Guided Learning Package BN3 (2) PDF

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Download Guided Learning Package BN3 (2) PDF

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TE TARI MATAURANGA HAUORA DEPARTMENT OF NURSING & HEALTH STUDIES

BACHELOR OF NURSING (BN3)

722.620 Nursing with an Inpatient Focus Guided Learning Tool Name:

Clinical Area:

2

THE GUIDED LEARNING TOOL

This is a GUIDED learning tool to be used in the Inpatient Setting. The tool is to be used in collaboration with a Registered Nurse preceptor, lecturer and clinical charge nurse during your clinical experience. This tool is to be used to demonstrate that you are progressing toward meeting the clinical competencies as a BN3 student.

You must work within the BN3 scope of practice under the direction of a Registered Nurse preceptor at all times.

Your experience is divided approximately into 3 phases: 1. ORIENTATION: Weeks 1-2. Becoming familiar with the clinical environment. 2. APPLICATION: Weeks 3-5. Care of allocated patient(s); demonstrating knowledge, rationale for care and critical analysis. 3. CONSOLIDATION: Weeks 6-7 Care of increasingly complex patient(s); demonstrating increasing knowledge, rationale for care and critical analysis.

Reflecting on your clinical experience will enable you to extend and integrate your nursing knowledge (including pathophysiology) and is an integral part of this guided learning tool. Individualized action plans will be implemented, in consultation with a clinical lecturer, if progress is not being made toward achieving clinical competencies.

The use of this tool is integral to meeting clinical competence.

3

INSTRUCTIONS FOR USE OF THIS TOOL This tool is to guide your clinical experience as a BN3 student over the time that you are in the clinical placement. Preceptors 

The student should actively involve you in the completion of this guided learning tool



Initial in the appropriate box

when you feel that the student has demonstrated to

you that they have mastered the activity. 

Mastery is not always the expectation but the student should be able to discuss their understanding of each activity.



If the student requires further practice in a particular area please discuss this with the student and identify what they could do to improve their practice.

Student 

Discuss each activity with your preceptor.



Discuss with them your experience and understanding of each activity. Mastery is not always the expectation



Initial the appropriate box

when you have discussed your achievement with your

preceptor. Individual Learning Outcomes Each week you are expected to identify specific learning outcomes and work toward the achievement of these. These need to be shown to your RN preceptor and lecturer each week. Some examples of learning outcomes are: By the end of this week I will: 

Demonstrate familiarity with the ward layout



Identify the location of the emergency trolley



Understand the preparation of a patient for a gastroscopy



Safely administer medication to my allocated patient.

Your learning outcomes should be written using the SMART formula:

S = Specific, M = Measurable, A = Achievable, R = Realistic, T =Time limited 4

ORIENTATION PHASE: Clinical Week One: Learning Outcomes:

Introduction to Inpatient Setting and People Identify the A. People

Charge Nurse Manager_____________________ Nurse Educator _____________________________ Clerk ____________________________________ Preceptor __________________________________ Preceptor __________________________________ Preceptor __________________________________ Preceptor

B. Physical Layout

Tour

C. Time Management

Planning work day with preceptor

D. Communication

Absenteeism ________________________________ Call system

Student

________________________________

Paanui ________________________________ Preceptor

Student

Unanticipated Situations Identify location of emergency equipment – CPR, fire Emergency procedures- earthquake, armed hold up, bomb threat, body fluids Access Security Website on Paanui Documentation Identify the location of a patient’s clinical notes Identify the location of a patient’s medication chart 5

Explain the documentation requirements to your preceptor or lecturer Preceptor Student

Ward Routine Report Meal breaks Handover Equipment location (Dinamap, thermometer, glucometer, Hoists, slide sheets etc)

Medication Observe medication administration Know where to look up:

Medication actions Side effects Normal dosage

Work with a designated preceptor, caring for a group of patients Let your preceptor know where in the BN you are currently studying (e.g. beginning second year) and share your learning objectives with them Work on the lists at the back of this book

6

Clinical Week Two Learning Outcomes:

Preceptor Student

Orientate to different shif Liaise with preceptor Preceptor selects patient to focus on Develop and use a workplan for your focused patient each day Establish relationship with patient Become familiar with reasons for patient admission Discuss rationale for patient care and management

Observe and assist with care of patient Interpreting patient information Clinical notes Recording sheets

Handover sheet

Medication charts

Log in to Concerto and Web éclair under direct R/N supervision

View blood/ any other relevant results of your focused patient

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Participate in medication administration according to Counties Manukau Health policy Work on the lists at the back of this book

APPLICATION PHASE: Clinical Week Three Learning Outcomes:

Preceptor Student

Show preceptor learning objectives Liaise with preceptor Preceptor selects patient Develop and use a work plan for your focused patient each day Establish relationship with patient Become familiar with reasons for patient admission Give rationale for patient care and management

Complete assessment of patient using data collection tools and using clinical assessment framework, and blood results Develop a nursing care plan for a selected patient- this must be submitted to lecturer. Observe and assist with care of patient Interpreting patient information -

Clinical notes Recording sheets Handover sheet Medication charts

8

Log in to Concerto and Web éclair under direct R/N supervision

View blood/ any other relevant results of your focused patient and discuss their relevance to your patient’s condition

Participate in medication administration according to Counties Manukau Health policy Work on the lists at the back of this book

APPLICATION PHASE: Clinical Week Four Learning Outcomes:

Preceptor Student

Select a focused patient in conjunction with your preceptor Develop and use a workplan for your focused patient each day Demonstrate application of human growth and development knowledge and related care of the patient During this phase ensure you care for a patient with the following: Fluid and electrolyte imbalance, view blood results Na, K, Ca, HCO3 Pre / Post procedure Respiratory condition Metabolic disorder e.g. diabetes, gout Infection/ Inflammation 9

Pain IV infusion Be proactively involved in medication administration Involved with wound management Access relevant Laboratory Results and interpret (Under R/N preceptor supervision) Critically analyse the effectiveness of the nursing care you have been providing Assessment and care plan completed for your patient APPLICATION PHASE: Clinical Week Five Learning Outcomes:

Preceptor Student

Select a focused patient in conjunction with your preceptor Develop and use a work plan for your focused patient each day Demonstrate application of human growth and development knowledge and related care of the patient During this phase ensure you care for a patient with the following – Fluid and electrolyte imbalance, view and analyse blood results Pre / Post procedure Respiratory condition Metabolic disorder e.g. diabetes, gout Infection/ Inflammation 10

Pain IV infusion Be proactively involved with medication administration Involved with wound management Access relevant Laboratory Results and interpret (Under R/N preceptor supervision) Critically analyse the effectiveness of the nursing care you have been providing Nursing care plan completed for your patient – as per part B of the care plan Assignment.

CONSOLIDATION PHASE: Clinical Week Six Learning Outcomes:

Preceptor

Student

Select a focused patient in conjunction with your preceptor Develop and use a work plan for your focused patient each day Demonstrate application of human growth and development knowledge and related care of the patient During this phase ensure you care for a patient with the following – Fluid and electrolyte imbalance, view and analyse blood results Pre / Post procedure Respiratory condition Metabolic disorder e.g. diabetes, gout 11

Infection/ Inflammation Pain IV infusion Be proactively involved with medication administration Involved with wound management Access relevant Laboratory Results and interpret (Under R/N preceptor supervision) Critically analyse the effectiveness of the nursing care you have been providing Nursing care plan completed for your patient –

CONSOLIDATION PHASE: Clinical Week Seven Learning Outcomes:

Preceptor

Student

Select a focused patient in conjunction with your preceptor Develop and use a work plan for your focused patient each day Demonstrate application of human growth and development knowledge and related care of the patient During this phase ensure you care for a patient with the following – Fluid and electrolyte imbalance, view and analyse blood results Pre / Post procedure 12

Respiratory condition Metabolic disorder e.g. diabetes, gout Infection/ Inflammation Pain IV infusion Be proactively involved with medication administration Involved with wound management Access relevant Laboratory Results and interpret (Under R/N preceptor supervision) Critically analyse the effectiveness of the nursing care you have been providing Nursing care plan completed for your patient –

13

Common Abbreviations used in the Inpatient Setting Complete the following table of common abbreviations during clinical weeks One and Two - add others relevant to your area

Abbreviation AF

Meaning Atrial fibrillation

Definition uncoordinated contraction of the atria, HR > 120bpm

APTT A/W BSL CHF CVL COPD d/c DN GI GIK Hb Hx IDC INR IVF IVA NBM NG 14

ORIF PAC PCA PE PVD R/V SOB SOBOE S/W

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Common Medications used in the Inpatient Setting Complete the following table of medications during clinical weeks one and two and add others relevant to your area

Medication

Action

Side Effects

Normal Dose

Other known names

Allopurinol

Amoxycillin

Aspirin

Atenolol

Beclomethasone

Benazipril

Carbamazepine

Clonazepam

Codeine

Colchicine

Diclofenac

Digoxin

Diltiazem 16

Domperidone

Enalapril

Felodipine

Flucloxacillin

Fluoxetine

Frusemide

Gaviscon

Glibenclamide

Glyceryl trinitrate Hydrocortisone

Isorbide dinitrate Ketoprofen

Labetolol

Lisinopril

Metformin

Methyldopa 17

Metoproplol

Metoclopramide

Misoprostol

Morphine

Naproxen

Nifedipine

Nystatin

Omperazole

Prazosin

Propanolol

Quinapril

Ranitidine

Salbutomol

Simvastatin

Sotalol 18

Thyroxine

Titralac

Verapamil

19

Common Terms in use in the Inpatient Setting Record any unfamiliar terms in this chart relevant to your area Term

Definition

Perioperative

20

Common Symbols in use in the Inpatient Setting Record any unfamiliar symbols in this chart relevant to your area Symbol

Definition

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Student Signature:_____________Preceptor Signature:____________

Lecturer Signature: _____________Date: __________________________ 21...