PN 152MAY 2013

Prepared by Mrs. Raab

Welcome to PN 152 ClinicalYou are in your final clinical experience here at Concorde.

Congratulations! This is an exciting term with different clinical experiences. You will have preceptorship for one half the term and the other half will be split with an instructor led leadership and a clinical enrichment time.

Please be sure you have emailed Mrs. Raab (craab@concorde.edu) with your Concorde email address and your phone number.

All the forms, information and paperwork you need before, during and at the completion of your clinicals can be found on Sharepoint. You will need to print some of on the first day.

If you have questions please ASK!Every student is required to view this Power Point.

OBJECTIVESTo provide standard information regarding

PN 152 clinicalTo provide specific information of each

component of PN 152To make information available to all students

and faculty via Sharepoint

PN 152PRECEPTORSHIP

VACLINICSHOSPICEREHABLONG TERM CARECORRECTIONS

CLINICAL LEADERSHIPTHE HAMPTON

CLINICAL ENRICHMENTSKILLS LAB

INSTRUCTORSVA - Audrey Lara

Office: 503-488-6141Cell: 503-724-7715

OTHER PRECEPTED SITES – Mrs. RaabCell: 503-847-6673

The Hampton for Clinical Leadership -Sherry MeuchelCell: 360-980-1451

Clinical Enrichment – Kimberly JordanCampus: 503-281-4181

Sharepoint DocumentsPlacement Addresses

Names and addresses of precepted and leadership site are provided

Dress code per Concorde policy Scrubs White or black closed leather shoes Appropriate grooming Name badges Follow piercing policy

Special instructions if required (ie: Coffee Creek)Things to bringArrival times

VA Medical Center

East Clinic 10535 NE Glisan St Gateway Medical Building Portland, OR 97220 CTA: TBD CLINIC HOURS 7:30 AM to 4:00 PM

VA Medical Center Hillsboro Clinic

1925 Amber Glen Parkway Suite #300 Hillsboro, OR 97006 CTA: Beauty Porotesano

CLINIC HOURS 7:30 AM to 4:00 PM

VA Medical Center

West Linn 1750 SW Blankenship Rd. West Linn, OR 97068 CTA: TBD

CLINIC HOURS 7:30 AM to 4:00 PM

OHSU/SURGICAL DERMATOLOGY David Schlichting, LPN

3303 SW Bond Ave Portland,OR 97239 503.494.6706 CTA: David Schlichting LPN ARRRIVE: 8:00 AM

Regency Gresham 5905 SE Powell Valley Rd. Gresham, OR 97080 CTA: Christopher Dodge LPN ARRIVE: 6:00 AM

Holgate Friendship Center 3320 SE Holgate Blvd Portland, Or 97202 503.872.1108 (Direct) CTA Jessica Sampson Nosen LPN Wound Care Nurse ARRIVE: 8:00 AM

Mother & Child Education Center 1515 NE 41st AVE Portland, OR 503.249.5801 CTA: Mindy Kramer LPN HOURS: TBD

Coffee Creek Correctional Facility 24499 Grahm’s Ferry Rd. Wilsonville, OR 97070 503-570-6710 ext. 617 CTA: Dave Brown RN BSN ARRIVE: 5:45 AM

Rose Villa Health Center 13505 River Road Milwaukie OR 503.654.3171 CTA: Tammy Edge LPN ARRIVE: 6:30AM

Cascade Park 801 SE Park Crest Ave E Vancouver, WA 98683 CTA:Richard Holquin, LPN on 200 Hall ARRIVE: 6:00AM

Hospice Care of the Northwest 1500 NE Irving St #200 Portland, OR 97232 (503) 595-2260 CTA: Linda Riccardi RN ARRIVE: 8:00AM

Marquis Mt. Tabor 6040 SE Belmont St Portland, OR 97215 (503) 231-7166 CTA: TBD ARRIVE: 6:00 AM

Peace Health St. John Medical Outpatient Psychiatric Unit 600 Broadway Longview, WA 98632 360-414-2236 CTA: Patricia McVey ARRIVE: 8:00AM

Kaiser IDC Clinic/ Interstate 3325 N Interstate Ave, Portland, OR 97227 Phone: 503-249-5536 opt 1 than opt 2 CTA Elaine Crittenden RN ARRIVE: 8:00AM

The Hampton 1617 SE Talton Vancouver, WA 98683 360-256-8513 ARRIVE: 6:30 AM

Sharepoint Documents ContinuedPreceptorship Instructions – Highlights

Call your instructor first thing when you get to your preceptor site everyday, prior to entering the building. (No call could mean being marked absent).

Attendance – You must attend every day (includes leadership and clinical

enrichment ). If you are 30 min. late, it counts as absent day. 4 tardies for any portion of PN 152 equals an absence. If you are absent, your time will be made up where it was

missed. More than 2 absences may result in withdrawal from the

program.Meet with your Clinical Teaching Associate (or alternate)

first thing daily.

If there are any preceptorship problems, call you instructor Mrs. Raab or Audrey immediately!

Sharepoint Documents ContinuedPreceptorship Instructions – Highlights

ContinuedPAPERWORK

Journals due weekly for all students each week (hand in to your respective instructor, preceptorship, leadership or clinical enrichment)

Letter of Agreement signed by student, CTA and instructor, due the first week of preceptorship

Clinical Log record hours daily and have CTA sign them

Evaluations due at midterm and end of term

Weekly Journal

Student __________________________________ Dates _______________________________

Preceptor/instructor _______________________ Clinical hours completed ________________

DESCRIPTION OF WEEK ACTIVITIES (home visits, teaching, dressing change, assessment, skills etc..)

REACTION TO YOUR EXPERIENCES (what are you learning, your feelings, your thoughts) FUTURE GOALS/PLAN FOR NEXT CLINICAL EXPERIENCE (areas for improvement, opportunity to practice, practice in the skills lab) DESCRIPTION OF WHAT YOU LEARNED

QUESTIONS FOR YOUR PRECEPTOR/INSTRUCTOR

Sharepoint Documents ContinuedWEEKLY JOURNALS

Must be completed each weekMust be turned to your preceptor, leadership

or clinical enrichment instructorMay be emailed (preferred)

CONCORDE CAREER COLLEGE

LETTER OF AGREEMENT

We the undersigned agree to enter this preceptorship of our own free will and to abide by the stated responsibilities of the clinical teaching associate, nurse educator, or student that are noted in the manual. ______________________________________________ _________________________ Clinical teaching associate signature Date Facility _________________________________ Unit _______________________ ______________________________________________ __________________________ Nurse educator signature Date ______________________________________________ _________________________ Student signature Date Copy to: Student Clinical teaching associate Nurse educator

CONCORDE CAREER COLLEGE

STUDENT CLINICAL LOG Students must submit their clinical hours to their nurse educator. At the completion of the precepted clinical experience, this signed document will become a permanent part of the student’s file. Student Name: ___________________________________________________________ Facility: ________________________________________________________________ Clinical Teaching Associate Name: _____________________________________________ Contact Phone Number: ____________________________________________________

Students who are absent must call the clinical teaching associate, facility AND the nurse educator at least one hour prior to the beginning of the shift. Late calls or failure to call may result in course failure as noted in the student catalog. Date Time Clinical teaching

associates initials prior to scheduled time: Validates agreement

Clinical teaching associate signature: Validates hours of precepted activity

Sharepoint Documents ContinuedEVALUATION DOCUMENTS

Student Evaluation of Precepted Clinical Experience Completed by the student

Preceptor Experience Evaluation Completed by the CTA

Term 5 College Evaluation Standard clinical evaluation Completed by CTA

ALL PAPER WORK IS DUE PRIOR TO THE LAST DAY OF MID-TERM AND END OF TERM

YOU WILL BE HAVING VISITS ON SITE FROM YOU INSTRUCTOR

CONCORDE CAREER COLLEGE

STUDENT EVALUATION OF PRECEPTED CLINICAL EXPERIENCE

1=strongly disagree/poor; 2=disagree/ less-than-expected; 3= neutral; 4=agree/good; 5=strongly agree/excellent

Student & Nurse Educator Names: __________________________________________________ Facility: _______________________________________________________ Dates in which this facility was utilized: From___________ to _______________ The PN program carefully evaluates the quality of clinical settings for nursing students. Please complete this form including comments that reflect the quality of the setting. 1. I was well received in the clinical setting.

1 2 3 4 5 ________________________________________________________________________ 2. The clinical teaching associate and staff at the clinical setting helpful.

1 2 3 4 5 ________________________________________________________________________ 3. Space provided for clinical conferencing was adequate.

1 2 3 4 5 ________________________________________________________________________ 4. Quality care was demonstrated.

1 2 3 4 5 ________________________________________________________________________ 5. The setting had adequate professional nurse role models.

1 2 3 4 5 ________________________________________________________________________ 6. The precepted experience enhanced my clinical skills.

1 2 3 4 5 ________________________________________________________________________ Additional comments/suggestions:

CONCORDE CAREER COLLEGE

CLINICAL TEACHING ASSOCIATE-GENERATED CLINICAL TEACHING ASSOCIATE EXPERIENCE EVALUATION

1=strongly disagree; 2=disagree; 3= neutral; 4=agree; 5=strongly agree

Student Name: ____________________________________________

Clinical Teaching Associate Name: _____________________________

Clinical Facility: ____________________________________________ 1. Overall, working as a clinical teaching associate had a positive effect on the delivery of nursing care.

1 2 3 4 5 ________________________________________________________________________ 2. My experience as a clinical teaching associate provided me an opportunity to enhance my leadership and clinical skills.

1 2 3 4 5 ________________________________________________________________________ 3. The clinical teaching associate experience was personally fulfilling to me.

1 2 3 4 5 ________________________________________________________________________ 4. The clinical teaching associate experience was professionally fulfilling to me.

1 2 3 4 5 ________________________________________________________________________ 5. The clinical teaching associate information handbook provided adequate information about the PN program and my role as a clinical teaching associate.

1 2 3 4 5 ________________________________________________________________________ 6. The functions and responsibilities that were identified for the PN nursing student were

appropriate.

1 2 3 4 5 ________________________________________________________________________ 7. The amount of time for the clinical experience was adequate to provide the PN nursing student

an opportunity to demonstrate increased understanding of the PN role.

1 2 3 4 5 ________________________________________________________________________ Additional comments or suggestions:

CONCORDE CAREER COLLEGE

STUDENT EVALUATION FORM TERM FIVE

Student Name: Clinical Teaching Associate Name: Facility: Review Period: Course Number:

Met Not Met

N/A Objective

Knowledge Based Criteria *Participates in facility orientation Performs according to facility policies and procedures Collects and applies data to clinical practice of the following clients: Maternal/Child Community Health Leadership Successfully completes medication calculation exercises *Utilizes principles of body mechanics, standard precautions, and

patient safety Implementation of Nursing Care

Performs basic nursing care to a minimum of ten assigned patients. Performs basic nursing skills including: promotes hygiene, support

activity and mobility, support nutrition, promotes comfort and sleep, assists with elimination, monitors fluid balance, assesses vital signs, pain management, physical assessment, applies basic sterile techniques, provides wound care, therapeutic use of heat and cold, and oxygen therapy

Demonstrates awareness of medication to include generic and trade names, classifications, dosages, indications for use, side effects, nursing implications and interventions, patient and family teaching

*Administers medications according to the six rights Organizes assignments to meet needs of patient Manages time and completes assignments including documentation in

designated time period Communication and Documentation

Uses medical terminology and abbreviations in verbal and written communication

Communicates patient status to instructor and/or designee prior to leaving the nursing unit for breaks and meals

Completes written narrative notes, including physical assessment, nursing interventions, treatments, patient response and teaching

Develops care plans Documents nursing care in patient’s record according to the facility’s

policy Uses multiple language fluency only to provide translation of health

care delivery concepts to patients and families

Sharepoint Documents ContinuedPRECEPTED CLINICAL EXPERIENCE REQUIREMENTS

Students should arrive prior to the start of your shift . Arrive early the first day to allow time to find your location.

At no time will a student be allowed to leave a clinical site early unless there is an emergency or the student becomes ill during the clinical day. Contact your instructor prior to leaving clinical !

Students are not allowed to attend clinical if they are ill

Report an absence at least 1 hour before the start of the clinical shift to your instructor and site.

Sign and turn in form.

Sharepoint Documents ContinuedClinical Teaching Associate Information

PRECEPTOR FRAMEWORK FOR CLINICAL LEARNING This is information for the Clinical Teaching

Associate (CTA –preceptor). Please read this as it outlines roles and

responsibilitiesCLINICAL TEACHING ASSOCIATE

HANDBOOK Completed by your CTA and given to Mrs. Raab

Sharepoint Documents ContinuedFinal Preceptorship Schedule

Final Leadership/Clinical Enrichment Schedule

Clinical Enrichment Folder – no documents at this time

Leadership FolderArticle on Charge Nurse and A Question Sheet on the ArticleAssignment grid for The HamptonGuidelines for The Hampton

If there are any leadership or clinical enrichment problems, call you instructor or Audrey immediately!

SummaryPaperwork to print and complete1. Letter of Clinical Agreement2. Clinical Time Log3. Weekly Journal4. Evaluations

A: Student Evaluation of Precepted Experience B: Preceptor Evaluation of Precepted Experience

PN 152 Clinical PowerPoint Student Acknowledgement

I acknowledge I have viewed the PN 152 clinical power point presentation for May 2013 that was prepared by Mrs. Raab. If I have any questions regarding the information provided I will get clarification in person, by phone or email from the appropriate instructor, Mrs. Raab or Audrey Lara.

Student Name (printed)_______________________ Student Signature____________________________ Date ______________________________________

HAVE FUN !