NSG320A Medical-Surgical II Clinical
Lead Faculty: Dr. Lynda Puhek
Practical application of knowledge and skills required for nursing care of adult patients with commonly occurring acute/critical medical-surgical problems is demonstrated in both Lab and clinical settings. Concurrent enrollment in NSG 320 is required unless approved by the Department Chair. Clinical Lab is graded on a Satisfactory/Unsatisfactory basis based on successful completion of the course requirements.
- Provide standardized nursing care to a group of adult, acutely/critically ill patients in a structured setting. Perform nursing skills safely and effectively. Administer nursing care based on the patient's present bio-psycho-social-cultural-spiritual situation. Determine the patient's priority of needs and plan care accordingly. Complete nursing care for at least three adult patients on time using an organized and efficient approach.
- Utilize the nursing process to administer care to the adult patient with commonly occurring health care needs and problems. Collect data on the patient's health status in a systematic and objective manner using the system's review. Assess the data considering the normal physiologic and psychologic parameters of the adult, acutely/critically ill patient's experience and identify the assets and deficits of that experience. Formulate a nursing diagnosis for each actual or potential problem which has been identified from the patient's health assessment. Devise a nursing care plan which provides nursing interventions to the patient as needed and reflects awareness of the priority problems in the care of the patient. Implement the plan of care and state the rationale for the nursing interventions. Evaluate the effectiveness of the care based on the stated expected outcomes or goals of care.
- Provide appropriate health information to the patient and family using standardized teaching plans. Assess the patient as to their learning needs and knowledge deficits. Implement a standard teaching plan to meet the patient's learning needs. Evaluate the effectiveness of that experience. Identify hospital as well as community resources available to patients and make referrals following consultation with team leader or instructor.
- Utilize therapeutic communication skills, guidance and support in interacting with the adult patient and family and record observations in proper sequence and format. Recognize own values and behavioral responses which may be conditioned by own culture and experiential background. Provide therapeutic and supportive communication to the adult, acutely/critically ill patient and family. Communicate and report pertinent observations and inferences to appropriate personnel (i. e. instructor, team leader, etc.) promptly. Record medications, treatments and subjective/objective observations properly in the patient's record.
- Assume responsibility for personal and professional growth in the medical-surgical setting. Accept responsibility for his own actions/behaviors as a student member of the health care team. Is prepared with pre-care level patient data prior to each clinical lab day. Report promptly to clinical laboratory and pre/post conferences. Constructively use instructor's feedback by initiating appropriate actions in subsequent written work or clinical behavior. Identify specific experiences in clinical practice which are needed to accomplish learning objectives. Appropriately seeks assistance where needed. Contribute to the growth of self and classmates by sharing learning experiences on the clinical units during pre and post conferences. Evaluate own clinical and academic performance based on these course objectives
- Utilize teaching-learning principles by implementing a standard teaching plan in a structured setting. Identify the patient and family/significant others' responses to impact of illness, hospitalization and treatments.