rle 106 req

7/31/2019 RLE 106 REQ

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BROKENSHIRE COLLEGE SOCSKSARGEN INCORPORATEDCed Avenue, National Highway, General Santos City

COLLEGE OF NURSING

RLE – 106 REQUIREMENTS AY 2012-2013

DUTY PERIOD: Wednesdays- Fridays ; 8 hours shift

AFFILIATING AGENCIES: Mindanao Medical Center, St.Elizabeth Hospital and Gen. Santos

City Hosp., labella Hosp

WARD CLASS: Every Fridays of duty week at 8am

INDIVIDUAL:

1. AT LEAST TWO(2) CASE STUDIES FOR THREE ROTATIONs

GROUP:

1. Group Case presentation(2 cases- choose from among

individual case studies for defense),at least two CPs for

three rotations

2. Computerized written output of the selected case.

3. Special RLE Procedures Group reporting(the two main

groupings will be sub divided into 3 sub groups)

Group outputs must be submitted in a long sized bond

paper( computerized)

1. INFLAMMATORY GROUP – RED(VALIN)

2. HYPERSENSITIVITY GROUP – GREEN(PUNAY)

NOTE: tasks both individual and group may change anytimedepending on circumstances.

Batch output must be in hard bound manuscript.

FORMAT & CONTENT OF CASE STUDY:

The following format and expected contents shall be thestandard to be followed by individual as well as group

requirements.

I. HEALTH HISTORY: Subjective data of the client.

A. Biographical Data

Name: Patient Dom

Adress: Dole Cannery Polomolok, South Cot.

Home phone:(OPTIONAL)

Work phone: (OPTIONAL)

Sex:

Age:

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Birth date:

Place of Birth:

Nationality:

Marital status:

Dependents:

Religion:

Education:Occupation:

Health insurance:

Diagnosis:

B. Reason for seeking healthcare:

SAMPLE: “ Ive’ been feeling tired lately, for about a

month now, so I wanted a health exam to make sure

nothing is wrong”.

C. Current health status

SAMPLE: Says she’s been feeling tired for about amonth. Denies any other symptoms. Denies loss of

appetite or blood loss or anemia. States that she has

been busier at work than usual and hasn’t had enough

time to spend with her children because she’s going

to night school for her masters degree. Thinks

fatigue maybe related to a busy schedule rather than

a physical problem last had a complete physical

including papsmear 4 years ago.

D. Past Health History:

Childhood illnesses:

Hospitalizations and surgeries:

Serious injuries:

Chronic illnesses if any:

Immunizations:

Allergies:

Medications:

Travel: Recent

E. Family History: documented by listing family members

and health status:

Patient: alive and well

Spouse: age 50,separated,alcoholism

Daughter/s: age 14, alive and well

Son/s: age 12, alive and well

Brother/s:

Sister/s:

Father:

Mother:

Paternal grandmother:

Paternal grandfather:

Maternal grandfather:

Maternal grandmother:

F. Review of Systems:(PAST HISTORY)

General health survey: Complains of fatigue. Had two

headcolds in the past year. No other illnesses. Good

exercise tolerance.

Skin,hair and nails:

Head and neck:

Nose and sinuses:

Mouth and Throat:

Eyes:

Ears:

Respiratory:Cardiovascular:

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Breast:

Gastrointestinal:

Genitourinary:

Reproductive:

Neurological:

Musculoskeletal:

Immune/ Hematologic:Endocrine:

G. Psychosocial Profile:

Health Practices and Beliefs:

Typical Day:

Nutritional Patterns:

Activity and Exercise Pattern:

Recreation, Pets and Hobbies:

Sleep/ rest Patterns:

Personal Habits:

Occupational Health Patterns:Socioeconomic Status:

Environmental Health Patterns:

Roles/Relationship/Self Concept:

Cultural Influences:

Religious/ Spiritual influences:

Family Role and relationship:

Sexuality Patterns:

Social Support:

Stress and Coping Patterns:

II. HEAD TO TOE PHYSICAL ASSESSMENT(PRESENT)

A. General Health Survey:

B. Integumentary:- Skin

- Hair

- Nails

C. HEENT- Head and Neck

- Eyes

- Ears

- Nose

- Throat

D. Respiratory System E. Cardiovascular System F. Peripheral- vascular and LymphaticsG. BreastH. AbdomenI. Female/Male GenitourinaryJ. Motor- MusculoskeletalK. Sensory Neurologic

III. PLANS OF NURSING CARE: These plans provided for selecteddisorder, illustrate how the nursing process is applied

to meet the person’s health care and nursing needs by

reviewing key nursing interventions and the rationales

for those interventions.( PLEASE USE TABULAR FORMAT)

A. Nursing Diagnosis

B. Planning/Goal Setting

C. Implementation

D. Evaluation/Expected outcome

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IV. PHARMACOLOGY CHARTS AND TABLES: reminds the students ofimportant considerations relative to administering

medications and monitoring drug therapy.

A. Drug class and Examples

B. Actual dosage

C. Mechanism of action

D. Common side effectsE. Actual health teachings

V. PHYSIOLOGY/PATHOPHYSIOLOGY: these illustrations andalgorithms help students to understand normal Physiologic

and pathophysiologic processes.

VI. PATIENT EDUCATION CHARTS: these charts help the nursestudent to prepare the patient and the family for

procedures and as part of patient education prior to

discharge. Assist them with understanding the patient’s

condition. It will also help the nurse to educate the

patient regarding the disease and its process.A. Definition of the disease

B. Clinical manifestations

C. Assessment and diagnostic findings

D. Preventions

E. Medical management

F. Nursing management

G. FOR PROCEDURES;INNUMERATE THE DIFFERENT STEPS AND THE

NURSING CONSIDERATIONS

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TENTATIVE SCHEDULE OF DATES FOR RLE 106 WARD CLASSES A.Y 2012-2013- 1ST SEMESTER

DATES TASKS GROUPJUNE

13/14/15ORIENTATION WEEK(CONSIDERED RLE)

JUNE 27 FIRST DAY OF DUTYJUNE

29(FRI)1st SUBMISSION OF INDIVIDUAL CP

FIRST WARD CLASS-1st SPECIAL RLE PROCEDURE

REPORTING ( TOPIC: .PerformingHemodialysis and Peritoneal

Dialysi,.Central Line Set up andInsertion,.Arterial Blood Gas

Interpretation)

Tbd

JULY 6(FRI) First Group Case presentation tbd

JULY13(FRI)

2nd SPECIAL RLE PROCEDUREREPORTING( TOPIC: Insertion and

management of Chest Drains, Suctioningand Mechanical, Ventilation,.Assisting in

Endotracheal Intubation,

tbd

2ND SUBMISSION OF INDIVIDUAL CP

AUG 3(FRI) 3RD SPECIAL RLE PROCEDUREREPORTING (TOPIC: .E –

Cart&Performing Basic CodeManagement,.ECG Placement and

Cardiac Monitoring,.Defibrillation and,Cardioversion,Automated Electric

Defibrillation, Monitoring Cardiac OutpuT

tbd

AUG10(FRI)

2ND Group Case presentation(topic fromJuly 13 duty)

tbd

AUG31(FRI)

4th SPECIAL RLE PROCEDURE

NOTE: A copy of the group report must be submitted to the adviserone(1) week before the scheduled day of reporting.( Computerized/long bond paper)

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BROKENSHIRE COLLEGE SOCSKSARGEN,INC.Ced Avenue, General Santos City

NCM 106SUMMARY OF CLINICAL ROTATION

Name:________________________________________________Section:__________ Academic Year:_______________

NCM 106: REHABILITATIVE NURSING CARE MANAGEMENT;144 hours lecture,408 hours RLE /FIRST SEM.,BSN IV: Concepts and principles of nursing care

management of clients with alterations in human functioning across the lifespan in varied settings. This is a continuation of NCM 102,103. TERMINAL COMPETENCIES: Given a client with simple to complex healthproblems/ work related health problems and life threatening conditions in anyhealth care situation, the student provides nursing care utilizing the nursingprocess.

CONCEPTS INCLUSIVE

DATES

AREA OFEXPOSURE

RATING CI’SSIGNAT

URE

REMARKS

INFLAMMATORY &

IMMUNOLOGICDISTURBANCES

ONCOLOGICNURSING

ACUTE BIOLOGICCRISIS

EMERGENCY NURSING

Narba jose R. Punay, RN Lourdes Decrepito, RNLevel 4 Coordinator RLE Coordinator

Sherlita P. Lapore, RN MANDean- Nursing Dept.

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BROKENSHIRE COLLEGE SOCSKSARGEN INCORPORATEDCed Avenue, National Highway, General Santos City

COLLEGE OF NURSING

PERFORMANCE RATING SCALE FOR CASE PRESENTATION

(APPLICABLE FOR INDIVIDUAL AND GROUP)

STUDENT/GROUP NAME: ____________________DATE OF EVALUATION: _______________

C R I T E R I A 3 2 1 0SUBJECTIVE DATA

I : ORGANIZATION OF THE REPORT a. systematically presented

II: CONTENT:

HEALTH HISTORY a. Biographical data taken completely & accurately

b. Current health status, Past health history, & familyhistory taken completely & accurately

c. Review of Systems obtain completely & accurately

d. Psychosocial profile/ Gordons pattern acquired and

discussed completely & correctly. e. Identify modifications needed in obtaining health

history.

OBJECTIVE DATA(head to toe PE)I : ORGANIZATION OF THE REPORT a. systematically presented

II : CONTENT

a. Able to apply & made proper use of the IPPAtechnique in performing physical assessment of the major body systems of a patient

b. Discussed & relate assessment of all major body

systems in relation to other body parts/systems.

c. Paid particular attention to organ/system involved.

d. Able to identify, discuss & incorporate in the

assessment data all necessary laboratory/diagnosticprocedures of the patient.

e. Identify modifications needed in obtaining physicalassessment such as pediatric and gerontologicconsiderations.

f. Identify ethical considerations necessary forpersons’ right related to data collected.

ANALYSISa. Able to present & discuss the anatomy & physiology

of the system/s or organ/s involved in the disease.

b. Comprehensively/ accurately presented the IDEAL

and the ACTUAL pathophysiology of the diseaseinvolved.

MANAGEMENT

I : MEDICALa. Medical management well understood through

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discussion of its relevance.

b. Ideal management presented comprehensively.

c. Laboratory/diagnostic examinations interpreted

correctly.

II : NURSINGa. Identified appropriate nursing diagnosis based on

available cues.

b. Identified and prioritized 3 important problems.

APPROPRIATE FORMULATION OF:

1. Nursing diagnosis

2. Needs identification

3. Objectives ( SMART)

4. Intervention

5. Rationale

6. Evaluation

PHARMACOLOGIC CHARTa. Completely and correctly presented as to

important ACTUAL considerations in administeringmedications including monitoring drug therapy &

important NURSING RESPONSIBILITIES

APPLICABLE TO THE PATIENT’S CASE.PATIENT EDUCATION CHART

a. Completely, accurately & comprehensivelydiscussed the health teachings according to client’sneeds and case.

AUDIO-VISUALSa. Use of audio visual aids facilitated comprehension

b. Neat & proportional

c. Complete and well prepared.

TOTALPOINTS LEGEND:

0 Not done or inappropriately done 2 Satisfactory1 Needs improvement 3 Meets expected

outcome PERFECT SCORE IS 93 POINTS

COMPUTATION: RS x 50 + 50 = _____ x ___ %TS

________________________________________________________NAME/ SIGNATURE OF EVALUATORNAME/ SIGNATURE OF STUDENT

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BROKENSHIRE COLLEGE SOSKSARGEN, INC.Ced Avenue, National Highway, Lagao, General Santos City

Tel. No. (083) 552-1218 / 552 -1288

WARD and SPECIAL AREAS

STUDENT PERFORMANCE EVALUATION SHEET

Student’s Name: ________________________________ Inclusive Dates: ____________ Area and Shift: ________________________________ Concept (s): ________________________________

I. KNOWLEDGE (40%) Actual Rating Justification

a. Quizzes (10%) _____

b. Interviews/ Reports (10%) _____

c. Requirements (20%) _____

II. SKILLS (40%) ______

III. ATTITUDE (20%)

a. Attendance (5%) ______

b. Personality (5%) ______

• maintains good grooming at all times (2)

• endeavors to improve quality of performance (3)

c. Behavior (10%) ______

• courtesy, tactfulness and respect(4) ___

• accepts constructive criticisms positively(3) ___

• does best to perform tasks efficiently(3) ___

IV. TOTAL (100%) _________

Evaluator’s Name and Signature:

I hereby accept the actual ratings that appear on this evaluation sheet and that it hasbeen justified and explained to me by the evaluator whose signature is affixed.

Signed:

________________________ (Student’s name and signature)

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rle 106 req

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