and gives endorsement appropriately

Functions effectively as a team player in the nursery Communicates findings of assessment to all concerned Establishes collaborative relationship with members of the health team and family members


Immediate Care of the Newborn Rotation Requirements:

Nursing Care plan Journal Reports Case Study Quizzes and Clinical Performance Evaluation Attendance and Decorum


Midwifery DepartmentMID 103- RLE

CLINICAL TEACHING PLAN ON CARING OF A PEDIATRIC PATIENT

Description : This clinical teaching plan will serve as a guide for the faculty/ clinical instructors and students in developing the core competencies required in Pediatric Ward

Area of Exposure : Pediatric Ward

Duration : 24 Hours

Entry Competencies :1. Knowledge in Fundamentals of Midwifery Practice (MID 102), Human Anatomy and Physiology and Liberal Arts subject.2. Skills in doing the nursing Procedures to be performed in MID 1023. Proper attitude of prudence, patience, accuracy and compassion in performing basic nursing procedures.

Orientation Activities for Clinical Instructors: Must have been completed prior to student exposure

Orientation Activities for Students:Orientation on the following:

1. Personnel/ organizational chart of ZANORTE Medical Center2. Physical set-up; supplies, instruments and equipments specifically in Pediatric Ward 3. Pediatric Ward protocols, policies and guidelines4. Pediatric Ward forms and records (for documentation and requisition)5. Practice of skills6. Grading system and requirements7. Observation of an actual care of patient in Pediatric Ward (During observation, C.I. discusses procedures and processes)

Daily protocol after Orientation: Pre-conference Actual Clinical Experience Ward Class Post conference

Last day of Experience: Final Evaluation of Student Performance through Comprehensive examination.


Method of EvaluationFaculty Students

I. Safe and Quality Nursing Care

1. Utilizes the nursing process in the care of clients in Pediatric Ward


b. Formulates a plan of care

c. Implements planned nursing care plan to achieve identified outcomes

d. Evaluates progress toward expected outcomes

2. Provide health care therapeutically and safely

3. Promotes safety and comfort of patients under her/his care

II. Management of Resources,

Assigns student to a particular patient in Pediatricc Ward.



Observes student closely during examination/ interview

Checks nursing care plan



Receives a client for care Building midwife-client relationship

- Therapeutic use of self- Therapeutic communication (characteristics,

techniques) Obtain data from the Client’s chart Check and monitor vital signs Conducts thorough physical examination Assess child’s growth and development. Check results and implications of diagnostic/laboratory examinations Performs appropriate nursing interventions

based on identified problem. Individual Bedside Conference

Perform special nursing procedures as ordered

One- on -one health teaching with prioritized patient


Prepares room, instruments and equipment needed

Maintain adequacy of supplies as the treatment progresses

Evaluation of Assessment Record Performance Evaluation Checklist Quizzes

Environment and Equipment

1. Organize work load to facilitate patient care

2. Utilizes adequate and appropriate resources to support patient care

III. Health Education

1. Implements appropriate health education activities to client based on needs assessment

IV. Legal Responsibility

1. Adheres practices in accordance

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

ward guidelines

Familiarize students with the different instruments, supplies and equipment use in the pediatric ward

Assists students in performing different nursing procedures


Reviews teaching plan of activities

Supervises students when conducting health education such as proper hygiene, ROM exercises, feeding and proper nutrition

Assist the students in checking / securing informed consent in any invasive procedures

Validates with the students accuracy of data gathered.

Checks proper identification of patient.

Observes precautionary measures related to use of electrical equipment

Ensures a quiet environment Uses supplies diligently/prudently Performs after care of materials and equipment

used Ensures proper disposal of hospital waste

Teaches client and significant others on basic preparation prior to the any nursing procedures Gives instructions to patient and significant

others as to bathing, proper hygiene ROM exercises, feeding and proper nutrition

Respond to questions of clients and significant others regarding appropriate expectations

Check the availability of informed consent in all invasive procedures

Ensures proper identification of patient Document all pertinent data and observations correctly and completely Respects the religious, cultural and ethnic

practices of the family and of the client Promotes emotional security by supporting

needs Ensures privacy and confidentiality

Projects a professional image of a pediatric ward midwife

Accepts criticisms and recommendations Performs functions according to standards



Teaching Plan

Completeness and Accuracy

with the nursing law and other relevant legislation including contracts, and informed consent.

2. Adheres to organizational policies and procedures

3. Documents care rendered to patients

V. Ethico Moral Responsibility

1. Respect the rights of the client

2. Accepts responsibility and accountability for own decision and actions

3. Adheres to the National and International code of Ethics for midwivesVI. Personal and Professional Development

1. Projects beginning professionalism

VIII. Quality Improvement


Serves as a role model for students in displaying professional attitudes and values






Coordinate with proper authority

Participates in audit practices in pediatric ward Discusses with the clinical instructor corrective

and preventive measures for the identified deviations.

Shares relevant findings from journal readings/ internet, literature search.

Updates oneself with the latest trends and development in caring of patient with problems in perception and coordination performed for outcome care

Attends case study and case presentation Utilizes appropriately all forms of communication; verbal, non verbal.

Inform client’s significant others on the progress of care

Documents accurately relevant data about client Properly accomplish all ward forms (e.g.

Laboratory request) Ensures completeness of client’s records

of Documentation

Actual Observation of Student Behaviour

Actual Observation of Student Behaviour

1. Participate in quality Improvement activities related to care of patients in pediatric ward including documentation

IX. . Disseminates results of related research findings to the clinical group

X. Records Management

1.Maintains legible, accurate and updated documentation of patient care

XI. Communication

1. Establishes rapport with clients significant others and members of the health team.

regarding validated reports of variances


Discusses with students current trends on care of clients with problems in perception and coordination

Supervises students on proper documentation

• Checks accurate documentation in patient’s chart and other ward records

• Provides a good role model for interpersonal relationship withpatients

Assist/guide the students in communicating effectively with clients and members of the health team.

( TPR sheet ) Documents accurately in the chart/ relevant

nursing observations/ activities

Listen attentively to clients and families queries and requests

Communicates the progress of care to significant others


Provide assurance through therapeutic touch, warmth and comforting words of Encouragement.

Establishes collaborative relationship with members of the health team and family members

Functions effectively as a team player in the care of clients in pediatric ward

Nursing Audit Report Journal Reports Case Study Reports Drug Studies Accuracy of Documentation


Accuracy of documentation

2. Listen attentively to client’s Queries and request.

3. Uses appropriate information mechanism to facilitate communication

4. Identifies verbal and non verbal cues

XII. Collaboration and Teamwork

1. Establishes collaborative relationship with colleagues and other members of the health team

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



Effectiveness of communication through evaluation of outcome.


Actual observation Performance Evaluation Checklist

Pediatric Ward Rotation Requirements: Patient’s Profile Physical Assessment Child’s Growth and Development ( Developmental Theories) Laboratory Results Drug Study Readings with Summary and Reaction Quizzes and clinical performance Evaluation Attendance and Decorum

Submitted by:Fe C. Galaura RM.RN. Clinical Instructor


MID 102- RLECLINICAL TEACHING PLAN ON CARING OF AN OBSTETRICAL PATIENT

Description: This clinical teaching plan will serve as a guide for the faculty/ clinical instructors and students in developing the core competencies required in Obstetrical Ward

Area of Exposure : Obstetrical WardDuration : 48 HoursEntry Competencies :Knowledge in Fundamentals in Midwifery (MID 102), Human Anatomy and Physiology and Liberal Arts subject.

Skills in doing the nursing process especially (Procedures to be performed in MID 102)Proper attitude of prudence, patience, accuracy and gentleness in performing basic nursing procedures.

Orientation Activities for Clinical Instructors: Must have been completed prior to student exposure Orientation Activities for Students:

Orientation on the following:1. Personnel/ organizational chart of ZANORTE Medical Center2. Physical set-up; supplies, instruments and equipments specifically in Obstetrical Ward 3. Obstetrical Ward protocols, policies and guidelines4. Obstetrical Ward forms and records (for documentation and requisition)5. Practice of skills6. Grading system and requirements7. Observation of an actual care of patient in Obstetrical Ward (During observation, C.I. discusses procedures and processes)

Daily protocol after Orientation: Pre-conference Actual Clinical Experience

.* Ward Class Post conference

Last day of Experience: Final Evaluation of Student Performance through Comprehensive examination.

Clinical Activities

Intermediate Competencies Method of EvaluationFaculty Students

I. Safe and Quality Nursing CareUtilizes the nursing process in the care of clients in OB Ward


Provide health care therapeutically and safelyPromotes safety and comfort of patients inside the ward

d.Evaluates progress toward expected outcomes

II. Management of Resources,Environment and Equipment

Organize work load to facilitate patient care

Utilizes adequate and appropriate resources to support patient care

III. Health EducationImplements appropriate health education activities to client based on needs assessment

Assigns student to a particular patient in OB Ward.





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

Familiarize students with the different instruments, supplies and equipment

Receives a client for careBuilding midwife-client relationship

- Therapeutic use of self- Therapeutic communication (characteristics,

techniques)Obtain data from the client’s chartCheck vital signsConducts Physical Examination thoroughly

Performs appropriate nursing interventions based on identified problem.

Individual Bedside Conference Perform special nursing procedures as

ordered One- on -one health teaching with

prioritized patient


Prepares room, instruments and equipment neededMaintain adequacy of supplies as the treatment progresses

Observes precautionary measures related to use of electrical equipment

Evaluation of Assessment RecordPerformance Evaluation ChecklistQuizzes

IV. Legal ResponsibilityAdheres practices in accordance with the nursing law and other relevant legislation including contracts, informed consentAdheres to organizational policies and procedures

Documents care rendered to patients

V. Ethico Moral ResponsibilityRespect the rights of the client

Accepts responsibility and accountability for own decision and actions

Adheres to the National and International code of Ethics for midwives

VI. Personal and Professional Development

Projects beginning professionalism

in the obstetrical ward

Assists students in performing different nursing procedures


Reviews teaching plan of activities

Supervises students when doing health education like proper hygiene, ROM exercises and proper nutrition

Assist the students in securing informed consent in any invasive procedures

Validates with the students accuracy of data gathered.

Checks proper identification of patient.


Serves as a role model for students in displaying professional attitudes and values


Ensures a quiet environmentUses supplies diligently

Performs after care of materials and equipment used

Ensures proper disposal of hospital waste

Teaches client and significant others on basic preparation prior to the any nursing proceduresGives instructions to patient and significant others as to bathing, proper hygiene ROM exercises and proper nutrition Response to questions of clients and significant others regarding appropriate expectations

Secures informed consent in all invasive procedures

Ensures proper identification of patient

Document all pertinent data and observations correctly and completely

Respects the religious, cultural and ethnic practices of the family and of the client

Promotes emotional security by supporting needs


Teaching Plan

Completeness and Accuracy of Documentation

VII. Quality ImprovementParticipate in quality improvement activities related to care of patients in obstetrical ward including documentation

VIII. ResearchDisseminates results of related research findings to the clinical group

IX. Records ManagementMaintains legible, accurate and updated documentation of patient care

X. CommunicationEstablishes rapport with clients significant others and members of the health team.

Listen attentively to client’s queries and







Discusses with students current trends on care of clients with problems in perception and coordination

Supervises students on proper documentation

Checks accurate documentation in patient’s chart and other ward records


Ensures privacy and confidentiality

Projects a professional image of OB ward midwifeAccepts criticisms and recommendations



Participates in audit practices in obstetrical ward

Discusses with the clinical instructor corrective and preventive measures for the identified deviations.

Shares relevant findings from journal readings/ internet, literature search.

Updates oneself with the latest trends and development in caring of patient with problems in perception and coordination

Documents accurately relevant data about client

Properly accomplish all ward forms (e.g. Laboratory request)

Ensures completeness of client’s records




Journal ReportsCase Study ReportsDrug Studies

request.

Uses appropriate information mechanism to facilitate communication

Identifies verbal and non verbal cues

XI. Collaboration and Teamwork

Establishes collaborative relationship with colleagues and other members of the health team




(medications, IV sheet, TPR sheet and nurses notes)


Utilizes appropriately all forms of communication; verbal, non verbal.

Inform client’s significant others on the progress of care

Listen attentively to clients and families queries and requests

Provide assurance through therapeutic touch, warmth and comforting words of encouragement.


Functions effectively as a team player in the care of clients in obstetrical wardCommunicates the progress of care to significant othersEstablishes collaborative relationship with members of the health team and family members


Effectiveness of communication through evaluation of outcome.Performance Evaluation Checklist


OB Ward Rotation Requirements:

Patient’s profile * Case Study Physical Assessment * Readings with Summary and Reaction

Quizzes and Clinical Performance Evaluation Laboratory Results with Justification * Attendance and Decorum Drug Study

Submitted by: Fe C. Galaura, RM.,RN. Clinical Instructor