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Gerardo A. Nicolas, RN, RM, MANOur Lady of Fatima University – Valenzuela City
PLAN OF ACTIVITIES
First Week of DutyAfternoon Group
Monday7:00am – 10:00am - Students Orientation at Mauway Gym10:00am – 12:00pm - Break of afternoon group after orientation – resume duty at 12pm.12:00pm – 12:15pm - Courtesy call to the Nursing Supervisor, Head Nurse, Staff Nurses and
Nursing aides12:15pm – 3:15pm - Pre-conference
- Reiterate policies, rules and regulations of the hospital regarding affiliation and affiliates - Orientation on the physical set-up, policies, rules and regulations of the assigned Pavilion- Discuss the role of each staff members in the area
- Psychiatrist- Psychologist- Nurses- Nursing Aides- Social Workers
- Family / Significant others- Observation in the ward activities of the personnel with patients
- Discuss the responsibility of the nursing students in dealing with clients’ view and perceptions and remember the following techniques:
- focus on his/her safety and security- focus also on the safety, security and feelings of the client - accept client as he/she is- be honest and consistent- encourage clients to express more fully
- reflect, clarify and validate client’s statement - encourage hope and never with false assurance - acknowledge verbal and non-verbal behavior - do not provide a response that implies that the client is unworthy - never be defensive and avoid asking why - attempt to establish good relationship at all times - Discuss the Rights of the Patients
- Accurate diagnosis- Confidentiality- Quality care and holistic treatment- Appropriate care according to his/her cultural background and
religious belief
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- Dignity - Self-determination - Information - Freedom of Choice (if he/she competent) - Health Education - Refuse to participate in research and training - Protection against labor and exploitation - Leave the facility in coordination with his Attending Psychiatrist/Physician
- Discuss the routine procedures of the nursing students - Discuss mental health concepts, therapeutic nursing process, and some psychiatric disorder presented by the patient in the area3:15pm - 3:30pm - Nursing Student’s Break3:30pm – 4:30pm - Student’s introduction of self (autobiography)4:30pm – 5:00pm - Evaluation Conference
- Discuss the grading system, the requirements of the related learning experience, flow of the duty for the entire 2 weeks of stay in the area- Provide assignments to students for the whole rotation.
Tuesday12:00pm – 1:30pm - Pre-conference
- Self Awareness Activity- Chart Reading
- legal document- strict confidentiality- safeguard and care of the thick and loose chart- return after use
1:30pm – 3:30pm - Receiving of patient from the Staff Nurses and Nursing Aides for activity- Activity of Daily Living
- self care activities- encourage independence or with assistance- self esteem worth- improve function and health
- Hygiene and Grooming - Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the skin, care of the nail
- Nurse – Patient Interaction (Orientation Phase)- Introduce self- Set therapeutic contract- Trust and rapport- Therapeutic Environment- Assess client’s strength and weakness- Help and/or encourage to communicate- Observe the clients during therapeutic communication on general appearance, motor behavior, client’s verbal communication, disturbances of client’s perception, thought process, mood and affect,
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sensorium and intellectual process, judgment and insight, self-concept and roles and relationship - BREAK
- Returning/endorsing of patients to the Staff Nurses and Nursing Aides3:30am – 3:45pm - Nursing Student’s Break3:45am - 5:00pm - Post Conference
- Appreciation and evaluation of the activity- Discussion of Concepts Mapping/ Process Recording- Discussion among students the activity for tomorrow.
Wednesday12:00pm – 1:30pm - Pre-conference
- Discussion of what transpired last meeting- Preparation of materials for routine procedures for the day
1:30pm – 3:30pm - Nurse – Patient Interaction (Working Phase)- Promote positive self-concept- Realistic goal setting- Organize support system- Verbalize feelings (encourage)- Implement action plan- Develop positive coping behaviors- Evaluate the results of plan of action
- Receiving of clients from the staff nurses and nursing aides for activity- Activity of Daily Living- Hygiene and Grooming
- Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the skin, care of the nail
- Short Prayer- Introduction of the Nursing students and the patients- Calisthenics - Music Appreciation thru and Art Therapy - Song Therapy (at least one to two clients)- Bibliotherapy- BREAK
- Returning/endorsing of clients to the Staff nurses and Nursing Aides 3:30pm – 3:45pm - Nursing Student’s Break3:45pm - 5:00pm - Post Conference
- After care of the materials used- Appreciation and evaluation of the activity- Making of Process Recording- Discussion of related topics for the day (Pharmacology)- Examination/Quiz for the week- Discussion among students the activity for next week (Monday).
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Second Week of DutyAfternoon Group
Monday12:00pm – 1:30pm - Pre-conference
- Discussion of what transpired last meeting- Preparation of materials for routine procedures for the day
1:30pm – 3:30pm - Nurse – Patient Interaction (Working Phase)- Promote positive self-concept- Realistic goal setting- Organize support system- Verbalize feelings (encourage)- Implement action plan- Develop positive coping behaviors- Evaluate the results of plan of action
- Receiving of clients from the staff nurses and nursing aides for activity- Activity of Daily Living- Hygiene and Grooming
- Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the skin, care of the nail
- Short Prayer- Introduction of the Nursing students and the patients- Calisthenics - Recreational Therapy (Games with Music)- Song or Dance Therapy- Remotivation Therapy- BREAK
- Returning/endorsing of clients to the Staff nurses and Nursing Aides 3:30pm – 3:45pm - Nursing Student’s Break3:45pm - 5:00pm - Post Conference
- After care of the materials used- Appreciation and evaluation of the activity- Making Process Recording- Discussion of related topics for the day- Discussion among students the activity for tomorrow (Tuesday).
Tuesday12:00pm – 1:30pm - Pre-conference
- Discussion of what transpired last meeting- Preparation of materials for routine procedures for the day
1:30pm – 3:30pm - Nurse – Patient Interaction (Working Phase)- Promote positive self-concept- Realistic goal setting- Organize support system- Verbalize feelings (encourage)- Implement action plan- Develop positive coping behaviors
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- Evaluate the results of plan of action - Receiving of clients from the staff nurses and nursing aides for activity
- Activity of Daily Living- Hygiene and Grooming
- Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the skin, care of the nail
- Short Prayer- Introduction of the Nursing students and the patients- Calisthenics - Newspaper Reading/Discussion- Music Therapy - Occupational Therapy- BREAK
- Returning/endorsing of clients to the Staff nurses and Nursing Aides 3:30pm – 3:45pm - Nursing Student’s Break3:45pm - 5:00pm - Post Conference
- After care of the materials used- Appreciation and evaluation of the activity- Discussion of related topics for the day- Discussion among students the activity for tomorrow (Wednesday).
Wednesday12:00pm – 1:30pm - Pre-conference
- Discussion of what transpired last meeting- Preparation of materials for routine procedures for the day
1:30pm – 3:30pm - Nurse – Patient Interaction (Termination Phase)- Promote self care- Recognize increasing anxiety- Increase independence- Demonstrate emotional stability- Environmental support
- Receiving of clients from the staff nurses and nursing aides for activity- Activity of Daily Living- Hygiene and Grooming
- Emphasizes on hand washing, wound dressing, care of the hair, care of the mouth, care of the skin, care of the nail
- Short Prayer- Introduction of the Nursing students and the patients- Grand Socialization Activity
- Prepare parlor games /team or group games- BREAK- Opportunity by the nursing students’ to terminate nurse patient relationship leading the patients into no hopefuls and dependency
- Returning/endorsing of clients to the Staff nurses and Nursing Aides 3:30pm – 5:00pm - Post Conference
- After care of the materials used- Appreciation and evaluation of the activity
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- Completion of requirements for RLE psychiatric nursing exposure grades- Tour of nursing students to different Pavillion- End of duty exposure at National Center for Mental Health for the group.