Western Mindanao State University

College of Nursing
Zamboanga City

REQUIREMENTS FOR RELATED LEARNING EXPERIENCE (RLE)

OF LEVEL II STUDENTS FOR ROTATIONS 3, 4, 5, AND 6
(2nd Semester A.Y. 2019-2020)

General Guidelines
1. All level II students enrolled in the current semester are required to comply with the
stipulated requirements for each of their missed rotation due to the Enhanced Community
Quarantine (ECQ) brought about by the COVID-19 pandemic to earn their numerical grade
in their RLE.

2. There are two modes of submission for the RLE requirements:

a. Online Submission – to start on June 1, 2020 and end on June 21, 2020 for timely
computation and submission of grades
b. In-person Submission – to transpire upon the return of students to school

3. Students are given the choice to decide whether to have their outputs encoded or
handwritten, whichever is more convenient for them.

4. For students who opt to have their outputs encoded, below are instructions to be followed:
a. Students should convert their files into PDF for submission unless otherwise
specified by their Clinical Instructors (C.I.s).
b. The platform for submission is Google Mail, whereby, respective
C.I.s shall provide their email address to their students for purposes of submission
and correspondence.
c. For the subject title of the email, students should follow the format:
*Rotation Area* Requirements (for example: ZCMC Ward 1 Requirements)
d. Students should indicate their complete name, section, and rotation dates in the
body of the email.
e. Students should remember to follow online netiquettes when sending an email.
f. Students can expect their respective C.I.s to provide them with acknowledgement
receipt to confirm that their emailed outputs had been received in full without
technical issues.
g. Students are encouraged to print their submitted outputs upon their return to school
for documentation purposes and for their future consumption.

5. For students who opt to have their outputs handwritten, below are instructions to be
followed:
a. All outputs shall be written in their RLE notebook for the current semester.
 b. For students whose RLE notebooks were not returned prior to the implementation
of the community quarantine, other available notebooks of the same size as their
RLE notebooks can be used as an alternative.
c. For students without available alternative notebooks, bond papers can be used as
substitute.
d. Students can submit their handwritten outputs online by either taking a photo or
scanning their outputs and send them to their respective C.I.s via Gmail.

6. For students who opt to submit their outputs in-person, updates will be provided
regarding instructions for submission.

Guidelines for Compliance of Requirements

1. For the Nursing Care Plan (NCP), below are instructions for compliance:
a. Students are to follow the same format as their requirement in NCM 109-A,
wherein, they are only to include the following NCP components:
i. Nursing Diagnosis;
ii. Planned Interventions (with classifications: independent, dependent, and
interdependent);
iii. Rationale (with references).
b. Students should comply with the specific number of NCPs and further instructions
stipulated by their respective C.I.s.

2. For the Case Study, below are the instructions for compliance:
a. Students should follow the Study of Illness Condition (SIC) Format provided by
the level II faculty (see table 1 below).
b. For the illustration of organ system involved, students can either draw their
illustrations or source pictures from the internet.
c. Students should comply with the specific number of case studies and further
instructions stipulated by their respective C.I.s.
Organ/System Normal Function Pathophysiology Diagnostic Tests Evaluation
Involved / Physiology and Findings
 Actual Problem
(Illustration) (include clinical  Probable/Anticipatory
manifestations) Problem
 Foreseeable Crisis
Table 1. Study of Illness Condition format.

3. For the Case Presentation, below are instructions for compliance:

a. Students should follow the format provided by their respective C.I.s
b. Students should comply with the specific number of case presentations and
further instructions stipulated by their respective C.I.s (i.e. components to include
like medical and nursing management etc.)
 4. For the Drug Study, below are instructions for compliance:
a. Students should follow the Drug Study Format provided by the level II faculty
(see figure 1).
b. Students should comply with the specific number of drug studies and further
instructions stipulated by their respective C.I.s.

Figure 1. Drug Study format.

5. For the Health Teaching Plan (HTP), below are instructions for compliance:
a. Students should follow the HTP Format provided by the level II faculty (see figure
2 below). However, the evaluation component is to be omitted.
b. Students should comply with the specific number of HTPs and further instructions
stipulated by their respective C.I.s.

Figure 2. Health Teaching Plan format.

6. For students who opt to have their NCP, HTP, case study, and drug study on a bond paper,
they should write it in landscape orientation to maximize the use of space and for ease of
checking on the part of their C.I.s. For the case presentation, portrait orientation will do.

7. For every first page of their requirements per area, students should start with a header
containing the following information:
Rotation No. Clinical Instructor: (FN, MI, LN, distinction
e.g. RN, MN/MAN/MSN/PhD/EdD/DSN)
Name: Last Name, First Name, Middle Initial Rotation Area:
Year and Section: Rotation Dates:

8. Students do not need to include the Terminal Performance Objective, Enabling Objectives,
and Planned Table of Activities.

9. For questions and clarifications regarding their requirements, students are encouraged to
have a contact person per rotation who can forward their concerns to their respective C.I.s.
 COMPILATION OF RLE REQUIREMENTS
IN THE HOSPITAL AREAS

Area: ZCMC Birthing Clinic

Requirements:
1. Make three (3) NCPs (one for labor pain and two for postpartum complications)
2. Make a drug study for the following:
 Oxytocin
 Hyoscine N-butylbromide (used in labor),
 Methylergonovine Maleate
 Vitamin K
 Terramycin eye ointment (for newborn)
3. Make a reaction paper based on an article about updates on Maternal and Newborn Care.
 Articles should be published from 2016 onwards.
 The chosen article shall be also submitted online in PDF format or attached in the
notebook.
NOTE:
• For those who can submit online, send your outputs to Prof. Desdimona Sakandal via her email
address: [email protected].

Prepared by:

DESDIMONA C. SAKANDAL, RN, RM, MN

Clinical Instructor, ZCMC Birthing Clinic

DEANNE I. SANCHEZ, RN, RM, MN

Clinical Instructor, ZCMC Birthing Clinic
 Area: ZCMC Ward 1 and
Puericulture Maternity and Lying-in Hospital OB/Gyne Ward

Requirements:

1. Make a case study based on the disease conditions affecting the female reproductive system
(e.g. different types of abortion, H-mole, PIH, Placenta Previa, Abruptio Placenta, Gestational
Diabetes).
• Choose only one (1) topic.

2. Make three (3) NCPs based on the clinical manifestation of the chosen disease condition.
• The three (3) NCPs correspond to the following problems: 1 physiological,
1 psychosocial, and 1 sociocultural problem.

3. Make five (5) drug studies for the commonly prescribed medications for your chosen disease
condition.

NOTE:

• For those who can submit online, send your outputs to:
 Prof. Elinor Regondola via her email address: [email protected].
 Prof. Marites Yusop via her email address: [email protected].

Prepared by:

LORNA B. CARPIO, RN, MN

Clinical Instructor, ZCMC Ward 1

ELINOR B. REGONDOLA, RN, MAN

Clinical Instructor, ZCMC Ward 1

MARITES A. YUSOP, RN, MAN

Clinical Instructor, Puericulture OB/Gyne Ward
 Area: ZCMC Under 5

Requirements:
1. Make a case study on any disease condition affecting stages from birth to below 18 years old.
 Choose only one (1) topic on any stage following the SIC format.
2. Make two (2) NCPs for each disease condition.
3. Make a Health Teaching Plan (HTP) based on the chosen disease condition.

NOTE:

• For those who can submit online, send your outputs to Prof. Teresita Ong via her email address:
[email protected].

Prepared by:

TERESITA D. ONG, RN, MN

Clinical Instructor, ZCMC Under 5
 Area: ZCMC Public Health Unit

Requirements:
1. Research and formulate a Case Presentation on COVID-19 to include the following:
 Definition, symptoms, pathophysiology, preventative and promotive interventions
(e.g. hand washing, PPE, nutrition, isolation/quarantine), as well as new trends and
updates.

2. Make a position paper or reaction paper on the following:

 COVID-19 task force for the management of emerging infectious diseases.
 Guidelines on COVID-19 including the Quarantine Act.
3. Research and formulate one (1) Case Study, one (1) NCP and one (1) HTP on any of the
following topics below (choose one topic only):
 Topics (based on DOH monthly program)
 Hypertension
 Diabetes
 Stroke
 Kidney disease
 Childhood diseases including diarrhea disc, deforming, UTRI/ARTI, micronutrients
deficiency, nutrition and malnutrition
 Dengue
 Cancer
 Rabies
 TB
 Thyroid awareness
 AIDS
 EENT Care
 Safe motherhood (e.g. prenatal programs, family planning and responsible
parenthood, and newborn screening).
NOTE:
• For those who can submit online, send your outputs to Prof. (insert name) via his/her email
address: (insert email address).

Prepared by:

ERNESTO JOEL C. SANTOS, RN, MAN

Clinical Instructor, ZCMC-PHU

SANDRA M. COVARRUBIAS, RN, MN

Clinical Instructor, ZCMC-PHU
 Area: Puericulture Maternity and Lying-in Hospital
Delivery Room (DR)

Requirements:

1. Make a PowerPoint presentation on the following topics (you may include illustrations):
 Mechanisms of labor
 Main differences between normal and abnormal presentations
 Common complications of malpresentations or malposition of the fetus at full term
 For the file name, follow this format: DR_REQUIREMENTSPPT
Criteria for Scoring
Content 70
Creativity / Originality 20
Completeness 10
Total: 100

2. Make a drug study on the following medications:

 Methylergonovine maleate
 Oxytocin
 Vitamin K
 Terramycin eye ointment
 Format: MS word, Font style: Arial, Font size: 12
 File name: DR_REQUIREMENTSDS

NOTE:
 For those who can submit online, send your outputs to Dr. Grace Floriano via her email
address: [email protected] starting May 24, 2020.
 Subject title of the email: PUERI DR REQUIREMENTS
 Kindly indicate your complete name, section, and rotation date in the email.

Prepared by:

DR. GRACE N. FLORIANO

Clinical Instructor, Puericulture Delivery Room
 Area: ZCMC Injection Room
(MTW Group only)

Requirements:
1. Formulate a case presentation on Non-Neonatal Tetanus to include the following:
a. Definition
b. Pathophysiology
c. Medical Management
d. Nursing Diagnosis
e. Nursing Management
f. Preventive Measures
2. Formulate a drug study on the following:
a. Tetanus Toxoid
b. Tetanus Anti Toxin Serum
c. Tetanus Immune Globulin
3. Make a reaction paper on the topic below:
 Study a Journal or an Article on Safe Injection Evidence-based practices. Cite an example
and discuss comprehensively.

NOTES:
 For those who can submit online, send your outputs to Prof. Kamille Alcala via her email
address: [email protected] starting May 31, 2020.
 Paper size: Long; Font Style: Arial; Font size: 11.
 Submit in PDF version.
 For those who do not have an internet connection, prepare hard copies.

Prepared by:

MARIE KAMILLE A. ALCALA, RN, MAN

Clinical Instructor, ZCMC Injection Room
 Area: ZCMC Injection Room
(TThS Group only)

Requirements:

1. Make a case presentation on Tetanus, Rabies & Wounds, include the following:
a. Definition f. Medical Management
b. Signs and Symptoms g. Nursing Management
c. Etiology h. Prognosis
d. Pathophysiology i. Updates
e. Diagnostic Test

2. Formulate a drug study for each of the following medications:

 Rabipur  Berirah  ATS
 Vaxirah  Equirah  TTS
 Veracab  Speeds

NOTE:
 For those who can submit online, send your outputs to Prof. Elizabeth Joe via her email
address: [email protected].

Prepared by:

MARIA ELIZABETH A. JOE, RN, MN

Clinical Instructor, ZCMC Injection Room
 COMPILATION OF RLE REQUIREMENTS
IN THE COMMUNITY

Area: City Health Office

Requirements:
1. Formulate two (2) Nursing Care Plans, each corresponding to the following topics:
 Rabies
 Tetanus
2. Formulate two (2) Health Teaching Plan, each corresponding to the following topics:
 Rabies
 Tetanus
3. Make a drug study for the following:
 Tetanus Toxoid
 Anti-Tetanus Serum (ATS)
 Anti-Rabies Vaccine (ARV)

Prepared by:

MARIAM Z. JULKARNAIN, RN, Ed.D.

Clinical Instructor, City Health Office

NOEMI TINGCANG, RN, MN

Clinical Instructor, City Health Office
 Area: Baliwasan Lying-in

Requirements:
1. Make a case study on any of the following disease conditions: common, cold, influenza, or
COVID-19 whether in the neighborhood, heard over the news, or social media, to include the
following:
a. Patient’s Profile
b. Health History (with focus on present illness)
c. Nursing Care Plan
d. Drug Study (if applicable)
2. Read and research on the following disease conditions: common, cold, influenza, and COVID-
19. Make a case presentation following the format (Microbiology-based) listed below:
a. Name of the Disease
b. Synonym or Other Name of the Disease
c. Definition or Description of the Disease
d. Causative Agent
e. Reservoir
f. Mode of Transmission
i. Mode of entry
ii. Mode of Exit
g. Signs and Symptoms (include stages of the disease)
h. Nursing Management (include preventive and promotive)
i. Prophylaxis (include any vaccines available)
j. Immunity developed
k. Complications
l. Prognosis

Prepared by:

MILABELLE C. ENRIQUEZ, RN, MAN

Clinical Instructor, Baliwasan Lying-in
 Area: Canelar Health Center
(MTW Group only)

Requirements:

1. For the written outputs, accomplish the following:

 History of Barangay Canelar

 Organizational Charts of the Barangay Hall and Barangay Health Center
 Family Assessment Tool (client will be your own family)

2. Identify three (3) problems and prioritize the problems using the Scale for Ranking Health
Problems.

3. Make a Health Teaching Plan for the top health problem.

4. Make a case presentation for the diseases assigned per section:

Section D Section E Section F

 Abruptio Placenta and  Malaria  Asthma
Placenta Previa
 Poliomyelitis  Dysentery  COVID-19
 Gestational Diabetes  UTI  Pneumonia
 Hypertension  Malaria

Include the following in the case presentation: 4. For the actual health teaching, make a
video of your health teaching.
a. Description of the disease condition or
illness  You can edit your recording and add
b. Brief Review of Anatomy animations.
c. Causes or contributing factors to the  The video’s runtime should be a
development of the disease condition or minimum of eight (8) minutes but not
illness more than 13 minutes.
d. Signs and Symptoms  The video output may be submitted
e. Nursing and Medical interventions via YouTube, email, or Facebook
f. Preventive measures Messenger. For those who would
upload their videos to You Tube,
Note: If you find something important to add kindly attach the link of your video.
while researching or doing the case study, feel
free to do so.
Prepared by:

SHIRLEY M. NOLLEDO, RN, MN

Clinical Instructor, Canelar Health Center
 All other areas in the Community

Within the comfort of your home, accomplish the following requirements:

1. Follow the Family Nursing Process. Utilize the Assessment Guide and accomplish the following
with your own family as your client:

 Initial Database
 Community Health Assessment Guide / Family Assessment Tool
 Identify three (3) problems using the Typology of Family Nursing Problems following
the first and second level of assessment
 Rank or prioritize the three (3) identified family problems using the Scale for Ranking
Health Problems with the four criteria below:
a. Nature of the Problem
b. Modifiability of the Problem
c. Preventive Potential
d. Salience of the Problem

 Based on the result of the ranking, make a Family Nursing Care Plan (FNCP) and Health
Teaching Plan (HTP) to address the problem.

2. Make one (1) case study following the SIC Format for any of the disease conditions of mothers
and children at risk (i.e. concepts discussed in NCM 109-A).

3. Research at least five (5) DOH programs. Include descriptions and insert pictures if available.

4. Include COVID-19 updates which can be integrated when HTP or FNCP is formulated.

Prepared by: LEVEL II CLINICAL INSTRUCTORS

For the information and guidance of all concerned.

Reviewed and noted by:

ANNA LIZZA S. CABURNAY, RN, MAN

Level II Coordinator

Approved by:

NURSIA M. BARJOSE, RN, DSN

Dean, College of Nursing