community experience. the community experience. the community experience. the community experience. Programs or changes to better serve the community Discussion includes more than four program changes to better serve the community. Discussion includes four program changes to better serve the community. Discussion includes two program changes to better serve the community. Did not discuss any program changes. APA format Follows the APA format with one or no APA violation, grammar and spelling errors. Follows the APA format with less than three APA violation, grammar and spelling errors. Follows the APA format with less than five APA violation, grammar and spelling errors. Did not follow the APA format. Overall Scoring 36 – 30 29 – 23 22 – 16 15 - 9 COMMENTS: STUDENT SIGNATURE: DATE: INSTRUCTOR SIGNATURE: DATE:
INDIVIDUALIZED CLIENT TEACHING RUBRIC Name: Date: Topic: Course: Criteria 4 (Exceeds Expectations) 3 Expectations) 2 (Approaching Expectations) 1 (Does Not Meet Expectations) Weight Comprehensive Assessment Clear and concise discussion of client’s admission diagnosis, demographic data, and anticipated learning needs Clear and comprehensive client assessment data to support a deficient knowledge nursing diagnosis. Vague and incomplete discussion of client’s admission diagnosis, demographic data, and anticipated learning needs. Vague and incomplete client assessment data to support deficient knowledge nursing diagnosis. Vague and incomplete discussion of client’s admission diagnosis, demographic data, and anticipated learning needs. No discussion of client’s admission diagnosis, demographic data and anticipated learning needs. No comprehensive client assessment data to support deficient knowledge. Client Learning Needs Assessment Clear and complete assessment of learner (client /family), teaching needs, and special learning needs, if present. Clear identification of client’s strengths and weaknesses relevant to learning needs. Incomplete assessment of learner (client and/or family), teaching needs, and special learning needs, if present. Incomplete identification of client’s strengths and weaknesses relevant to learning needs. Incomplete assessment of learner (client and/or family), teaching needs, and special learning needs, if present. . No assessment of learner (client and/or family), teaching needs, and special learning needs, if present. No discussion of client’s strengths and weaknesses relevant to learning needs Organization/ Evidence-based Information Open and closing remarks that capture client’s attention. and correct statement of 2 teaching objectives. Clear and organized presentation of evidence-based client teaching. Open or closing remarks displayed. Vague/incorrect teaching objectives. Vague/disorganized presentation of evidence-based client teaching Open or closing remarks displayed. Vague/incorrect teaching objectives No open or closing remarks displayed. No teaching objective stated. Poor or disorganized presentation of teaching from inappropriate sources.
Body Language Direct eye contact and appropriate gestures/movements during teaching. Relax, self-confident nature and no mistake during teaching. Minimal eye contact and little movement or descriptive gesture during teaching. Mild tension, lack of self-confidence and difficulty recovering from mistakes. Minimal eye contact and little movement or descriptive gesture during teaching. No eye contact and inappropriate gestures during teaching. Tension and nervousness obvious, trouble recovering from mistakes. Voice Use of clear speech and inflection, maintains the interest of the learner. Some level of inflection and clarity during delivery. Monotone voice with some inflection of delivery Monotone voice consistently. Teaching/ Learning Evaluation Clear/appropriate evaluation of client’s response and effectiveness/ineffectiveness of teaching. Reflective analysis of teaching including discussion of strengths and weaknesses. Vague/inappropriate evaluation of client’s response and effectiveness/ineffectiveness of teaching. Vague reflective analysis of teaching including discussion of strengths and weaknesses. Vague/inappropriate evaluation of client’s response and effectiveness/ineffectiveness of teaching. evaluation of client’s response and effectiveness/ineffectiveness of teaching. Vague reflective analysis of teaching including discussion of strengths and weaknesses. Absent reflective analysis of teaching. Overall /24 COMMENTS: STUDENT SIGNATURE: ____ DATE: INSTRUCTOR SIGNATURE: ___ DATE:
Clear and thorough response. than others. Organization distracts from content □Writing is careful and precise, shows student’s interest and involvement with the issue. □ Writing shows student’s interest and involvement with the issue. □ Writing occasionally interesting and persuasive, but presentation not consistent throughout □ Response explained so briefly that reader has to guess at what is meant. Writing is vague, generic, dull, and brief. □ Correct spelling and complete grammatical sentences. □ Consistent spelling and complete grammatical sentences. □ Poor spelling and grammar distracts the reader □ Problems with sentence structure and punctuation with effect on outcome □ Correct APA format. □ Minor errors in APA format. □ Inconsistent APA format. □ Major problems with format of paper and reference page Overall Score Range /24 Comments: Instructor Signature: ___ Date: _____________________________________
Criteria 4 (Exceeds Expectations) 3 (Meets Expectations) 2 (Approaching Expectations) 1 (Does Not Meet Expectations) Total Points 10. Medications Lists all MAR medications with relevant side effects and nursing considerations specific to patient and reasons why patient is receiving drug. Lists all MAR medications but does not include relevant side effects and nursing considerations specific to patient and why patient is receiving drug. Lists most of the MAR medications with relevant side effects and nursing considerations specific to patient and why patient is receiving drug. Lists some MAR medications but does not include relevant side effects and nursing considerations specific to patient. x2 11. General Organization Accurate APA format, Appropriate citations & references, No spelling or grammar errors 1-2 APA format errors, Some citations, references are appropriate, Minimal spelling or grammar errors Many APA format errors, Inappropriate citations or references, Many spelling or grammar errors No APA formatting, No citations or references included, many spelling or grammar errors TOTAL: 80-61 60-41 40-21 20-0 /80 COMMENTS: ___________________________ ___________________________ ___________________________________________________________________________________________________________________________ STUDENT SIGNATURE: ____ DATE: INSTRUCTOR SIGNATURE: ___ DATE:
Section B: Course Outline Week/ Date Course Objectives Content Outline Specific Course Activity Student Assignments 1 To have an overview of the course requirements, clinical expectations, and assignments. To have an overview of the hospitals set-up, policy and procedures, physical set-up, and student requirements. To describe perinatal care nursing roles. To identify and discuss specific legal issues and safety issues in the perinatal practice. To describe the care of mother and newborn during labor, and after delivery. Introduction Required first day orientation topics Clinical objectives and syllabus. Watch Stages of Labor video Watch breastfeeding video Watch Newborn assessment videos Simulation lab: fundal height measurements, Leopold’s maneuver fundal massage, vaginal examination Simulation lab: newborn assessment newborn gestational age assessment newborn care Client/family education on breastfeeding, pericare and circumcision care. Review references for Competency Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: -Prenatal Care Videos -Intrapartum Videos -Postpartum Videos -Newborn Videos (review the for the assigned area for each week) Moore, D. S., Kennett, J. R. (2007). Nursing Skills Checklist. Boston, MA: Pearson Custom Publishing. Ward, S. & Hisley,S. (2009) Nursing Care Optimizing Outcomes for Mothers, Children, and Families. Philadelphia, PA: F.A. Davis Chapters relevant to rotation schedule. 2 To observe and provide nursing care to hospitalized antepartum patients. To assess antepartum clients and identify deviations from normal. To examine the role of nursing in providing physical, psychosocial and spiritual support to women with compromised pregnancies. Antepartum testing clinic Prenatal visits and OB Triage/observation. Hospitalized antepartum clients for PTL, Preeclampsia, Eclampsia, PROM, etc. systems and needs. Provide teachings to clients experiencing complications of pregnancy. MED CARD for ** meds due in clinical Pick patient for Care Plan &collect data/ interview patient. References: Ward, S. & Hisley,S. (2009) Nursing Care Optimizing Outcomes for Mothers, Children, and Families. Philadelphia, PA: F.A. Davis Chapters relevant to rotation schedule.
2 (cont) To observe and provide nursing care to pregnant women during prenatal visits in a variety of settings. Recognize common complications in pregnancy. Document relevant information and pathophysiology related to client’s condition. Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills: -Prenatal Care Videos -Intrapartum Videos -Postpartum Videos -Newborn Videos (review the video for the assigned area for each week) EVOLVE website for study skills, case studies in maternity/obstetrical care, sample tests and remediation. Pearson Hall Real Nursing Skills Maternal-Newborn & Women’s Health Nursing Skills Prenatal Videos Other Student Resources Include: ATI Videos/DVD 3 To observe and provide nursing care for a client during labor and/or delivery. To observe, through various monitoring techniques, fetal response to labor. To observe and/or provide nursing care for the newborn in the immediate postnatal period. To analyze the nursing role in providing care for a client during labor and delivery. To examine interrelationships between behavioral and physical responses to labor. Care of client after admission, follow patient through L&D experience, recovery room and transfer to postpartum. Utilize the Labor & Delivery assessment sheet. Base-line data entries on data sheet at least every hour (depending upon hospital protocol) and as often as necessary as labor progresses Behavioral responses and descriptions: facial, verbal. Nursing Care Plan due References: Ward, S. & Hisley,S. (2009) Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, and Families. Philadelphia, PA: F.A. Davis Chapters relevant to rotation schedule. Other Student Resources Include: HESI Textbook ATI Videos
Physiological responses: vital signs, cervical dilatation, fetal heart tones and uterine contractions. Case Studies on line at EVOLVE.com 3 (cont) Recognize basic fetal heart rate patterns and distinguish between normal and abnormal findings. To compare and contrast the differences seen in various ethnic groups experiencing the birth process. Assess high-risk clients in the antepartum and intrapartum settings. To develop a nursing care plan for a woman of childbearing age Nursing care for client in labor for pain: supportive-verbalization of encouragement or comfort, back-rub, positioning, counter-pressure, bathing, touching or holding hand, medications, and assisting epidural and spinal anesthesia placement Assisting/performing procedures: fetal monitoring, perineal prep, catheterization, IV administration, internal monitor insertion, vaginal examination Care plan for client in Pearson Hall Real Nursing Skills & Health Nursing Skills: -Intrapartum Videos EVOLVE website for study skills, case studies in maternity/obstetrical care, sample tests and remediation. 4 To how to provide nursing care to women in the postpartum period. To perform standard assessments on postpartum women such as: complete physical, fundal, lochia, perineum, and breast assessments, assessments of perineal and abdominal incisions, and pain assessments. To assess interactions. Perform patient teaching and instruct in perineal hygiene, physiologic changes of postpartum, Routine post-partum care Post-partum care for clients with complications Client/family teachings: breastfeeding, infant care, and Physical assessment of post-partum clients Post-partum care of clients from various ethnic groups Nursing care during post-partum complications References: Ward, S. & Hisley,S. (2009) Maternal-Child Nursing Care Optimizing Outcomes for Mothers, Children, and Families. Philadelphia, PA: F.A. Davis Chapters relevant to rotation schedule. Pearson Hall Real Nursing Skills & Women’s Health Nursing Skills:
breastfeeding, post-op care, discharge instructions, infant care. Administer medications (supervised) -Postpartum Videos -Newborn Videos 4 (cont) To recognize signs and symptoms of deviations from normal. To assess psychosocial of women in postpartum period. To learn how to provide physical care to the normal newborn infant experiencing transitioning to extrauterine life. To observe and recognize normal variations in the newborn. To perform a physical assessment on a newborn. To recognize and utilize teaching opportunities for the parents of infants in the assigned nursery. To recognize signs and symptoms of deviations from normal. (If applicable). Students in selected will visit the neonatal intensive care nursery and assist with the care of a compromised neonate. Newborn care delivery Physical assessments on newborn infants in the nursery or post-partum area. Calculate dosage and give newborn medications. Assisting procedures such as circumcision, newborn screening test, hearing test, and septic Glucose monitoring for hypoglycemic and LGA newborns. Care of newborn on Bili light therapy. Community Experience Due Teaching Project due in Post-conference EVOLVE website for study skills, case studies in maternity/obstetrical care, sample tests and remediation. ATI Content Masters Series Other Student Resources Include: HESI Textbook ATI Videos Case Studies on line at EVOLVE.com 5 To orient to the pediatric clinical setting and documentation system To demonstrate age-appropriate approaches to the nursing assessments of infants, children, and adolescents with acute and Nursing care of acute and chronic pediatric patients Common problems of pediatric patients Pharmacotherapeutics and the pediatric patient Patient Teaching & Review medication/math calculations. Do practice math tests on Pbworks.com for N 216L
chronic health problems. Nutritional therapies in pediatrics Concepts of family centered care Review assessment skills (head to toe) on a pediatric patient. 5 (cont) To formulate nursing diagnoses of infants, children, and adolescents with acute and chronic health problems from case scenarios Hockenberry & Wilson, Textbook pp. 164-204. Review pediatric nursing skills on Evolve website: Resources for Hockenberry and Wilson: Pediatric Nursing Skills & Pediatric Drug Dosage Calculations Careplan due in 6 To identify what is safe nursing care to infants, children, and adolescents and their families; nursing care that is holistic and supportive of the goals of health promotion, health maintenance, and illness prevention. To apply the nursing process in conjunction with Gordon’s 11 Functional Health Patterns in the care of infants, children, and adolescents and their families. To identify expected outcomes and interventions for infants, children, and adolescents and their families. Nursing care of and chronic pediatric patients Common problems of pediatric inpatients Pharmacotherapeutics for pediatric patients related to age and weight or BSA Intravenous therapy and IV medications administration Importance of proper hydration and electrolyte balance in the pediatric patient Nutritional therapies to meet pediatric patient needs Review the pediatric variations of nursing interventions, Hockenberry & Wilson, Textbook pp. Review pediatric nursing skills on Evolve website: Resources for Hockenberry and Wilson: Pediatric Nursing Skills & Pediatric Drug Dosage Calculations
To implement nursing care of infants, children, and adolescents and their families in both in-patient and community care settings. 7 Participate with faculty, peers, and the nursing team in the evaluation of nursing care. Analyze therapeutic, nutrition, and drug regimens for appropriateness and effectiveness in infants, children, and adolescents/ Identify important aspects of community support for the nursing care of well and ill infants, children, and adolescents and their families. Evaluate resources in the community that will enhance maintenance of health and prevention of illness for infants, children, and adolescents and their families. Nursing care of acute and chronic pediatric patients Common problems of pediatric inpatients Pharmacotherapeutics for pediatric patients related to age and weight or BSA Intravenous therapy and IV medications administration Importance of proper hydration and electrolyte balance in the pediatric patient Nutritional therapies to meet pediatric patient needs Application of family centered care concepts Review the pediatric variations of nursing interventions, Hockenberry & Wilson, Textbook pp. Review pediatric nursing skills on Evolve website: Resources for Hockenberry and Wilson: Pediatric Nursing Skills & Pediatric Drug Dosage Calculations 8 Participate with faculty, peers, and the nursing team in the evaluation of nursing care. Analyze therapeutic, nutrition, and drug regimens for appropriateness and effectiveness in infants, children, and adolescents/ Identify important aspects of community support for the nursing Nursing care of acute and chronic pediatric patients Common problems of pediatric inpatients Pharmacotherapeutics for pediatric patients related to age and weight or BSA Intravenous therapy and IV medications administration Review the case studies and critical thinking exercises on the Hockenberry & Wilson CD Review pediatric nursing skills on Evolve website: Resources for Hockenberry and Wilson: Pediatric
care of well and ill infants, children, and adolescents and their families. Importance of proper hydration and electrolyte balance in the pediatric patient Nursing Skills & Pediatric Drug Dosage Calculations 8 (cont) Evaluate resources in the community that will enhance maintenance of health and prevention of illness for infants, children, and adolescents and their families. Nutritional therapies to meet pediatric patient needs Application of family centered care concepts 9 To introduce concepts and basic skills of neonatal resuscitation To introduce the concepts of team work in the process of neonatal stabilization To prioritorize the emergency assessment--the A-B-C’s--of a pediatric patient. To introduce concepts of fluid resuscitation for the dehydrated, hypovolemic pediatric patient To introdouce the concepts securing and maintaining an airway oral/nasal airways and ventilation. To identify the special situations that may complicate emergency pediatric care To discuss ethical issues pediatric end of life. Changes in physiology that occurs when a baby is born Assessment of the newborn to determine the extent of resuscitation needs Identify risk factors that can help predict which babies will require resuscitation Equipment and personnel needed to resuscitate a newborn Demonstrate competency in neonate and CPR Discuss differences in resuscitating newborn and a child Handouts on Neonatal Resuscitation and Pediatric emergency care. Complete the assigned neonatal case study