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

- 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,

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).

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

- 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

- 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.