Clinical Orientation

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Clinical Orientation
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Your learning is your responsibility. We are here
to facilitate that learning. We are resource
persons. Feel free to ask any questions. We may
chose to answer your question directly or may
direct you to an appropriate source to learn the
answer for yourself.
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Paperwork

• Mini-care plan with Patho/Teaching map
• Maxi-Care plan
• Clinical Logs (2)
• Change of Shift Report
• Paper

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Data Sheet
Data Base
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Nursing Care Plans

• They are DUE within one week of caring for the
  patient
• Turn in completed Data Base with NCP

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Teaching/PATHO/ MAP Teresa L. Monney April 14,
2005 PATHO I wanted to discuss with you this
morning the respiratory problem that your little
girl has developed. She has tested positive for
an infection called a respiratory syncytial
virus. This particular virus occurs almost
exclusively in infants and young children and is
highest among infants from 1 to 6 months. It is
the leading cause of lower respiratory infections
which includes both pneumonia and bronchiolitis,
which the doctors have also diagnosed in your
daughter.. (Ignativicius, 2002 Patient
chart). S/S The signs and symptoms generally
vary in severity. The child can have nasal
congestion, coughing, wheezing, crankiness, sore
throat, earache, shortness of breath, and
fever.. (Ignativicius, 2002).
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TREATMENTS The aim of treatment is to fully
support respiratory function, maintain fluid
balance, and relieve the symptoms.. (Deglin,
2003 Patient chart). PREVENTION Your little
girl is doing very well. (Ignativicius, 2002
Patient chart). References Deglin,J.H.
Vallerand, A
NOTE This is an example and general format to
be used. You may use REHABILIATION PLAN
instead of PREVENTION. Or you may need to add
LABS or TESTS that the patient may undergo.
It needs to in teaching format and personal to
that patient. Keep it to one page, single spaced
and there needs to be references.
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Night Before Clinical

• 1. Select one (1) patient
• 2. Complete
• -Front side of Database,
• -Mini-Care Plan,
• -and Patho/Teaching paper

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• PYXIS 1 2 3 4
• Sign-in to computer
• Help Desk SWMC
• 2054

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Clinical Day

• Turn in papers in preconference
• Select a 2nd patient from you RNs assigned
  patients.

Posting Assignments at SWMC
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Bring to Clinical

• Bring Drug/IV book or PDA
• Med-Surg handbook or PDA
• Clinical Passport (to be signed at first
  pre-conference)

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• Change of Shift Report

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Clinical Logs

• . One must be turned in before your 4th week of
  clinical and the other before your 5th week of
  clinical
• 1. Relate a situation, while you were team
  leading, which demonstrates good teamwork with
  another staff member(s). (Possible 15 points)
• 2. Describe an interaction in which you had to
  use negotiation and/or conflict resolution
  techniques. (Possible 15 points)
• 3. Discuss the channels and methods of
  communication that you utilized to share
  appropriate information about your patients care
  and/or progress. Discuss an example of
  inappropriate communication and how it affected
  the team. (Possible 20 points)

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Paper

• Due in class after 4th clinical week
• 4 Parts
• Patho/teaching map single spaced one page
• Pathomap 8-10 (Max 12) pages double spaced
• Maxi Care Plan
• Self evaluation of patient care

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Use/dosage/dilution/Rate of administration Dilaudi
d Digoxin Lasix Morphine Sulfate Methylprednisolon
e Pepcid Toradol Vasotec Reglan Zofran
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Clinical

• OVERVIEW
• ATTENDANCE
• DRESS CODE AND GROOMING
• ASSIGNMENTS
• WORKING ON THE UNIT
• COMMUNICATION
• CONFERENCES
• EVALUATIONS

One Nurse One Student
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Clinical

• MEDICATIONS

Know Your Medications!!
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Infection Control
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Team Leading
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• Checking in Nurses box
• Working with Discharge Coordinator
• Calling
• Going in with MD
• Asking for help
• Taking breaks and lunch
• Not at 1330

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Progression in patient management

• Week One 2 patients
• Week Two Day one 2 patients
• Day two 3 patients
• Week Three Day one 3 patients
• Day two 4 patients
• Week Four and Five 4 Patients

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?? Questions ??

• Mini-care plan with Patho/Teaching map
• Maxi-Care plan
• Clinical Logs
• Change of Shift Report
• Paper
• Clinical