HOLY NAME UNIVERSITY

COLLEGE OF HEALTH AND

SCIENCES DEPARTMENT OF
NURSING
CITY OF TAGBILARAN

PLANNED CLINICAL EXPERIENCE FOR LEVEL IV NURSING STUDENTS IN THE EMERGENCY

ROOM ALLIED CARE EXPERTS MEDICAL CENTER – BOHOL
TAGBILARAN CITY

PLACEMENT: Second Semester, S.Y 2022 – 2023

DAYS: Monday, Tuesday and Wednesday

TIME: PM Shift 3:00 PM – 11:00 PM

DESCRIPTION: This is a planned clinical experience for the Level IV students assigned in the Emergency Room for the application of concepts,
principles and skills necessary for the students to function interdependently with the health team through actual nursing care of the
assigned patients in this particular area.

LEARNING OUTCOMES: At the end of three weeks of clinical exposure in the Emergency Room, the Level IV student nurses are expected to
acquire sufficient knowledge, concepts, skills, and attitudes necessary for the application in dealing with emergent situations through the critical
utilization of the nursing process. Moreover, student nurses are expected to perform competently, and confidently the skills needed to apply through
various exposures to emergency cases and will be able to accurately and thoroughly document and report up-to-date client care.

INTENDED LEARNING CONTENT TEACHING-LEARNING ASSESSMENT

OUTCOME ACTIVITIES
3 WEEKS OF EXPOSURE IN Nursing Care of patients in the Given an assigned client in the
EMERGENCY ROOM Emergency Room Emergency Room, let the student
First Day (First week) nurses:
That after 8 hours of duty the student
nurses will be able to:
 Assess the client’s overall A. Assessment  Completed a Patient’s Profile
 health status and obtain Assess the physiologic, physical  Perform triaging during with a rubric, Question and
important information and developmental changes of Emergency situations Answer, Graded Performance
utilizing specific methods the client. Performing a  Make assessment utilizing the using Efficiency Rating Rubrics
and tools to address existing prioritized assessment of the formulated Patient’s Profile
health needs. patient's immediately acute and  Direct supervision and guidance
potentially life-threatening in the actual assessment of the
problems. Creating and assessing patient
assessments that are appropriate
for the patient's needs.

 Formulate a nursing care plan B. Diagnosis  Completed Nursing Care Plan of

to address client’s health Formulate a Nursing Diagnosis  Formulate a nursing diagnosis Prioritized Nursing Problem with
needs or problems. Implement readiness and and make a plan of care based a rubric, Question and Answer
appropriate nursing care for on the identified health problem
traumatic patients or in utilizing the Nursing Care Plan
emergency situations to reduce  Direct supervision and guidance
complications and save lives. in the actual clustering of data
and formulating nursing
diagnosis

 Formulate a drug study to C. Planning  Completed Drug Study of

acquire sufficient knowledge Using the nursing process, plan  Make a Drug Study of the Prescribed Medications with a
and information about the nursing care that includes the prescribed medications rubric, Question and Answer
drugs that will be competencies of safe quality
 Direct supervision and guidance
administered to the client nursing care. Involve the
in the planning phase that
development of a holistic plan of
includes holistic plan to meet
care for the patient to meet the
the patient’s needs.
patient's needs.
Second Day (First week)
That after 8 hours of duty the student
nurses will be able to:
 Implement appropriate, safe D. Implementation
and quality nursing  Identified nursing interventions
Involve the development of a
interventions to address the  Identify nursing interventions (independent, dependent, and
holistic plan of care for the
health needs and problems of specific on nursing care plan for interdependent) in the Nursing
patient to meet the patient's
a sick client. the care of the sick client. Care Plan specific for the care of
needs.
the sick client, Question and
Answer
  Monitor and evaluate  Evaluation/Feed backing,
outcomes of health care E. Evaluation  Make an evaluation based on Question and Answer
rendered. Evaluate outcome criteria for the outcome of the nursing care  Graded performance using
achievement and effectiveness of plan. Efficiency Rating rubrics
care  Document pertinent information
to the client’s health services
provided.

 Document client’s responses  Evaluation/Feed backing

and outcomes of nursing care  Reports accurately any  Let student nurses fill out the  Question and Answer
rendered. inappropriate findings and chart for proper documentation
nursing interventions rendered of the following:
1. VS Sheet
2. TPR Sheet
3. I & O Sheet
4. FDAR
5. Kardex
 Implement a Health Teaching  Completed a Health Teaching
specific to client’s health  Assigned topic for the Health  Conduct a health teaching Plan with a rubric.
need for client’s awareness, Teaching (Ex. Management of utilizing the formulated Health  Question and Answer
management and prevention Breast Cancer) Teaching Plan
of disease.

Third Day (First week)

That after 8 hours of duty the student
nurses will be able to:
 Present Surgical Cases  Case Presentation
encountered in the Ward  Assigned topic for the Case  Presentation of a Case  Post Test
Presentation (Medical Diagnosis Presentation of the assigned  Question and Answer
of a Chosen Client) that cause a topic or disease (case)
patient to present to the consisting of 5 members per
emergency department group.
Requirements:

 Case Presentation on Emergency Cases encountered during the exposure

 Patients Profile, NCP, and Drug Study

Learning Materials:
 Textbooks
 Laptop, LCD Projector, writing materials
 Patient’s Profile
 Graded evaluation using efficiency rating
 Nursing Care Plan Form
 Drug Study Form
 Health Teaching Form
 Patient’s Chart (VS Sheet, TPR Sheet, I & O Sheet, FDAR, Kardex Form)
 Power Point Presentation
 Post Test Questionnaire

Prepared by:
Jay Lorraine A. Palacat BSN 4D
Sophia T. Ruaya BSN 4D

Submitted to:
Beverly L. Ingles, RN
Michelle A. Villamor, RN