ctp intrapartal

7/30/2019 CTP INTRAPARTAL

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Northwestern University

COLLEGE OF ALLIED HEALTH SCIENCES

Department of Nursing

Laoag City

CLINICAL TEACHING PLAN

Description of Learners:

The students are in their second year in nursing. They are in their early adulthood whose ages ranges from 17- 35 and consist of 10- 12 persons in each

group. Majority of them come from middle- income families living in urban, periurban and rural communities. Some are married but most of them are single. All of

them have the desire to practice their chosen profession after graduation and likewise dream to work abroad and be competent nurses someday. All of them are full

time students with heavy subjects load, having classroom lectures parallel to their clinical work.

They have been exposed to hospital clinical areas and community. Likewise, they were oriented to the physical set- up and policies of the hospitals they are

affiliated with.

Focus of Clinical Experience:

Care of pregnant mothers in their intrapartal state.

Setting:

Clinical experience takes place on a hospital setting at Piddig District Hospital , Ilocos Norte.

The town is situated in the easternpart of Laoag City passing through the Municipality of Sarrat. Most of the population is engaged in farming since the

barangay have vast agricultural land.

Briefing/ Orientation:

1. Explain objectives, requirements, and activities to students.2. Orient to physical set- up of the hospital

3. Introduction and establishing a good and trusting working relationship with the hospital staff.


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4. Give patient assignment.

5. Explain the method of evaluating the students.

6. Explain the procedure of makeup duty.

Debriefing/ evaluation:1. Sharing of learning experiences, difficulties, and suggestions to improve the experience.

2. Evaluation of Clinical Instructor.

3. Written output.

4. Post- conference.


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OBJECTIVES RELATED ACTIVITIES EVALUATION

Teacher Student

A. Assessment

Given an actual patient in the

obstetrical ward, the student will beable to gather pertinent and necessaryinformation of patient in intra-partal

state which will serve as a baselinedata in identifying health problems of

the patient:1. Assess the intra-partal status of

client through:1.1 therapeutic NPI to establish

rapport1.2 interview patient and

significant others to obtain

history and the experience oflabor and delivery.

1.3 thorough physical assessment

to determine the general healthstatus of the patient

1.4 vital signs taking to have abaseline data of patient

including FHT1.5 documenting analysis to

validate obtained informationfrom patient

1.6 Determining factors that affectthe intra-partal state

1.7 Identifying health problems of

patient related to intra-partal

Assign each student to mothers under

labor process and instruct them tointerview the mothers experience

regarding labor and delivery.

Give a brief review and point of view

of assessing mothers in intra-partalstage

Direct observation

Guides students in the assessmentprocess

One on one discussion with the student

Build rapport, interview the

mother as well as physicalassessment.

Provide nursing care and

basic health teachings.

Accomplished interview guide and physical

assessment tool to be evaluated.

Individual requirements to be composed of the

following:

- OB history- One NCP of the most important health

complaint of patient.

- able to distinguish the phases of labor anddelivery

- will accomplish report on the proper

monitoring of the mother and baby on the labor

process


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RELATED ACTIVITIES EVALUATION

Teacher Student

B. Planning

The student will be able to plan aspecific care for pregnant mother in

their intra-partal stage.

b.1 Defining nursing diagnosisb.2 Identifying priorities of carebased on listed health problems or

needsb.3 Making a plan that is specific,

measurable, attainable, realistic,and time bounded

b.4 Formulating nursing objectivesthat are appropriate to the

identified problemsb.5 Integrating the promotive and

preventive aspects in the care plan

Check, discuss and process withstudents their nursing care plans.

Discuss with students the degree ofachieving the objectives being set.

Submit and discuss writtenplan of care with C.I.

Discuss with Instructor the

effectiveness of carerendered to patients.

Rating scale for clinical experience

C. ImplementationThe student will be able to apply

learned skill, knowledge, and attitudein caring pregnant mothers in inta-

partal stage by:1. Rendering intra-partal care

(labor and delivery) to patientinclusive independent and

dependent measures

Direct observation and hand on skill onlabor monitoring and progress

Apply the pre- plannednursing care plan


D. EvaluationThe student verifies the result of

the nursing care rendered by:

1. Re- assessing prenatal status ofpatient and referring it with the

Individual conference and guides

student in evaluating the effectiveness

of care

Discuss and review the care

implemented and patients

condition after provision ofnursing care



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RELATED ACTIVITIES

TEACHER STUDENT

Planned objectives

2. modifying nursing care plan tosuit the need of the patient.

E. Personal AssetsThe students demonstrate a caring

attitude that reflects a professionalnursing student.

Direct observationRole modeling

Conducts self n aprofessional manner


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TIME ALLOTMENT MONDAY TUESDAY WEDNESDAY

7:00 7:45

7:45 8:30

8:30 - 9:30

9:30 11:00

11:00 11:30

Arrival to duty areaCourtesy call to the nursing service andemployees.

Pre- conference- orientation on the hospital set-up and

procedures as well as the staff.

- Giving of requirements for the wholerotation (NPI, OB history, NCP)

- Grading system and reiterating the guidelinesregarding make up duty.

- Census taking and assigning students to theirrespective patients.

- Doctors rounds

- Provision of nursing care/ health education- OB history taking

- Initial vital signs of the mother, getting theFHT.

- Physical Assessment- Morning care- Chart Reading- Giving of Medications except IV

- V/S taking including FHT and plotting atTPR sheet

- Beside care, monitoring labor process- Sample charting and checking

- LUNCH TIME

Arrival to duty area

Pre- conference

- Assigning students to their respectivepatients

- Provision of nursing care/ healtheducation

- OB history taking- Initial vital signs of the mother, getting

the FHT.- Physical Assessment- Morning care- Chart Reading- Giving of Medications except IV

- V/S taking including FHT and plotting atTPR sheet


- LUNCH TIME


Pre- conference

- Assigning students to their respectivepatients

- Provision of nursing care/ healtheducation

- OB history taking- Initial vital signs of the mother, getting

the FHT.- Physical Assessment- Morning care- Chart Reading- Giving of Medications except IV

- V/S taking including FHT and plottingat TPR sheet


- LUNCH TIME


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11:30 12:00

- Post-conference- Endorsement for proper labor monitoring

- Departure

- Post-conference- Endorsement for proper labor monitoring

- Departure

- Post-conference- Endorsement for proper labor

monitoring- Departure


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OBJECTIVES RELATED ACTIVITIES EVALUATION

Teacher Student

A. Assessment

Given an actual patient in thebarangay assigned, the student will

be able to gather pertinent and

necessary information of growthand development patient, frominfant to old-age, which will serve

as a baseline data in identifyinghealth problems of the patient:

1. Assess the growth anddevelopment status of client

through:1.1 therapeutic NPI to

establish rapport/trust.1.2 Interview and deal with

patient and significant

others to obtain informationregarding extent of immunization (EPI), and to

obtain cognitive andemotional status using the

MMDST assessment tool.1.3 thorough physical

assessment gettinganthropometric data to

determine the general healthstatus of the patient

1.4 vital signs taking to have a

baseline data of patient1.5 documenting analysis to

validate obtained

Assign each student to growth anddevelopment patients such as

infants, toddlers, pre-schoolers,grade-schoolers, adolescents, young

adults and late adults.

Give a brief review and point ofview of assessing infants, toddlers,

pre-schoolers, grade-schoolers,adolescents, young adults and late

adults.

Direct observation

Guides students in the assessment

process

One on one discussion with thestudent

Build rapport, interviewto obtain developmental

data.

Do head-to-toe physicalassessment and obtain

anthropometric data.

Use the MMDST asbasis in growth and

development

assessment.

Accomplished interview guide and physical assessment

tool to be evaluated.

Individual requirements to be composed of the

following:- MMDST tool

- physical assessment and anthropometric data

- One NCP of the most important health problemor wellness problem of the patient.


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information from patient1.6 Determining factors that

affect the cognitive,emotional and behavioral

state1.7 Identifying health problems

of patient related to growth anddevelopment such as nutrition

and injuries.

Make NCP based on thesubjective and objective

data gathered during theassessment.

Provide nursing care

and basic healthteachings.

B. Planning

The student will be able to plana specific care for patients in

their specific developmentalstage.

b.1 Defining nursing diagnosisb.2 Identifying priorities of care

based on listed health problemsor needs

b.3 Making a plan that isspecific, measurable, attainable,

realistic, and time boundedb.4 Formulating nursing

objectives that are appropriateto the identified problems

b.5 Integrating the promotiveand preventive aspects in the

care plan

Check, discuss and process with

students their nursing care plans.

Discuss with students the degree ofachieving the objectives being set.

Submit and discuss

written plan of care withC.I.

Demonstrate courtesy

and professionalism inthe community area

while taking care oftheir patients and

dealing with thecommunity people.

Discuss with Instructor

the effectiveness of carerendered to patients.


C. Implementation

The student will be able to

apply learned skill, knowledge, andattitude in caring for infants,toddlers, preschoolers, schoolers, Direct observation Apply the pre- planned Rating scale for clinical experience


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adolescents, early adults, middleadults and late adults by:

1. Rendering care to patientinclusive independent and

dependent measures

nursing care plan

RELATED ACTIVITIESTEACHER STUDENTS

D. EvaluationThe student verifies the result of

the nursing care rendered by:1. Re- assessing developmental

status of patient and referring itwith the written objectives that

were being set.2. Modifying nursing care plan

to suit the needs of the patient.

Individual conference and guides

student in evaluating theeffectiveness of care

Discuss and review the

care implemented andpatients condition after

provision of nursingcare


E. Personal Assets

The students demonstrate a caringattitude that reflects a professionalnursing student.

Direct observation

Role modeling

Conducts self in a

respectful andprofessional manner


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TIME ALLOTMENT MONDAY/THURSDAY TUESDAY/FRIDAY WEDNESDAY/SATURDAY

7:00 7:45

7:45 8:30

8:30 10:30

10:30 11:30


Courtesy call to the Barangay Officials and BarangayHealth Workers

Pre- conference- Giving of requirements for the whole rotation- Assigning students to their respective patients- Discussion of assessment and interview guide

- HOME VISITS to infants, toddlers, preschoolers,schoolers, adolescents, and adults

- Rendering nursing care (NPI, Physical Assessment,Anthropometric data, Vital signs)

- Provision of nursing care/ health education

Writing the data gathered such as:

- Personal data, EPI, Nutrition and prevention ofinjuries.

- Anthropometric data- Physical assessment

- Nursing care plan

Checking the said data by the Clinical Instructor


Pre- conference- Assigning students to their respective

patients

- Home visits to patients assigned- Rendering nursing care- Implementing the NCP based on the

assessment made previously

Individual conference regarding the NCP

rendered


Pre- conference- Assigning students to their respective

patients

- Home visits to patients assigned- Evaluating the effectiveness of the

care rendered previously- Modifies care plan based on

evaluation result

Completion of the requirement


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11:30 12:00 Post- conference

Returning back of the requirement for editingDeparture

Post- conference

Departure

Post- conference

Departure

ctp intrapartal

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