the bucket list: making the most of clinical learning opportunities
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The Bucket List: Making the Most of Clinical Learning Opportunities. Carin Adams RN MSN CPN. Clinical Placements. Traditional clinical experiences Acute care hospital Long term acute care facilities/ nursing homes P lacement barriers availability (128 hours and no where to go) - PowerPoint PPT PresentationTRANSCRIPT
The Bucket List: Making the Most of Clinical Learning Opportunities
Carin Adams RN MSN CPN
Clinical PlacementsTraditional clinical experiences
Acute care hospitalLong term acute care facilities/ nursing homes
Placement barriers availability (128 hours and no where to go)
Faculty to student ratio
Experiential Learning A philosophy developed by David A.
Kolb Educators purposefully engage with
learners in direct experience and focused reflection in order to increase knowledge, develop skills, clarify values, and develop people's capacity to contribute to their communities.
Experiential Learning The learner must be willing to be actively
involved in the experience The learner must be able to reflect on the
experience The learner must use analytical skills to
conceptualize the experience The learner must possess decision making
and problem solving skills in order to use the new ideas gained from the experience.
Experiential Learning
Experiential LearningSimulation
Clinical simulations in nursing can be used to immerse the student in the hospital environment and the role of the bedside nurse.
Simulation allows students to experience the application of theory in a safe environment where mistakes can be made without risk to the patient (Billings and Halstead 2012)
Experiential LearningSimulation Evaluation of simulation experience Debriefing
- The role of faculty is to support participants in reflection.
What do you think about your performance? What would you have done differently? How did that make you feel?
http://www2.sunysuffolk.edu/winstah/SIM/Debriefing.pdf
Experiential LearningSimulation Clinical Reasoning Scenarios Electronic Documentation Med pass simulation Virtual simulation – second life
Problem based learning Students were
given a disease process
Researched the pathology, signs and symptoms
Created a patient for the whole group to assess
Service Learning
develops values, cultural competence, social responsibility
Private schools Child assessment:
height, weight, growth chart Vital signs – BP norms Hearing and Vision Scoliosis Acanthosis nigricans
Student pre-work reading assignments
Service LearningDevelopmental Clinic
Student experience role of pediatric nurse Environment of safety
HIPPA/FERPA Patient identification
Anticipatory guidance Medication safety- Coloring books www.poisoncontrol.org
Evaluation Direct observation
Vision and Hearing Certification
Students certified to perform state required
hearing and vision screens for school age
children in the state of Texas.
Certification good for 5 years
Purchased 2 audiometers http://www.dshs.state.tx.us/vhs/default.shtm
School Nurse Experience Collaboration between four ISD’s Nurse Health Service Coordinators and
faculty created student nurse preceptor program Students mentored by the same nurse
for 3 (8 hour) “shifts” Students can assist nurse with vision
and hearing screenings.
Preceptors Clinical preceptors may be used to
enhance clinical learning experiences within a course after a student has received clinical and didactic instruction in the basic areas of nursing for that course or specific learning experience.
http://www.bon.texas.gov/nursingeducation/faq_clinical.html
School Nurse Experience Students pre-clinical assignment – Role of the school nurse Selected chapters from School Nursing: A
Comprehensive Text [Janice Selekman] ISBN-10: 0803622090
Evaluation: report from precepting nurseTimelinessPhone calls
Reflective summary excepts
School Nurse Experience
Preceptor incentives http://
www.collegeforalltexans.com/apps/financialaid/tofa2.cfm?ID=546
BON regulations regarding preceptors http://
info.sos.state.tx.us/pls/pub/readtac$ext.ViewTAC?tac_view=4&ti=22&pt=11&ch=215&rl=Y
Anticipatory Guidance Students use skills that reflect college core
Writing and public speaking Nursing objectives - recognizing and using
evidenced based practice (EBP). Role- Pediatric nurse: teaching of children and
families. http://www.safekids.org/ Delivery- Health fairs, PTA’s Evaluation- group rubric Was information Evidenced Based
Immersion learning
Kinderfrogs Child study center
ABA therapy Evaluation – reflective summary
Your turn Please take a few minutes to discuss
experiential learning in your clinical environments.
Please write down your experiences.
Opportunity for sharing Now share your bucket list! Please write
down your name & email address on your piece of paper and drop it in our buckets. I will go through and compile a list of your ideas and distribute to all of us via email.
Thank you for your time and attention and enjoy the rest of your conference.