grand case presentation guidelines

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GRAND CASE PRESENTATION GUIDELINESDocument Code:COH GUI ACA - 01

Issue/Revision:01/01

Effectivity date:01/01/2009

Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:

ENGR. ANALISACABACCAN

Level III and IV

Coordinator

Level I and II

Coordinator

OIC/Acting Dean, College of

Healthcare

Academic Head

I. Purpose of the policy:

COH aims to execute an organize Grand Case Presentation which will foster quality Teaching Learning output.

II. Detailed policy statement:

1. It is the Authors intent to provide the COH a comprehensive guidelines in planning

implementing, and evaluating its Grand Case Presentation Activity

2. Methodical study and wide-ranging presentation of concepts and principles in the nursing

care 0f Medical SurgicalPatient / client across the lifespan.

III. Applicability/Intention/Placement:

All Level II, III, and IV Students

To enable the student acquire knowledge, attitudes and skills in the nursing care of Medical-Surgical patient/client across the lifespan. Exercise CRITICAL THINKING supported byAnalysis, Theoretical and Concepts integration, Logic and Reasoning.

Performing students and enrolled

IV. Setting:

Amphitheater; Classroom

V. Cognizant office(s) /Getting help:

For interpretations, resolution of problems, and special situations concerning this guidelines you maycontact the following :

1. OIC/Acting Deans Office2. Level Coordinators

VI. Policy authority:

1. Joy Surtido2. Lui Gascon3. Jei Isip

VII. Related policies/Documents/ References for more information:

1. Grand Case presentation Evaluative Tool2. Timeline (To be created by the Grand Case presentation Chair)

Issuing date:08/13/09

Policy Title:

GRAND CASE PRESENTATION GUIDELINES


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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

3. Peer Evaluation Tool4. ADPCN Manual5. UP Nursing Manual6. CHED Nursing Curriculum Guidelines

VIII. Specific Guidelines Details:

Requirements Prior to Selection of Target Case

1. Continuous 3 6 days of duty to a selected client2. Case in line with NCM 102 Concepts

Resources

1. Full Time Faculty2. Clinical Instructors3. Audio Visual Aids

4. HQ Courseware5. Hospital Duty

Specific Objectives

Given a 3 day duty to a client in various set up (MS, CCES, PERIOPS, MCN, PSYCH) in actual

setting, the student will be able to:

1. Utilize the Nursing Process in the care of clients various set up (MS, CCES, PERIOPS, MCN,PSYCH), across the lifespan in any setting.

1.1 Assess with the client or next of kin his / her health status and risk factors affecting health.1.2 Determines the actual and potential nursing diagnoses1.3 Formulates with the client and or significant others an appropriate plan of care1.4 Implements the plan of care utilizing appropriate interventions for wellness and chronic

illness.1.5 Evaluates with the client and significant others the health progress / status and outcomes of

Care

2. Obtain complete Biographic data, Patient History, Patterns of function and Gordons ADL and

correlates data collected to present status of patient / client.3. Perform Learn, Analyze, Evaluate and Document Comprehensive Physical Assessment

comparing the norms from deviation to normal results.4. Analyze the significance of Diagnostic and Laboratory results by rationalizing and linking with

the actual patient condition.5. Learn Analyze, Evaluate and Document significance of Medications Treatments, Intravenous

Fluid and Blood Transfusion to patient / client case.6. Enhance Knowledge in Anatomy and Physiology based on clients case, body system


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

involvement.7. Gain Knowledge on Pathophysiology Pathway of the clients case.8. Become Knowledgeable and skilled at formulating Nursing Care Plans and Discharge Plan

following the standards on creating an NCP.

Given 1 hour and 30 minutes of formal presentation and Interactive Q & A of the case selected,the student/s will be able to:

1. Develop self esteem during presentation of assigned report; Public Speaking Skills2. Exercise Critical thinking in answering to critical questions.3. Become skilled in planning an activity.

4. Perform as a Team player during group working phase5. Build up camaraderie among group mates6. Be Trained on Time Management.7. Attain values such as patients, perseverance, inventiveness, accountability, honesty, and

diligence.

STANDARDIZED CASE PRESENTATION LAYOUT

I. Title PageII. Table of Contents

III. Introduction (include Reliability percentage)

IV. ObjectivesV. Biographic Data

a. Nameb. Addressc. Aged. Gendere. Religious Affiliationf. Occupationg. Marital Statush. Room & Bed Numberi. Chief Complaint

j. Provisional diagnosis / Operation to be performedk. Anesthesia to be used

l. Attending Physician / Surgeon and Anesthesiologist(Co-management or for consultation / evaluation)m. Hospital / Medical Center

VI. Nursing Historya. Past Health History

Childhood Illness

Immunizations


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

Allergies

Accidents

Hospitalizations

Medications used or currently taken

Foreign Travel (when , length of stay)b. History of present Illnessc. Family Historyd. Obstetric History (for OB cases only)e. Developmental History (for Pediatric cases only)

VII. Patterns of functioninga. Psychological Health

Coping patterns

Interaction patterns

Cognitive patterns

Self Concept

Emotional patterns

Sexuality Psychosexual theory

Family coping patterns

Psychosocial theory

Note : Each must have individual interpretation and analysis

b. Socio- cultural patterns Cultural patterns

Significant relationships

Recreation patterns

Environment

Economic


c. Spiritual patterns

Religious beliefs and practices

Values and Valuing


VIII. Gordons Pattern of Healthcare / Activities of daily living

Format:


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

ADLBeforeHospitalization

DuringHospitalization

Interpretation &Analysis

1. Nutrition2. Elimination3. Exercise4. Hygiene5. Substance Use6. Sleep & Rest7. Sexual Activity

IX. Physical Assessment

Format :Body Partsystem

Inspection

I.A. Palpation

I.A. Percussion

I.A. Auscultation

I.A.

GeneralAppearance

Norms:ActualFindings

Measurements

Legend: I.A. = Interpretation & Analysis

X. Diagnostic Studies

Format:

DATE PROCEDURE NORMS RESULT Interpretation& Analysis

XI. Laboratory Studies

Format:

DATE PROCEDURE NORMS RESULT Interpretation& Analysis


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

XII. Medications / Treatments given

Format:

GenericBrand/Name

Dosage/Frequency

Classification

Indication

Contraindication

SideEffects

NursingResponsibilities

XIII. Intravenous Fluids (Central Line & Peripheral Lines )/TPN/Blood TransfusionFormat:

IVF/BloodProduct/TPN

Running Rate(Timestarted-duetime)

Classification Indication Contraindication

SideEffects

NursingResponsibilitiesCare of IVlines etc.

XIV. Anatomy & PhysiologyXV. Pathophysiology (Narrative)XVI. Path physiology (Schematic Diagram)NOTE: Actual symptoms of patient must be color filled box (yellow), indicate legend;example yellow fill box are actual symptoms of patientXVII. Instrumentation (for O.R. Case Presentation)XVIII. Anesthesia Study (for O.R. Case Presentation)XIX. Skin Preparation / procedure ( for O.R. Case Presentation)XX. Draping (for O.R. Case Presentation)XXI. Position (for O.R. Case Presentation)XXII. Incision Site (for O.R. Case Presentation)XXIII. Prioritized List of Nursing Problems

Format:

Date Nursing ProblemsIdentified Cues Justification

3rd Priority2nd Priority1st Priority


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

XXIV. Nursing Care Plan

Format:ASSESSMEN

TDIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATIO

NS: NANDA

WELLNESSDx

S.M.A.R.T SHORT TERM

LONG TERM:

To includedependent andCollaborativeInterventions

UTILIZE:M-medicationsE-Exercise

T- TreatmentsH- Health,

Teachings/HygieneO-Out patitent

follow-upD- DietS- SexualActivity/Spirituality

S.M.A.R.T

XXV. Recommendations / Clinical PathwaysXXVI. Evaluation of Case Presentation (Refer to the Objectives)XXVII. AcknowledgementsXXIX. Bibliography, to include website if being utilized.

GRAND CASE PRESENTATION ADDITIONAL GUIDELINES

PURPOSE: The Grand Case Presentation shall be considered as the culminating bustle for the NCM101 and 104 subjects; henceforth this guideline was shaped to make certain that conveyance of theGrand Case Presentation will be structured and or systematic as possible.

I. Presenters are required to wear their complete clinical uniform, including their nursescaps and pins.


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

II. Presenters shall report 30 minutes before the call timeIII. Group leader shall ensure that hard copy (4 copies) of their report was submitted in the

Level Adviser on the expected date projected in their time line.IV. Over all Student Chairman shall ensure that Invitation and Reservation Letters,

Programs, Approval of Lay-outs (Tarpaulin, Invitation, Stage Lay-out, Certificates andUsher/Usherettes I.D.) were submitted on time. Follow-up / coordination are expectedfunction. The Student Chairman shall initiate directions and or instructions of the wholebatch as approved by the Level III Coordinator on the status of the activity.

V. Each Group shall have final consultation day with their respective coaches prior printingof final output.

VI. Presenters are expected to present their report in English and answers questions raised

by critics, audiences and panelists in English, each colloquial speech or vernacular wordwill mean deduction from the total group grade. Presenters must introduce self beforepresenting.

VII. Unanswered or incorrectly answered questions raised by the critic group, audiences andpanelists will automatically be considered as a point taken or a 2 point deduction fromthe 100 starting points.

VIII. Group leader shall acknowledge the deduction by saying the phrase point taken oncesaid; the principal panelist shall deduct 2 points from the score.

IX. Actual presentation of report should last for forty five (45) minutes and Interactive Q & Ahas thirty minutes (30) time allocation. Beyond the required hours for actual presentationof report would suggest deduction based from minute/s extended to the group startingpoints.

Example: Extended for 11 minutes100 pts 11 = 89

X. The Group Coach shall assume the role as the Emcee and Facilitator/Moderator durinhis/her group presentation period. The Group Coach shall screen questions coming fromthe audience.\

XI. Interactive Q & A particulars:

A. Maximum of 5 questions from the audience, 5 questions from the critic group and 1from the panelists.

B. Questions shall be raised according to the succession of presentation.Example:

If the question being posted is for Pathophysiology, critic should not post questions foPhysical Examinations; given that it was way behind, nor post a question for NCP sincit is not yet the topic of the discussion. The moderator will state Are there any

pending queries for pathophysiology? If none, lets proceed with

C. Recommendations/Suggestions from the Panelists and Critic will not be considereas a point taken the Group Leaders response should bRecommendations/Suggestions Noted, Thank you

D. Questions that are posted must be answered within 30 seconds and maximum of 60


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

seconds, for questions that requires computations and citation of book-based responsor evidences to shore up answer.

E. After the given time allowance the group must post a correct response, unable to dso means a point taken.

F. Presenters are expected to report and addressed the questions politely.Sportsmanship is required!

XII. Documentation Details

A. Correct report shall be submitted 1 week (7 working days including Saturday &Sunday) after the Grand Case Presentation.

B. Recommended Font: TAHOMA, Font size 12, Paper size A4, Placed onn a standard hole black binder.

C. Attached Soft Copy of Report (CDR)D. Include Standard Cover Page, Table of Contents (paging is important), Foreword an

Acknowledgements.E. Unable to submit the corrected report and documentation (Pictures, Evaluation, repor

etc. ) on the projected date will forward an Incomplete GRADE for all the Groumembers for the Finals.

XIII. Grading & Evaluating the Grand Case Presentation

A. The panelist shall accomplished the Grand Case Presentation Evaluative Toolanbe submitted to the principal panelist every end of each presentation for collation an

computation.B. The principal panelist shall average the grades given by the other panelists and wi

get its 50%, point taken score will be transmuted to percentage and will get its 50 %The sum of the 50 % of panelists grade and 50% of the point taken transmuted gradwill be the Group Case Presentation Grade.

Example :

Step 1:Panelist 1-80%Panelist 2-80%Panelist 3-80%Panelist 4-80%

____________Average=80%

X .50_____________

= 40

Step 2:Starting score -100


Policy Title:



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Page:

Authored by:

JEI ISIP, RN

Revised by:

LUI GASCON, RPh,RN

Reviewed by:

JOY SURTIDO, RN

Endorsed by:


Level III and IV

Coordinator

Level I and II

Coordinator


Healthcare

Academic Head

Actual Pts. TakenScore - 70

Transmute to % Actual pts. Taken score x 50 + 50Starting score

= 85x .50

____________42.5

Step 3:

50% of the panelists grade + 50% of the points taken grade is equals to GROUP CASEPRESENTATION GRADE

40 + 42.5 = 82.5 or 83


Policy Title:
