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GUIDELINES of CLINICAL PRACTICUM BLOCK V ADVANCED MEDICAL SURGICAL NURSING PRACTICE I WOUND NURSING
5 Weeks
COORDINATOR:
Fitri Arofiati, SKep.,Ns, MAN, Ph.D
CONTRIBUTOR:
Fitri Arofiati, SKep.,Ns, MAN, Ph.D
MASTER OF NURSING
ADULT NURSING PROGRAM
UNIVERSITAS MUHAMMADIYAH YOGYAKARTA
STUDENT IDENTITY
Name : ............................................
ID : ............................................
Master of Nursing
Adult Nursing Program
Universitas Muhammadiyah Yogyakarta
2019
PHOTO
3 X 4
- Able to apply the concepts of quantitative research to research on the theory that is used so as to explain the research results obtained to enhance the professional development of nursing both in services and in educational institutions.
- Advance the concepts of the phenomenological approach to qualitative research and ethnography.
- Able to prepare a research proposal, research proposal in the form of qualitative and quantitative.
- Produce research that can improve the quality of nursing services.
- Able to perform dissemination, presentation and publication of research both nationally and internationally.
- Able to manage nursing care on evidence-based medical-surgical patients.
EDUCATOR
- Able to act as educators in educational settings and nursing services
LEADER
- Able to understand and apply the concept of leadership in decision-making in the health care system in a professional manner.
- Able to collaborate inter-professional.
CONSULTANT
- Able to act as consultants in problem solving and decision making in educational settings and nursing services
III.LEARNING OBJECTIVE
- Perform case management in wound care
- Synthesis of patient safety issues and quality of nursing care
- Create a literature review related to nursing issues in the area of wound care
- Designing the application of nursing theory in nursing care.
- Designing innovative projects provide nursing care in the area of wound care
IV. OUTCOME REPORT
The students able to:
- Demonstrate pathophysiology of wound and physiology of wound healing process
- Analyze health promotion and prevention of wound at foreign hospital
- Analyze innovative treatment and nursing technology of wound care based on evidence based research at foreign hospital
- Analyze case management of wound care at foreign hospital
V. PRE-REQUISITE
VI. PRACTICAL
A. Clinical Practice
No. Name Nick name Gender Place of Clinical Practice
- Akbar U Saun Akbar MALE Khon Khaen University (Thailand)
- Eny Hernani Eny FEMALE
B. Phase of Learning
Process of practice Medical Surgical Nursing Advanced application 1 held for 4 weeks in the hospital with a specialization that is shared with renal systems.
Process activity is divided into two phases: first phase for 4 weeks and the second phase of 4 weeks. Each stage of student conducts case management activities in accordance area specialization, skills demonstration and final exams.
VIII. SCHEDULE
WEEKS ACTIVITIES PLACE GRADE FACILITATOR
I Orientation Conference II Meet the expert Bed Site Teaching Tutorial Discussion III Case Presentation Journal presentation IV Examination V Final Examination Indonesia: Mini Seminar
IX. ESSENTIAL NURSING SKILLS
List the major skills, tailored to the demands of renal nursing area
Cases :
- Diabetic ulcer
- Venous ulcer
- Arterial ulcer
- Acute ulcer
X. RULES OF PRACTICUM
- The official uniform set by Master of Nursing
- Attendances 100%
- When leaving the lab: to go through the approval and replace the corresponding day of the abandoned
- Criteria to repeat: if the presence of <90% of 175 hours
- Criteria of failure are: if the presence of <90% without any notice, may be repeated if they express the reasons / evidence.
- Students eligible for assistance during the activity and had an obligation to follow all of the activities in accordance with the applicable
- Roles and responsibilities of the precept: to guide, assess, provide feedback and test students
XI. ASSESSMENT
A. Points are assessed:
- Case conference : 30%
- Case Presentation : 15%
- Journal Presentation : 15%
- Assignment : 10%
- Final Exam : 30 %
B. Assessment standards:
- A : 85-
- AB : 80-84.
- B : 75-79.
- <B : Failed
XII. REFERENCES
Medical Surgical Nursing Text books:
- Brunner and Suddarth’s, Text Book of Medical Surgical Nursing, 9th edition, 2005, Lippincott, Raven Publishers.
- John Luckmann, Medical Surgical Nursing, 3rd edition, 1987, Saunders Company, Philadelphia, London.
- Jayce M. Black, Jane Hokanson Hawks, Medical Surgical Nursing- Clinical Mangement for positive outcomes, 7th edition, 2005, Elsevier, India.
- Brunner S. B., Suddarth D. S., The Lippincott Manual of Nursing practice J. B. Lippincott. Philadelphia.
LOG BOOK
Presence form
No Place of
clinical practice
Date Presence Information
Start (time)
Sign Finish (time)
Sign
Assesment Form
Journal Presentation
Time (Day/Date/hour) : …………….
Journal title : …………….
Presenter : …………….
No Name of student NIM 1 2 3 4 5 6 Final score
Annotations:
- Ability to present the resume of the journal.
- Ability to discuss the content of the journal with clinical/ hospital situation or evidence based nursing
- Ability to acquire the knowledge during the presentation.
- Ability to analyze based on others journals or references.
- Organization / efficiency in the delivering the journal analysis.
- Student’s performance : attitude , systemation, and comunication skill
CASE PRESENTATION
Time (Day/Date/hour) : ……………. Diagnose/Problem : ……………. Ward : ……………. Presenter : …………….
NO Name of student Average score 1 2 3 4 5 6 7
1
Annotations:
- Ability to present the overview of the case.
- Ability to identify the essential data from the patient's problems
- Ability to identify and discuss the basic mechanisms in the form of pathway
- Ability to integrate and apply the basic sciences to the case
- Ability of the acquisition of knowledge during the presentation
- Organization / efficiency in the delivering the journal analysis.
- Student’s performance : attitude , systemation, and comunication skill
Final Assessment Form
Time (Day/Date/hour) : …………….
The title of assessment material : …………….
Area of interest : …………….
No Name of student NIM Final exam score
Appendix: PRO FORMA & GUIDELINE FOR CASE CONFERENCE
- Selection of patient.
- Demographic data of the patient.
- Medical history past and present illness.
- Comparison of the patient’s disease with book picture. a) Anatomy and physiology. b) Etiology. c) Pathophysiology. d) Signs and symptoms. e) Diagnosis - provisional & final f) Investigations g) Complications & prognosis.
- Management:- Medical or Surgical a) Aims and objectives. b) Drugs and Medications. c) Diet.
- Nursing Management (Nursing Process approach) a) Aims and objectives. b) Assessment and specific observations. c) Nursing diagnosis. d) Nursing care plan (Short term & long term with rationale.) e) Implementation of nursing care with priority. f) Health teaching. g) Day to day progress report & evaluation. h) Discharge planning.
- Drug Study.
- Research evidence.
- Summary and conclusion.
- Bibliography.
GUIDELINE FOR CASE PRESENTATION
I Patient Bibliography Name, Age, Sex, Religion, Marital status, Occupation, Source of health care, Date of admission, Provisional Diagnosis, Date of surgery if any. II Presenting complaints Describe the complaints with which the child has been brought to the hospital III Socio-economic status of the family: Monthly income, expenditure on health, food, education etc. IV History of Illness (Medical & Surgical) i. History of present illness – onset, symptoms, duration, precipitating/aggravating factors ii. History of past illness surgery, allergies, medications etc. iii. Family history – Family tree, history of illness in the family members, risk factors, congenital problems, psychological problems etc. V Diagnosis: (Provisional & confirmed). Description of disease : Includes the followings
- Definition.
- Related anatomy and physiology
- Etiology & risk factors
- Path physiology
- Clinical features. VI Physical Examination of Patient (Date & Time) Physical examination: with date and time. Clinical features present in the book Present in the patient VII Investigations Date Investigation done Results Normal value Inferences VI II Management - ( Medical / Surgical) a) Aims of management b) Objectives of Nursing Care Plan I X Treatment: No Drug (Pharmacological name) Dose Frequency/ Time Action Side effects & drug reaction Nurse’s responsibility Medical or Surgical Management. Nursing management X Nursing Care Plan: Short Term & Long Term plan. Assessment Nursing Diagnosis Objective Plan of care Rationale Implementation Evaluation XI Nursing Theories model X II Discharge planning: It should include health education and discharge planning given to the patient. X I II Prognosis of the patient: X IV Summary of the case: XV References:
EVALUATION CRITERIA FOR CASE PRESENTATION
- Content Subjective & objective data. (8)
- Problems & need Identified & Nsg. Care Plan (15)
- Effectiveness of presentation (5)
- Co-relation with patient & Book i. e. research evidence. (10)
- Use of A. V. Aids (5)
- Physical arrangement (2)
- Group participation (3)
- Bibliography & references (2)
Total 50